Rasmussen College: online quiz 1 pharm
Points Awarded 4.81
Points Missed 0.19
Percentage 96.2%
1.
Match the medications in these classifications
... [Show More] to their mechanisms of action
A. Cholinergics
B. Adrenergics
C. Adrenergic blockers
D. Anti Cholinergics
Stimulate adrenergic receptors to enhance fight or flight response Block adrenergic receptors to suppress fight or flight response Stimulate acetylcholine receptors to enhance rest and digest response Block acetylcholine receptors to suppress rest and digest response
Table for Individual Question Feedback
Points Earned:
Correct Answer(s):
0.5/0.5
Adrenergics:Stimulate adrenergic receptors to enhance fight or flight response, Adrenergic blockers:Block adrenergic receptors to suppress fight or flight response, Cholinergics:Stimulate acetylcholine receptors to enhance rest and digest response, Anti Cholinergics:Block acetylcholine receptors to suppress rest and digest response
2.
Match the medications in these classifications to their effects
A. Adrenergic blockers
B. Anticholinergics
C. Cholinergics
D. Adrenergics
Increase bowel and bladder contractility and cause salivation Cause constipation, urine retention, pupil dilation and dry mouth Elevate heart rate and blood pressure, open airways
Lower heart rate and blood pressure, can cause wheezes
Table for Individual Question Feedback
Points Earned:
Correct Answer(s):
0.2/0.2
Cholinergics:Increase bowel and bladder contractility and cause salivation, Anticholinergics:Cause constipation, urine retention, pupil dilation and dry mouth, Adrenergics:Elevate heart rate and blood pressure, open airways, Adrenergic blockers:Lower heart rate and blood pressure, can cause wheezes
3.
Match the medications in these classifications to their uses
A. Adrenergic blockers
B. Anticholinergics
C. Adrenergics
D. Cholinergics
Given to reverse paralysis or anticholinergic overdose Given to slow bowel and bladder and dry secretions Given to manage shock and open airways
Given to manage hypertension or tachycardia
Table for Individual Question Feedback
Points Earned:
Correct Answer(s):
0.2/0.2
Cholinergics:Given to reverse paralysis or anticholinergic overdose, Anticholinergics:Given to slow bowel and bladder and dry secretions , Adrenergics:Given to manage shock and open airways, Adrenergic blockers
:Given to manage hypertension or tachycardia
4.
Match the medications in these classifications to nursing care needs
A. Adrenergics
B. Cholinergics
C. Anticholinergics
D. Adrenergic blockers
Have commode or urinal available due to bowel and bladder urgency Monitor for dry mouth, provide ice chips if not NPO
May need interventions to calm nervousness May need to institute fall precautions
Table for Individual Question Feedback
Points Earned:
Correct Answer(s):
0.2/0.2
Cholinergics :Have commode or urinal available due to bowel and bladder urgency, Anticholinergics:Monitor for dry mouth, provide ice chips if not NPO, Adrenergics:May need interventions to calm nervousness, Adrenergic blockers:May need to institute fall precautions
5.
Which of these doses would the nurse question?
A) Bethanechol 20mg PO TID for urine retention
B) Atropine 0.5mg intravenous, PRN bradycardia (may repeat x 1)
C) Adrenalin 0.2mg (0.2 mL of 1:1000 solution) subcutaneously PRN allergic wheezing (may repeat x 1)
D) Atenolol 500mg QID PO for angina Table for Individual Question Feedback Points Earned: 0.2/0.2
Correct Answer(s): D
6.
Match the medications in these classifications to their uses
A. Dopamine analogues
B. Neuroleptics/Antipsychotics
C. Opiates
D. NSAIDs
Given to manage psychotic delusions
Given to calm tremors in Parkinsons disease Given to resolve mild to moderate pain Given to manage moderate to severe pain
Table for Individual Question Feedback
Points Earned:
Correct Answer(s):
0.2/0.2
Neuroleptics/Antipsychotics:Given to manage psychotic delusions, Dopamine analogues:Given to calm tremors in Parkinsons disease, NSAIDs:Given to resolve mild to moderate pain , Opiates:Given to manage moderate to severe pain
7.
Match the medications in these classifications to their mechanisms of action
A. NSAIDs
B. Dopamine analogues
C. Opiates
D. Neuroleptics/Antipsychotics
Treats schizophrenia by altering effects of dopamine in the CNS
Restores balance between acetylcholine and dopamine by restoring dopamine Blocks inflammation by blocking prostaglandin cascade
Treats perception of pain via mu and kappa receptor stimulation
Table for Individual Question Feedback
Points Earned:
Correct Answer(s):
0.2/0.2
Neuroleptics/Antipsychotics:Treats schizophrenia by altering effects of dopamine in the CNS, Dopamine analogues:Restores balance between acetylcholine and dopamine by restoring dopamine , NSAIDs :Blocks inflammation by blocking prostaglandin cascade , Opiates:Treats perception of
pain via mu and kappa receptor stimulation
8.
Match the medications in these classifications to their affiliated side effects
A. NSAIDs
B. Opiates
C. Dopamine analogues
D. Neuroleptics/Antipsychotics
Dyskinesias (odd motor movements) are a risk Confusion and insomnia can occur when taken in excess
GI bleeding and renal failure can occur when taken in excess Respiratory depression and hypotension occur when taken in excess
Table for Individual Question Feedback
Points Earned:
Correct Answer(s):
0.1/0.2
Neuroleptics/Antipsychotics:Dyskinesias (odd motor movements) are a risk , Dopamine analogues:Confusion and insomnia can occur when taken in excess, NSAIDs :GI bleeding and renal failure can occur when taken in excess, Opiates:Respiratory depression and hypotension occur when taken in excess
9.
Match the medications in these classifications to their nursing implications
A. NSAIDs
B. Dopamine analogues
C. Neuroleptics/Antipsychotics
D. Opiates
Extrapyrimidal reactions can occur when taking these over time
People taking these medications should not take antipsychotic medications as the effectiveness is reduced
Acetaminophen is a more renal friendly and GI friendly alternative to this drug classification Naloxone is the antidote for this category of medications
Table for Individual Question Feedback
Points Earned:
0.2/0.2
Correct Answer(s):
Neuroleptics/Antipsychotics:Extrapyrimidal reactions can occur when taking these over time, Dopamine analogues:People taking these medications should not take antipsychotic medications as the effectiveness is reduced, NSAIDs:Acetaminophen is a more renal friendly and GI friendly alternative to this drug classification, Opiates:Naloxone is the antidote for this category of medications
10.
Which of these orders would the nurse question?
A) Haldol 2mg IM STAT
B) Carbidopa/Levadopa 25/100 orally T.I.D.
C) ASA EC 81mg daily
D) Morphine 10mg sublingually now, May repeat x 1 if needed Table for Individual Question Feedback
Points Earned: 0.2/0.2
Correct Answer(s): D
11.
Match the medications in these classifications to their mechanisms of action
A. Benzodiazepines
B. Triptans
C. Acetaminophen
D. Hydantoins
Prevent seizures by blocking ion transport
GABA sustaining medications used to treat insomnia
Used to manage mild pain. Does not suppress inflammation
Resolve migraines by stimulating of 5-HT1 serotonin receptors causing vasoconstriction
Table for Individual Question Feedback
Points Earned:
Correct Answer(s):
0.2/0.2
Hydantoins:Prevent seizures by blocking ion transport , Benzodiazepines:GABA sustaining medications used to treat insomnia, Acetaminophen:Used to manage mild pain. Does not suppress inflammation, Triptans:Resolve migraines by stimulating of 5-HT1 serotonin receptors causing vasoconstriction
12.
Match the medications in these classifications to their risks and side effects
A. Triptans
B. Benzodiazepines
C. Acetaminophen
D. Hydantoins
Allergic reactions or bone marrow depression are possible adverse reactions Dependence, tolerance, withdrawal symptoms can occur
Hepatotoxic if taken in excess
Can result in a lapse in transient hypertension
Table for Individual Question Feedback
Points Earned:
Correct Answer(s):
0.2/0.2
Hydantoins:Allergic reactions or bone marrow depression are possible adverse reactions, Benzodiazepines:Dependence, tolerance, withdrawal symptoms can occur, Acetaminophen:Hepatotoxic if taken in excess, Triptans:Can result in a lapse in transient hypertension
13.
Match the following medications in these classifications to their nursing implications
A. Triptans
B. Hydantoins
C. Benzodiazepines
D. Acetaminophen
Watch serum level, CBC and check for rashes
Advise no alcohol, no driving due to sedation, taper dose slowly due to risk for injury Watch liver enzymes. Limit to 2000mg/day for patients with renal/hepatic impairment Don't give routinely, only when needed.
Table for Individual Question Feedback
Points Earned:
Correct Answer(s):
0.2/0.2
Hydantoins:Watch serum level, CBC and check for rashes, Benzodiazepines:Advise no alcohol, no driving due to sedation, taper dose slowly due to risk for injury, Acetaminophen:Watch liver enzymes. Limit to 2000mg/day for patients with renal/hepatic impairment, Triptans:Don't give
routinely, only when needed.
14.
Which of these doses would the nurse question?
A) Phenytoin 100 mg IM stat
B) Lorazepam 0.5mg by mouth TID prn
C) Acetaminophen 650mg QID prn
D) Sumatriptan 50mg orally PRN migraine, may repeat x1 after 2 hours Table for Individual Question Feedback
Points Earned: 0.2/0.2
Correct Answer(s): A
15.
Match the following psychotropic medications to their related precautions
A. Risperdone, an atypical neuroleptic
B. Valproic acid, an antiepileptic
C. Lithium, a salt
D. Phenelzine, an MAOI
Taking this with traditional neuroleptics can lead to neuroleptic toxicity
Tyramine rich foods can cause hypertensive crisis in people taking these medications Thirst must be managed. Toxicity can cause lethal heart rhythms
If crushing is needed, enteric coated sprinkles should be used
Table for Individual Question Feedback
Points Earned:
Correct Answer(s):
0.2/0.2
Risperdone, an atypical neuroleptic:Taking this with traditional neuroleptics can lead to neuroleptic toxicity, Phenelzine, an MAOI:Tyramine rich foods can cause hypertensive crisis in people taking these medications, Lithium, a salt:Thirst must be managed. Toxicity can cause lethal heart rhythms, Valproic acid, an antiepileptic:If crushing is needed, enteric coated sprinkles should be used
16.
Match the following psychotropic medication types to mechanisms of action
B. Donepezil, an acetylcholinesterase inhibitor
C. Valproic Acid, an antiepileptic
D. Phenelzine, an MAOI
Blocks selective dopamine receptors
Sustains serotonin by preventing breakdown of monoamines Sustains acetylcholine to facilitate thought transmission
Sustains GABA, a naturally produced substance that calm neurons
Table for Individual Question Feedback
Points Earned:
Correct Answer(s):
0.2/0.2
Ripserdone, an atypical neuroleptic:Blocks selective dopamine receptors , Phenelzine, an MAOI:Sustains serotonin by preventing breakdown of monoamines, Donepezil, an acetylcholinesterase inhibitor:Sustains acetylcholine to facilitate thought transmission, Valproic Acid, an antiepileptic:Sustains GABA, a naturally produced substance that calm neurons
17.
Match the medication to the condition it treats
A. Phenelzine
B. Lithium
C. Risperdone
D. Donepezil
Schizophrenia Depression Bipolar disorder Dementia
Table for Individual Question Feedback
Points Earned: 0.2/0.2
Correct Answer(s): Risperdone:Schizophrenia, Phenelzine:Depression, Lithium:Bipolar disorder, Donepezil:Dementia
18.
Match the disease to the altered aspect of kinetics
B. distribution
C. absorption
D. elimination
renal disease liver disease
peripheral vascular disease gastrointestinal disease
Points Earned: 0.2/0.2
Table for Individual Question Feedback
Correct Answer(s):
elimination:renal disease, metabolism:liver disease, distribution:peripheral vascular disease, absorption:gastrointestinal disease
19.
A client asks what is meant by the term "first pass effect"? How would the nurse explain the term
A) "It refers to the first sign that the medication is starting to work"
B) "It refers to the bodies push-back response to medicines it isn't familiar with"
C) It means that the liver starts to break down oral medicines before they even hit their intended receptors
D) It means that the body becomes sensitized to the medicine so lower doses will be needed in the future
Table for Individual Question Feedback
Points Earned: 0.2/0.2
Correct Answer(s): C [Show Less]