PEBC (Therapeutic) Sample Questions

18 October, 2022

Categories: PEBC Canada

Ques. GS is a 49 year old woman. Her physician had prescribed morphine ‘.5 mg’ IV for the management of postoperative pain. However, a unit secretary did not see the decimal point and transcribed the order by hand onto a medication administration record (MAR) as ‘5 mg.’ An experienced nurse followed the directions on the MAR without question and gave the baby 5 mg of IV. Morphine initially and another 5 mg dose two hours later.

Which of the following serious symptoms could be associated with fatal error?

A) Mydriasis

B) Severe constipation

C) Respiratory depression

D) Bleeding

E) All of the above

Answer: (c)

Ques. Venlafaxine was omitted for 10 days for a 78 year old patient. The order was inadvertently crossed off from medication administration records and subsequently not transcribed on transfer to chronic care. Patient experienced all of the following, except?

A) nausea and vomiting

B) Delirium

C) Flu like symptoms

D) Insomnia

E) Tremors

Answer: (e)

Ques. A nurse had an order to administer a 200 mg depot injection of zuclopenthixol decanoate. She had no previous experience with the drug and misunderstood the vial’s label. Instead of giving the patient his usual dose of 1ml of a 200mg/ml solution, she interpreted the entire vial to contain 200mg. Five times the normal dose was given (the vial was only half full). The patient may experience the following?

A) Unpleasant extra pyramidal symptoms

B) Suicidal symptoms

C) Disorientation

D) Insomnia

E) None of the above

Answer: (a)

Ques. Which of the following can be crushed and chewed?

A) Dutasteride

B) Ibandronate

C) Duloxetine

D) Divalproex

E) ASA 80 mg

Answer: (e)

Ques. BN is a 91kg, 52-year old female who was recently diagnosed with type 2 diabetes. On the physical exam her BP was 190/94, serum creatinine was 150umol/L, K is 4.5mmol/L.

11) The recommended BP target for BN is?

A) <130/80

B) >130/80

C) 140/90

D) <140/90

E) >140/90

Answer: (a)

Ques. What is the target waistline circumference?

A) <99 cm

B) <102

C) <88 cm

d) >88 cm

e) >102 cm

Answer: (c)

Ques. What is the initial therapy?

A) Ramipril 5 mg

B) verapamil/losartan

C) Atenolol

D) metoprolol

E) Hydrochlorothiazide 50 mg

Answer: (b)

Ques. After 6 months, she still has high blood pressure 155/90, what to do?

A. Increase dose to Ramipril 5 mg

B. Check the compliance of medication

C. Change Ramipril 2.5 mg to Losaartan

D. Change Ramipril 2.5 mg to Hydrochlorothiazide 25 mg

E. Change Ramipril 2.5 mg to Metoprolol 50 mg

Answer: (b)

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