EAQ Practice Test Exam 2

Which medication would the nurse expect to administer to actively reverse the overdose sedative effects of benzodiazepines?

Flumazenil

Which assessment finding indicates a need for the nurse to consult with the health care provider before administering the prescribed metoprolol to a client with stable angina?

Sinus bradycardia, rate 54 on monitor

A client's serum lithium level is 0.2 mEq/L. Which interpretation is correct?

Subtherapeutic level

Which medication requires a serum blood level to determine whether the therapeutic levels have been acheived?

Valproic acid

An older adult in a long-term care facility has been receiving 600 mg of lithium twice a day for 3 weeks to ease manic behavior. The client is experiencing N/V/D, thirst, polyuria, slurred speech, and muscle weakness. Which intervention is appropriate?

Withholding the next dose of lithium and drawing blood for a lithium level

A school-aged child with a seizure disorder has been on long-term carbamazepine therapy. Which intervention would the nurse incorporate into the plan of care?

Monitoring the child's complete blood cell counts

The nurse teaches the parent of a child prescribed long-term phenytoin therapy about care. Which statement indicates the teaching has been effective?

"We'll have her massage her gums and floss her teeth frequently."

Which instruction will the nurse include when teaching a client with Parkinson's disease who is prescribed levodopa-carbidopa?

"You may experience dizziness when moving from sitting to standing."

While assessing a client's pupils, a health care professional notices pupillary dilation. Which drug would cause this condition?

Atropine

Which medication is indicated to treat bradycardia for a client whose heart rate drops to 38 bpm during a procedure?

Atropine sulfate

Which condition would a nurse monitor closely for in a client with a seizure disorder receiving IV phenytoin?

Cardiac dysrhythmias

Which potential effect will the nurse teach to a client receiving metoprolol?

Dizziness with strenuous activity

Which manifestation is an extrapyramidal side effect of chlorprmazine?

Drooling, facial tics, shuffling gait, tongue rolling, restless movements

The nurse is teaching the parents of a child with attention-deficit/hyperactivity disorder. Which medication would the nurse include as the frequently prescribed medication for this disorder?

Methylphenidate

Which medication would the nurse instruct a client to avoid while taking alprazolam?

Opioids, Alcohol, Barbiturates

Which activity describes the mechanism of action of levodopa-carbidopa?

Replacement of a neurotransmitter in the brain

Which information would the nurse include when teaching a client with Parkinson disease about levodopa-carbidopa?

The medication should be taken with meals

Which medication class includes amitriptyline?

Tricyclics

Which action describes a therapeutic effect of atenolol

Heart rate decreases

Which medications would the nurse identify as being used as preanesthetic agents?

Barbiturates and Benzodiazepines

Which class of medication would the nurse anticipate to prepare to administer to a client with alcohol dependence admitted to a detoxification unit?

Benzodiazepine

Which catecholamine receptor is responsible for increased heart rate?

Beta 1 receptor

Which response indicates that a beta blocker prescribed for persistent ventricular tachycardia is working effectively?

Decreased heart rate

Which reason would the nurse provide to a client who wants to know why midazolam will be administered preoperatively?

It induces sedation

The nurse teaches guidelines to a client who will be receiving tranylcypromine sulfate (an MAOI). The client compiles a list of foods to avoid. Which foods included on the list indicate the teaching has been effective?

Pepperoni pizza and bologna sandwich