1.Easy
Which drug reverses the sedation of a benzodiazepine overdose?
- AProtamine sulfate
- BNaloxone
- CFlumazenil
- DAtropine
2.Easy
Which of these is a live attenuated vaccine?
- AHepatitis B vaccine
- BTetanus toxoid
- CInactivated influenza injection
- DMMR (measles, mumps and rubella)
3.Easy
What is an "adjuvant analgesic"?
- AA drug for another condition that also relieves some pain
- BA placebo given to test whether pain is real
- CA drug that reverses the effects of opioids
- DA strong opioid used only for severe pain at the end of life
4.Medium
An adult patient is due to receive digoxin. The apical pulse, counted for a full minute, is 52 beats per minute. What should the nurse do?
- AGive the dose with food to slow absorption
- BGive half the dose and document the pulse
- CWithhold the dose and notify the prescriber
- DGive the dose and recheck the pulse in one hour
5.Medium
A partial agonist is given together with a high dose of a full agonist. What happens to the response?
- AIt rises above the maximum of the full agonist
- BIt falls, because the partial agonist competes for the receptors
- CIt doubles, because both drugs activate the receptor
- DIt stays exactly the same as with the high dose of full agonist alone
6.Medium
A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?
- AExpect a short rise in blood pressure after the dose
- BTake it at bedtime, because it can cause dizziness and fainting
- CTake it only if the urine is darker than usual
- DTake it in the morning with a cup of strong coffee to stay alert
7.Hard
A heparin infusion contains 25,000 units in 500 mL. The order is 1,000 units per hour. What rate should be set on the pump?
- A25 mL/h
- B20 mL/h
- C50 mL/h
- D10 mL/h
8.Hard
A 19-year-old woman is starting isotretinoin for severe acne. Which requirement is most important?
- ATaking the drug only at weekends
- BReliable contraception and pregnancy tests, as it is highly teratogenic
- CWeekly hearing tests and monthly eye examinations during treatment
- DA high-vitamin A diet to boost the effect
Answer key
- 1. C · Flumazenil
- 2. D · MMR (measles, mumps and rubella)
- 3. A · A drug for another condition that also relieves some pain
- 4. C · Withhold the dose and notify the prescriber
- 5. B · It falls, because the partial agonist competes for the receptors
- 6. B · Take it at bedtime, because it can cause dizziness and fainting
- 7. B · 20 mL/h
- 8. B · Reliable contraception and pregnancy tests, as it is highly teratogenic
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