1.Easy
Which drug is the antidote for paracetamol (acetaminophen) overdose?
- AAcetylcysteine
- BFlumazenil
- CVitamin K
- DNaloxone
2.Easy
Which opioid receptor is mainly responsible for the pain relief and respiratory depression of morphine?
- ADelta receptor
- BNicotinic receptor
- CKappa receptor
- DMu receptor
3.Easy
Nicotine replacement therapy is used to:
- ARepair the lung damage caused by years of smoking
- BBlock nicotine receptors completely
- CMake cigarettes taste unpleasant
- DReduce withdrawal and cravings when stopping smoking
4.Medium
Why are many drugs started at lower doses in older adults?
- AOlder adults absorb no drugs from the stomach
- BOlder adults always weigh more than younger adults, so drugs last longer
- CKidney and liver clearance often decline, and sensitivity to drugs increases
- DLower doses are cheaper for older patients
5.Medium
Benzathine benzylpenicillin (penicillin G benzathine) is ordered. Which route is correct?
- AIntravenous infusion over 30 minutes
- BIntravenous push
- CSubcutaneous in the abdomen
- DDeep intramuscular only
6.Medium
A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?
- ATake it only if the urine is darker than usual
- BTake it at bedtime, because it can cause dizziness and fainting
- CExpect a short rise in blood pressure after the dose
- DTake it in the morning with a cup of strong coffee to stay alert
7.Hard
On admission, a patient's home medicine list includes warfarin for atrial fibrillation, but warfarin is not on the admission orders. What should the nurse do?
- AGive the patient's own warfarin brought from home without an order
- BAssume the omission is intended and do nothing
- CClarify the omission with the prescriber (medication reconciliation)
- DTell the patient to stop warfarin permanently
8.Hard
A patient who takes clonidine stopped it suddenly two days ago. He is now agitated, has a headache and his blood pressure is very high. What is the most likely explanation?
- ARebound hypertension from abrupt clonidine withdrawal
- BNormal variation unrelated to the medication
- CAn allergic reaction to clonidine
- DClonidine toxicity due to slow excretion by the kidneys
Answer key
- 1. A · Acetylcysteine
- 2. D · Mu receptor
- 3. D · Reduce withdrawal and cravings when stopping smoking
- 4. C · Kidney and liver clearance often decline, and sensitivity to drugs increases
- 5. D · Deep intramuscular only
- 6. B · Take it at bedtime, because it can cause dizziness and fainting
- 7. C · Clarify the omission with the prescriber (medication reconciliation)
- 8. A · Rebound hypertension from abrupt clonidine withdrawal
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