MODULE 5 COMPREHENSIVE FINAL EXAM REVIEW WITH
VERIFIED ANSWERS AND KEY CONCEPTS (UPDATED 2025–
2026)
A patient with attention deficit/hyperactivity disorder (ADHD) has been prescribed
methylphenidate HCl (Ritalin). The patient has a history of hypertension as well and is taking an
antihypertensive medication. What drug interaction can be identified in the patient? - correct
answer -The patient will receive a reduced effect of antihypertensive.
The nurse is caring for a patient diagnosed with attention deficit/hyperactivity disorder (ADHD)
who has been prescribed methylphenidate HCl (Ritalin). What instruction will the nurse provide
for this patient? Select all that apply. - correct answer -"Monitor your weight twice a week and
report weight loss."
"Refrain from consuming over-the-counter (OTC) products with high caffeine content."
Anorexia is one of the adverse effects of methylphenidate HCl (Ritalin). So, the nurse will
instruct the patient to monitor his or her weight twice a week and report weight loss. The nurse
should encourage the patient to read labels on OTC products, because many contain caffeine. A
high plasma caffeine level could be fatal. The patient should be taught to take the drug before
meals. The nurse should encourage the use of sugarless gum to relieve dry mouth. The patient
should be taught not to abruptly discontinue the drug. The dose must be tapered off to avoid
withdrawal symptoms. The dose should be modified only by the health care provider.
A child with attention deficit/hyperactivity disorder (ADHD) is prescribed methylphenidate
(Ritalin). Which instruction should the nurse include while teaching the client's family regarding
drug administration? - correct answer -"Administer the drug 45 minutes before meals."
Food affects the rate of absorption of methylphenidate (Ritalin). Therefore, it should be taken
30-45 minutes before meals. Methylphenidate (Ritalin) should not be taken before sleep or in
, the evening because it may cause insomnia. Methylphenidate (Ritalin) is usually administered
twice daily, once in the morning and then during the early afternoon.
The nurse is caring for a child taking methylphenidate (Ritalin). Assessment reveals a heart rate
of 110, and the child is complaining of chest pain. What is the nurse's highest priority action? -
correct answer -Notify the primary healthcare provider.
What is a priority nursing action when taking care of a patient who is prescribed a central
nervous system (CNS) stimulant? - correct answer -Monitor the patient for seizure activity
Central nervous system (CNS) stimulation occurs when the amount and duration of action of
excitatory neurotransmitters are increased. This can lead to the development of seizure activity
in the patient who has received a central nervous system stimulant
A child has been taking methylphenidate (Ritalin) for two months. The child's parent tells the
nurse, "Each time I go to get my child's medication, the pharmacist asks me to get a new
prescription. Why is this so?" What will the nurse explain to the parent? - correct answer -"This
drug has the risk of causing abuse."
A nurse is monitoring a patient in the anesthetic unit who was administered droperidol and
fentanyl (Innovar). Which nursing intervention would be priority for this patient? - correct
answer -Monitoring respiratory rate regularly
Droperidol and fentanyl (Innovar) are neuroleptic analgesics, which are used as a preanesthetic
medication. Monitoring blood pressure and respiratory rate is beneficial because this drug can
cause hypotension and respiratory depression as side effects. Ensuring a patent airway and
monitoring respiratory rate is the priority action of the nurse.
The patient has recently been prescribed a benzodiazepine and reports experiencing vivid
dreams. What does this symptom indicate? - correct answer -Therapeutic effect of the
medication
VERIFIED ANSWERS AND KEY CONCEPTS (UPDATED 2025–
2026)
A patient with attention deficit/hyperactivity disorder (ADHD) has been prescribed
methylphenidate HCl (Ritalin). The patient has a history of hypertension as well and is taking an
antihypertensive medication. What drug interaction can be identified in the patient? - correct
answer -The patient will receive a reduced effect of antihypertensive.
The nurse is caring for a patient diagnosed with attention deficit/hyperactivity disorder (ADHD)
who has been prescribed methylphenidate HCl (Ritalin). What instruction will the nurse provide
for this patient? Select all that apply. - correct answer -"Monitor your weight twice a week and
report weight loss."
"Refrain from consuming over-the-counter (OTC) products with high caffeine content."
Anorexia is one of the adverse effects of methylphenidate HCl (Ritalin). So, the nurse will
instruct the patient to monitor his or her weight twice a week and report weight loss. The nurse
should encourage the patient to read labels on OTC products, because many contain caffeine. A
high plasma caffeine level could be fatal. The patient should be taught to take the drug before
meals. The nurse should encourage the use of sugarless gum to relieve dry mouth. The patient
should be taught not to abruptly discontinue the drug. The dose must be tapered off to avoid
withdrawal symptoms. The dose should be modified only by the health care provider.
A child with attention deficit/hyperactivity disorder (ADHD) is prescribed methylphenidate
(Ritalin). Which instruction should the nurse include while teaching the client's family regarding
drug administration? - correct answer -"Administer the drug 45 minutes before meals."
Food affects the rate of absorption of methylphenidate (Ritalin). Therefore, it should be taken
30-45 minutes before meals. Methylphenidate (Ritalin) should not be taken before sleep or in
, the evening because it may cause insomnia. Methylphenidate (Ritalin) is usually administered
twice daily, once in the morning and then during the early afternoon.
The nurse is caring for a child taking methylphenidate (Ritalin). Assessment reveals a heart rate
of 110, and the child is complaining of chest pain. What is the nurse's highest priority action? -
correct answer -Notify the primary healthcare provider.
What is a priority nursing action when taking care of a patient who is prescribed a central
nervous system (CNS) stimulant? - correct answer -Monitor the patient for seizure activity
Central nervous system (CNS) stimulation occurs when the amount and duration of action of
excitatory neurotransmitters are increased. This can lead to the development of seizure activity
in the patient who has received a central nervous system stimulant
A child has been taking methylphenidate (Ritalin) for two months. The child's parent tells the
nurse, "Each time I go to get my child's medication, the pharmacist asks me to get a new
prescription. Why is this so?" What will the nurse explain to the parent? - correct answer -"This
drug has the risk of causing abuse."
A nurse is monitoring a patient in the anesthetic unit who was administered droperidol and
fentanyl (Innovar). Which nursing intervention would be priority for this patient? - correct
answer -Monitoring respiratory rate regularly
Droperidol and fentanyl (Innovar) are neuroleptic analgesics, which are used as a preanesthetic
medication. Monitoring blood pressure and respiratory rate is beneficial because this drug can
cause hypotension and respiratory depression as side effects. Ensuring a patent airway and
monitoring respiratory rate is the priority action of the nurse.
The patient has recently been prescribed a benzodiazepine and reports experiencing vivid
dreams. What does this symptom indicate? - correct answer -Therapeutic effect of the
medication
