Advanced Pharm NR 567 Final
1. 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?: Folate
(Folic acid)
Chlordiazepoxide (Librium)
Thiamine (Vitamin B1)
Lorazepam (Ativan)
2. Which of the following pharmaceutical agents is not recommended for
treating methanol poisoning?: Ethanol intravenously
Fomepizole (Antizole)
Sodium Bicarbonate
Disulfiram (Antabuse)
3. Which of the following pharmaceutical agents is the preferred antiseizure
medication for a generalized seizure disorder in a 25-year -old pregnant
female?: Phenobarbital (Solfoton)
Valproate (Valproic acid) -This is known as a human teratogen. Exposure in first trimester
isassociated with an approximately threefold increased risk of major congenital
malformations,most commonly spina bifida. There is evidence that valproate exposure
may be associated withan increased risk of autism spectrum disorder. Levetiracetam
(Keppra)
Topiramate (Topamax)
4. Which of the following is the least preferable initial treatment of choice
for status epilepticus?: Lorazepam (Ativan)
Diazepam (Valium)
Propofol (Diprivan)
, Advanced Pharm NR 567 Final
Fosphenytoin (Cerebyx)
5. Which of the following statements is not true?: In patients with hypovolemic
states, heart
failure, and other diseases that impair cardiovascular function, normal doses of
sedativehypnotics may cause cardiovascular depression
In patients with pulmonary disease, therapeutic doses of sedative-hypnotics can produce
significant respiratory depression.
Sedative hypnotics can be utilized as an anticonvulsant; zolpidem (Ambien) and lorazepam
(Ativan) are excellent options for managing seizures.
Benzodiazepines exert dose-dependent anterograde amnestic effects.
6. Your patient has been taking risperidone (Risperdal) but has developed
hyperprolactinemia. Which of the following may help manage
hyperprolactinemia?: Bromocriptine (Parlodel) b. Haloperidol (Haldol) c.
Promethazine (Phenergan)
d. Chlorpromazine (Thorazine)
7. 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?: Flumazenil (Romazicon)
Naloxone (Narcan)
Depakote (Divalproex sodium)
Midazolam (Versed)
, Advanced Pharm NR 567 Final
8. 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?: Haloperidol
(Haldol)
Olanzapine (Zyprexa)
Aripiprazole (Abilify)
Naltrexone (Vivitrol, ReVia)
9. Which of the following is a long-acting benzodiazepine that is used to treat
anxiety?: Diazepam (Valium)
Alprazolam (Xanax)
Eszopiclone (Lunesta)
Zolpidem (Ambien)
10. Acute dystonia can develop after early initiation of which of the following?:
-
Clozapine (Clozaril)
Haloperidol (Haldol)
Aripiprazole (Abilify)
Olanzapine
(Zyprexa)
11. WEEK 2: ...
12. Adding epinephrine to a local anesthetic, such as 1% lidocaine for local
infiltration, has which of the following benefits?: Extends the duration of the
anesthesia block, useful for longer procedures
Can be used in a digital block for extensive finger or toe laceration repair
1. 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?: Folate
(Folic acid)
Chlordiazepoxide (Librium)
Thiamine (Vitamin B1)
Lorazepam (Ativan)
2. Which of the following pharmaceutical agents is not recommended for
treating methanol poisoning?: Ethanol intravenously
Fomepizole (Antizole)
Sodium Bicarbonate
Disulfiram (Antabuse)
3. Which of the following pharmaceutical agents is the preferred antiseizure
medication for a generalized seizure disorder in a 25-year -old pregnant
female?: Phenobarbital (Solfoton)
Valproate (Valproic acid) -This is known as a human teratogen. Exposure in first trimester
isassociated with an approximately threefold increased risk of major congenital
malformations,most commonly spina bifida. There is evidence that valproate exposure
may be associated withan increased risk of autism spectrum disorder. Levetiracetam
(Keppra)
Topiramate (Topamax)
4. Which of the following is the least preferable initial treatment of choice
for status epilepticus?: Lorazepam (Ativan)
Diazepam (Valium)
Propofol (Diprivan)
, Advanced Pharm NR 567 Final
Fosphenytoin (Cerebyx)
5. Which of the following statements is not true?: In patients with hypovolemic
states, heart
failure, and other diseases that impair cardiovascular function, normal doses of
sedativehypnotics may cause cardiovascular depression
In patients with pulmonary disease, therapeutic doses of sedative-hypnotics can produce
significant respiratory depression.
Sedative hypnotics can be utilized as an anticonvulsant; zolpidem (Ambien) and lorazepam
(Ativan) are excellent options for managing seizures.
Benzodiazepines exert dose-dependent anterograde amnestic effects.
6. Your patient has been taking risperidone (Risperdal) but has developed
hyperprolactinemia. Which of the following may help manage
hyperprolactinemia?: Bromocriptine (Parlodel) b. Haloperidol (Haldol) c.
Promethazine (Phenergan)
d. Chlorpromazine (Thorazine)
7. 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?: Flumazenil (Romazicon)
Naloxone (Narcan)
Depakote (Divalproex sodium)
Midazolam (Versed)
, Advanced Pharm NR 567 Final
8. 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?: Haloperidol
(Haldol)
Olanzapine (Zyprexa)
Aripiprazole (Abilify)
Naltrexone (Vivitrol, ReVia)
9. Which of the following is a long-acting benzodiazepine that is used to treat
anxiety?: Diazepam (Valium)
Alprazolam (Xanax)
Eszopiclone (Lunesta)
Zolpidem (Ambien)
10. Acute dystonia can develop after early initiation of which of the following?:
-
Clozapine (Clozaril)
Haloperidol (Haldol)
Aripiprazole (Abilify)
Olanzapine
(Zyprexa)
11. WEEK 2: ...
12. Adding epinephrine to a local anesthetic, such as 1% lidocaine for local
infiltration, has which of the following benefits?: Extends the duration of the
anesthesia block, useful for longer procedures
Can be used in a digital block for extensive finger or toe laceration repair
