NSG 322 Pharm Final Exam: Questions And
Verified Answers
Prototype for antipsychotic (trade/generic), treatment for
schizophrenia Correct Answer - haldol/haloperidol
How long does it take the typical antipsychotic drug to reach its
therapeutic effect? Correct Answer - several days
What would you say if a patient calls and states that the
antipsychotic drug isn't working within the 1st couple of days?
Correct Answer - keep taking it (they don't work right away)
What should we inform the patient about antipsychotics concerning
taking the prescription? Correct Answer - take consistently
(doses need to build up in the body)
What receptors do antipsychotics (haldol/haloperidol) block?
Correct Answer - dopamine, alpha, and serotonin
Is haldol/haloperidol highly protein bound? Correct Answer -
yes (92%)
How does the nurse make sure that the patient is complying and
adhering to the antipsychotic regimen? Correct Answer - build
a relationship (establish trust)
adverse effects of haldol/haloperidol Correct Answer -
extrapyramidal effects (pseudoparkinsonism, tardive dyskinesia);
seizures
stop giving haldol/haloperidol if the patient has this disease
Correct Answer - parkinson's disease (avoid starts and stops)
,Where is haldol/haloperidol metabolized? Correct Answer -
liver
What population has a black box warning associated with
haldol/haloperidol? Correct Answer - elderly patients with
dementia-related psychosis
What is the prototype drug (trade/generic) used for alzheimer-type
dementia? Correct Answer - exelon/rivastigmine
What enzyme does exelon/rivastigmine inhibit? Correct Answer -
acetylcholinesterase enzyme
What effect does exelon/rivastigmine have on acetylcholine?
Correct Answer - increases amount of acetylcholine (prevents
breakdown of it)
What is the most common adverse effect of exelon/rivastigmine?
Correct Answer - GI upset (take with food)
What is the most serious side effect of exelon/rivastigmine?
Correct Answer - bradycardia
Is exelon/rivastigmine curative or palliative? Correct Answer -
palliative (does not cure the disease)
What does acetylcholine help regulate (think about what the brain
does)? Correct Answer - regulates memory and cognition
What metabolizes exelon/rivastigmine? Correct Answer -
AChE
, What is the main route/dosage of exelon/rivastigmine? Correct
Answer - PO; 1.5, 3, 4.5, and 6 mg
Is exelon/rivastigmine highly protein bound? Correct Answer -
no (40%)
What is the prototype (trade/generic) antiepileptic drug that
decreases sodium influx Correct Answer - dilantin/phenytoin
what pt education should the nurse provide when talking about the
suspension form of phenytoin? Correct Answer - must be
shaken (before pouring, measure the dose)
Is phenytoin highly protein bound? Correct Answer - yes (90-
95%)
if the pt is homeless and is an alcoholic, would dilantin/phenytoin
be effective? Correct Answer - no: malnourished (pt may have
seizures because there is not enough protein in the body)
what types of seizures does dilantin/phenytoin control? Correct
Answer - partial and generalized (grand mal) seizures
where is dilantin/phenytoin mostly metabolized by? Correct
Answer - liver
what is the primary site of action of dilantin/phenytoin? Correct
Answer - motor cortex
rate of metabolism among people when taking dilantin/phenytoin
Correct Answer - varies greatly
how does dilantin/phenytoin work? Correct Answer - blocks
inactive sodium channels (delays action-potential b/t synapses,
Verified Answers
Prototype for antipsychotic (trade/generic), treatment for
schizophrenia Correct Answer - haldol/haloperidol
How long does it take the typical antipsychotic drug to reach its
therapeutic effect? Correct Answer - several days
What would you say if a patient calls and states that the
antipsychotic drug isn't working within the 1st couple of days?
Correct Answer - keep taking it (they don't work right away)
What should we inform the patient about antipsychotics concerning
taking the prescription? Correct Answer - take consistently
(doses need to build up in the body)
What receptors do antipsychotics (haldol/haloperidol) block?
Correct Answer - dopamine, alpha, and serotonin
Is haldol/haloperidol highly protein bound? Correct Answer -
yes (92%)
How does the nurse make sure that the patient is complying and
adhering to the antipsychotic regimen? Correct Answer - build
a relationship (establish trust)
adverse effects of haldol/haloperidol Correct Answer -
extrapyramidal effects (pseudoparkinsonism, tardive dyskinesia);
seizures
stop giving haldol/haloperidol if the patient has this disease
Correct Answer - parkinson's disease (avoid starts and stops)
,Where is haldol/haloperidol metabolized? Correct Answer -
liver
What population has a black box warning associated with
haldol/haloperidol? Correct Answer - elderly patients with
dementia-related psychosis
What is the prototype drug (trade/generic) used for alzheimer-type
dementia? Correct Answer - exelon/rivastigmine
What enzyme does exelon/rivastigmine inhibit? Correct Answer -
acetylcholinesterase enzyme
What effect does exelon/rivastigmine have on acetylcholine?
Correct Answer - increases amount of acetylcholine (prevents
breakdown of it)
What is the most common adverse effect of exelon/rivastigmine?
Correct Answer - GI upset (take with food)
What is the most serious side effect of exelon/rivastigmine?
Correct Answer - bradycardia
Is exelon/rivastigmine curative or palliative? Correct Answer -
palliative (does not cure the disease)
What does acetylcholine help regulate (think about what the brain
does)? Correct Answer - regulates memory and cognition
What metabolizes exelon/rivastigmine? Correct Answer -
AChE
, What is the main route/dosage of exelon/rivastigmine? Correct
Answer - PO; 1.5, 3, 4.5, and 6 mg
Is exelon/rivastigmine highly protein bound? Correct Answer -
no (40%)
What is the prototype (trade/generic) antiepileptic drug that
decreases sodium influx Correct Answer - dilantin/phenytoin
what pt education should the nurse provide when talking about the
suspension form of phenytoin? Correct Answer - must be
shaken (before pouring, measure the dose)
Is phenytoin highly protein bound? Correct Answer - yes (90-
95%)
if the pt is homeless and is an alcoholic, would dilantin/phenytoin
be effective? Correct Answer - no: malnourished (pt may have
seizures because there is not enough protein in the body)
what types of seizures does dilantin/phenytoin control? Correct
Answer - partial and generalized (grand mal) seizures
where is dilantin/phenytoin mostly metabolized by? Correct
Answer - liver
what is the primary site of action of dilantin/phenytoin? Correct
Answer - motor cortex
rate of metabolism among people when taking dilantin/phenytoin
Correct Answer - varies greatly
how does dilantin/phenytoin work? Correct Answer - blocks
inactive sodium channels (delays action-potential b/t synapses,
