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Drugs Affecting the Autonomic Nervous
System
Drugs Used to Treat Glaucoma and
Other Eye Disorders
It's All Relative!
NCLEX Pharmacology Questions
Dosage Calculation
Read that Medication Label
100

Metoprolol (Lopressor, Toprol XL) is an example of what type of drug?

A. Vasoconstrictor 

B. Anticholinergic 

C. Cardiac stimulator

D. Beta blocker



D. Beta blocker

100

Which of the following is an anitfungal medication used used in the treatment of eye disorders?

A. Ganciclovir (Zirgan)

B. Alcaftadine

C. Natamycin (Natacyn)

D. Fluorescein

C. Natamycin (Natacyn)

100

A patient's chart includes an order that reads as follows: "Lanoxin 250 mcg once daily at 0900." Which action by the nurse is correct?

A. The nurse gives the drug via the transdermal route.
B. The nurse gives the drug orally.
C. The nurse gives the drug intravenously.
D. The nurse contacts the prescriber to clarify the dosage route.

D. The nurse contacts the prescriber to clarify the dosage route.

100

Potassium Chloride 10mEq po is ordered. Available is the liquid labeled 20mEq/30mL.
How many mL will you give? _______

Give 15 mLs

100

What is the brand/trade name for the below drug?

A. Carboprost tromethamine

B. Hemabate

C. Pharmacia & UpJohn Co.

D. NDC 0009-0856-05

B. Hemabate

200

Why must beta blockers be used with caution in diabetics?

A. They may mask symptoms of hypoglycemia

B. They raise blood sugar

C. They are ok to use when used in combination with diuretics

D. Beta blockers raise blood pressure

A. They may mask symptoms of hypoglycemia

200

Glaucoma characterized by ______; caused by an increased production of aqueous humor or an outflow
obstruction

A. low intraocular pressure (IOP)

B. cycloplegia

C. high blood pressure

D. elevated intraocular pressure (IOP)

D. elevated intraocular pressure (IOP)

200

A 77-year-old man who has been diagnosed with an upper respiratory tract infection tells the nurse that he is allergic to penicillin. Which is the most appropriate response by the nurse?

A. "That's to be expected--lots of people are allergic to penicillin."
B. "This allergy is not of major concern because the drug is given so commonly."
C. "What type of reaction did you have when you took penicillin?"
D. "Drug allergies don't usually occur in older individuals because they have built up resistance."

C. "What type of reaction did you have when you took penicillin?"

200

Order = 0.05 mg
Available = 50 mcg tablets
Give __________

1 tablet

200

How many mgs is in each tablet of lisinopril?

10mg

300

Which of the following is not a vasoconstrictor drug?

A. phenylephrine

B. norepinephrine

C. isoproterenol

D. metaraminol

C. isoproterenol

300

Which type(s) of medications are used to dilate the
eye before eye exams and surgery?

A. Carbonic anhydrase inhibitors

B. Cycloplegic and mydriatic medications

C. Cholinergic agents

D. Alpha and beta adrenergic agents

B. Cycloplegic and mydriatic medications

300

A patient has just received a prescription for an enteric-coated stool softener. When teaching the patient, the nurse should include which statement?

A. "Take the tablet with 2 to 3 ounces of orange juice."
B. "Avoid taking all other medications with any enteric-coated tablet."
C. "Crush the tablet before swallowing if you have problems with swallowing."
D. "Be sure to swallow the tablet whole without chewing it."

D. "Be sure to swallow the tablet whole without chewing it."

300

You have an order for diphenhydramine hydrochloride (Benadryl) 40 mg IM ASAP. You have on hand Benadryl 25 mg/mL. How many milliliters do you prepare?

1.6 mL

300

By what route is the following drug administered?

Orally

400

The following describes which drug class:

- Uses: Treat Parkinson’s disease, GI and
ophthalmic disorders, bradycardia, genitourinary
disorders
- Common adverse effects: Blurred vision;
constipation; urinary retention; dryness of the
mucosa of the mouth, nose, and throat

A. Alpha-Blocking Agents

B. Anticholinergic Agents

C. Adrenergic Agents

D. Beta-Adrenergic Blocking Agents

B. Anticholinergic Agents

400

Which drug class is described below:

- Action: Produce strong contractions of the iris
and ciliary body
- Use: Lower IOP by widening the angle to allow
outflow of aqueous humor
- Common adverse effects: Reduced visual acuity,
conjunctival irritation, erythema, headache, pain,
discomfort

A. Cholinergic Agents

B. Alpha-Adrenergic Agents

C. Beta-Adrenergic Blocking Agents

D. Prostaglandin Agonists

A. Cholinergic Agents

400

When the nurse is reviewing a list of medications taken by an 88-year-old patient, the patient says, "I get dizzy when I stand up." She also states that she has nearly fainted "a time or two" in the afternoons. Her systolic blood pressure drops 15 points when she stands up. Which type of medication may be responsible for these effects?

A. NSAIDS
B. Cardiac glycosides
C. Anticoagulants
D. Antihypertensives

D. Antihypertensives

400

2 tablets

400

Before usage of this medication, reconstitution is required. How much water will the nurse add to the bottle of the medication?

 A. 20 mL

 B. 100 mL

 C. 80 mL

 D. None

C. 80 mL

500

Diseases in which beta-adrenergic blocking
agents should be used with caution include: (Select all that apply)

A. Asthma

B. Diabetes

C. Vitamin D deficiency

D. Bronchitis

E. Gastroesophageal reflux disease (GERD)

A, B, D

500

Cholinergic agents are used to lower IOP by widening the angle to allow outflow of aqueous humor; which of the following is not an adverse effect of this class of medication?

A. Conjunctival irritation

B. Erythema 

C. Diaphoresis

D. Hypertension

D. Hypertension

500

A pregnant patient who is at 32 weeks' gestation has a cold and calls the office to ask about taking an over-the-counter medication that is rated as pregnancy category A. Which answer by the nurse is correct?

A. "This drug causes problems in the human fetus, so you should not take this medication."
B. "This drug may cause problems in the human fetus, but nothing has been proven in clinical trials. It is best not to take this medication."
C. "This drug has not caused problems in animals, but no testing has been done in humans. It is probably safe to take."
D. "Studies indicate that there is no risk to the human fetus, so it is okay to take this medication as directed if you need it."

D. "Studies indicate that there is no risk to the human fetus, so it is okay to take this medication as directed if you need it."

500

3 tablets

500

Order: digoxin 0.125 mg orally once a day 

Available:  See medication label below. 

How many tablets should be administered per dose? 

0.5 tablets