Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 20
Need help with your exam preparation?
Get Answers to this exam for $6 USD.
Get Answers to all exams in [ Nursing 1141- Pharmacology ] course for $25 USD.
Existing Quiz Clients Login here
Question #1
Which option could the nurse offer to the family of a patient who has difficulty swallowing donepezil tablets?
A.
Liquid oral solutions
B.
Nasal spray
C.
Oral disintegrating tablets
D.
Subcutaneous infusions
Question #2
Which assessment finding will the nurse anticipate for a patient who self-administered extra doses of pyridostigmine to improve mobility when experiencing an upper respiratory infection?
A.
Nausea and Apical pulse of 56 beats per minute
B.
Dry mouth and Hypoactive bowel sounds
C.
Urinary retention and Dry mouth
D.
Urinary retention and Hypoactive bowel sounds
Question #3
Which equipment will the nurse prepare for the procedure of a patient receiving a diagnostic test using edrophonium?
A.
Atropine available for immediate use. Epinephrine available for immediate use. Telemetry monitor on the patient.Blood pressure equipment for frequent monitoring.
B.
Atropine available for immediate use. Epinephrine available for immediate use. Electroencephalogram ready to place. Blood pressure equipment for frequent monitoring.
C.
Atropine available for immediate use. Electroencephalogram ready to place. Telemetry monitor on the patient. Blood pressure equipment for frequent monitoring.
D.
Atropine available for immediate use. Epinephrine available for immediate use. Telemetry monitor on the patient. Electroencephalogram ready to place.
Question #4
After the nurse provided instruction for a patient receiving pyridostigmine, which patient statement indicates more education is needed?
A.
“The medical alert in my health care record should cover me.”
B.
“I will review any over-the-counter medications with my health care provider.”
C.
“I hope to feel improvement in muscle strength.”
D.
“I will take the medication 30 minutes before meals.”
Question #5
Which intervention could the nurse add to the plan of care to support cognitive function in a patient who will begin donepezil for the treatment of Alzheimer dementia?
A.
A walking program at least once a week
B.
Limit sleep during the day
C.
Add more stimuli to the environment
D.
Increased responsibility for self-care
Question #6
After administration of edrophonium, which evaluation is a positive result?
A.
Ability to speak clearly
B.
Decreased respiration
C.
Increased arm strength
D.
Ability to swallow without difficulty
Question #7
Bethanechol is used to treat which condition in a postoperative patient?
A.
Postoperative ischemic colitis
B.
Urinary atony
C.
Postoperative hypotension
D.
Respiratory atelectasis
Question #8
Which medication is a noncholinergic drug used in the treatment of Alzheimer’s disease?
A.
Donepezil
B.
Rivastigmine
C.
Atropine
D.
Memantine
Question #9
When obtaining a health history, the nurse looks for which diagnosis for a patient who is receiving pilocarpine eye drops twice a day?
A.
Dry eye syndrome
B.
Macular degeneration
C.
Glaucoma
D.
Cataracts
Question #10
Which drug may be administered to a patient who has a tricyclic antidepressant overdose?
A.
Memantine
B.
Tacrine
C.
Carbachol
D.
Physostigmine
Question #11
Which medication should be administered to a patient who has a cholinergic crisis?
A.
Echothiophate
B.
Atropine
C.
Pyridostigmine
D.
Donepezil
Question #12
Which drug is indicated in the treatment of myasthenia gravis?
A.
Rivastigmine
B.
Neostigmine
C.
Pilocarpine
D.
Succinylcholine
Question #13
Which drug is the antidote to a cholinergic overdose?
A.
Atropine
B.
Epinephrine
C.
Memantine
D.
Rivastigmine
Question #14
Which cholinergic medication is prescribed to a patient who is unable to void after surgery?
A.
Bethanechol
B.
Succinylcholine
C.
Cevimeline
D.
Donepezil
Question #15
Which is the first nursing intervention for a patient who has experienced an overdose of rivastigmine and is having difficulty breathing?
A.
Measure the patient’s urinary output.
B.
Administer epinephrine.
C.
Monitor the patient’s heart rate.
D.
Assess the patient’s breath sounds.
Question #16
Which route of administration is preferred for treating xerostomia with pilocarpine?
A.
Intravenous
B.
Ocular
C.
Oral
D.
Intramuscular
Question #17
Which medication may be administered to a patient who has myasthenia gravis?
A.
Memantine
B.
Bethanechol
C.
Donepezil
D.
Pyridostigmine
Question #18
Which condition is a contraindication to the administration of bethanechol?
A.
Chronic refractory heartburn
B.
Gastric atony
C.
Hyperthyroidism
D.
Urinary retention
Question #19
Which finding indicates donepezil is having a therapeutic effect?
A.
Relaxed muscles
B.
Urination
C.
Increased cognition
D.
Wakefulness
Question #20
Which medication is a direct-acting cholinergic drug?
A.
Neostigmine and Galantamine
B.
Galantamine and Edrophonium
C.
Neostigmine and Edrophonium
D.
Pilocarpine and Succinylcholine
Question #21
After administering bethanechol to a patient after surgery, which system would the nurse assess to determine a therapeutic effect?
A.
Musculoskeletal
B.
Gastrointestinal
C.
Urinary
D.
Neurologic
Question #22
Administration of which drug will assist in reversing neuromuscular blockade after general anesthesia?
A.
Dextrose solution intravenously
B.
Physostigmine intravenously
C.
A high dose of donepezil orally
D.
An antihistamine intravenously
Question #23
Which assessment finding is adverse effects associated with the administration of cholinergic medications?
A.
Dry cough, Dizziness, Bradycardia, Hypotension
B.
Sweating, Dizziness, Dry cough, Hypotension
C.
Sweating, Dizziness, Bradycardia, Hypotension
D.
Sweating, Dizziness, Bradycardia, Dry cough
Question #24
Which assessment finding in a patient receiving memantine indicates a significant side effect?
A.
Inability to sleep
B.
Respiratory rate 30 breaths/min
C.
Blood pressure 70/40 mm Hg
D.
Raised, erythematous rash
Question #25
Which drug is used to reverse the effects of nondepolarizing neuromuscular blocking drugs after surgery?
A.
Physostigmine, Donepezil, Memantine
B.
Donepezil, Neostigmine, Memantine
C.
Neostigmine, Pyridostigmine, Physostigmine
D.
Donepezil, Memantine, Pyridostigmine
Question #26
Which information is essential for the nurse to tell the patient and family in relation to donepezil?
A.
"You will take this medication once per week."
B.
"Be cautious with activity until you know how the medication affects you."
C.
"Do not drink grapefruit juice while on this medication."
D.
"Do not take this medication with food."
Question #27
The nurse is caring for a patient who was prescribed bethanechol 1 month ago. Which statement made by the patient indicates the medication is effective?
A.
"I can tell my muscle strength has gotten better."
B.
"I have noticed that I have been urinating more frequently."
C.
"I feel like I am coughing up more phlegm."
D.
"My family says that my memory has improved."
Question #28
Which condition is an indicator of a potential cholinergic drug overdose?
A.
Heart rate 30 beats/min
B.
Constipation
C.
Blood pressure 150/95 mm Hg
D.
Respiratory rate 24 breaths/min
Question #29
Which drug will be used to help confirm the diagnosis of myasthenia gravis in a patient with ptosis, diplopia, and difficulty swallowing?
A.
Bethanechol
B.
Edrophonium
C.
Memantine
D.
Physostigmine
Question #30
Which intervention will assist the patient in coping with orthostatic hypotension caused by cholinergic drug therapy?
A.
Take ibuprofen before rising.
B.
Move from a sitting to standing position slowly.
C.
Increase fluid intake to increase blood volume.
D.
Call for someone before rising.
Question #31
Which indirect-acting cholinergic drug is used to treat a patient who has both Parkinson’s disease and dementia?
A.
Donepezil
B.
Rivastigmine
C.
Galantamine
D.
Memantine
Question #32
Which assessment is essential to be performed by the nurse before administering donepezil?
A.
Vital signs
B.
Blood glucose level
C.
Bowel sounds
D.
Body mass index
Question #33
Which response would the nurse give to a person who reports no improvement in a family member who has been taking donepezil for a week?
A.
"Let me assess what other medications the patient is taking."
B.
"Sometimes family members aren’t the best at assessing these things."
C.
"I will call the health care provider and ask for the medication to be changed."
D.
"The medication has an onset of action of about 3 weeks."
Question #34
Which information would the nurse include regarding adverse effects when teaching a patient and family about a new prescription for donepezil (Aricept)?
A.
Ataxia, Insomnia, Dyspnea
B.
Ataxia, Dyspnea, Hypotension
C.
Gastrointestinal (GI) upset, Ataxia, Dyspnea
D.
Insomnia, Hypotension, Gastrointestinal (GI) upset
Question #35
Which condition is contraindicated for therapy with pyridostigmine?
A.
Emphysema, Hypothyroidism
B.
Asthma, Coronary artery disease
C.
Emphysema, Psoriatic arthritis.
D.
Hypothyroidism, Psoriatic arthritis.
Question #36
Which instruction will the nurse give to a patient who is prescribed pyridostigmine?
A.
"Do not eat solid food."
B.
"Notify your health care provider if you have a headache."
C.
"Take the medication 30 minutes after eating."
D.
"Seek medical help if you develop nausea and vomiting."
Question #37
Which information is true concerning cholinergic stimulation?
A.
Nicotinic-receptor stimulation causes dilation of the pupils. Muscarinic-receptor stimulation causes constriction of blood vessels. Nicotinic-receptor stimulation causes increased blood pressure.
B.
Nicotinic-receptor stimulation causes dilation of the pupils. Muscarinic-receptor stimulation causes constriction of blood vessels. Muscarinic-receptor stimulation causes increased gastrointestinal motility.
C.
Nicotinic-receptor stimulation causes increased contraction of skeletal muscle. Nicotinic-receptor stimulation causes dilation of the pupils. Muscarinic-receptor stimulation causes constriction of blood vessels.
D.
Nicotinic-receptor stimulation causes increased blood pressure. Muscarinic-receptor stimulation causes increased gastrointestinal motility. Nicotinic-receptor stimulation causes increased contraction of skeletal muscle.
Question #38
Which cue will the nurse monitor for in a patient who had rivastigmine discontinued after hospitalization for complications and will not resume the medication?
A.
Cognitive stabilization for a few months
B.
Gradual decrease in cognitive function
C.
Temporary improvement in cognitive skills
D.
Rapid cognitive changes with decline
Question #39
Fill in the blank. The nurse is planning to administer physostigmine to a child who has accidentally taken an excess dose of atropine. The child’s weight is 30 kg, and the drug dosage is 0.03 mg/kg given every 10 minutes in 1 hour. How many milligrams of the drug will be administered to the child?
A.
5 mg
B.
10 mg
C.
7 mg
D.
2 mg
Question #40
A patient taking rivastigmine for memory enhancement presents with excessive salivation and abdominal cramping. Which additional assessment finding supports the diagnosis of a cholinergic crisis?
A.
Orthostatic hypotension, Hypoglycemia, Hypothyroidism
B.
Hypoglycemia, Hypothyroidism, Dyspnea
C.
Bronchoconstriction, Hypoglycemia, Hypothyroidism
D.
Dyspnea, Bronchoconstriction, Orthostatic hypotension
Question #41
Which intervention will increase peristalsis postoperatively in a patient who has not had a bowel movement and who has hypoactive bowel sounds?
A.
Administer atropine. Provide a high-fiber diet. Administer a stool softener. Ambulate the patient as tolerated. Increase fluid intake as tolerated.
B.
Inject bethanechol. Administer atropine. Administer a stool softener. Ambulate the patient as tolerated. Increase fluid intake as tolerated.
C.
Inject bethanechol. Provide a high-fiber diet. Administer a stool softener. Ambulate the patient as tolerated. Increase fluid intake as tolerated.
D.
Inject bethanechol. Provide a high-fiber diet. Administer a stool softener. Administer atropine. Increase fluid intake as tolerated.
Question #42
Fill in the blank. An adult patient was prescribed an intravenous (IV) dose of physostigmine. What is the maximum safe dose of the drug that can be administered to the patient in 2 hours?
A.
10 mg
B.
12 mg
C.
18 mg
D.
7 mg
Question #43
Which information would be in the teaching plan for a patient starting donepezil?
A.
"Do not take the medication if you feel tired." "Take the medication on an empty stomach." "Get up slowly from a sitting or lying position."
B.
"Your drug dose will be gradually increased." "Get up slowly from a sitting or lying position." "Tell your health care provider if you have gastric pain that does not subside."
C.
"Do not take the medication if you feel tired." "Take the medication on an empty stomach." "Your drug dose will be gradually increased."
D.
"Tell your health care provider if you have gastric pain that does not subside." "Do not take the medication if you feel tired." "Take the medication on an empty stomach."
Question #44
Cholinesterase inhibitors such as pyridostigmine are used for which purpose?
A.
An antidote to tricyclic antidepressant toxicity. Relieve severe constriction of the bronchioles. Treat a patient with a prolonged history of sleep deprivation
B.
Relieve severe constriction of the bronchioles. Treat a patient with a prolonged history of sleep deprivation. An antidote in biochemical warfare
C.
Diagnose and treat myasthenia gravis. An antidote in biochemical warfare. An antidote to tricyclic antidepressant toxicity
D.
Relieve severe constriction of the bronchioles. Diagnose and treat myasthenia gravis. Treat a patient with a prolonged history of sleep deprivation
Question #45
Which patient history indicates that it is safe to receive prescribed bethanechol?
A.
Peptic ulcer and nonobstructive urinary retention
B.
Urinary retention from neurogenic atony of the bladder
C.
Decreased urination with possible renal calculi
D.
Post orthopedic surgery, low urinary output and bronchial wheezing
Question #46
A.
Get up slowly. Eat something if you feel nauseated. You may have some trouble sleeping. Stop the medication if you have headaches.
B.
Get up slowly. Eat something if you feel nauseated. Stop the medication if you have headaches. Tell your health care provider if you have stomach pains.
C.
Stop the medication if you have headaches. Eat something if you feel nauseated. You may have some trouble sleeping. Tell your health care provider if you have stomach pains.
D.
Get up slowly. Eat something if you feel nauseated. You may have some trouble sleeping. Tell your health care provider if you have stomach pains.
Question #47
Which assessment finding indicates potential interactions of bethanechol and pyridostigmine?
A.
Ataxia and Bleeding
B.
Bleeding and Cramps
C.
Diarrhea and Syncope
D.
Ataxia and Cramps
Question #48
Which assessment is essential before a patient is started on memantine therapy?
A.
Neurologic status, Cardiovascular status, Gastrourinary (GU) status, Assess for suicidal tendencies
B.
Pain assessment, Complete blood count, Gastrourinary (GU) status, Assess for suicidal tendencies
C.
Cardiovascular status, Pain assessment, Complete blood count, Neurologic status
D.
Cardiovascular status, Gastrourinary (GU) status, Pain assessment, Complete blood count
Question #49
Which intervention could the nurse add to the plan of care to support cognitive function in a patient who will begin donepezil for the treatment of Alzheimer dementia?
A.
Add more stimuli to the environment
B.
A walking program at least once a week
C.
Limit sleep during the day
D.
Increased responsibility for self-care
Question #50
After the nurse provided instruction for a patient receiving pyridostigmine, which patient statement indicates more education is needed?
A.
“The medical alert in my health care record should cover me.”
B.
“I will take the medication 30 minutes before meals.”
C.
“I will review any over-the-counter medications with my health care provider.”
D.
“I hope to feel improvement in muscle strength.”
Question #51
Cholinergic agonist drugs have the potential to cause which effect?
A.
Decreased heart rate and Increased respiratory secretions
B.
Decreased gastric motility and Pupil dilation
C.
Decreased gastric motility and Decreased sweat gland secretion
D.
Pupil dilation and Decreased sweat gland secretion
Question #52
The nurse administers 10 mg bethanechol to a patient after surgery. The patient has not voided. Which intervention is needed next?
A.
Assessment of bowel sounds
B.
Assessment of blood pressure
C.
Administration of a second drug
D.
Administration of another dose in an hour
Question #53
Which assessment finding indicates an adverse reaction in a patient receiving bethanechol for the treatment of urinary retention?
A.
Hypertension and Syncope
B.
Hair loss and Constipation
C.
Constipation and Mydriasis
D.
Hair loss and Mydriasis
Question #54
Which assessment outcome indicates a therapeutic effect of the administration of pyridostigmine to a patient who has myasthenia gravis?
A.
Able to walk long distances
B.
Improved memory
C.
Increased muscle strength
D.
No longer dizzy
Question #55
Which therapeutic outcome is expected from the administration of cevimeline to a patient with Sjögren’s syndrome?
A.
Increased muscle strength
B.
Moist oral mucous membranesn
C.
Improved vision
D.
Relief of dry skin
Question #56
The nurse administers physostigmine to a patient who has been exposed to pesticides. Which therapeutic effect is expected?
A.
Elevated heart rate
B.
Pupil constriction
C.
Decreased heart rate
D.
Pupil dilation
Question #57
A patient taking rivastigmine is experiencing signs of a cholinergic crisis. Which medication would the nurse administer to improve the patient’s condition?
A.
Lidocaine
B.
Epinephrine
C.
Atropine
D.
Dopamine
Question #58
Which information would the nurse include in the teaching plan of a patient who has started to take donepezil?
A.
"This medication will enhance your memory."
B.
"This medication should cure your Alzheimer’s disease."
C.
"This medication will increase your ability to sleep without dreaming."
D.
"You will only need to take this medication for 3 months."
Question #59
Which condition is a contraindication to the use of bethanechol?
A.
Hyperthyroidism, Coronary artery disease, Emphysema, Type 2 diabetes mellitus
B.
Peptic ulcer, Parkinsonism, Hyperthyroidism, Coronary artery disease
C.
Emphysema, Type 2 diabetes mellitus, Parkinsonism, Hyperthyroidism,
D.
Emphysema, Type 2 diabetes mellitus, Peptic ulcer, Parkinsonism,
Question #60
Which nursing action is a priority when administering a cholinergic medication for myasthenia gravis?
A.
Administer 30 minutes before meals.
B.
Administer after meals.
C.
Administer with fruit juices.
D.
Administer after dissolving in water.
Need help with your exam preparation?
Get Answers to this exam for $6 USD.
Get Answers to all exams in [ Nursing 1141- Pharmacology ] course for $25 USD.
Existing Quiz Clients Login here