NU 150 Final Exam Review Units 9–12 | Galen College of
Nursing 2026 | Parkinson’s, Epilepsy, Musculoskeletal,
Mental Health & Hormones | Graded A+
1. Describe why it is important to monitor patients for signs of toxicity when
using phenytoin.
Monitoring for signs of toxicity is crucial because phenytoin has a
narrow therapeutic index, and excessive levels can lead to serious
side effects.
Monitoring is done to ensure the patient is taking the medication
correctly.
Monitoring is unnecessary as phenytoin is safe at any dosage.
Monitoring is only required for patients with a history of seizures.
2. The provider prescribes Haloperidol for a patient. The nurse questions this
order due to what medical history of the patient?
Psychoses
Breast cancer
Parkinson's disease
Hypothyroidism
3. Describe why the interaction between Sildenafil and nitrates is considered
critical for patient safety.
The combination has no significant effects.
The combination can lead to severe hypotension.
The combination causes increased heart rate.
The combination enhances the effectiveness of Sildenafil.
,4. To prevent a common, adverse effect of prolonged use of phenytoin sodium
(Dilantin), patients taking the drug are instructed to:
practice good dental hygiene and report gum swelling or bleeding.
avoid crowds and obtain an annual influenza vaccination.
drink at least 2 L of fluids daily, including 8 to 10 glasses of water.
eat a potassium-rich, low sodium diet.
5. Antipsychotics such as chlorpromazine and haloperidol exert their
mechanism of action by blocking this receptor:
Dopamine
Norepinephrine
Acetylcholine
Serotonin
Epinephrine
6. Describe why narrow-angle glaucoma is considered a contraindication for
Levodopa treatment.
Levodopa decreases blood pressure, making it safe for all patients.
Levodopa has no effect on eye pressure.
Levodopa is used to treat narrow-angle glaucoma.
Levodopa can increase intraocular pressure, which may worsen
narrow-angle glaucoma.
7. Which condition is a contraindication for the use of bisphosphonates?
Paget's disease
, Multiple myeloma
Hypocalcemia
Osteoporosis
8. If a patient on Levodopa/Carbidopa (Sinemet) experiences severe
dyskinesia, what might be a recommended course of action?
Stop the medication immediately
Adjust the dosage of the medication
Increase the frequency of doses
Switch to a different class of drugs
9. What is the DMARD of choice in treating patients with rheumatoid arthritis?
Methotrexate
Mycophenolate
Azathioprine
Hydroxychloroquine
10. What is Cyclobenzaprine used for?
Management of generalized anxiety disorders
seizure prevention. Do not take it while pregnant. Monitor serum
levels to ensure therapeutic levels and prevent toxicity.
Relieves skeletal muscles and muscle spasms.
Treats short term insomnia (less than 10 days).
11. Which adverse effect is associated with COMT inhibitors?
, Urine discoloration
Visual changes
Insomnia
Leg edema
12. Describe how Levetiracetam may affect a patient's daily activities.
Levetiracetam enhances cognitive function, improving daily activities.
Levetiracetam can cause drowsiness, which may impair a patient's
ability to perform tasks that require alertness.
Levetiracetam has no impact on daily activities.
Levetiracetam causes increased energy levels, facilitating daily tasks.
13. What is the name of the primary drug used to inhibit uric acid production?
Colchicine
Allopurinol
Probenecid
Febuxostat
14. Which condition is a contraindication for the use of phenytoin?
Hypersensitivity to phenytoin
Asthma
Hypertension
Diabetes mellitus
Nursing 2026 | Parkinson’s, Epilepsy, Musculoskeletal,
Mental Health & Hormones | Graded A+
1. Describe why it is important to monitor patients for signs of toxicity when
using phenytoin.
Monitoring for signs of toxicity is crucial because phenytoin has a
narrow therapeutic index, and excessive levels can lead to serious
side effects.
Monitoring is done to ensure the patient is taking the medication
correctly.
Monitoring is unnecessary as phenytoin is safe at any dosage.
Monitoring is only required for patients with a history of seizures.
2. The provider prescribes Haloperidol for a patient. The nurse questions this
order due to what medical history of the patient?
Psychoses
Breast cancer
Parkinson's disease
Hypothyroidism
3. Describe why the interaction between Sildenafil and nitrates is considered
critical for patient safety.
The combination has no significant effects.
The combination can lead to severe hypotension.
The combination causes increased heart rate.
The combination enhances the effectiveness of Sildenafil.
,4. To prevent a common, adverse effect of prolonged use of phenytoin sodium
(Dilantin), patients taking the drug are instructed to:
practice good dental hygiene and report gum swelling or bleeding.
avoid crowds and obtain an annual influenza vaccination.
drink at least 2 L of fluids daily, including 8 to 10 glasses of water.
eat a potassium-rich, low sodium diet.
5. Antipsychotics such as chlorpromazine and haloperidol exert their
mechanism of action by blocking this receptor:
Dopamine
Norepinephrine
Acetylcholine
Serotonin
Epinephrine
6. Describe why narrow-angle glaucoma is considered a contraindication for
Levodopa treatment.
Levodopa decreases blood pressure, making it safe for all patients.
Levodopa has no effect on eye pressure.
Levodopa is used to treat narrow-angle glaucoma.
Levodopa can increase intraocular pressure, which may worsen
narrow-angle glaucoma.
7. Which condition is a contraindication for the use of bisphosphonates?
Paget's disease
, Multiple myeloma
Hypocalcemia
Osteoporosis
8. If a patient on Levodopa/Carbidopa (Sinemet) experiences severe
dyskinesia, what might be a recommended course of action?
Stop the medication immediately
Adjust the dosage of the medication
Increase the frequency of doses
Switch to a different class of drugs
9. What is the DMARD of choice in treating patients with rheumatoid arthritis?
Methotrexate
Mycophenolate
Azathioprine
Hydroxychloroquine
10. What is Cyclobenzaprine used for?
Management of generalized anxiety disorders
seizure prevention. Do not take it while pregnant. Monitor serum
levels to ensure therapeutic levels and prevent toxicity.
Relieves skeletal muscles and muscle spasms.
Treats short term insomnia (less than 10 days).
11. Which adverse effect is associated with COMT inhibitors?
, Urine discoloration
Visual changes
Insomnia
Leg edema
12. Describe how Levetiracetam may affect a patient's daily activities.
Levetiracetam enhances cognitive function, improving daily activities.
Levetiracetam can cause drowsiness, which may impair a patient's
ability to perform tasks that require alertness.
Levetiracetam has no impact on daily activities.
Levetiracetam causes increased energy levels, facilitating daily tasks.
13. What is the name of the primary drug used to inhibit uric acid production?
Colchicine
Allopurinol
Probenecid
Febuxostat
14. Which condition is a contraindication for the use of phenytoin?
Hypersensitivity to phenytoin
Asthma
Hypertension
Diabetes mellitus
