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SAMPLE EXAM QUESTIONS FOR NURSING 248, as occasionally instructed by Jim Middleton

(for purposes of review only)

-or-

Some of these questions may appear redundant or repetitive. This is the basic nature of education. In fact, the written word reinforces the aural experience. How's that for philosophy?

_____ 1. Your patient is taking valproic acid (Depakote). Which of the following is a false statement?

a. Valproic acid requires hepatic monitoring

b. Valproic acid has the lowest seizure relapse rate when discontinued

c. Valproic acid is also used in migraine therapy

d. Valproic acid is also used in bipolar disorder therapy

_____ 2. Your patient has been switched from valproic acid (Depakote) to gabepentin (Neurontin). Which of the following is a false statement?

a. Gabapentin (Neurontin) is also used for bipolar disorder therapy

b. Gabapentin (Neurontin) requires more frequent hepatic monitoring

c. Gabapentin (Neurontin) is also used for migraine therapy

d. Gabapentin (Neurontin) should not be given concurrently with antacids containing magnesium

_____ 3. Your patient has been stabilized taking only primidone (Mysoline). Which drug besides primidone may be assayed during his stay in the hospital to monitor his therapy?

a. pentobarbital

b. phenobarbital

a. phenobarbital

b. phenytoin (Dilantin)

c. pentobarbital

d. valproic acid (Depakote)

_____ 5. Fosphenytoin (Cerebyx)

a. is a controversial agent for depression

b. is used to control tremors due to Parkinsonism

c. can be administered intravenously

d. is ineffective after 5 days of therapy

_____ 6. James Parkinson first described Parkinsonism in 1817. Since that time, it has been theorized that the disease stems from a deficiency of

b. captopril (Capoten) -- hint-- look for the "pril" suffix!

c. propranolol (Inderal)

d. ranitidine (Zantac)

_____ 11. Digoxin (Lanoxin) causes

a. negative inotropic, positive chronotropic action

b. negative inotropic, negative chronotropic action

c. positive inotropic, positive chronotropic action

d. positive inotropic, negative chronotropic action

_____ 12. Your patient is lethargic, nauseated, and has a pulse of 52. You see that he is taking digoxin (Lanoxin) 0.25mg daily, and also has hydrochlorothiazide (HydroDiuril) 50mg twice daily. He is also playing with the color knobs on the television. You would check for a

a. drop in sodium levels

b. drop in potassium levels

c. drop in digoxin (Lanoxin) levels

d. drop in calcium levels

_____ 13. Asthmatic patients could experience bronchoconstriction problems with which of the following agents?

a. isoproterinol (Isuprel)

b. digoxin (Lanoxin)

c. pindolol (Visken) -- a beta blocker can cause B-2 blocking which can result in bronchospasm

d. dextromethorphan

_____ 14. Hypertensive therapy available as a 7-day patch

a. atenolol (Tenormin)

b. methyldopa (Aldomet)

c. minoxidil (Loniten)

d. clonidine (Catapres)

_____ 15. Regarding nitroglycerin

a. tingling on the tongue is a sign of toxicity with the sublingual tablets

b. special tubing is always used for IV infusion

c. oral nitrates such as Isordil and Sorbitrate are just as effective as topical patches