WGU D116 UNIT 8 OA REVIEW 205
COMPREHENSIVE TEST PAPER QUESTIONS
AND SOLUTIONS
◉ A 21-year-old patient has a seizure with impaired consciousness
followed by CNS depression. Type of seizure?
Answer: YES Tonic-clonic
◉ Atonic
Answer: NO
◉ Myoclonic
Answer: NO — consists of sudden 1-second contractions
◉ Absence
Answer: NO
◉ Correct explanation
Answer: A tonic-clonic seizure involves convulsions, stiffening, loss
of consciousness, jerking.
,◉ A patient taking oxycodone every 6 hrs for 3 years suddenly stops.
What is the clinical concern?
Answer: YES Physical dependence
◉ Correct explanation
Answer: Stopping abruptly causes withdrawal and can cause
symptoms from nausea to seizures.
◉ A 44-year-old male with depression and sexual dysfunction
history needs an antidepressant that enhances libido.
Answer: YES Bupropion
◉ Explanation
Answer: Bupropion does not cause sexual dysfunction and may
improve libido.
◉ A wheezing patient receives a nonspecific beta-agonist. Besides
respiratory relief, what side effect should the nurse monitor?
Answer: YES Tachycardia
◉ Explanation
Answer: Beta1 stimulation causes tachycardia and hypertension.
,◉ A patient has toxic atropine effects (delirium, hallucinations).
Which medication should the provider administer?
Answer: YES Physostigmine
◉ Explanation
Answer: Physostigmine treats atropine poisoning and crosses the
BBB.
◉ A patient requires sutures. Provider orders local anesthetic with
epinephrine. Epinephrine is used to ________.
Answer: Allow a reduced dose of the anesthetic
◉ Explanation
Answer: Epinephrine (alpha1 agonist) prolongs absorption and
reduces anesthetic needed.
◉ A Parkinson patient on carbidopa reports no change after months.
What should the provider do?
Answer: Reevaluate the diagnosis
◉ Increase the dose of carbidopa
Answer: Option but less correct
, ◉ Discuss "on-off" phenomenon
Answer: Possible but not primary
◉ NO Add a dopamine agonist
Answer: Incorrect
◉ A woman taking oral contraceptives starts valproic acid and
reports nausea. What should the nurse do?
Answer: YES Ask if she is taking valproic acid with food
◉ Explanation
Answer: GI symptoms are common and reduced by taking with food.
◉ A cerebral palsy patient receiving baclofen via G-tube has new
seizures. Cause?
Answer: YES Missed doses of baclofen
◉ Explanation
Answer: Abrupt withdrawal may cause hallucinations, paranoia, and
seizures.
◉ A patient received lidocaine with epinephrine for sutures. Which
symptom is most concerning?
COMPREHENSIVE TEST PAPER QUESTIONS
AND SOLUTIONS
◉ A 21-year-old patient has a seizure with impaired consciousness
followed by CNS depression. Type of seizure?
Answer: YES Tonic-clonic
◉ Atonic
Answer: NO
◉ Myoclonic
Answer: NO — consists of sudden 1-second contractions
◉ Absence
Answer: NO
◉ Correct explanation
Answer: A tonic-clonic seizure involves convulsions, stiffening, loss
of consciousness, jerking.
,◉ A patient taking oxycodone every 6 hrs for 3 years suddenly stops.
What is the clinical concern?
Answer: YES Physical dependence
◉ Correct explanation
Answer: Stopping abruptly causes withdrawal and can cause
symptoms from nausea to seizures.
◉ A 44-year-old male with depression and sexual dysfunction
history needs an antidepressant that enhances libido.
Answer: YES Bupropion
◉ Explanation
Answer: Bupropion does not cause sexual dysfunction and may
improve libido.
◉ A wheezing patient receives a nonspecific beta-agonist. Besides
respiratory relief, what side effect should the nurse monitor?
Answer: YES Tachycardia
◉ Explanation
Answer: Beta1 stimulation causes tachycardia and hypertension.
,◉ A patient has toxic atropine effects (delirium, hallucinations).
Which medication should the provider administer?
Answer: YES Physostigmine
◉ Explanation
Answer: Physostigmine treats atropine poisoning and crosses the
BBB.
◉ A patient requires sutures. Provider orders local anesthetic with
epinephrine. Epinephrine is used to ________.
Answer: Allow a reduced dose of the anesthetic
◉ Explanation
Answer: Epinephrine (alpha1 agonist) prolongs absorption and
reduces anesthetic needed.
◉ A Parkinson patient on carbidopa reports no change after months.
What should the provider do?
Answer: Reevaluate the diagnosis
◉ Increase the dose of carbidopa
Answer: Option but less correct
, ◉ Discuss "on-off" phenomenon
Answer: Possible but not primary
◉ NO Add a dopamine agonist
Answer: Incorrect
◉ A woman taking oral contraceptives starts valproic acid and
reports nausea. What should the nurse do?
Answer: YES Ask if she is taking valproic acid with food
◉ Explanation
Answer: GI symptoms are common and reduced by taking with food.
◉ A cerebral palsy patient receiving baclofen via G-tube has new
seizures. Cause?
Answer: YES Missed doses of baclofen
◉ Explanation
Answer: Abrupt withdrawal may cause hallucinations, paranoia, and
seizures.
◉ A patient received lidocaine with epinephrine for sutures. Which
symptom is most concerning?
