NCLEX CRUSADE ACADEMY TEST - 1 PHARMACOLOGY I

1. ACE inhibitors are contraindicated in pregnancy due to risk of: Neural tube defects. Renal damage in fetus. Pulmonary edema. Uterine rupture.

2. The safe anticoagulant during pregnancy is: Warfarin. Rivaroxaban. Heparin. Aspirin.

3. Diabetic pregnant patients should receive: Oral hypoglycemics. Metformin only. Insulin therapy. Sulfonylureas.

4. Live vaccines are contraindicated during pregnancy such as: Tdap. Inactivated influenza. Hepatitis B. MMR.

5. Tdap is recommended between: 1014 weeks. 2024 weeks. 2736 weeks. Postpartum only.

6. Indomethacin should NOT be used after: 20 weeks. 28 weeks. 30 weeks. 32 weeks.

7. Nifedipine requires monitoring for: Hypertension. Hypotension. Hyperglycemia. Tachypnea.

8. Magnesium sulfate toxicity is suspected if respirations are: >20/min. <12/min. 16/min. 18/min.

9. Antidote for magnesium sulfate toxicity is: Vitamin K. Protamine sulfate. Calcium gluconate. Naloxone.

10. Terbutaline should be held if maternal HR is greater than: 100 bpm. 110 bpm. 120 bpm. 130 bpm.

11. Oxytocin tachysystole is defined as: <3 contractions/10 min. >5 contractions/10 min. Contractions <30 sec. Contractions 60 sec apart.

12. First action if tachysystole occurs is: Increase infusion. Stop infusion. Call provider only. Administer prostaglandin.

13. Methergine is contraindicated in patients with: Asthma. Hypotension. Hypertension. Diabetes.

14. Carboprost is contraindicated in: Asthma. Hypertension. Diabetes. Anemia.

15. An unripe cervix requires administration of: Oxytocin. Magnesium sulfate. Prostaglandin (Misoprostol). Terbutaline.

16. Surfactant is administered via: IV. IM. Intranasal. Intratracheal ET tube.

17. Surfactant should be given within: 1 hour. 1530 minutes of birth. 2 hours. 6 hours.

18. Magnesium toxicity signs require priority action to: Continue infusion. Stop infusion immediately. Give oxytocin. Increase fluids only.

19. In preeclampsia, which order should be questioned?. Magnesium sulfate. Labetalol. Methergine. Bed rest.

20. Golden rule for pregnant diabetics is: Use oral agents. No medication needed. Insulin therapy only. Metformin first-line.