N5334 Final EXAM
QUESTIONS AND VERIFED
CORRECT ANSWERS
[LATEST] GRADED A+ 100%
GUARANTEED PASS
A 32 yo male is starting paroxetine for depression. He is complaining of not being able
to obtain an erection. What can the NP do to help? - CORRECT ANSWER-add
bupropion
A 6 yo us being treated with ethosuximide. She should be monitored for: - CORRECT
ANSWER-Blood dycrasias which are uncommon but possible.
Sandy is taking lamotrigine for seizures and wants an rx for OCPs which can interact
with lamotrigine and cause: - CORRECT ANSWER-reduced lamotrigine levels,
requiring an increase in the dose of lamotrigine
The tricyclic antidepressants should be prescribed cautiously in patients with -
CORRECT ANSWER-CAD
Atropine - CORRECT ANSWER-Cause pupil finalization in eye exam
Bethanechol (Urecholine) - CORRECT ANSWER-GI/GU stimulation following surgery,
parasympathomimetic
Pyridostigmine (Mestinon) - CORRECT ANSWER-Category: Cholinergic,
Anticholeristinase, Use: Myasthenia Gravis, Precautions: May cause cram,ps, increased
peristalsis
Doxazosin (Cardura) - CORRECT ANSWER-Hypertension, BPH
Albuterol - CORRECT ANSWER-Asthma inhaler
Scopolamine (Transderm Scop) - CORRECT ANSWER-Anticholinergic (drying effects)
Used for motion sickness
,Can cause sedation, anticholinergic effects
Phenylephrine - CORRECT ANSWER-Sudafed PE; sympathomimetics
Propranolol (Inderal) - CORRECT ANSWER-Beta adrenergic blocker for hypertension
Dobutamine (Dobutrex) - CORRECT ANSWER-sympathomimetic
*Indication*: short term management of heart failure
*Action*: Dobutamine has a positive inotropic effect (increases cardiac output) with very
little effect on heart rate. Stimulates Beta1 receptors in the heart.
*Nursing Considerations*:
- Monitor hemodynamics: hypertension, ↑HR, PVCs
- Skin reactions may occur with hypersensitivity
- Beta blockers may negate therapeutic effects of dobutamine
- Monitor cardiac output
- Monitor peripheral pulses before, during, and after therapy
- DO NOT confuse dobutamine with dopamine
Acetylcholine binds to both _____ and ______ receptors - CORRECT ANSWER-
nicotinic and Muscarinic
Norepinephrine binds to both ____ and ____ receptors - CORRECT ANSWER-alpha
and beta
Atropine is considered to be the antidote to ______ toxicity - CORRECT ANSWER-
Cholinergic
Sympathomimetic is the same as _______ agonist - CORRECT ANSWER-adrenergic
Sympatholytic means the same as Anti-_____ - CORRECT ANSWER-adrenegic
Muscarinic antagonist means the same as anti-_____ - CORRECT ANSWER-
cholinergic
cholinergic means the same as _____ agonist and parasympathetic_____ - CORRECT
ANSWER-muscarinic and mimetic
Bradycardia, urinary urgency, bronchoconstriction, and pupillary constriction are the
signs of _______ toxicity - CORRECT ANSWER-cholinergic
Pupillary dilation, tachycardia, urinary retention and dry mouth are signs of muscarinic
_________ drugs such as atropine - CORRECT ANSWER-antagonist
An anticholinergic drug will _______ acetylcholine availability to the tissue? -
CORRECT ANSWER-increase
, Alpha 1 agonist______ BP, while alpha 1 antagonists ________ BP? - CORRECT
ANSWER-increase, decrease
beta 1 receptor activation will lead to _____ heart rate?
Beta 1 blockade will _____ Heart rate? - CORRECT ANSWER-increases/decrease
beta 2 receptor activation will lead to _______ however, administering a non-
cardioselective beta blocker can lead to _____? - CORRECT ANSWER-
bronchodialiation/bronchoconstriction
Alpha 2 agonist such as clonidine will _____ BP? - CORRECT ANSWER-lower
A ______ inotrope will increase contractility; a ______ chronotrope will decrease HR;
while a _______ dromotrope will decrease conduction via the AV node? - CORRECT
ANSWER-positive, negative, negative
Epinephrine is used in many emergency situations, such _______, Cardiac______ and
hypo_______ - CORRECT ANSWER-anaphylaxis, cardia arrest, hypotension
what "onset of actions symptoms" should be reviewed with patients who have been
newly prescribed an SSRI? - CORRECT ANSWER-they can feel a bit of nausea but this
resolves in about 1 week
Jaycee has been on Escitalopram for a year and is willing to try tapering off the SSRI.
What is the initial dosage adjustment when starting to taper off antidepressants? -
CORRECT ANSWER-reduce the dose by 50% for 3-4 days
One major drug used to treat bipolar disease is lithium. Because lithium has a narrow
therapeutic range, it is important to recognize symptoms of toxicity, such as: -
CORRECT ANSWER-GI problems, drowsiness and nausea, seizures and coma are
serious problems.
monitoring of a patient on gabapentin to treat seizures includes: - CORRECT
ANSWER-Recording seizure frequency, duration and severity
Sam, aged 65, is started on L-dopa for his Parkinson's disease (PD). He asks why this
is necessary. You tell him: - CORRECT ANSWER-the primary goal of therapy is to
replace depleted stores of dopamine
A 55yo patient develops parkinson's disease characterized by unilateral tremors only.
The NP will refer the patient to a neurologist and should expect initial treatment to be -
CORRECT ANSWER-Ropinirole (lesser symptoms need lighter drug)
Inattention and sleep-wake cycle disturbance are hallmark symptoms of: - CORRECT
ANSWER-delirium
QUESTIONS AND VERIFED
CORRECT ANSWERS
[LATEST] GRADED A+ 100%
GUARANTEED PASS
A 32 yo male is starting paroxetine for depression. He is complaining of not being able
to obtain an erection. What can the NP do to help? - CORRECT ANSWER-add
bupropion
A 6 yo us being treated with ethosuximide. She should be monitored for: - CORRECT
ANSWER-Blood dycrasias which are uncommon but possible.
Sandy is taking lamotrigine for seizures and wants an rx for OCPs which can interact
with lamotrigine and cause: - CORRECT ANSWER-reduced lamotrigine levels,
requiring an increase in the dose of lamotrigine
The tricyclic antidepressants should be prescribed cautiously in patients with -
CORRECT ANSWER-CAD
Atropine - CORRECT ANSWER-Cause pupil finalization in eye exam
Bethanechol (Urecholine) - CORRECT ANSWER-GI/GU stimulation following surgery,
parasympathomimetic
Pyridostigmine (Mestinon) - CORRECT ANSWER-Category: Cholinergic,
Anticholeristinase, Use: Myasthenia Gravis, Precautions: May cause cram,ps, increased
peristalsis
Doxazosin (Cardura) - CORRECT ANSWER-Hypertension, BPH
Albuterol - CORRECT ANSWER-Asthma inhaler
Scopolamine (Transderm Scop) - CORRECT ANSWER-Anticholinergic (drying effects)
Used for motion sickness
,Can cause sedation, anticholinergic effects
Phenylephrine - CORRECT ANSWER-Sudafed PE; sympathomimetics
Propranolol (Inderal) - CORRECT ANSWER-Beta adrenergic blocker for hypertension
Dobutamine (Dobutrex) - CORRECT ANSWER-sympathomimetic
*Indication*: short term management of heart failure
*Action*: Dobutamine has a positive inotropic effect (increases cardiac output) with very
little effect on heart rate. Stimulates Beta1 receptors in the heart.
*Nursing Considerations*:
- Monitor hemodynamics: hypertension, ↑HR, PVCs
- Skin reactions may occur with hypersensitivity
- Beta blockers may negate therapeutic effects of dobutamine
- Monitor cardiac output
- Monitor peripheral pulses before, during, and after therapy
- DO NOT confuse dobutamine with dopamine
Acetylcholine binds to both _____ and ______ receptors - CORRECT ANSWER-
nicotinic and Muscarinic
Norepinephrine binds to both ____ and ____ receptors - CORRECT ANSWER-alpha
and beta
Atropine is considered to be the antidote to ______ toxicity - CORRECT ANSWER-
Cholinergic
Sympathomimetic is the same as _______ agonist - CORRECT ANSWER-adrenergic
Sympatholytic means the same as Anti-_____ - CORRECT ANSWER-adrenegic
Muscarinic antagonist means the same as anti-_____ - CORRECT ANSWER-
cholinergic
cholinergic means the same as _____ agonist and parasympathetic_____ - CORRECT
ANSWER-muscarinic and mimetic
Bradycardia, urinary urgency, bronchoconstriction, and pupillary constriction are the
signs of _______ toxicity - CORRECT ANSWER-cholinergic
Pupillary dilation, tachycardia, urinary retention and dry mouth are signs of muscarinic
_________ drugs such as atropine - CORRECT ANSWER-antagonist
An anticholinergic drug will _______ acetylcholine availability to the tissue? -
CORRECT ANSWER-increase
, Alpha 1 agonist______ BP, while alpha 1 antagonists ________ BP? - CORRECT
ANSWER-increase, decrease
beta 1 receptor activation will lead to _____ heart rate?
Beta 1 blockade will _____ Heart rate? - CORRECT ANSWER-increases/decrease
beta 2 receptor activation will lead to _______ however, administering a non-
cardioselective beta blocker can lead to _____? - CORRECT ANSWER-
bronchodialiation/bronchoconstriction
Alpha 2 agonist such as clonidine will _____ BP? - CORRECT ANSWER-lower
A ______ inotrope will increase contractility; a ______ chronotrope will decrease HR;
while a _______ dromotrope will decrease conduction via the AV node? - CORRECT
ANSWER-positive, negative, negative
Epinephrine is used in many emergency situations, such _______, Cardiac______ and
hypo_______ - CORRECT ANSWER-anaphylaxis, cardia arrest, hypotension
what "onset of actions symptoms" should be reviewed with patients who have been
newly prescribed an SSRI? - CORRECT ANSWER-they can feel a bit of nausea but this
resolves in about 1 week
Jaycee has been on Escitalopram for a year and is willing to try tapering off the SSRI.
What is the initial dosage adjustment when starting to taper off antidepressants? -
CORRECT ANSWER-reduce the dose by 50% for 3-4 days
One major drug used to treat bipolar disease is lithium. Because lithium has a narrow
therapeutic range, it is important to recognize symptoms of toxicity, such as: -
CORRECT ANSWER-GI problems, drowsiness and nausea, seizures and coma are
serious problems.
monitoring of a patient on gabapentin to treat seizures includes: - CORRECT
ANSWER-Recording seizure frequency, duration and severity
Sam, aged 65, is started on L-dopa for his Parkinson's disease (PD). He asks why this
is necessary. You tell him: - CORRECT ANSWER-the primary goal of therapy is to
replace depleted stores of dopamine
A 55yo patient develops parkinson's disease characterized by unilateral tremors only.
The NP will refer the patient to a neurologist and should expect initial treatment to be -
CORRECT ANSWER-Ropinirole (lesser symptoms need lighter drug)
Inattention and sleep-wake cycle disturbance are hallmark symptoms of: - CORRECT
ANSWER-delirium
