International College of Health Sciences » Nursing » Nursing 1141- Pharmacology » Fall 2022

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Question #1

A patient is being treated with epinephrine in a code situation. The nurse finds a solution marked "epinephrine 1:10,000" on the crash cart. Which phrase describes what the nurse interprets the strength of the medication to be?

A. 1 g of medication contained in 1 mL of solution

B. 10 mcg of medication contained in 1 mL of solution

C. 0.1 mg of medication contained in 1 mL of solution

D. 1 kg of medication contained in 1 mL of solution

Question #2

Which assessment would be completed prior to administering an adrenergic agonist?

A. Temperature

B. Blood pressure

C. Skin integrity

D. Respiratory rate

Question #3

Which adrenergic receptors are primarily located in the heart?

A. Beta2

B. Alpha2

C. Beta1

D. Alpha1

Question #4

Which drug is a direct-acting sympathomimetic?

A. Amphetamine

B. Albuterol

C. Ephedrine

D. Epinephrine

Question #5

Which effect may be seen when adrenergic drugs are administered with monoamine oxidase inhibitors (MAOIs)?

A. Increased risk of hypertensive crisis

B. Reduced therapeutic effects

C. Increased risk for cardiac dysrhythmias

D. Increased effects of adrenergic drugs

Question #6

Where are beta2-adrenergic receptors located in the body?

A. Bladder sphincter, Pupillary muscles of the iris, Bronchioles

B. Bladder sphincter, Pupillary muscles of the iris, Arterioles

C. Visceral organs, Bladder sphincter, Pupillary muscles of the iris

D. Arterioles, Bronchioles, Visceral organs

Question #7

Which response is elicited by the activation of beta1 receptors located on the sinoatrial node?

A. Increased heart rate

B. Vasodilation

C. Vasoconstriction

D. Increased contractility

Question #8

Which effect is a result of beta1-adrenergic-receptor stimulation?

A. Increased renin secretion

B. Mydriasis

C. Vasoconstriction

D. Ejaculation

Question #9

Which is an example of endogenous catecholamines?

A. Dopamine, Epinephrine, Norepinephrine

B. Epinephrine, Dobutamine, Phenylephrine

C. Norepinephrine, Dobutamine, Phenylephrine

D. Dobutamine, Phenylephrine, Dopamine

Question #10

Drugs in which class may interact with adrenergic drugs?

A. Nonsteroidal antiinflammatory drugs

B. Opioids

C. Selective serotonin reuptake inhibitors

D. Thyroid preparations

Question #11

During a cardiopulmonary resuscitation emergency, the nurse expects to administer which injectable, fast-acting medication?

A. Epinephrine

B. Salmeterol

C. Naphazoline

D. Oxymetazoline

Question #12

The nurse recognizes that which medication is classified as an alpha-adrenergic agonist?

A. Ephedrine

B. Phenylephrine

C. Dobutamine

D. Terbutaline

Question #13

Which laboratory test would a nurse anticipate for a patient receiving alpha-adrenergic medication?

A. Increased level of potassium

B. Increased level of glucose

C. Increased level of magnesium

D. Increased level of calcium

Question #14

The nurse would instruct a patient to take oral midodrine at which time?

A. 1500

B. 1200

C. 2100

D. 0700

Question #15

Which action would the nurse perform to help prevent infiltration of a dopamine infusion site?

A. Encourage the patient to lie with her arm held completely straight.

B. Check the site every hour for evidence of swelling.

C. Assess blood pressures in the patient’s other arm.

D. Encourage the patient to call if the site becomes painful.

Question #16

Which assessment will indicate that the patient is having the expected therapeutic effect of intravenous epinephrine medication?

A. Bronchial constriction and wheezing

B. Decreased blood pressure

C. Increased bowel sounds

D. Increased heart rate and strong pulse

Question #17

Which effect does the nurse expect in the patient with heart failure after administration of dobutamine?

A. Peripheral vasoconstriction

B. Increased cardiac contractility

C. Arteriolar vasodilation

D. Elevated blood pressure

Question #18

A patient has been ordered a new medication in the form of an inhalant. The patient tells the nurse that the inside of her mouth is irritated. Which instruction is most important for the nurse to give the patient?

A. "Inspect your mouth frequently for evidence of irritation."

B. "Thoroughly rinse all equipment after each usage."

C. "Make certain there is a waiting period between using the medications."

D. "Thoroughly rinse your mouth after using the medication."

Question #19

Which statement is the most accurate outcome criteria for the nurse to use when determining whether a patient is appropriately responding to use of an adrenergic drug?

A. The patient’s respiratory rate is 16 breaths/min, and blood pressure is 130/72 mm Hg.

B. The patient is alert to time, person, and place and makes coherent conversation.

C. The patient can correctly state three side effects of the medication.

D. The patient awakens easily during the nurse’s morning rounds and states, "I feel fine."

Question #20

Which response is a priority with an older adult who is taking a beta-adrenergic agonist and complaining of headaches?

A. Take the patient’s blood pressure and notify the prescribing health care provider.

B. Reassure the patient that this is an expected side effect of the medication.

C. Ask what over-the-counter medications the patient uses to treat headaches.

D. Instruct the patient to maintain a symptom diary documenting the incidence of the headaches.

Question #21

Which medication does the nurse expect to be prescribed to a patient with hypovolemic shock with no palpable carotid pulse and who is unresponsive?

A. Dopamine and Epinephrine

B. Midodrine and Dobutamine

C. Midodrine and Norepinephrine

D. Norepinephrine and Dobutamine

Question #22

The teaching plan for a patient taking midodrine would include which instruction?

A. Count your respirations before taking this medication.

B. Check your pulse before taking this medication.

C. Take your temperature at the same time each day.

D. Rise slowly out of bed each morning.

Question #23

The health care provider has prescribed lidocaine with epinephrine for injection to be administered before obtaining a biopsy. The nurse would question the prescription after the patient makes which statement?

A. "I get faint when I see needles."

B. "I am taking a new medicine for high blood pressure."

C. "I break out in a rash when I take antibiotics."

D. "I’m getting over a cold I’ve had for 3 days."

Question #24

The patient tells the nurse, "I don’t understand why my salmeterol inhaler doesn’t help when I’m having an asthma attack." The nurse frames the response based on which information?

A. Salmeterol must be administered according to specific instructions.

B. Salmeterol is not designed to relieve acute symptoms.

C. Salmeterol can be given as needed throughout the day.

D. Salmeterol should never be combined with another inhalant.

Question #25

Which patient statement indicates understanding of how to appropriately self-administer a corticosteroid inhalant and a bronchodilator for asthma symptoms?

A. "I will use the bronchodilator first and then immediately follow with the corticosteroid inhalant."

B. "I will use the bronchodilator first, wait 5 minutes, and then use the corticosteroid inhalant."

C. "I will use both of the drugs in the morning and both again at bedtime to get the full effect."

D. "I will use the bronchodilator drug in the morning and the corticosteroid at bedtime."

Question #26

A patient who is taking a monoamine oxidase inhibitor (MAOI) is scheduled to begin treatment with an adrenergic drug. Which action would the nurse take?

A. Plan for the health care provider decreasing the dose of the adrenergic drug.

B. Hold the dose of the adrenergic drug and notify the health care provider of the use of the MAOI medication.

C. Administer the adrenergic drug as prescribed.

D. Closely monitor the patient during treatment for evidence of side effects.

Question #27

A patient with cardiac decompensation is receiving dobutamine as a continuous infusion. The patient’s blood pressure has increased from 100/70 mm Hg to 130/80 mm Hg. Which action would the nurse take while the patient is receiving this infusion?

A. Assess frequent blood pressure readings.

B. Assess the patient’s intake and output and decrease intravenous fluids.

C. Assess the patient’s electrocardiogram and slow the infusion.

D. Assess the patient’s respiratory rate and measure arterial blood gases.

Question #28

The nurse assesses the peripheral intravenous (IV) infusion site of a patient receiving IV dopamine and suspects extravasation. Which action will the nurse take?

A. Apply a cold pad to the site.

B. Stop the infusion.

C. Elevate the patient’s extremity.

D. Immediately pull the IV.

Question #29

Which patient statement indicates an understanding of the importance of administering the midodrine according to specified instructions?

A. "I will take the first dose in the morning with a full glass of water before I get out of bed."

B. "I will take the first dose after I get up in the morning and have eaten my breakfast."

C. "I will take the first dose midmorning after I have been up for a couple of hours."

D. "I will take the first dose with just a sip of water after I get up each morning."

Question #30

When administering adrenergic-agonist medications to an older adult, the nurse would monitor this patient closely because of which common physiologic change found in this age group?

A. Diminished stroke volume of the heart. Decline in efficiency of the heart muscle

B. Increase in cardiac output. Increased filtering capacity of kidneys.

C. Increase in contractility of the heart muscle. Increase in cardiac output.

D. Increased filtering capacity of kidneys. Increase in contractility of the heart muscle.

Question #31

The nurse administering alpha-adrenergic medications would monitor the patient closely for which adverse effect?

A. Dry mouth and Restlessness

B. Vasodilation and Hypotension

C. Vasodilation and Tachycardia

D. Hypotension and Tachycardia

Question #32

Which assessment needs to be completed before the nurse administers a positive chronotropic medication?

A. Take blood pressure.

B. Auscultate lungs.

C. Check apical pulse.

D. Count respiratory rate.

Question #33

Which information would be included when teaching an older adult about use of a beta-adrenergic agonist medication?

A. Avoid excessive stress and heat. Slowly change positions from lying to sitting to standing. Monitor and record your blood pressure and heart rate at home. Add herbal supplements to improve cardiovascular health.

B. Add herbal supplements to improve cardiovascular health. Slowly change positions from lying to sitting to standing. Monitor and record your blood pressure and heart rate at home. Seek immediate medical attention for chest pain, palpitations, or seizures.

C. Avoid excessive stress and heat. Slowly change positions from lying to sitting to standing. Monitor and record your blood pressure and heart rate at home. Seek immediate medical attention for chest pain, palpitations, or seizures.

D. Avoid excessive stress and heat. Add herbal supplements to improve cardiovascular health. Monitor and record your blood pressure and heart rate at home. Seek immediate medical attention for chest pain, palpitations, or seizures.

Question #34

The nurse recognizes that a patient who has been placed on midodrine has a clear understanding of how to administer the medication when the patient states that the last dose of the medication will be taken when?

A. After 6:00 p.m.

B. No later than 6:00 p.m.

C. Upon waking

D. At bedtime

Question #35

Which action would the nurse take when a 79-year-old patient who receives a beta-adrenergic agonist reports chest pain?

A. Count the patient’s respiratory rate.

B. Ask the patient to rate pain intensity.

C. Take the patient’s temperature.

D. Obtain a 12-lead electrocardiogram (ECG) at the bedside.

Question #36

Which is a therapeutic expected outcome of adrenergic agonists?

A. Wheezing bilaterally, +2 peripheral pulses, Decreased urinary output

B. Wheezing bilaterally, Decreased urinary output, Pink skin color

C. Pulse rate 60 to 100 beats/min, Wheezing bilaterally, Decreased urinary output

D. Pink skin color, +2 peripheral pulses, Pulse rate 60 to 100 beats/min

Question #37

A. Start a second IV line in the left hand.

B. Notify the health care provider.

C. Elevate the right arm above heart level.

D. Stop the dopamine infusion.

Question #38

Which patient is at greatest risk for experiencing an adverse reaction to the two adrenergic drugs?

A. A 17-year-old with bronchial asthma

B. A 72-year-old who has an ophthalmic condition

C. A 55-year-old with cardiac symptoms

D. A 32-year-old with sinusitis

Question #39

Epinephrine 1 mg intravenous (IV) push is ordered for a patient during a cardiac emergency situation. Epinephrine 1:10,000 strength is available. How many milliliters will the nurse administer?

A. 12 mL

B. 15 mL

C. 10 mL

D. 20 mL

Question #40

Which ophthalmic medication would the nurse administer before a diagnostic eye examination?

A. Ephedrine

B. Fenoldopam

C. Dobutamine

D. Dipivefrin

Question #41

Which assessment would the nurse note when administering an alpha1 agonist to a postpartum patient?

A. Listen to breath sounds. Auscultate bowel sounds. Check level of consciousness.

B. Listen to breath sounds. Auscultate bowel sounds. Assess blood pressure.

C. Monitor pulse rate. Assess blood pressure. Palpate fundal firmness.

D. Palpate fundal firmness. Auscultate bowel sounds. Check level of consciousness.

Question #42

Which medication will a nurse question so as not to aggravate a diagnosis of mitral valve regurgitation?

A. Midodrine, Phenylephrine, Norepinephrine

B. Norepinephrine, Dobutamine, Fenoldopam

C. Dobutamine, Fenoldopam, Phenylephrine

D. Dobutamine, Midodrine, Fenoldopam

Question #43

Which information is most important for the nurse to give to the patient regarding an ophthalmic form of a beta-adrenergic agonist drug?

A. "Make sure that the medication vial has a clearly documented expiration date."

B. "Make sure that the medication is a clear solution before administering."

C. "Administer the eye drops directly onto the eye itself."

D. "Do not allow the eye dropper to touch the eye when administering the medication."

Question #44

A patient has been ordered two drugs of the same class to be used for treatment of asthma. The patient asks the nurse, "Why do I have to use more than one medication to treat this? Isn’t one enough?" Which statement by the nurse is an appropriate response?

A. "Sometimes use of more than one drug will give a combined therapeutic effect."

B. "You need to ask your health care provider questions like that."

C. "I will arrange for the pharmacist to do a presentation for you."

D. "No, in this case, one drug is not enough to do what’s needed for you."

Question #45

When teaching an 83-year-old patient about the effects of adrenergic agonists, the nurse will advise the patient to avoid which activity?

A. Daily walk around the block

B. Slow jog in summer

C. Taking prescribed herbal supplements

D. Visiting spouse in a long-term care facility

Question #46

Which action would be most important for the nurse to take while administering dopamine intravenously?

A. Determine that the medication is infusing at the proper rate.

B. Verify that the patient understands why the medication is being given.

C. Check the patient’s intravenous site hourly for infiltration.

D. Verify that the medication is mixed with the proper diluent.

Question #47

Which statement indicates that the patient understands how to take salmeterol for asthma symptoms?

A. "I will give myself a puff anytime I start to experience asthmatic symptoms."

B. "I will give myself two puffs at bedtime; that's when I really need it."

C. "I will give myself one puff twice a day at 7:00 a.m. and 7:00 p.m."

D. "I will give myself two puffs three times a day, at 7:00 a.m., noon, and bedtime."

Question #48

The nurse will prepare the patient for administration of tetrahydrozoline by performing which action?

A. Explaining that the injection will feel like a bee sting

B. Telling patient to insert the applicator straight into the nostrils

C. Asking the patient to turn the right ear toward the ceiling

D. Gently pulling down on the lower eyelid

Question #49

Which medication would the nurse recommend for the patient to take while experiencing an episode of epistaxis?

A. Dobutamine

B. Oxymetazoline

C. Norepinephrine

D. Epinephrine

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Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 18

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