Pathopharmacology SU1 22 Quiz 3 The Nervous System (ALL 30 QUESTIONS 100% CORRECT)
Q1
Which is an adrenergic receptor associated with the sympathetic nervous system?
ANS: Beta
Q2
Which of the following condition occurs when a sedative drug is discontinued abruptly or after it has been taken for a long time; sleeplessness and symptoms of anxiety then become markedly worse?
ANS: Rebound insomnia
Q3
Mr. Boyle who has been taking lorazepam (Ativan) for 2 years presents to the ED and reports to the triage nurse that he stopped taking his medication 3 days prior. Which of the following assessment findings should the nurse anticipate?
ANS: Increased heart rate, fever, and muscle cramps
Q4
A 26yo female presents to the emergency department suspected of overdosing on lorazepam (Ativan). Which medication should the nurse prepare to administer?
Q5
Anxiolytic drugs have an ability to reduce anxiety symptoms by altering levels of two important neurotransmitters in the brain: norepinephrine and serotonin.
Q6
You have administered your patient Mr. Bell 0.5mg IVP of Lorazepam (Ativan) and are explaining the properties to your student nurse. Which of the following is the correct onset of action?
Q7
Which of the following is not considered an adverse effect of phenothiazine?
Q8
Which area of the brain is primarily responsible for maintaining sleep and wakefulness?
Q9
Mr. Taylor has been prescribed a selective serotonin reuptake inhibitor (SSRI). Which adverse effects should the nurse include in the teaching?
Drowsiness and coma
Weight gain and sexual dysfunction
Headache and nausea
Dry mouth and urine retention
Q10
You have administered intravenous IV diazepam (Valium) to your patient in status epilepticus. Which initial assessment should the nurse perform?
Q11
Approved in the 1930s, phenytoin (Dilantin, Phenytek) is a broad-spectrum hydantoin drug, useful in treating absence seizures.
Q12
The nurse has completed medication teaching with Mr. Long on a newly prescribed medication, pyridostigmine (Mestinon), an indirect cholinergic drug, for his diagnosis of myasthenia gravis. The nurse determines that learning has occurred when Mr. Long states which of the following?
Q13
The nurse observes a patient who stops talking mid-sentence and has a blank stare for 5 seconds. Which should the nurse suspect has occurred?
Q14
Which of the following adverse effect should the nurse monitor a patient prescribed phenytoin (Dilantin)?
Q15
A patient has been prescribed the ketogenic diet to supplement pharmacotherapy for a seizure disorder. Which of the following items should the nurse encourage the patient to consume?
Q16
A 32yo male arrives to the ED via ambulance with an oxycodone overdose. His respiratory rate is 10 and he is difficult to arouse. Which prescribed treatment should the nurse anticipate administering?
Q17
Mrs. London with a history of GERD presents to the GI unit for her scheduled endoscopy and receives lidocaine viscous prior to the procedure. Which is the nurse’s priority assessment after the procedure?
Q18
Clonidine (Catapres) is centrally acting alpha2-adrenergic agonists that inhibit motor neurons mainly at the spinal cord level.
Q19
Malignant hyperthermia is a common non-life-threatening, anesthetic-related disorder that occurs in susceptible patients following the administration of a triggering agent, such as inhaled halogenated volatile anesthetics or succinylcholine.
Q20
Which phenomena occurs when a client with a history of alcoholism requires higher than usual amounts of opioids for pain relief?
Q21
You are the nurse preparing to receive handoff of the care on a patient reportedly withdrawing from opioids. Which of the following would the nurse not anticipate as an assessment finding?
Abdominal cramping
Orthostatic hypotension
Hot, dry skin
Agitation
Q22
Which symptoms should the nurse anticipate are associated with alcohol withdrawal?
Q23
A patient is prescribed a drug that activates alpha2 receptors. Which psychological response should the nurse anticipate when planning care for the patient?
Q24
Which prescription should the nurse anticipate administering to a client experiencing acute alcohol withdrawal?
Q25
A patient is administered a beta1 agonist. Which of the following assessment finding would the nurse expect?
Q26
Mr. Lee presented the ED with c/o of throat tightness, wheezing, facial swelling, and rash after eating shellfish. He is treated for allergic reaction, admitted for observation, and on discharge is prescribed an auto injection of epinephrine. Which of the following statements made by him indicates further education is needed?
I will call 911 before I inject the epinephrine
I will only use my auto-inject if I think my reaction will be very bad
I will make sure I have my auto-injector available at all times
I will notify my healthcare provider after I inject the epinephrine
Q27
Orthostatic hypotension is the most common adverse of alpha-adrenergic antagonists or alpha blockers?
Q28
Your patient has been prescribed phenylephrine (Neo-synephrine) spray for nasal congestion. Which of the following statement would the nurse make when teaching regarding this prescription?
Q29
Mrs. Bell is an 80yo female who has received adrenergic eye drops prior to a retinal exam. Which of the following would be information the nurse would not include in her discharge teaching?
Q30
Ms. Swain is a 37yo female who endorses 8 months of feeling restless, fatigued, nervousness, inability to focus or concentrate, heart palpitation, dry mouth, and sleep disturbances. Which of the following disorders is Ms. Swain most likely experiencing?
