ANGELES UNIVERSITY FOUNDATION 9.
Isoproterenol, a pure beta agonist is NOT
College of Nursing
NCM 0106 Pharmacology
Quiz: Autonomic Nervous System
MULTIPLE CHOICE. Choose the BEST answer.
1. The autonomic nervous system functions to:
A. maintain balance & posture
B. maintain the special senses
C. regulate internal functions of the body
D. coordinate peripheral and central nervous system
pathways.
2. The autonomic nervous system differs from other
systems in the CNS in that:
A. it uses only peripheral pathways
B. it affects organs & muscles by way of a two-way
neuron system
C. it uses a unique one neuron system
D. it bypasses the CNS in all of its actions.
3. The sympathetic nervous system:
A. is called the thoracolumbar system
B. is called the fight or flight response
C. is called the craniosacral system
D. uses acetylcholine as its neurotransmitter
4. If you suspect a person experiencing sympathetic
stress reaction, you would expect to find:
A. increased bowel sounds and urine output
B. constricted pupils and warm, flushed skin
C. slow heart rate, decreased BP
D. dilated pupils, elevated BP
5. Stimulating only the beta2 receptors would result
in:
A. increased heart rate
B. increased myocardial contraction
C. vasodilation and bronchial dilation
D. uterine contraction
6. Which of the ff. is NOT a cathecolamine?
A. dopamine
B. norepinephrine
C. acetylcholine
D. epinephrine
7. Stimulation of the parasympathetic nervous
system would cause:
A. slower heart rate and increased GIT secretions
B. faster heart beat and urinary retention
C. vasoconstriction and bronchial dilation
D. pupil dilation and muscle paralysis
8. Adrenergic drugs are also called:
A. sympatholytic drugs
B. cholinergic agents
C. sympathomimetic drugs
D. adrenolytic drugs
recommended for:
A. preterm labor
B. bronchospasm
C. cardiac standstill
D. shock
10. Adverse effect associated with adrenergic agents
include:
A. slowed hear rate
B. constriction of pupils
C. hypertension
D. increased GIT secretion
11. Selective alpha 1 blockers are useful for the
treatment of:
A. COPD
B. hypertension and prostate enlargement
C. erectile dysfunction
D. bronchospasm
12. Indirect acting cholinergic agents:
A. react with acetylcholine receptor sites
B. react chemically with acetylcholinesterase
C. are used to increase bladder tone
D. should be given with food to decrease nausea
13. Adverse effects associated with the use of
cholinergic drugs would include:
A. constipation and insomnia
B. diarrhea and urinary urgency
C. tachycardia and hypertension
D. dry mouth and tachycardia
14. Nerve gas is an irreversible acetylcholinesterase
inhibitor that can cause muscle paralysis and death.
An antidote for this is:
A. atropine
B. propranolol
C. pralidoxime
D. amoxicillin
15. Atropine is NOT used to:
A. depress salivation
B. dry up bronchial secretion
C. block parasympathetic effects on the heart
D. promote uterine contraction
16. Teaching clients who are taking anticholinergic
drugs would NOT include:
A. Encouraging client to void before dosing.
B. Bowel program to deal with constipation.
C. Encourage to suck sugarless lozenges to avoid dry
mouth.
D. Exercise measures to increase heart rate.
17. A 60 y/o client is diagnosed with overactive
bladder and was prescribed with 2mg. tolterodine
tartrate BID PO. What action should the nurse take?
A. Assess for the presence of narrow angle glaucoma
B. Instruct that increased bronchial secretions is
normal.
C. Assess the client for diarrhea. For nos. 26-30. Choose from the ff. options:
D. Inform the doctor that the client will be non-
compliant. A. Sympathetic response
B. Parasympathetic response
18. Propanolol and metoprolol used for hypertensive
clients are which type of drugs? 26. Urinary retention
A. beta adrenergic blocking agents 27. Increased force of myocardial contraction
B. adrenergic agents 28. Ejaculation
C. anticholinergic agents 29. Glycogenesis
D. sympathomimetics 30. Miosis

19. Epinephrine, dopamine and isoproterenol are

classified as:
A. anticholinergics
B. cholinergic blockers
C. adrenergics
D. sympatholytics

20. Beta 1 receptors are located in the muscles of

the:
A. heart
B. abdominal wall
C. intestines
D. upper torso

21. Alpha 1 receptor stimulation results in:

A. bronchodilation
B. dilation of urinary bladder sphincter
C. constriction of coronary blood vessels
D. uterine relaxation

22. A client has begun taking anticholinergic

medications. The nurse plans to carefully assess
which of the ff. client parameters?
A. pain intensity, respiratory rate, LOC
B. urinary retention, constipation
C. seizure activity
D. edema and electrolyte levels

23. A pt. is receiving dobutamine ( an adrenergic

drug) for shock and is complaining of “skipping
beats” than yesterday. What will the nurse do next?
A. Monitor for other signs of therapeutic response.
B. Titrate the drug to a higher dose,
C. Discontinue the drug stat.
D. Assess the pt’s VS and cardiac rhythm.

24. Before initiating therapy with a non-selective

beta blocker, the nurse will assess the pt. for a
history of which condition?
A. Hypertension
B. Liver Disease
C. Pancreatitis
D. Asthma

25. A client is given Bethanecol (Urecholine) in a

client with post-operative urinary retention. The
mechanism of action of this drug is:
A. It causes decreased bladder tone and motility.
B. It causes increased bladder tone and motility.
C. It increases the sensation of a full bladder.
D. It causes the bladder sphincters to become tighter