NR 567 Midterm Spring 25
1. Which of the following is the least preferable initial treatment of choice
for status epilepticus?: Propofol (Diprivan)
2. Which of the following statements is not true?: 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
3. 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
4. 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?: Tetracaine (Pontocaine)
5. An OR patient receives propofol for induction. What is the most likely
adverse response associated with the administration of this pharmaceutical
agent?: Hypotension and respiratory depression
6. Which of the following is the least appropriate medication for a patient
with suspected increased intracranial pressure?: Ketamine (Ketalar)
7. 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?: Ketamine (Ketalar)
8. You are managing a patient who presented to the emergency
department with a severe headache. Shortly upon arrival, the patient's
,NR 567 Midterm Spring 25
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?: Succinylcholine
chloride
9. 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?:
Pancuronium (Pavulon)
10. 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?: If
dantrolene is needed postoperatively on the NMBA, care should be taken to ensure muscle
strength has returned prior to extubation
11. 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?: Labetalol (Trandate)
12. A nonselective beta-blocker was initiated for your patient. Which of the
following diagnoses warrants initiating this pharmaceutical agent?:
Hyperthyroid crisis
1. Which of the following is the least preferable initial treatment of choice
for status epilepticus?: Propofol (Diprivan)
2. Which of the following statements is not true?: 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
3. 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
4. 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?: Tetracaine (Pontocaine)
5. An OR patient receives propofol for induction. What is the most likely
adverse response associated with the administration of this pharmaceutical
agent?: Hypotension and respiratory depression
6. Which of the following is the least appropriate medication for a patient
with suspected increased intracranial pressure?: Ketamine (Ketalar)
7. 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?: Ketamine (Ketalar)
8. You are managing a patient who presented to the emergency
department with a severe headache. Shortly upon arrival, the patient's
,NR 567 Midterm Spring 25
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?: Succinylcholine
chloride
9. 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?:
Pancuronium (Pavulon)
10. 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?: If
dantrolene is needed postoperatively on the NMBA, care should be taken to ensure muscle
strength has returned prior to extubation
11. 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?: Labetalol (Trandate)
12. A nonselective beta-blocker was initiated for your patient. Which of the
following diagnoses warrants initiating this pharmaceutical agent?:
Hyperthyroid crisis
