Quiz 2 (ANS & CNS)

Question 1

Which of the following is an important assessment parameter before administration of adrenergic drugs?
- complete blood count
- capillary blood glucose
- abdominal ultrasound
- chest xray

Answer 1

• complete blood count

Question 2

The nurse has administered Neostigmine, a cholinergic agonist, to a patient with Myasthenia Gravis. Which of the following symptoms is NOT a typical adverse reaction to this drug?
- diarrhea
- increased salivation
- pupil dilation
- bradycardia

Answer 2

• pupil dilation

Question 3

Which of the following interventions would be most appropriate for clients who experience orthostatic hypotension?
- monitor vital signs every 5 mins
- let the client sit for 5 mins and dangle their feet for another 5 minutes before standing up
- maintain patient at bedrest
- place the side raids up for the remainder of the drug effects

Answer 3

• let the client sit for 5 mins and dangle their feet for another 5 minutes before standing up

Question 4

Which of the following is an example of an alpha adrenergic antagonist?
- Prasozin
- Timolo
- Atropine
- Epinephrine

Answer 4

• Prasozin

Question 5

Which of the following drug classification is useful in treating hypertension, angina pectoris and myocardial infarction? These drugs have a common suffix, “-olol”
- neuromuscular blockers
- beta blockers
- alpha blockers
- ganglion blockers

Answer 5

• beta blockers

Question 6

Which of the following medications will most likely be prescribed to Lolo Andong who has difficulty urinating due to an enlarged prostate?
- pilocarpine
- carbachol
- bethanecol
- none of the above

Answer 6

• bethanecol

Question 7

Which of the following characteristics pertain to drugs that has affinity to all receptors?
- selective
- non-affinitive
- affinitive
- non-selective

Answer 7

• non-selective

Question 8

Nurse Lydia was assessing a patient prior to administration of Metoprolol, an anti-hypertensive drug. Which of the following is correct regarding assessment?
- check the pulse for 1 full minute noting for quality and rhythm
- encourage the patient to take deep breaths while counting the respiratory rate
- apply oil to patient’s skin when applying ECG electrodes
- ask the patient to count backwards to assess mental status

Answer 8

• check the pulse for 1 full minute noting for quality and rhythm

Question 9

A patient, upon administration of Pancuronium, experienced tremors, muscle rigidity and high temperature. This adverse reaction is most likely:
- extrapyramidal effects
- malignant hyperthermia
- tradive dyskinesia
- orthostatic hypotension

Answer 9

• malignant hyperthermia

Question 10

Which of the following nursing diagnosis is appropriate for a clients who is asking to review with the nurse his/her medication regimen?
- poor understanding
- non-compliance to treatment regimen
- medication health teaching
- knowledge deficit

Answer 10

• knowledge deficit

Question 11

A charge nurse is planning a staff education session to discuss medications appropriate for use during the care of a client experiencing alcohol detoxification. Which of the following should the charge nurse include?
- naltrexone
- acamprosate
- diazepam
- lorazepam
- disulfiram

Answer 11

• diazepam
• lorazepam

Question 12

A nurse is providing follow-up dietary teaching for a client who recently was prescribed Levodopa. When reviewing the client’s dietary log, which of the following foods require a need for further teaching?
- cottage cheese
- potato cheeps
- banana bread
- apple pie
- pork adobo

Answer 12

• cottage cheese

Question 13

A nurse is caring for a school-age child who has a new prescription for methylphenidate (Concerta) to treat which disorder most likely?
- anxiety
- seizure
- ADHD
- COPD

Answer 13

• ADHD

Question 14

A patient wo has a seizure disorder has just discovered that she is pregnant. On her first prenatal visit, she tells the nurse, “I quit taking all of my medications because I don’t want anything to be wrong with my baby.” What is the nurse’s best response?
- “You can’t do that. You have to take your medication.”
- “What medications have been prescribed for you?”
- “When was your last seizure?”
- “How long have you had seizures?”

Answer 14

• “What medications have been prescribed for you?”

Question 15

Which of the following is contraindicated if the patient is taking Carbamazepine?
- Chocolate
- Milk
- Grapefruit juice
- Banana

Answer 15

• Grapefruit juice

Question 16

The patient has just been diagnosed with epilepsy and will be starting phenytoin. The patient’s spouse asks how this medication works in the body. What is the nurse’s best response?
- It helps stop the entry of sodium into the cell
- It increases the amount of calcium that enters the cell
- It has not been determined exactly how it prevents seizures
- It inhibits the enzymes that destroys the neurotransmitters

Answer 16

• It helps stop the entry of sodium into the cell

Question 17

A nurse is preparing discharge instructions for a client who has a new instructions diagnosis of myasthenia gravis. The client is prescribed neostigmine. Which of the following information should the nurse include in the discharge instructions?
- Initially start with a high dose then decrease the dosage
- Take medication at the same time each day
- Wear a medical alert bracelet
- Modify medication dose based on response

Answer 17

• Take medication at the same time each day
• Wear a medical alert bracelet

Question 18

A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use. He was prescribed Clonidine (Catapres). Which of the following is the priority nursing action?
- Provide ice chips at the client’s bed side table
- Administer the drug as prescribed on the schedule
- Educate the client on the effects of clonidine
- Obtain client’s baseline vital signs

Answer 18

• Obtain client’s baseline vital signs

Question 19

The physician prescribes Doxapram 10mg stat to a client with COPD. The nurse should administer the drug:
- Everyday
- Upon admission
- Immediately
- As needed

Answer 19

• Immediately