NR 567 Midterm Spring 25, Relias-
Lancesoft Corrections RN/LPN-v1
Questions and Answers Graded A+
Which of the following is the least preferable initial treatment of choice for status
epilepticus? - Correct answer-Propofol (Diprivan)
Which of the following statements is not true? - Correct answer-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
Adding epinephrine to a local anesthetic, such as 1% lidocaine for local
infiltration, has which of the following benefits? - Correct answer-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? - Correct answer-Tetracaine (Pontocaine)
,An OR patient receives propofol for induction. What is the most likely adverse
response associated with the administration of this pharmaceutical agent? - Correct
answer-Hypotension and respiratory depression
Which of the following is the least appropriate medication for a patient with
suspected increased intracranial pressure? - Correct answer-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? - Correct answer-
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? - Correct answer-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? - Correct answer-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? - Correct answer-If
dantrolene is needed postoperatively on the NMBA, care should be taken to ensure
muscle strength has returned prior to extubation
Your patient presents with essential hypertension, and in reviewing lab results, you
note that the circulating plasma renin and catecholamine levels are high. You
decide to lower blood pressure by reducing both cardiac output and systemic
vascular resistance (blocking both alpha- and beta-adrenergic receptors) with a
single pharmaceutical agent. Which of the following is most likely to achieve this
goal? - Correct answer-Labetalol (Trandate)
A nonselective beta-blocker was initiated for your patient. Which of the following
diagnoses warrants initiating this pharmaceutical agent? - Correct answer-
Hyperthyroid crisis
You are managing a patient with a history of coronary artery disease and transient
ischemic attacks. Low-dose aspirin treatment is considered, but the patient has a
Lancesoft Corrections RN/LPN-v1
Questions and Answers Graded A+
Which of the following is the least preferable initial treatment of choice for status
epilepticus? - Correct answer-Propofol (Diprivan)
Which of the following statements is not true? - Correct answer-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
Adding epinephrine to a local anesthetic, such as 1% lidocaine for local
infiltration, has which of the following benefits? - Correct answer-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? - Correct answer-Tetracaine (Pontocaine)
,An OR patient receives propofol for induction. What is the most likely adverse
response associated with the administration of this pharmaceutical agent? - Correct
answer-Hypotension and respiratory depression
Which of the following is the least appropriate medication for a patient with
suspected increased intracranial pressure? - Correct answer-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? - Correct answer-
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? - Correct answer-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? - Correct answer-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? - Correct answer-If
dantrolene is needed postoperatively on the NMBA, care should be taken to ensure
muscle strength has returned prior to extubation
Your patient presents with essential hypertension, and in reviewing lab results, you
note that the circulating plasma renin and catecholamine levels are high. You
decide to lower blood pressure by reducing both cardiac output and systemic
vascular resistance (blocking both alpha- and beta-adrenergic receptors) with a
single pharmaceutical agent. Which of the following is most likely to achieve this
goal? - Correct answer-Labetalol (Trandate)
A nonselective beta-blocker was initiated for your patient. Which of the following
diagnoses warrants initiating this pharmaceutical agent? - Correct answer-
Hyperthyroid crisis
You are managing a patient with a history of coronary artery disease and transient
ischemic attacks. Low-dose aspirin treatment is considered, but the patient has a
