Question 1

What is the primary response to alpha-1 receptor stimulation?

Accepted Answer

A)   Bronchodilation
B)   Tachycardia
C)   Vasoconstriction
D)   Uterine relaxation C

Question 2

A patient is being discharged on an adrenergic bronchodilator.Which common adverse effect(s)will the nurse include in discharge teaching?(Select all that apply.)

Accepted Answer

A)   Palpitations
B)   Dizziness
C)   Orthostatic hypotension
D)   Hypoglycemia
E)   TremorsF)  Bradycardia A,B,C,E

Question 3

Neurotransmitter(s)include:(Select all that apply.)

Accepted Answer

A)   gamma aminobutyric acid.
B)   acetylcholine.
C)   serotonin.
D)   glucose.
E)   histamine.F)  epinephrine. A,B,C,E,F

Question 4

Why are beta blockers used cautiously in patients with respiratory conditions?

Accepted Answer

A)   They mask the signs and symptoms of acute hypoglycemia.
B)   They cause extensive vasodilation and cardiac overload.
C)   They may produce severe bronchoconstriction.
D)   They increase hypertensive episodes.

Question 5

Prior to the administration of metoprolol,a beta-adrenergic blocking agent,which is most important for the nurse to assess?

Accepted Answer

A)   Blood pressure
B)   Lung sounds
C)   Mental status
D)   Urine output

Question 6

Which disorder(s)would indicate the use of anticholinergic agents?(Select all that apply.)

Accepted Answer

A)   Glaucoma
B)   Benign prostatic hypertrophy
C)   Bradycardia
D)   Parkinson's disease
E)   Preparation for surgeryF)  Stimulation of the vagus nerve

Question 7

The nurse is caring for a patient taking a cholinergic agent.When auscultating lung sounds,the nurse notes inspiratory and expiratory wheezing bilaterally.The best action for the nurse to take would be to

Accepted Answer

A)   provide the next dose of the cholinergic agent immediately.
B)   assess heart rate and blood pressure.
C)   reposition the patient.
D)   withhold the next dose and notify the physician.

Question 8

Which nerve endings liberate norepinephrine?

Accepted Answer

A)   Cholinergic
B)   Adrenergic
C)   Anticholinergic
D)   Muscarinic

Question 9

A long-term care resident is taking an anticholinergic agent.The nurse observes the resident to be disoriented and hallucinating.The priority nursing action is to

Accepted Answer

A)   report development of alterations to the charge nurse.
B)   assess blood glucose.
C)   provide for resident's safety.
D)   medicate with antianxiety medication.

Question 10

An older adult patient is to receive atenolol,a beta-adrenergic blocking agent.Prior to administration of the drug,the nurse assesses an apical pulse rate of 58 and notes ankle edema.Which action will the nurse take first?

Accepted Answer

A)   Determine the therapeutic blood level.
B)   Encourage the patient to decrease water intake.
C)   Elevate the patient's legs.
D)   Withhold the medication.

Question 11

A patient hospitalized in an acute care setting reports to the nurse that since starting on an adrenergic medication,he has been feeling "dizzy and weak." The most appropriate action for the nurse is to

Accepted Answer

A)   immediately notify the physician.
B)   teach the patient to move slowly from standing to sitting.
C)   discontinue the adrenergic blocker.
D)   monitor the blood pressure in both the supine and standing positions.

Question 12

Which condition would alert the nurse of the need to use beta-adrenergic blockers cautiously?

Accepted Answer

A)   Hypertension
B)   Raynaud's phenomenon
C)   Emphysema
D)   Cardiac dysrhythmias

Question 13

The autonomic nervous system can be subdivided into which types of adrenergic receptors?

Accepted Answer

A)   Nicotinic and muscarinic
B)   Afferent and efferent
C)   Alpha and beta
D)   Agonists and antagonists

Question 14

Which statement(s)is/are true about efferent nerves?(Select all that apply.)

Accepted Answer

A)   They transmit signals to the spinal cord and brain.
B)   They leave the CNS to carry impulses to other body parts.
C)   They are part of the peripheral nervous system.
D)   They transmit signals that control contractions of smooth and skeletal muscle.
E)   They transmit signals that control contractions of some glandular secretions.

Question 15

Before the initiation of anticholinergic medications,it is important for the nurse to screen patients for which condition?

Accepted Answer

A)   Hypertension
B)   Infectious diseases
C)   Diabetes
D)   Closed-angle glaucoma

Question 16

Which category of medications is used for peripheral vascular diseases characterized by excessive vasoconstriction,such as Raynaud's disease?

Accepted Answer

A)   Adrenergic agents
B)   Alpha-adrenergic blocking agents
C)   Beta-adrenergic blocking agents
D)   Cholinergic agents

Question 17

A patient with chronic obstructive pulmonary disease (COPD)reports having insomnia and a racing heart after starting terbutaline therapy.Which explanation by the nurse is most accurate?

Accepted Answer

A)   "The symptoms are typical and indicate that the medication is at a therapeutic level."
B)   "The symptoms will tend to resolve with continued therapy."
C)   "The symptoms are unusual and need to be reported to the health care provider immediately."
D)   "The symptoms are indicative of toxicity."

Question 18

Which body function(s)is/are controlled by the autonomic nervous system?(Select all that apply.)

Accepted Answer

A)   Blood pressure
B)   Skeletal muscle contraction
C)   GI secretion
D)   Body temperature
E)   Urination

Question 19

Which instruction(s)given by the nurse will assist a patient to cope with the common adverse effects of anticholinergic medications?(Select all that apply.)

Accepted Answer

A)   "Take the medication with meals."
B)   "Increase fluids daily."
C)   "Decrease fiber in the diet."
D)   "Suck on candy or ice chips."
E)   "Monitor blood glucose."

Question 20

Which adverse effect(s)is/are common when a patient is receiving a cholinergic agent?(Select all that apply.)

Accepted Answer

A)   Nausea
B)   Hypertension
C)   Dizziness
D)   Bradycardia
E)   Constipation

Exam 12: Drugs That Affect the Autonomic Nervous System

What is the primary response to alpha-1 receptor stimulation?

A patient is being discharged on an adrenergic bronchodilator.Which common adverse effect(s) will the nurse include in discharge teaching?(Select all that apply.)

Neurotransmitter(s) include:(Select all that apply.)

Why are beta blockers used cautiously in patients with respiratory conditions?

Prior to the administration of metoprolol,a beta-adrenergic blocking agent,which is most important for the nurse to assess?

Which disorder(s) would indicate the use of anticholinergic agents?(Select all that apply.)

The nurse is caring for a patient taking a cholinergic agent.When auscultating lung sounds,the nurse notes inspiratory and expiratory wheezing bilaterally.The best action for the nurse to take would be to

Which nerve endings liberate norepinephrine?

A long-term care resident is taking an anticholinergic agent.The nurse observes the resident to be disoriented and hallucinating.The priority nursing action is to

An older adult patient is to receive atenolol,a beta-adrenergic blocking agent.Prior to administration of the drug,the nurse assesses an apical pulse rate of 58 and notes ankle edema.Which action will the nurse take first?

A patient hospitalized in an acute care setting reports to the nurse that since starting on an adrenergic medication,he has been feeling "dizzy and weak." The most appropriate action for the nurse is to

Which condition would alert the nurse of the need to use beta-adrenergic blockers cautiously?

The autonomic nervous system can be subdivided into which types of adrenergic receptors?

Which statement(s) is/are true about efferent nerves?(Select all that apply.)

Before the initiation of anticholinergic medications,it is important for the nurse to screen patients for which condition?

Which category of medications is used for peripheral vascular diseases characterized by excessive vasoconstriction,such as Raynaud's disease?

A patient with chronic obstructive pulmonary disease (COPD) reports having insomnia and a racing heart after starting terbutaline therapy.Which explanation by the nurse is most accurate?

Which body function(s) is/are controlled by the autonomic nervous system?(Select all that apply.)

Which instruction(s) given by the nurse will assist a patient to cope with the common adverse effects of anticholinergic medications?(Select all that apply.)

Which adverse effect(s) is/are common when a patient is receiving a cholinergic agent?(Select all that apply.)