NR 567 ADVANCED PHARM FINAL
EXAM REVISION QUESTIONS AND
THEIR ANSWERS
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)
Which of the following pharmaceutical agents is not
recommended for treating methanol poisoning?
Ethanol intravenously
Fomepizole (Antizole)
Sodium Bicarbonate
Disulfiram (Antabuse)
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)
Which of the following is the least preferable initial treatment
of choice for status epilepticus?
Lorazepam (Ativan)
Diazepam (Valium)
Propofol (Diprivan)
Fosphenytoin (Cerebyx)
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
sedative-hypnotics 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.
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)
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)
, 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)
Which of the following is a long-acting benzodiazepine that is
used to treat anxiety?
Diazepam (Valium)
Alprazolam (Xanax)
Eszopiclone (Lunesta)
Zolpidem (Ambien)
Acute dystonia can develop after early initiation of which of
the following?
Clozapine (Clozaril)
Haloperidol (Haldol)
Aripiprazole (Abilify)
Olanzapine (Zyprexa)
WEEK 2
EXAM REVISION QUESTIONS AND
THEIR ANSWERS
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)
Which of the following pharmaceutical agents is not
recommended for treating methanol poisoning?
Ethanol intravenously
Fomepizole (Antizole)
Sodium Bicarbonate
Disulfiram (Antabuse)
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)
Which of the following is the least preferable initial treatment
of choice for status epilepticus?
Lorazepam (Ativan)
Diazepam (Valium)
Propofol (Diprivan)
Fosphenytoin (Cerebyx)
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
sedative-hypnotics 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.
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)
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)
, 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)
Which of the following is a long-acting benzodiazepine that is
used to treat anxiety?
Diazepam (Valium)
Alprazolam (Xanax)
Eszopiclone (Lunesta)
Zolpidem (Ambien)
Acute dystonia can develop after early initiation of which of
the following?
Clozapine (Clozaril)
Haloperidol (Haldol)
Aripiprazole (Abilify)
Olanzapine (Zyprexa)
WEEK 2
