Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 13

Question 1 Type: MCSA The patient receives methyldopa (Aldomet), an adrenergic drug. The nurse determines that the patient is having side effects when the patient makes which statement 1. !"ill you check my pupils # can$t see very well at all.! 2. !# am so thirsty% will you please &ring me another pitcher of water ! 3. !# am so an'ious% # really need to walk around the room.! 4. !# feel so sleepy that # don$t think # can eat my dinner.! Correct Answer: ( Rationa e 1) Adrenergic drugs mimic the effect of the sympathetic nervous system (S*S). This can result in an'iety and restlessness. Adrenergic drugs increase alertness, so the patient would not &e sleepy. Anticholinergic, not adrenergic drugs, dry secretions, therefore the patient would not &e thirsty. Adrenergic drugs dilate the pupils, so vision should not &e affected. Rationa e 2) Adrenergic drugs mimic the effect of the sympathetic nervous system (S*S). This can result in an'iety and restlessness. Adrenergic drugs increase alertness, so the patient would not &e sleepy. Anticholinergic, not adrenergic drugs, dry secretions, therefore the patient would not &e thirsty. Adrenergic drugs dilate the pupils, so vision should not &e affected. Rationa e 3) Adrenergic drugs mimic the effect of the sympathetic nervous system (S*S). This can result in an'iety and restlessness. Adrenergic drugs increase alertness, so the patient would not &e sleepy. Anticholinergic, not adrenergic drugs, dry secretions, therefore the patient would not &e thirsty. Adrenergic drugs dilate the pupils, so vision should not &e affected. Rationa e 4) Adrenergic drugs mimic the effect of the sympathetic nervous system (S*S). This can result in an'iety and restlessness. Adrenergic drugs increase alertness, so the patient would not &e sleepy. Anticholinergic, not adrenergic drugs, dry secretions, therefore the patient would not &e thirsty. Adrenergic drugs dilate the pupils, so vision should not &e affected. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) ,valuation %earnin# )utcome: -(./
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Question 2 Type: MCSA The patient receives metaproterenol (Alupent), an adrenergic drug. A consulting physician orders carteolol (Cartrol), a &eta &locker. "hat &est descri&es the nurse$s assessment 1. The patient is at risk for a hypertensive crisis. 2. The effects of metaproterenol (Alupent) will &e decreased. 3. The drugs are compati&le% there will not &e any adverse effects. 4. The effects of metaproterenol (Alupent) will &e increased. Correct Answer: 2 Rationa e 1) 4eta.adrenergic &lockers &lock the receptors that are stimulated &y adrenergic drugs% the effects of metaproterenol (Alupent) would &e decreased, not increased. The drugs are not compati&le% the effects of metaproterenol (Alupent) would &e decreased. A hypertensive crisis is unlikely. Rationa e 2) 4eta.adrenergic &lockers &lock the receptors that are stimulated &y adrenergic drugs% the effects of metaproterenol (Alupent) would &e decreased, not increased. The drugs are not compati&le% the effects of metaproterenol (Alupent) would &e decreased. A hypertensive crisis is unlikely. Rationa e 3) 4eta.adrenergic &lockers &lock the receptors that are stimulated &y adrenergic drugs% the effects of metaproterenol (Alupent) would &e decreased, not increased. The drugs are not compati&le% the effects of metaproterenol (Alupent) would &e decreased. A hypertensive crisis is unlikely. Rationa e 4) 4eta.adrenergic &lockers &lock the receptors that are stimulated &y adrenergic drugs% the effects of metaproterenol (Alupent) would &e decreased, not increased. The drugs are not compati&le% the effects of metaproterenol (Alupent) would &e decreased. A hypertensive crisis is unlikely. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(./ Question 3 Type: MCSA The nurse has &een doing medication education for the patient receiving atenolol (Tenormin), a &eta &locker. The nurse determines that learning has occurred when the patient makes which statement 1. !# need to take my pulse every day.!
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

2. !#f # have any side effects, # will stop the medication.! 3. !# cannot take this drug if # develop glaucoma.! 4. !# cannot continue to have my morning cup of coffee.! Correct Answer: Rationa e 1) 4eta &lockers slow the heart rate% therefore the patient must monitor his pulse every day. 4eta &lockers should not &e stopped suddenly. Caffeine is not prohi&ited with &eta &lockers. Adrenergic &lockers, not &eta &lockers, are used to treat glaucoma. Rationa e 2) 4eta &lockers slow the heart rate% therefore the patient must monitor his pulse every day. 4eta &lockers should not &e stopped suddenly. Caffeine is not prohi&ited with &eta &lockers. Adrenergic &lockers, not &eta &lockers, are used to treat glaucoma. Rationa e 3) 4eta &lockers slow the heart rate% therefore the patient must monitor his pulse every day. 4eta &lockers should not &e stopped suddenly. Caffeine is not prohi&ited with &eta &lockers. Adrenergic &lockers, not &eta &lockers, are used to treat glaucoma. Rationa e 4) 4eta &lockers slow the heart rate% therefore the patient must monitor his pulse every day. 4eta &lockers should not &e stopped suddenly. Caffeine is not prohi&ited with &eta &lockers. Adrenergic &lockers, not &eta &lockers, are used to treat glaucoma. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) ,valuation %earnin# )utcome: -(.5 Question 4 Type: MCSA The physician ordered pra6osin (Minipress), an alpha.adrenergic &locker, for the patient. The nurse plans to do medication education. "hat will the &est plan of the nurse include 1. #nstruct the patient to not take any 7TC her&al preparations. 2. #nstruct the patient to not take hot tu& &aths or hot showers. 3. #nstruct the patient to decrease his intake of sodium. 4. #nstruct the patient to wear sunglasses when outdoors. Correct Answer: 2
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Rationa e 1) Alpha.adrenergic &lockers are vasodilators, and taking hot tu& &aths or showers could result in further vasodilation resulting in hypotension or fainting. Alpha &lockers do not cause photopho&ia% sunglasses are not re8uired with this drug. There is no relationship &etween alpha &lockers and sodium intake. #t is a good idea to avoid her&al preparations, &ut this is not the primary plan. Rationa e 2) Alpha.adrenergic &lockers are vasodilators, and taking hot tu& &aths or showers could result in further vasodilation resulting in hypotension or fainting. Alpha &lockers do not cause photopho&ia% sunglasses are not re8uired with this drug. There is no relationship &etween alpha &lockers and sodium intake. #t is a good idea to avoid her&al preparations, &ut this is not the primary plan. Rationa e 3) Alpha.adrenergic &lockers are vasodilators, and taking hot tu& &aths or showers could result in further vasodilation resulting in hypotension or fainting. Alpha &lockers do not cause photopho&ia% sunglasses are not re8uired with this drug. There is no relationship &etween alpha &lockers and sodium intake. #t is a good idea to avoid her&al preparations, &ut this is not the primary plan. Rationa e 4) Alpha.adrenergic &lockers are vasodilators, and taking hot tu& &aths or showers could result in further vasodilation resulting in hypotension or fainting. Alpha &lockers do not cause photopho&ia% sunglasses are not re8uired with this drug. There is no relationship &etween alpha &lockers and sodium intake. #t is a good idea to avoid her&al preparations, &ut this is not the primary plan. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) +lanning %earnin# )utcome: -(.9 Question * Type: MCSA The nurse has completed medication education a&out pyridostigmine (Mestinon), an indirect cholinergic drug, for the patient with myasthenia gravis. The nurse determines that learning has occurred when the patient makes which statement 1. !# must monitor my &lood pressure while on this drug.! 2. !# will need to increase my fluid intake with this medication.! 3. !# must take this medication with meals for proper a&sorption.! 4. !#t is really important to take my medication on time.! Correct Answer: 0
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Rationa e 1) Maintaining an optimum &lood level of the drug is crucial in promoting muscle functioning, so it is important for the patient to take his medication on time. There is no reason to increase fluid intake with this drug. This drug may &e taken with or without meals. There is no reason to monitor &lood pressure while taking this drug. Rationa e 2) Maintaining an optimum &lood level of the drug is crucial in promoting muscle functioning, so it is important for the patient to take his medication on time. There is no reason to increase fluid intake with this drug. This drug may &e taken with or without meals. There is no reason to monitor &lood pressure while taking this drug. Rationa e 3) Maintaining an optimum &lood level of the drug is crucial in promoting muscle functioning, so it is important for the patient to take his medication on time. There is no reason to increase fluid intake with this drug. This drug may &e taken with or without meals. There is no reason to monitor &lood pressure while taking this drug. Rationa e 4) Maintaining an optimum &lood level of the drug is crucial in promoting muscle functioning, so it is important for the patient to take his medication on time. There is no reason to increase fluid intake with this drug. This drug may &e taken with or without meals. There is no reason to monitor &lood pressure while taking this drug. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) ,valuation %earnin# )utcome: -(.5 Question + Type: MCSA The physician has ordered &ethanechol (:recholine), a cholinergic drug, for the patient with urinary retention. The patient also has an enlarged prostate gland. "hat is the priority action &y the nurse 1. ;old the drug and prepare to catheteri6e the patient. 2. Administer the drug and measure urinary output. 3. Administer the drug and push fluids. 4. ;old the drug and contact the physician. Correct Answer: 0 Rationa e 1) 4ethanechol (:recholine) rela'es the urinary sphincter and increases voiding pressure. #t is contraindicated with any physical o&struction of the urinary tract, such as an enlarged prostate gland. Measuring urinary output is inappropriate% the patient should not receive the drug. There should &e no need for
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

catheteri6ation as long as the drug is not given. The drug should not &e given% pushing fluids would e'acer&ate the pro&lem. Rationa e 2) 4ethanechol (:recholine) rela'es the urinary sphincter and increases voiding pressure. #t is contraindicated with any physical o&struction of the urinary tract, such as an enlarged prostate gland. Measuring urinary output is inappropriate% the patient should not receive the drug. There should &e no need for catheteri6ation as long as the drug is not given. The drug should not &e given% pushing fluids would e'acer&ate the pro&lem. Rationa e 3) 4ethanechol (:recholine) rela'es the urinary sphincter and increases voiding pressure. #t is contraindicated with any physical o&struction of the urinary tract, such as an enlarged prostate gland. Measuring urinary output is inappropriate% the patient should not receive the drug. There should &e no need for catheteri6ation as long as the drug is not given. The drug should not &e given% pushing fluids would e'acer&ate the pro&lem. Rationa e 4) 4ethanechol (:recholine) rela'es the urinary sphincter and increases voiding pressure. #t is contraindicated with any physical o&struction of the urinary tract, such as an enlarged prostate gland. Measuring urinary output is inappropriate% the patient should not receive the drug. There should &e no need for catheteri6ation as long as the drug is not given. The drug should not &e given% pushing fluids would e'acer&ate the pro&lem. ! o"a Rationa e: Co#niti$e %e$e : Analy6ing C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) #mplementation %earnin# )utcome: -(.< Question , Type: MCSA The preop patient will &e receiving glycopyrrolate (=o&inul), an anticholinergic drug, and asks the nurse, !"hy do # need to have that shot ! "hat is the &est response &y the nurse 1. !#t will decrease your respiratory secretions during surgery.! 2. !#t will increase your urinary output during surgery.! 3. !#t will help you &reathe &etter during surgery.! 4. !#t will help maintain your &lood pressure during surgery.! Correct Answer: Rationa e 1) Anticholinergics dry secretions% a decrease in respiratory secretions is indicated prior to surgery. Anticholinergic drugs do not maintain &lood pressure. Anticholinergic drugs do not facilitate respirations. Anticholinergic drugs do not increase urinary output.
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Rationa e 2) Anticholinergics dry secretions% a decrease in respiratory secretions is indicated prior to surgery. Anticholinergic drugs do not maintain &lood pressure. Anticholinergic drugs do not facilitate respirations. Anticholinergic drugs do not increase urinary output. Rationa e 3) Anticholinergics dry secretions% a decrease in respiratory secretions is indicated prior to surgery. Anticholinergic drugs do not maintain &lood pressure. Anticholinergic drugs do not facilitate respirations. Anticholinergic drugs do not increase urinary output. Rationa e 4) Anticholinergics dry secretions% a decrease in respiratory secretions is indicated prior to surgery. Anticholinergic drugs do not maintain &lood pressure. Anticholinergic drugs do not facilitate respirations. Anticholinergic drugs do not increase urinary output. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) #mplementation %earnin# )utcome: -(.5 Question Type: MCSA The nurse is preparing to administer medications to a group of patients. 7ne of the medications is &en6tropine (Cogentin), an anticholinergic drug. This drug is contraindicated in which patient 1. The patient with a fractured femur 2. The patient with tachycardia 3. The patient with an irrita&le colon 4. The patient with diarrhea Correct Answer: 2 Rationa e 1) Anticholinergic drugs increase the heart rate% a patient with tachycardia should not receive &en6tropine (Cogentin). Anticholinergic drugs slow gastrointestinal (>#) motility% this would help with an irrita&le colon. Anticholinergic drugs slow gastrointestinal (>#) motility% this would help with diarrhea. There is no contraindication with a fractured femur and anticholinergic drugs. Rationa e 2) Anticholinergic drugs increase the heart rate% a patient with tachycardia should not receive &en6tropine (Cogentin). Anticholinergic drugs slow gastrointestinal (>#) motility% this would help with an irrita&le colon. Anticholinergic drugs slow gastrointestinal (>#) motility% this would help with diarrhea. There is no contraindication with a fractured femur and anticholinergic drugs. Rationa e 3) Anticholinergic drugs increase the heart rate% a patient with tachycardia should not receive &en6tropine (Cogentin). Anticholinergic drugs slow gastrointestinal (>#) motility% this would help with an irrita&le
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

colon. Anticholinergic drugs slow gastrointestinal (>#) motility% this would help with diarrhea. There is no contraindication with a fractured femur and anticholinergic drugs. Rationa e 4) Anticholinergic drugs increase the heart rate% a patient with tachycardia should not receive &en6tropine (Cogentin). Anticholinergic drugs slow gastrointestinal (>#) motility% this would help with an irrita&le colon. Anticholinergic drugs slow gastrointestinal (>#) motility% this would help with diarrhea. There is no contraindication with a fractured femur and anticholinergic drugs. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) +lanning %earnin# )utcome: -(.9 Question . Type: MCSA The nurse is preparing to administer medications to a group of patients. 7ne of the medications is atropine, an anticholinergic drug. This drug is contraindicated in which patient 1. The patient with glaucoma 2. The patient with hyperthyroidism 3. The patient with a hiatal hernia 4. The patient with lung cancer Correct Answer: Rationa e 1) Anticholinergic drugs can increase pressure in the eye% they must &e avoided in patients with glaucoma. Anticholinergic drugs are not contraindicated in patients with a hiatal hernia. Anticholinergic drugs are not contraindicated in patients with hyperthyroidism. Anticholinergic drugs are not contraindicated in patients with lung cancer. Rationa e 2) Anticholinergic drugs can increase pressure in the eye% they must &e avoided in patients with glaucoma. Anticholinergic drugs are not contraindicated in patients with a hiatal hernia. Anticholinergic drugs are not contraindicated in patients with hyperthyroidism. Anticholinergic drugs are not contraindicated in patients with lung cancer. Rationa e 3) Anticholinergic drugs can increase pressure in the eye% they must &e avoided in patients with glaucoma. Anticholinergic drugs are not contraindicated in patients with a hiatal hernia. Anticholinergic drugs are not contraindicated in patients with hyperthyroidism. Anticholinergic drugs are not contraindicated in patients with lung cancer.
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Rationa e 4) Anticholinergic drugs can increase pressure in the eye% they must &e avoided in patients with glaucoma. Anticholinergic drugs are not contraindicated in patients with a hiatal hernia. Anticholinergic drugs are not contraindicated in patients with hyperthyroidism. Anticholinergic drugs are not contraindicated in patients with lung cancer. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) +lanning %earnin# )utcome: -(.5 Question 1/ Type: MCSA The physician orders dicyclomine (4entyl), an anticholinergic drug, for a patient. "hat is the nurse$s priority assessment prior to administering this drug 1. ?oes the patient have light sensitivity 2. #s the patient a&le to urinate 3. ?oes the patient have a history of alcoholism 4. #s the patient di66y upon standing Correct Answer: 2 Rationa e 1) Anticholinergic drugs can cause or increase urinary hesitancy or retention. Anticholinergic drugs are not contraindicated in a patient with light sensitivity. Anticholinergic drugs are not contraindicated in a patient with a history of alcoholism. Anticholinergic drugs are not contraindicated in a patient who is di66y. Rationa e 2) Anticholinergic drugs can cause or increase urinary hesitancy or retention. Anticholinergic drugs are not contraindicated in a patient with light sensitivity. Anticholinergic drugs are not contraindicated in a patient with a history of alcoholism. Anticholinergic drugs are not contraindicated in a patient who is di66y. Rationa e 3) Anticholinergic drugs can cause or increase urinary hesitancy or retention. Anticholinergic drugs are not contraindicated in a patient with light sensitivity. Anticholinergic drugs are not contraindicated in a patient with a history of alcoholism. Anticholinergic drugs are not contraindicated in a patient who is di66y. Rationa e 4) Anticholinergic drugs can cause or increase urinary hesitancy or retention. Anticholinergic drugs are not contraindicated in a patient with light sensitivity. Anticholinergic drugs are not contraindicated in a patient with a history of alcoholism. Anticholinergic drugs are not contraindicated in a patient who is di66y. ! o"a Rationa e: Co#niti$e %e$e : Applying
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(.5 Question 11 Type: MCSA The patient is 8uadriplegic and receives o'y&utynin (?itropan), an anticholinergic drug, to increase his &ladder capacity. "hat is an important assessment of this patient &y the nurse 1. #s he irrita&le 2. #s he constipated 3. #s he gaining weight 4. #s he lethargic Correct Answer: 2 Rationa e 1) Anticholinergics slow gastrointestinal (>#) motility and can increase the risk for constipation. Anticholinergic drugs do not cause lethargy. Anticholinergic drugs do not cause weight gain. Anticholinergic drugs do not cause irrita&ility. Rationa e 2) Anticholinergics slow gastrointestinal (>#) motility and can increase the risk for constipation. Anticholinergic drugs do not cause lethargy. Anticholinergic drugs do not cause weight gain. Anticholinergic drugs do not cause irrita&ility. Rationa e 3) Anticholinergics slow gastrointestinal (>#) motility and can increase the risk for constipation. Anticholinergic drugs do not cause lethargy. Anticholinergic drugs do not cause weight gain. Anticholinergic drugs do not cause irrita&ility. Rationa e 4) Anticholinergics slow gastrointestinal (>#) motility and can increase the risk for constipation. Anticholinergic drugs do not cause lethargy. Anticholinergic drugs do not cause weight gain. Anticholinergic drugs do not cause irrita&ility. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(.5 Question 12 Type: MCMA
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

The nursing instructor teaches the student nurses a&out the nervous system. The instructor determines that learning has occurred when the students make which statement(s) *ote) Credit will &e given only if all correct choices and no incorrect choices are selected. 'tandard Te0t: Select all that apply. 1. !The central nervous system includes the &rain and spinal cord.! 2. !The peripheral nervous system has mainly sensory functions.! 3. !The somatic nervous system gives us voluntary control over our gastrointestinal (>#) tract.! 4. !The nervous system helps us react to environmental changes.! *. !The somatic nervous system gives us voluntary control over moving.! Correct Answer: -,0,/ Rationa e 1) The central nervous system includes the &rain and spinal cord. The somatic nervous system provides voluntary control over moving. The nervous system provides reaction to environmental changes. The peripheral nervous system has &oth sensory and motor divisions. The somatic nervous system gives voluntary control over skeletal muscles. Rationa e 2) The central nervous system includes the &rain and spinal cord. The somatic nervous system provides voluntary control over moving. The nervous system provides reaction to environmental changes. The peripheral nervous system has &oth sensory and motor divisions. The somatic nervous system gives voluntary control over skeletal muscles. Rationa e 3) The central nervous system includes the &rain and spinal cord. The somatic nervous system provides voluntary control over moving. The nervous system provides reaction to environmental changes. The peripheral nervous system has &oth sensory and motor divisions. The somatic nervous system gives voluntary control over skeletal muscles. Rationa e 4) The central nervous system includes the &rain and spinal cord. The somatic nervous system provides voluntary control over moving. The nervous system provides reaction to environmental changes. The peripheral nervous system has &oth sensory and motor divisions. The somatic nervous system gives voluntary control over skeletal muscles. Rationa e *) The central nervous system includes the &rain and spinal cord. The somatic nervous system provides voluntary control over moving. The nervous system provides reaction to environmental changes. The peripheral nervous system has &oth sensory and motor divisions. The somatic nervous system gives voluntary control over skeletal muscles. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) ,valuation %earnin# )utcome: -(.Question 13 Type: MCMA The nursing instructor teaches the student nurses a&out the autonomic nervous system. The instructor determines that learning has occurred when the students make which statement(s) *ote) Credit will &e given only if all correct choices and no incorrect choices are selected. 'tandard Te0t: Select all that apply. 1. !The sympathetic and parasympathetic systems are not always opposite in their effects.! 2. !The parasympathetic nervous system is the !fight.or.flight! response.! 3. !Sympathetic stimulation causes dilation of arterioles.! 4. !The parasympathetic nervous system causes &ronchial constriction.! *. !The sympathetic nervous system is activated under stress.! Correct Answer: -,0,/ Rationa e 1) The parasympathetic nervous system causes &ronchial constriction. The sympathetic and parasympathetic systems are not always opposite in their effects. The sympathetic nervous system is activated under stress. The parasympathetic nervous system is the rest.and.digest response. Sympathetic stimulation causes constriction of arterioles. Rationa e 2) The parasympathetic nervous system causes &ronchial constriction The sympathetic and parasympathetic systems are not always opposite in their effects. The sympathetic nervous system is activated under stress. The parasympathetic nervous system is the rest.and.digest response. Sympathetic stimulation causes constriction of arterioles. Rationa e 3) The parasympathetic nervous system causes &ronchial constriction The sympathetic and parasympathetic systems are not always opposite in their effects. The sympathetic nervous system is activated under stress. The parasympathetic nervous system is the rest.and.digest response. Sympathetic stimulation causes constriction of arterioles. Rationa e 4) The parasympathetic nervous system causes &ronchial constriction The sympathetic and parasympathetic systems are not always opposite in their effects. The sympathetic nervous system is activated under stress. The parasympathetic nervous system is the rest.and.digest response. Sympathetic stimulation causes constriction of arterioles. Rationa e *) The parasympathetic nervous system causes &ronchial constriction The sympathetic and parasympathetic systems are not always opposite in their effects. The sympathetic nervous system is activated
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

under stress. The parasympathetic nervous system is the rest.and.digest response. Sympathetic stimulation causes constriction of arterioles. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) ,valuation %earnin# )utcome: -(.( Question 14 Type: MCSA The student nurse asks the nursing instructor, !?o the medications we are studying actually make more neurotransmitters ! "hat is the &est response &y the nursing instructor 1. !*o, &ut medications can heal diseases of the autonomic nervous system.! 2. !@es, some of the newer medications are very good at doing this.! 3. !@es, &ut the newer drugs that do this have some serious side effects.! 4. !*o, medications can only increase or decrease the action of neurotransmitters.! Correct Answer: 0 Rationa e 1) Medications cannot manufacture new neurotransmitters, they can only increase or decrease their action. There are virtually no diseases of the autonomic nervous system to heal. ,ven the newest medications cannot manufacture new neurotransmitters. Medications cannot manufacture new neurotransmitters, even if they have serious side effects. Rationa e 2) Medications cannot manufacture new neurotransmitters, they can only increase or decrease their action. There are virtually no diseases of the autonomic nervous system to heal. ,ven the newest medications cannot manufacture new neurotransmitters. Medications cannot manufacture new neurotransmitters, even if they have serious side effects. Rationa e 3) Medications cannot manufacture new neurotransmitters, they can only increase or decrease their action. There are virtually no diseases of the autonomic nervous system to heal. ,ven the newest medications cannot manufacture new neurotransmitters. Medications cannot manufacture new neurotransmitters, even if they have serious side effects. Rationa e 4) Medications cannot manufacture new neurotransmitters, they can only increase or decrease their action. There are virtually no diseases of the autonomic nervous system to heal. ,ven the newest medications cannot manufacture new neurotransmitters. Medications cannot manufacture new neurotransmitters, even if they have serious side effects. ! o"a Rationa e:
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) #mplementation %earnin# )utcome: -(.0 Question 1* Type: MCSA The a&ility of a person to use his arm muscles to lift a weight is primarily regulated &y 1. the somatic nervous system. 2. the sympathetic nervous system. 3. the autonomic nervous system. 4. the central nervous system. Correct Answer: Rationa e 1) The somatic nervous system (a division of the peripheral nervous system) controls voluntary movement such as lifting a weight. The autonomic nervous system involves involuntary responses, and is divided into the sympathetic and parasympathetic divisions. Rationa e 2) The somatic nervous system (a division of the peripheral nervous system) controls voluntary movement such as lifting a weight. The autonomic nervous system involves involuntary responses, and is divided into the sympathetic and parasympathetic divisions. Rationa e 3) The somatic nervous system (a division of the peripheral nervous system) controls voluntary movement such as lifting a weight. The autonomic nervous system involves involuntary responses, and is divided into the sympathetic and parasympathetic divisions. Rationa e 4) The somatic nervous system (a division of the peripheral nervous system) controls voluntary movement such as lifting a weight. The autonomic nervous system involves involuntary responses, and is divided into the sympathetic and parasympathetic divisions. ! o"a Rationa e: Co#niti$e %e$e : =emem&ering C ient &eed: ;ealth +romotion and Maintenance C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(.- and -(.2 Question 1+
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Type: MCSA "hich of the following responses are regulated &y the sympathetic nervous system 1. #ncreased heart rate, &ronchial constriction 2. +eripheral artery dilation, reduced peristalsis 3. #ncreased secretions, se' organ stimulation 4. =ela'ation of &ladder, pupil dilation Correct Answer: 0 Rationa e 1) =ela'ation of the &ladder and pupil dilation is regulated &y the sympathetic nervous system. Rationa e 2) =ela'ation of the &ladder and pupil dilation is regulated &y the sympathetic nervous system. Rationa e 3) =ela'ation of the &ladder and pupil dilation is regulated &y the sympathetic nervous system. Rationa e 4) =ela'ation of the &ladder and pupil dilation is regulated &y the sympathetic nervous system. ! o"a Rationa e: Co#niti$e %e$e : =emem&ering C ient &eed: ;ealth +romotion and Maintenance C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(.2 Question 1, Type: MCSA A person who had her adrenergic receptors activated would e'perience 1. fight.or.flight effects. 2. rest.and.digest effects. 3. increased &lood volume. 4. &ronchial constriction. Correct Answer: Rationa e 1) Adrenergic receptors are found within the sympathetic nervous system. Sympathetic nervous system activation produces the fight.or.flight response.
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Rationa e 2) Adrenergic receptors are found within the sympathetic nervous system. Sympathetic nervous system activation produces the fight.or.flight response. Rationa e 3) Adrenergic receptors are found within the sympathetic nervous system. Sympathetic nervous system activation produces the fight.or.flight response. Rationa e 4) Adrenergic receptors are found within the sympathetic nervous system. Sympathetic nervous system activation produces the fight.or.flight response. ! o"a Rationa e: Co#niti$e %e$e : =emem&ering C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(.( Question 1Type: MCSA "hich of the following would inhi&it the function of the autonomic nervous system 1. ?rugs that &ind and then stimulate the postsynaptic neuron 2. ?rugs that prohi&it neurotransmitter reuptake 3. ?rugs that increase neurotransmitter synthesis 4. ?rugs that prevent the storage of neurotransmitter in vesicles Correct Answer: 0 Rationa e 1) The more neurotransmitter availa&le, the greater the function1stimulation of the autonomic nervous system. Rationa e 2) The more neurotransmitter availa&le, the greater the function1stimulation of the autonomic nervous system. Rationa e 3) The more neurotransmitter availa&le, the greater the function1stimulation of the autonomic nervous system. Rationa e 4) The more neurotransmitter availa&le, the greater the function1stimulation of the autonomic nervous system. ! o"a Rationa e: Co#niti$e %e$e : =emem&ering C ient &eed: +hysiological #ntegrity
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(.0 Question 1. Type: MCSA "hich receptor type is found at the ganglionic synapse of &oth the sympathetic and parasympathetic nervous systems 1. Alpha receptors 2. Muscarinic 3. *icotinic 4. 4eta receptors Correct Answer: ( Rationa e 1) *icotinic receptors are found at the ganglionic synapse of &oth sympathetic and parasympathetic nervous systems. Rationa e 2) *icotinic receptors are found at the ganglionic synapse of &oth sympathetic and parasympathetic nervous systems. Rationa e 3) *icotinic receptors are found at the ganglionic synapse of &oth sympathetic and parasympathetic nervous systems. Rationa e 4) *icotinic receptors are found at the ganglionic synapse of &oth sympathetic and parasympathetic nervous systems. ! o"a Rationa e: Co#niti$e %e$e : =emem&ering C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(./ Question 2/ Type: MCSA "hich statement is accurate concerning drugs classified as adrenergic antagonists 1. They are also known as anticholinergics.
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

2. Their actions will &lock the neurotransmitter acetylcholine. 3. Their actions are the opposite of those of sympathomimetics. 4. They will stimulate the sympathetic nervous system. Correct Answer: ( Rationa e 1) Adrenergic antagonists inhi&it the actions of the sympathetic nervous system. They are also known as sympatholytics. They &lock adrenergic receptors, not cholinergic receptors. Rationa e 2) Adrenergic antagonists inhi&it the actions of the sympathetic nervous system. They are also known as sympatholytics. They &lock adrenergic receptors, not cholinergic receptors. Rationa e 3) Adrenergic antagonists inhi&it the actions of the sympathetic nervous system. They are also known as sympatholytics. They &lock adrenergic receptors, not cholinergic receptors. Rationa e 4) Adrenergic antagonists inhi&it the actions of the sympathetic nervous system. They are also known as sympatholytics. They &lock adrenergic receptors, not cholinergic receptors. ! o"a Rationa e: Co#niti$e %e$e : :nderstanding C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) ,valuation %earnin# )utcome: -(.A Question 21 Type: MCSA "hich of the following statements is accurate regarding e'ogenous acetylcholine 1. Acetylcholine has almost no therapeutic effects &ecause it is rapidly destroyed once given. 2. Acetylcholine is &roken down rapidly within the &ody, preventing it from producing adverse effects. 3. Acetylcholine will cause the heart rate to increase and &lood pressure to drop. 4. "hen given in small amounts, acetylcholine will produce profound parasympathetic effects. Correct Answer: Rationa e 1) ,'ogenous acetylcholine is not generally administered, &ecause it is rapidly destroyed &y the &ody. #t does produce many adverse effects. Acetylcholine can lower &lood pressure, &ut it also lowers heart rate. Rationa e 2) ,'ogenous acetylcholine is not generally administered, &ecause it is rapidly destroyed &y the &ody. #t does produce many adverse effects. Acetylcholine can lower &lood pressure, &ut it also lowers heart rate.
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Rationa e 3) ,'ogenous acetylcholine is not generally administered, &ecause it is rapidly destroyed &y the &ody. #t does produce many adverse effects. Acetylcholine can lower &lood pressure, &ut it also lowers heart rate. Rationa e 4) ,'ogenous acetylcholine is not generally administered, &ecause it is rapidly destroyed &y the &ody. #t does produce many adverse effects. Acetylcholine can lower &lood pressure, &ut it also lowers heart rate. ! o"a Rationa e: Co#niti$e %e$e : :nderstanding C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) ,valuation %earnin# )utcome: -(.A Question 22 Type: MCSA The nurse knows that atropine (Atropair) increases heart rate &y 1. &locking the &eta receptors of the parasympathetic nervous system. 2. directly stimulating the sympathetic nervous system. 3. potentiating the effects of acetylcholine on nicotinic receptors. 4. 4locking the effects of acetylcholine &y occupying muscarinic receptors. Correct Answer: 0 Rationa e 1) Atropine is a cholinergic.&locking agent that occupies muscarinic receptors. #t is classified as an anticholinergic agent &ecause it inhi&its the effects of the parasympathetic nervous system, which induces the fight.or.flight responses of the sympathetic nervous system. Rationa e 2) Atropine is a cholinergic.&locking agent that occupies muscarinic receptors. #t is classified as an anticholinergic agent &ecause it inhi&its the effects of the parasympathetic nervous system, which induces the fight.or.flight responses of the sympathetic nervous system. Rationa e 3) Atropine is a cholinergic.&locking agent that occupies muscarinic receptors. #t is classified as an anticholinergic agent &ecause it inhi&its the effects of the parasympathetic nervous system, which induces the fight.or.flight responses of the sympathetic nervous system. Rationa e 4) Atropine is a cholinergic.&locking agent that occupies muscarinic receptors. #t is classified as an anticholinergic agent &ecause it inhi&its the effects of the parasympathetic nervous system, which induces the fight.or.flight responses of the sympathetic nervous system. ! o"a Rationa e: Co#niti$e %e$e : :nderstanding
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

C ient &eed: +hysiological #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(.5 Question 23 Type: MCMA "hich patient responses are considered involuntary responses to autonomic nervous system control Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te0t: Select all that apply. 1. 4ecoming angry 2. Tripping over a chair 3. Complaining of nausea 4. Beeling depressed *. 4eing happy Correct Answer: -,0,/ Rationa e 1) 4ecoming angry is considered an involuntary response that is a signal from higher centers in the &rain to the autonomic nervous system. Rationa e 2) Tripping over a chair is a voluntary response. Rationa e 3) Complaining of nausea is a voluntary response. Rationa e 4) Beeling depressed is considered an involuntary response that is a signal from higher centers in the &rain to the autonomic nervous system. Rationa e *) 4eing happy is considered an involuntary response that is a signal from higher centers in the &rain to the autonomic nervous system. ! o"a Rationa e: Co#niti$e %e$e : Analy6ing C ient &eed: +sychosocial #ntegrity C ient &eed 'u": &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(.9
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Question 24 Type: MCMA A patient has sustained a large &lood loss. ?uring the assessment, the nurse reali6es that which findings are under the control of the nervous system Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te0t: Select all that apply. 1. ;eart rate 2. 4lood pressure 3. +upil si6e 4. 4owel sounds *. Bluid volume Correct Answer: -,2,(,0 Rationa e 1) The &rain, spinal cord, and peripheral nerves act as a smoothly integrated whole to accomplish minute.to.minute changes in essential functions such as heart rate. Rationa e 2) The &rain, spinal cord, and peripheral nerves act as a smoothly integrated whole to accomplish minute.to.minute changes in essential functions such as &lood pressure. Rationa e 3) The &rain, spinal cord, and peripheral nerves act as a smoothly integrated whole to accomplish minute.to.minute changes in essential functions such as pupil si6e. Rationa e 4) The &rain, spinal cord, and peripheral nerves act as a smoothly integrated whole to accomplish minute.to.minute changes in essential functions such as intestinal motility. Rationa e *) Although the &rain, spinal cord, and peripheral nerves act as a smoothly integrated whole to accomplish minute.to.minute changes in essential functions, fluid volume is not under the control of the nervous system. ! o"a Rationa e: Co#niti$e %e$e : Analy6ing C ient &eed: +hysiological #ntegrity C ient &eed 'u": +hysiological Adaptation &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(.Question 2*
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Type: MCMA The nurse is caring for a patient with multisystem organ failure. "hich patient assessment findings are under the control of the sympathetic nervous system Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te0t: Select all that apply. 1. 4lood glucose level 2-3 mg1dC 2. 4lood pressure -53193 mm;g 3. Total cholesterol level (33 mg1dC 4. =espiratory rate -0 and regular *. ;yperactive &owel sounds Correct Answer: -,2,( Rationa e 1) Meta&olic effects such as an increase in &lood glucose are a sympathetic nervous system function. Rationa e 2) The constriction and rela'ation of arterioles is controlled entirely &y the sympathetic nervous system. Rationa e 3) Meta&olic effects such as the mo&ili6ation of lipids for energy are a sympathetic nervous system function. Rationa e 4) The respiratory rate would &e faster and deeper when under sympathetic nervous system control. Rationa e *) "hen under the sympathetic nervous system control, peristalsis is temporarily suspended. ! o"a Rationa e: Co#niti$e %e$e : Analy6ing C ient &eed: +hysiological #ntegrity C ient &eed 'u": +hysiological Adaptation &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(.( Question 2+ Type: MCMA A student nurse is learning a&out a medication that affects the autonomic nervous system. "hen instructing the student a&out the effects of this medication, the nurse will &egin &y e'plaining the &asic unit of this system. "hat does this include
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te0t: Select all that apply. 1. The preganglionic neuron 2. The postganglionic neuron 3. The synaptic cleft 4. *orepinephrine *. ?opamine Correct Answer: -,2,( Rationa e 1) The &asic unit of the autonomic nervous system is a two.neuron chain. The first neuron, called the preganglionic neuron, originates in the central nervous system. Rationa e 2) The preganglionic neuron connects with the second nerve in the autonomic nervous system two. neuron chain through the ganglia, which contains the postganglionic neuron. Rationa e 3) Autonomic messages must cross the synaptic cleft. Rationa e 4) Acetylcholine is the neurotransmitter released at cholinergic receptors. Rationa e *) ?opamine is a neurotransmitter within the lim&ic system and hypothalamus and not the autonomic nervous system. ! o"a Rationa e: Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": +hysiological Adaptation &ursin#/(nte#rated Concepts: *ursing +rocess) +lanning %earnin# )utcome: -(.0 Question 2, Type: S,D The nurse educator is reviewing the process of synaptic transmission across the neuroeffector Eunction with a student. #n which order will the nurse e'plain the steps of synaptic transmission 'tandard Te0t: Click and drag the options &elow to move them up or down. Correct Answer: ! o"a Rationa e:
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.

Co#niti$e %e$e : Applying C ient &eed: +hysiological #ntegrity C ient &eed 'u": +hysiological Adaptation &ursin#/(nte#rated Concepts: *ursing +rocess) +lanning %earnin# )utcome: -(.0 Question 2Type: MCMA A patient is prescri&ed a medication that will &lock muscarinic receptors. The nurse reali6es that this medication has implications for which &ody systems Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te0t: Select all that apply. 1. ,yes 2. =espiratory 3. Cardiac 4. ,ndocrine *. Meta&olic Correct Answer: -,2,( Rationa e 1) Medications that &lock muscarinic receptors are used during ophthalmic procedures. Rationa e 2) Medications that &lock muscarinic receptors are used in the pharmacologic treatment of asthma. Rationa e 3) Medications that &lock muscarinic receptors are used in the pharmacologic treatment of &radycardia. Rationa e 4) Medications that &lock muscarinic receptors are not used in the treatment of endocrine disorders. Rationa e *) Medications that &lock muscarinic receptors are not used in the treatment of meta&olic disorders. ! o"a Rationa e: Co#niti$e %e$e : Analy6ing C ient &eed: +hysiological #ntegrity C ient &eed 'u": +hysiological Adaptation &ursin#/(nte#rated Concepts: *ursing +rocess) Assessment %earnin# )utcome: -(.A

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01, Copyright 23-0 &y +earson ,ducation, #nc.