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NR 567 Final Exam Study Guide with questions and answers
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NR 567 Final Exam Study Guide with questions and answers
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NR 567 Final Exam StudyGuide with questions and
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Which of the following medications should be given to patients presenting to the emergency
department (ED) with an altered level of consciousness, seizures, or both, if a concern of
Wernicke-Korsakoff syndrome exists? - ANS Thiamine
Which of the following pharmaceutical agents is not recommended for treating methanol
poisoning? - ANS Antabuse
Which of the following pharmaceutical agents is the preferred antiseizure medication for a
generalized seizure disorder in a 25-year -old pregnant female? - ANS Levetiracetam
(Keppra)
Which of the following is the least preferable initial treatment of choice for status epilepticus? -
ANS Propofol (Diprivan)
Which of the following statements is not true? - ANS Sedative hypnotics can be utilized as an
anticonvulsant; zolpidem (Ambien) and lorazepam (Ativan) are excellent options for managing
seizures.- Zolpidem is not used as an anti-seizure
Your patient has been taking risperidone (Risperdal) but has developed hyperprolactinemia.
Which of the following may help manage hyperprolactinemia? - ANS Bromocriptine
(Parlodel)
A 35-year-old female with a long history of anxiety treated with diazepam (Valium) has
increasingly become fearful and anxious about the Coronavirus pandemic and triples her daily
dose. She is found extremely lethargic and obtunded two days after the increased dosing.
Which of the following pharmaceutical agents should the nurse practitioner order to treat her
condition? - ANS Flumazenil (Romazicon)
A 25-year-old male with a history of bipolar disease presents to the emergency department (ED)
with acute agitation characteristic of mania. Non-pharmacological methods of de-escalation
have been attempted without success. Which of the following is not recommended to treat this
patient? - ANS Olanzapine (Zyprexa)
, Which of the following is a long-acting benzodiazepine that is used to treat anxiety? - ANS
Diazepam (Valium)
Acute dystonia can develop after early initiation of which of the following? - ANS halodol
Adding epinephrine to a local anesthetic, such as 1% lidocaine for local infiltration, has which of
the following benefits? - ANS Extends the duration of the anesthesia block, useful for longer
procedures
Your patient reports a history of anaphylaxis to an "ester-type" local anesthetic. Which of the
following, if given, would be most likely to provoke an allergic response in this patient? - ANS
Tetracaine (Pontocaine)
An OR patient receives propofol for induction. What is the most likely adverse response
associated with the administration of this pharmaceutical agent? - ANS Hypotension and
respiratory depression
Which of the following is the least appropriate medication for a patient with suspected increased
intracranial pressure? - ANS Ketamine (Ketalar)
It is noted that a trauma ICU patient is receiving adequate pain relief during painful procedures,
but has increased skeletal muscle tone, an elevation in HR and BP, and post-procedure
hallucinations and agitation as the drug wears off. Which of the following pharmaceutical agents
is likely to create these effects? - ANS Ketamine (Ketalar)
You are managing a patient who presented to the emergency department with a severe
headache. Shortly upon arrival, the patient's neurological status rapidly deteriorates requiring
airway management. Rapid sequence intubation is performed, and the patient suddenly
develops a fever, hypertension, tachycardia, metabolic acidosis, hyperkalemia, and muscle
rigidity. Which induction agent was most likely used? - ANS Succinylcholine chloride
You are selecting a neuromuscular blocking agent with the least cardiovascular side effect
profile for an elderly patient with coronary artery disease. Which of the following medications
should be avoided? - ANS Pancuronium (Pavulon)
Your ICU patient is admitted following multisystem trauma secondary to a motor vehicle
collision. The patient is ventilated and will be maintained on a neuromuscular blocking
continuous agent to maintain neuromuscular blockage and deep sedation. Which of the
following is a true statement? - ANS If dantrolene is needed postoperatively on the NMBA,
care should be taken to ensure muscle strength has returned prior to extubation
Which of the following best describes the rationale for long-term methadone therapy in treating
opioid addiction and abuse? - ANS Methadone has greater oral bioavailability than morphine
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