NCLEX CRUSADE ACADEMY TEST - 1 PHARMACOLOGY III

1. Which infusion device is most appropriate for delivering precise micro doses in neonatal or ICU settings?. Volumetric pump. Gravity drip chamber. Syringe pump. PCA pump.

2. What is the primary function of a PCA (Patient Controlled Analgesia) pump?. Continuous infusion of vasopressors. Allows patients to self administer pain medication within programmed limits. Automatic antibiotic infusion. Rapid fluid resuscitation.

3. According to IV safety protocols, what should a nurse do before adding medication to a fluid bag?. Increase the infusion rate. Flush the IV with saline. Clamp the IV line. Remove the catheter.

4. What is the correct nursing action if infiltration or necrosis occurs at an IV site?. Silence the alarm and monitor. Continue infusion slowly. Stop the infusion immediately. Elevate the IV bag.

5. A 0.22 micron IV filter is primarily used for which purpose?. Removing microorganisms and micro crystals. Filtering blood clots. Filtering lipids. Increasing infusion speed.

6. Which IV filter size is required for blood transfusion tubing?. 0.22 micron. 1.2 micron. 170260 micron. 5 micron.

7. In the PINCH protocol, which medication carries the risk of severe hypoglycemia?. Potassium. Insulin. Heparin. Narcotics.

8. What is the major risk associated with IV potassium administration?. Hypoglycemia. Respiratory depression. Lethal arrhythmias. Hypertension.

9. Which PINCH medication requires monitoring of aPTT and platelet counts?. Heparin. Chemotherapy. Narcotics. Insulin.

10. Which symptom indicates a high priority adverse reaction to IV morphine?. Mild itching. Snoring and difficulty arousing. Nausea. Mild sedation.

11. What medication should be prepared when severe opioid respiratory depression occurs?. Epinephrine. Naloxone. Atropine. Dopamine.

12. In shock management, what is the target Mean Arterial Pressure (MAP)?. > 50 mmHg. > 60 mmHg. > 65 mmHg. > 80 mmHg.

13. What urine output indicates adequate kidney perfusion in adults?. >10 ml/hr. >20 ml/hr. >30 ml/hr. >60 ml/hr.

14. Which vasopressor is first line for septic shock?. Epinephrine. Dopamine. Norepinephrine. Phenylephrine.

15. Epinephrine is primarily indicated during which emergency?. Septic shock. Cardiac arrest. Hypoglycemia. Hypertension.

16. What is the recommended epinephrine dose during cardiac arrest?. 0.1 mg every 10 minutes. 1 mg every 35 minutes. 5 mg every minute. 10 mg once.

17. Dopamine at low doses primarily stimulates which receptors?. Alpha receptors. Beta receptors. Dopaminergic receptors. Cholinergic receptors.

18. What is the primary effect of medium dose dopamine?. Renal vasodilation. Increased cardiac contractility. Systemic vasoconstriction. Bronchodilation.

19. High dose dopamine primarily causes which physiologic effect?. Renal perfusion. Bronchodilation. Systemic vasoconstriction. Reduced heart rate.

20. Why should vasopressors ideally be administered via a central line?. Faster infusion speed. Prevent tissue necrosis from extravasation. Improve medication absorption. Reduce cost.

21. What medication is used to treat vasopressor extravasation?. Naloxone. Phentolamine. Atropine. Epinephrine.

22. During an anaphylactic emergency, where should the EpiPen be injected?. Deltoid muscle. Abdomen. Vastus lateralis. Forearm.

23. How long should an EpiPen be held in place after injection?. 3 seconds. 5 seconds. 10 seconds. 30 seconds.

24. When calculating IV drops per minute, what is the final step after calculating decimals?. Multiply by 2. Convert to ml/hr. Round to nearest whole drop. Divide by 10.

25. A patient has pH 7.32 and PaCO2 55 mmHg. What condition is indicated?. Respiratory alkalosis. Respiratory acidosis. Metabolic alkalosis. Metabolic acidosis.

26. If HCO3 is elevated while PaCO2 is acidic, what does this suggest?. No compensation. Partial metabolic compensation. Complete correction. Respiratory alkalosis.

27. Which medication category in the PINCH protocol requires extreme hazardous handling precautions?. Insulin. Chemotherapy. Narcotics. Heparin.

28. What nursing intervention helps prevent Red Man Syndrome during vancomycin infusion?. Increase dose. Slow the infusion rate. Add epinephrine. Stop medication permanently.

29. Which clinical parameter best indicates organ perfusion in shock?. Heart rate. Urine output. Oxygen saturation. Respiratory rate.

30. What is the universal safety rule for high alert medications?. Administer quickly. Skip double checks in emergencies. Perform strict double checks. Use only oral routes.