NR 567 / NR567 MIDTERM AND
FINAL ACTUAL EXAM /
QUESTIONS AND CORRECT
ANSWERS LATEST STUDY GUIDE
2025/2026 .
,1. 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? ✓✓
CORRECT ANSWER Folate(Folic acid)
Chlordiazepoxide (Librium) Thiamine
(Vitamin B1) Lorazepam (Ativan)
2. Which of the following pharmaceutical agents is not recommended for treat- ing methanol poisoning? ✓✓
CORRECT ANSWER Ethanol intravenously
Fomepizole (Antizole) Sodium
Bicarbonate Disulfiram (Antabuse)
3. Which of the following pharmaceutical agents is the preferred antiseizure medication for a generalized
seizure disorder in a 25-year -old pregnant fe- male? ✓✓ CORRECT ANSWER Phenobarbital (Solfoton)
Valproate (Valproic acid) -This is known as a human teratogen. Exposure in first trimester isassociated with an approxi- mately threefold increased risk of major congenita
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)
4. Which of the following is the least preferable initial treatment of choice for status epilepticus? ✓✓ CORRECT
ANSWER Lorazepam (Ativan)
Diazepam (Valium) Propofol
(Diprivan) Fosphenytoin (Cerebyx)
5. Which of the following statements is not true? ✓✓ CORRECT ANSWER In patients with hypovolemic states, heart failure, and other
diseases that impair cardiovascular function, normal doses of sedative-hypnotics may cause cardio- vascular 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 ettects.
6. Your patient has been taking risperidone (Risperdal) but has developed hy- perprolactinemia. Which of the
following may help manage hyperprolactine- mia? ✓✓ CORRECT ANSWER Bromocriptine (Parlodel)
b. Haloperidol (Haldol)
c. Promethazine (Phenergan)
d. Chlorpromazine (Thorazine)
7. 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 ob- tunded two days after the increased dosing. Which of the following pharmaceu- tical agents should the nurse
practitioner order to treat her condition? ✓✓ CORRECT ANSWER Flumazenil (Romazicon)
Naloxone (Narcan)
Depakote (Divalproex sodium) Midazolam (Versed)
8. A 25-year-old male with a history of bipolar disease presents to the emer- gency department (ED) with acute
agitation characteristic of mania. Non-phar- macological methods of de-escalation have been attempted without
success. Which of the following is not recommended to treat this patient? ✓✓ CORRECT ANSWER Haloperidol
(Haldol)
Olanzapine (Zyprexa) Aripiprazole
(Abilify) Naltrexone (Vivitrol, ReVia)
9. Which of the following is a long-acting benzodiazepine that is used to treat anxiety? ✓✓ CORRECT ANSWER
Diazepam (Valium)
Alprazolam (Xanax) Eszopiclone
(Lunesta) Zolpidem (Ambien)
10. Acute dystonia can develop after early initiation of which of the following? ✓✓ CORRECT ANSWER -
Clozapine (Clozaril)
FINAL ACTUAL EXAM /
QUESTIONS AND CORRECT
ANSWERS LATEST STUDY GUIDE
2025/2026 .
,1. 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? ✓✓
CORRECT ANSWER Folate(Folic acid)
Chlordiazepoxide (Librium) Thiamine
(Vitamin B1) Lorazepam (Ativan)
2. Which of the following pharmaceutical agents is not recommended for treat- ing methanol poisoning? ✓✓
CORRECT ANSWER Ethanol intravenously
Fomepizole (Antizole) Sodium
Bicarbonate Disulfiram (Antabuse)
3. Which of the following pharmaceutical agents is the preferred antiseizure medication for a generalized
seizure disorder in a 25-year -old pregnant fe- male? ✓✓ CORRECT ANSWER Phenobarbital (Solfoton)
Valproate (Valproic acid) -This is known as a human teratogen. Exposure in first trimester isassociated with an approxi- mately threefold increased risk of major congenita
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)
4. Which of the following is the least preferable initial treatment of choice for status epilepticus? ✓✓ CORRECT
ANSWER Lorazepam (Ativan)
Diazepam (Valium) Propofol
(Diprivan) Fosphenytoin (Cerebyx)
5. Which of the following statements is not true? ✓✓ CORRECT ANSWER In patients with hypovolemic states, heart failure, and other
diseases that impair cardiovascular function, normal doses of sedative-hypnotics may cause cardio- vascular 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 ettects.
6. Your patient has been taking risperidone (Risperdal) but has developed hy- perprolactinemia. Which of the
following may help manage hyperprolactine- mia? ✓✓ CORRECT ANSWER Bromocriptine (Parlodel)
b. Haloperidol (Haldol)
c. Promethazine (Phenergan)
d. Chlorpromazine (Thorazine)
7. 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 ob- tunded two days after the increased dosing. Which of the following pharmaceu- tical agents should the nurse
practitioner order to treat her condition? ✓✓ CORRECT ANSWER Flumazenil (Romazicon)
Naloxone (Narcan)
Depakote (Divalproex sodium) Midazolam (Versed)
8. A 25-year-old male with a history of bipolar disease presents to the emer- gency department (ED) with acute
agitation characteristic of mania. Non-phar- macological methods of de-escalation have been attempted without
success. Which of the following is not recommended to treat this patient? ✓✓ CORRECT ANSWER Haloperidol
(Haldol)
Olanzapine (Zyprexa) Aripiprazole
(Abilify) Naltrexone (Vivitrol, ReVia)
9. Which of the following is a long-acting benzodiazepine that is used to treat anxiety? ✓✓ CORRECT ANSWER
Diazepam (Valium)
Alprazolam (Xanax) Eszopiclone
(Lunesta) Zolpidem (Ambien)
10. Acute dystonia can develop after early initiation of which of the following? ✓✓ CORRECT ANSWER -
Clozapine (Clozaril)
