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USMLE STEP 1 Pharmacology 2022 Complete Solution guide.

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USMLE STEP 1 Pharmacology 2022 Complete Solution guide. What are the major functions of the α1 receptor? - Increase vascular smooth muscle contraction, increase pupillary dilator muscle contraction (mydriasis), increase intestinal and bladder sphincter muscle contraction What are the major functions of the α2 receptor? - Decrease sympathetic outflow, decrease insulin release, decrease lipolysis, increase platelet aggregation, decrease aqueous humor production What are the major functions of the β1 receptor? - Increase heart rate, increase contractility, increase renin release, increase lipolysis What are the major functions of the β2 receptor? - Vasodilation, bronchodilation, increase lipolysis, increase insulin release, decrease uterine tone (tocolysis), ciliary muscle relaxation, increase aqueous humor production What are the major functions of the M1 receptor? - CNS, enteric nervous system What are the major functions of the M2 receptor? - Decrease heart rate and contractility of atria What are the major functions of the M3 receptor? - Increase exocrine gland secretions (e.g., lacrimal, salivary, gastric acid), increase gut peristalsis, increase bladder contraction, increase bronchoconstriction, pupillary sphincter muscle contraction (miosis), ciliary muscle contraction (accommodation) What are the major functions of the D1 receptor? - Relaxes renal vascular smooth muscle What are the major functions of the D2 receptor? - Modulates transmitter release, especially in the brain What are the major functions of the H1 receptor?

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RN pharmacology online practice 2019 B
1. A nurse is teaching a client who is starting to take diltiazem. Which of
the following statements should the nurse identify as an indication
that the client understand the teaching?
(Ans)- I will check my heart rate before I take the medication

2. A nurse is caring for a client who is taking atrocastatin for
hyperlipidemia. Which of the following client laboratory values
should the nurse monitor?
(Ans)- creatinine kinase

3. A nurse is reviewing the medical record of a client who has
schizophrenia and a prescription for clozapine. Which of the
following laboratory tests should the nurse review before
administering the medication?
(Ans)- total cholesterol

4. A nurse is providing teaching to a client who has depression and a
new prescription for fluozetine. Which of the following statements by
the client indicates an understanding of the teaching?
(Ans)- I should take acetaminophen instead of ibuprofen for my
headaches while taking this medication

5. A nurse is caring for a client who is receiving haloperidol. The nurse
should identify which of the following findings as an adverse effect of
the medication?
(Ans)- akathisia

6. A nurse is teaching about a new prescription for ciprofloxacin to a
client who has a urinary tract infection. The nurse should identify
which of the following statements as an indication that the client
understands the teaching?
(Ans)- I will report any signs of tendon pain or swelling

, 7. A nurse is providing teaching to a client who is to start taking
sumatriptan. Which of the following adverse effects should the nurse
instruct the client to monitor for and report to the provider?
(Ans)- chest pressure

8. A nurse is caring for a client who has diabetes mellitus and is taking
glyburide. The client reports feeling confused and anxious. Which of
the following actions should the nurse take first?
(Ans)- perform a capillary blood glucose test

9. A nurse is providing teaching to a client about the use of ethinyl
estradiol/norelgestromin. The nurse should identify that which of the
following statements by the client indicates an understanding of the
teaching?
(Ans)- I will fold the sticky sides of the old patch together before
disposing it

10. A nurse is assessing a client who is taking amitriptyline for
depression. Which of the following findings should the nurse identify
as an adverse effect of the medication?
(Ans)- dry mouth

11. A nurse is preparing to administer a new prescription of
amoxicillin/clavulanic to a client. The client tells the nurse that they
are allergic to penicillin. Which of the following actions should the
nurse take first?
(Ans)- withhold the medication

12.A nurse is reviewing laboratory results for a client who is to receive a
dose of ceftazidime via intermittent IV bolus. Which of the following
laboratory findings is the priority for the nurse to report to the
provider before administering the medication?
(Ans)- Creatinine 2.6 mg/dL

13.A nurse is assessing a client who is taking tamoxifen to treat breast
cancer. Which of the following findings is the priority for the nurse
report to the provider?

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