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    Exam Review

    1. The central nervous system (CNS) cells, where the impulses for the sympathetic nervous system (SNS) originate, are located where?
      A)Hypothalamus and the medulla
      B)Cranium and sacral area of the spinal cord
      C)Thoracic and lumbar section of the spinal cord
      D)Nerve membrane
    2. A patient who has Parkinson disease is being treated with the anticholinergic medication benztropine (Cogentin). The nurse will tell the patient that this drug will have which effect?
      A)Reducing some of the tremors
      B)Improving mental function
      C)Helping the patient to walk faster
      D)Minimizing symptoms of bradykinesia
    3. The nurse administers a drug to a patient whose heart rate is bradycardic aimed at increasing heart rate and myocardial activity. What adrenergic receptor is this drug stimulating?
      A)Beta 1
      B)Beta 2
      C)Alpha 2
      D)Alpha 1
    4. The nurse assess that the patient is having a sympathetic response when noting what manifestation?
      A)Decrease in heart rate and perfusion, and an increase in inflammatory response
      B)Increase motility and secretion in the GI tract, constriction of bronchi and pupils
      C)Increase in blood pressure, bronchodilation, and decrease bowel sounds
      D)Decrease in sweating, decrease in respiration, and pupil constriction
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    Exam Review

    1. A patient who has been diagnosed with depression asks why the provider has not ordered a monoamine oxidase (MAO) inhibitor to treat the disorder. The nurse will explain to the patient that MAO inhibitors
      A)are no longer approved for treating depression.
      B)are more expensive than other antidepressants.
      C)require strict dietary restrictions.
      D)can cause profound hypotension.
    2. A client primary care provider prescribed a B-adrenergic receptor blocker. Which of the following therapeutic effects do the client and care provider likely seek?
      A)Increase in mental acuity
      B)Slowing of gastrointestinal motility
      C)Decreased production in gastric acid
      D)Reduction in the heart rate and blood pressure
    3. The nurse is preparing to administer a first dose of benztropine (Cogentin) to a patient diagnosed with parkinsonism. The nurse would notify the patient’s provider if the patient had a history of which condition?
      A)Irritable bowel disease
      B)Glaucoma
      C)Asthma
      D)Hypertension
    4. Identify one indicator for a narcotic antagonist to be prescribed?
      A)Reversal of bronchoconstriction
      B)Reversal of tachycardia
      C)Treatment of alcohol independence
      D)Treatment of narcotic dependence
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    Exam Review

    1. How does ephedrine act on the body?
      A)Acts directly on alpha-Adrenergic receptor sites
      B)Stimulates the release of norepinephrine
      C)Acts directly on Beta-Adrenergic receptor sites
      D)Stimulates the release of Dopamine
    2. A patient is being admitted to the floor following a motor vehicle accident. because of the stressful nature of the event, the nurse anticipates the patient will continue to have a sympathetic reaction during the post operative period. When monitoring the patient's serum electrolytes, what will the nurse closely monitor?
      A)Increased calcium
      B)Deceased sodium
      C)Decreased potassium
      D)Increased chloride
    3. Which of the following physiologic principles would be considered a function of the somatic nervous system?
      A)the patella reflex "knee jerk" activated by tapping the patella tendon
      B)abdominal viscera the beginning of depolarization in the cardiac conduction of impulses
      C)the act of typing a report using a computer keyboard
      D)withdrawing the hand after touching a hot surface
    4. A student ask the pharmacology instructor to explain the action of anticholinergic agents. What would be the instructor's best response?
      A)They increase norepinephrine at the neuromuscular junction
      B)They act to block the effects of the parasympathetic nervous system
      C)They compete with serotonin for muscarinic acetylcholine receptor sites
      D)They block nicotinic receptors
    Page 3 of 13

    Exam Review

    1. The nurse is caring for a patient who has multiple sclerosis. The patient is experiencing an acute attack. Which drug does the nurse anticipate the provider will order?
      A)Interferon-B (IFN-B)
      B)Mitoxantrone
      C)Glatiramer acetate (Copaxone)
      D)Methylprednisolone (Solu-Medrol)
    2. The spouse of a patient newly diagnosed with mild, unilateral symptoms of Parkinson disease (PD) asks the nurse what, besides medication, can be done to manage the disease. The nurse will:
      A)tell the spouse that medication therapy can be curative if drugs are begun in time.
      B)recommend exercise, nutritional counseling, and group support to help manage the disease.
      C)tell the spouse that the disease will not progress if mild symptoms are treated early.
      D)counsel the spouse that parkinsonism is a normal part of the aging process in some people.
    3. After the effector cell has being stimulated by acetylcholine (ACh), what enzyme stop the stimulation and allows the effector membrane to repolarize?
      A)Norepinephrine
      B)Decarboxylase
      C)Catecholamine
      D)Acetylcholinesterase
    4. A 10 year old child is brought to a respiratory clinic and is prescribed Atrovent (Ipratropium Bromide). Prior to administering the medication, what would the nurse assess for?
      A)Breath sounds
      B)Cardiac disorders
      C)Recent injuries
      D)Hypertension
    Page 4 of 13

    Exam Review

    1. A patient has symptoms that are characteristic of multiple sclerosis (MS). Which diagnostic tests are likely to be ordered to aid in the diagnosis of this patient?
      A)CSF proteins and an angiography
      B)Serum anti-acetylcholine antibodies and x-rays
      C)Serum albumin and a computed tomography (CT) scan
      D)Cerebrospinal fluid (CSF) and magnetic resonance imaging (MRI)
    2. A young woman, who lives alone, comes home at night to find a man in her apartment. What body responses would be expected for this young woman?
      A)decreased sweating, decreased BP, and increased heart rate
      B)Increased sweating, decreased respiratory rate, and increased BP
      C)Pupil constriction, increased respiratory rate, and decreased heart rate
      D)Increased blood pressure, increased heart rate, and pupil dilation
    3. A student ask the pharmacology instructor to describe the function of cholinergic agonist. What would be the instructor's reply?
      A)It decreases the activity of norepinephrine receptor sites
      B)It increases the activity of acetylcholine receptor site
      C)It decreases the activity of GABA receptor sites
      D)It increases the activity of dopamine receptor sites
    4. When hormones, formed within a cell, move across the cell membrane, the process is call what?
      A)Phagocytosis
      B)Endocytosis
      C)Pinocytosis
      D)Exocytosis
    Page 5 of 13

    Exam Review

    1. An older patient exhibits a shuffling gait, lack of facial expression, and tremors at rest. The nurse will expect the provider to order which medication for this patient?
      A)Tacrine (Cognex)
      B)Rivastigmine (Exelon)
      C)Carbidopa-levodopa (Sinemet)
      D)Donepezil (Aricept)
    2. The nurse is preparing to care for a patient who has myasthenia gravis. The nurse will be alert to symptoms affecting which body system in this patient?
      A)Central nervous system (CNS), memory, and cognition
      B)Cardiovascular system and postural muscles
      C)Respiratory system and facial muscles
      D)Gastrointestinal system (GI) and lower extremity muscles
    3. A client with myasthenia gravis is experiencing a cholinergic crisis. Which symptoms are associated with this condition? (Select all that apply.)(SATA)
      A)Bradycardia
      B)Rash
      C)Vomiting
      D)Fever
      E)Weakness
      F)Drooling
    4. When the nurse administers a drug that stimulates the nicotinic receptors, what manifestation would indicate that the drug is working?
      A)Pupil constriction
      B)Muscle contraction
      C)Increase GI motility
      D)Decrease in heart rate
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