NURS 5663 - WEEK 2 MODULE 1 EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026

NURS 5663 - WEEK 2 MODULE 1 EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026 Example of Muscarinic Agonist (3) - Answers Bethanechol Cevimelin Pilocarpine main therapeutic use of muscarinic agonist? - Answers Urinary retention off label use of muscarinic agonist - Answers GERD CV adverse effect of muscarinic agonist - Answers hypotension and bradycardia which medication class has an adverse effect of excessive salivation - Answers increase secretion of gastric acid, abd cramps, diarrhea, Muscarinic agonist muscarinic agonist is CI with which patients - Answers that may cause ruptured bladder, patients with UTI or weak bladder wall why does muscarinic agonist CI in pt w/ latent or active asthma - Answers bronchoconstriction Muscrarinic agonist are CI in pts with hyperthyroidism d/t what? - Answers opposite effect due to reflex Urinary adverse effects of muscarinic agonist - Answers increased bladder pressure -- ruptured bladder how do you minimize adverse effects of muscarinic agonist? - Answers take on empty stomach what meds reduce adverse effects of muscarinic agonist - Answers atropine toxicology mnemonic for muscarinic agonist (10) - Answers DUMBELS (diaphoresis/diarrhea urination miosis bradycardia/bronchospams/bronchorrhea, emesis, lacrimation, salivation) muscarinic agonist that treats xerostomia and manages keratoconjuctivitis sicca - Answers cevimeline muscarinic agonist that is mainly used for topical therapy of glaucoma - Answers pilocarpine examples of muscarinic antagonist (4) - Answers atropinescopolamineipratropium bromidedicyclomine therapeutic goal for muscarinic antagonist - Answers treatment of bradycardia/AV blockantidote to anticholinesterase poisoningpreanesthetic medication High risk patients for muscarinic antagonist (4) - Answers nonbradycardic dysrthmias (tachydysrhythmias) and MIrisk for glaucomarisk for myasthenia crisis in pts with myasthenia gravisurinary retention in BPH how to minimize adverse effects of muscarinic antagonsit (5) - Answers dry mouth - fluids/ saliva stimulants/ moisturizersphotophobia - sunglassesurinary retention - cath or bethanecholconstipation - fluids and fibertachycardia - monitor scopolamine is like atropine - Answers but with 2 exceptions:, sedation, and suppresses emesis and motion sickness Ipratropium bromide is used in which respiratory dx (3) - Answers asthma, copd, rhinits Dicyclomine is indicated for what? (3) - Answers IBSDiarrheaHyper-motility mydriatic cycloplegics are for what kind of procedures - Answers ophthalmic which 2 centrally acting anticholinergics are used to treat parkinson disease and drug-induced parkinsonism - Answers benztropine and trihexyphenidyl effects of toxic doses of muscarinic antagonist (5) - Answers hallucinations, delirium, coma, resp arrest, death pharm effects on the heart with muscarinic antagonist - Answers increase HR pharm effects on exocrine glands with muscarinic antagonist - Answers decrease secreation from salivary/bronchial/sweat glands and acid-secreting cells of the stomach pharm effects on smooth muscle with muscarinic antagonist - Answers relaxation of bronchi, decreased tone of urinary bladder detrusor, decreased tone and motility of GI tract pharm effects on eyes with muscarinic antagonist - Answers mydriasis (dilation) and focus of far vision pharm effects on CNS with muscarinic antagonist - Answers MILD CNS excitation examples of cholinesterase inhibitors (4) - Answers pryidostigmine neostigminephysostigmineedrophonium cholinesterase inhibitors leaves what neurotransmitter available for use - Answers ACh (actylcholine) neuromuscular effects of cholinesterase inhibitors - Answers increase force of contraction toxic dose of muscarinic inhibitors causes which neuromuscular effects - Answers decrease force of contraction d/t neuromuscular blockade CNS effects of Choliesterase inhibitors - Answers mild stimulation toxic effects on CNS of cholinesterase inhibitors - Answers Depresses CNS Cholinesterase Inhibitors have identical responses to what? (6) - Answers muscarinic agonist (bradycardia, bronchial constriction, urinary urgency, increased glandular secretions, increased GI muscle tone, miosis) therapeutic uses of Cholinesterase inhibitors - Answers Myasthenia gravis what should be assessed before admin any PO cholinesterase inhibitors for myasthenia gravis - Answers ability to swallow adverse effects of cholinesterase inhibitors. (2) - Answers excessive muscarinic stimulationneuromuscular blockade Neuromuscular blockade caused by cholinesterase inhibitors causes what? - Answers muscle paralysis Precautions and CIs for cholineterase inhibitors? (5) - Answers GI and GU obstruction, PUD, asthma, coronary insufficiency, hyperthyroidism Low dose therapy of cholineterase inhibitors may be needed for what kind of patient? - Answers pt with decreased renal function how to evaluate therapeutic effects of cholinesterase inhibitors - Answers assess increased strength and muscle control treatment for cholinergic crisis d/t OD of cholinesterase inhibitors - Answers mechanical ventilation and atropine source of poisoning of cholinesterase inhibitors - Answers insecticide ingestion or skin absorption extreme muscle weakness caused by insufficient ACh at NMJ; can result in death from paralysis of resp muscles - Answers myasthenic crisis OD w/ AChE inhibitor; extreme muscle weakness or frank paralysis; accompanied by signs of excessive muscarinic stimulation - Answers cholinergic crisis treatment for myasthenic crisis - Answers AChE inhibitor (neostigmine) treatment for cholinergic crisis - Answers resp support and atropine cholinesterase inhibitor that is drug of choice for treatment of poisoning by atropine/other muscarinic blocking drugs - Answers physostigmine drug that is indicated for diagnosis but not treatment of myasthenia gravis - Answers edrophonium effects are similar to symapthetic nervous system activation - Answers due to using the same receptors, adrenergic agonist examples of adrenergic agonist (8) - Answers epinephrine norepinephrine isoproterenol dopamine dobutamine phenyephrine albuterol ephedrine Adrenergic Agonist: Alpha 1 Receptors Therapeutic application (5) - Answers Hemostasis - control superficial bleedingNasal decongestionAdjunct to local anesthesia - delay absorptionElevation of Blood PressureMydriasis Adrenergic Agonist: Alpha 2 Receptor application (1) - Answers relief of severe pain Adrenergic Agonist: Beta 1 Receptors therapeutic applications: (4) - Answers heart failureshockAV Heart blockcardiac arrest*restore cardiac function* Adrenergic Agonist: Beta 2 Receptor therapeutic applications: (2) - Answers asthma - bronchodilationdelay of preterm labor when treating anaphylactic shock with epinephrine - Answers which receptors are activated, Alpha 1, Beta 1, Beta 2 Adrenergic Agonist: Alpha 1 Receptors Adverse effects (3) - Answers hypertensionnecrosisbradycardia Adrenergic Agonist: Beta 1 receptor adverse effects (2): - Answers altered heart rate or rhythmangina pectoris (pts with atherosclerosis) Adrenergic Agonist: Beta 2 receptors adverse effects (2): - Answers hyperglycemia tremors Adrenergic Agonist: Dopamine receptors activation (1) - Answers renal vasodilation which NT can treat shock by improving the perfusion of kidneys - Answers which reduces risk of renal failure, dopamine