ATI The Neurological System (Part 1) Practice Test Questions and Answers A HCP is caring for a patient who is about to begin taking pramipexole (mirapex) to treat Parkinson's disease. The HCP should recognize that which of the following laboratory tests require monitoring? ✅Creatine phosphokinase (CPK) CPK is an enzyme found in the heart, brain, and skeletal muscles. Patients taking pramipexole can develop muscle weakness with a lack of energy, creating a situation that can be more problematic for patients than their original muscle dysfunction. Monitori ng CPK can alert health care professionals to the possibility of skeletal muscle damage from the drug. For which of the following should a health care professional monitor a patient who is taking donepezil (Aricept) for Alzheimer's disease? ✅Nausea The most common adverse effects of donepezil, a cholinesterase inhibitor, are nausea, vomiting, and diarrhea. Taking the drug with food can help minimize adverse effects. A HCP is talking to a patient who is newly diagnosed with Parkinson's disease about how levodopa/carbidopa (Sinemet) will hep control her symptoms. which of the following mechanisms is the drug effective in treating the disorder? ✅Increases available dopamine in the brain Levodopa/carbidopa, a dopaminergic agent, can act by increasing dopamine in the extrapyramidal center of the brain, reducing involuntary motion. A HCP is talking to a patient who is about to begin taking valproic acid (Depakote) for a newly diagnosed seizure disorder. He should tell the patient to watch for which of the following adverse side effects? ✅drowsiness, headache, rash -Patients taking valproic acid should report CNS depressant effects, such as sedation or drowsiness, because these effects can indicate the need for a reduction in dose. Rash -Skin rash is a side effect of valproic acid and other antiepileptic drugs. Which of the following findings should alert a HCP that a patient is developing a potentially serious adverse side reaction to interferon beta -1b (Betaseron)? ✅Fatigue B/c of the potential for bone marrow suppression and decreased platelet count, patients should report unexplained bruising, bleeding, or fatigue. While talking to a patient and his family about taking memantine (Namenda) for Alzheimer's disease, the HCP should include which of the following instructions? ✅Notify the health care professional before taking over -the-counter antacids. Antacids that contain sodium bicarbonate increase urine alkalinity and can decrease drug excretion, ultimately leading to toxicity. While talking to a patient about taking modafinil (Provigil) to treat narcolepsy, which of the following instructions should the HCP include? ✅Take the drug in the morning Modafinil is a non -amphetamine stimulant. Taking it in the morning helps improve wakefulness for patients who have narcolepsy. Patients taking the drug for shift -work sleepiness should take it 1 hr before work. A HCP is caring for a patient who is about to begin taking dantrolene (Dantrium) for skeletal muscle spasms. The HCP should tell the patient to report which of the following adverse effects? ✅Diarrhea Prolonged diarrhea can cause dehydration and other serious effects. Diarrhea is an adverse effect of dantrolene, as are nausea and vomiting. Patients should report these effects so the health care professional can monitor fluid balance and intervene accord ingly. Anesthetists often administer midazolam (Versed) during induction of anesthesia b/c of which of the following pharmacological actions? ✅Causes amnesia Midazolam, a benzodiazepine, is appropriate during induction because of its anti -
anxiety and amnesiac properties. A HCP is caring for a patient who is about to begin taking dantrolene (Dantrium) for skeletal muscle spasms. the health care professional should recognize that which of the following laboratory tests require monitoring? ✅Liver function Liver toxicity is a serious adverse effect of dantrolene. The health care professional should monitor liver function prior to treatment and at regular intervals, and advise patients to report jaundice or abdominal pain. A HCP is caring or a patient who is receiving thiopental (Pentothal). For which of the following should the HCP monitor? ✅Respiratory depression Thiopental, a short -acting barbiturate, causes respiratory depression. Mechanical ventilation and continuous monitoring are essential for patients receiving the drug.
anxiety and amnesiac properties. A HCP is caring for a patient who is about to begin taking dantrolene (Dantrium) for skeletal muscle spasms. the health care professional should recognize that which of the following laboratory tests require monitoring? ✅Liver function Liver toxicity is a serious adverse effect of dantrolene. The health care professional should monitor liver function prior to treatment and at regular intervals, and advise patients to report jaundice or abdominal pain. A HCP is caring or a patient who is receiving thiopental (Pentothal). For which of the following should the HCP monitor? ✅Respiratory depression Thiopental, a short -acting barbiturate, causes respiratory depression. Mechanical ventilation and continuous monitoring are essential for patients receiving the drug.
