Saunders Pharm-Neuro Review Practice Exam Questions & Answers.
The nurse is providing instructions to a client who will be taking phenytoin. Which statement, if made by
the client, would indicate an understanding of the information about this medication? - CORRECT ANSWER "I need to perform good oral hygiene, including flossing and brushing my teeth."
The clinic nurse is reviewing the record of a client scheduled to be seen in the clinic. The nurse notes that the client is taking selegiline hydrochloride. The nurse suspects that the client has which disorder? - CORRECT ANSWER parkinson's disease
Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effects of the medication. Which finding indicates that the client is experiencing an adverse effect? - CORRECT ANSWER impaired voluntary movements
The home health nurse visits a client who is taking phenytoin for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information should the nurse include in the teaching plan? - CORRECT ANSWER There is the potential of decreased effectiveness
of birth control pills while taking phenytoin.
A client is taking the prescribed dose of phenytoin to control seizures. Results of a phenytoin blood level study reveal a level of 35 mcg/mL (140 mcmol/L). Which finding would be expected as a result of this laboratory result? - CORRECT ANSWER slurred speech
A client with trigeminal neuralgia is being treated with carbamazepine, 400 mg orally daily. Which value indicates that the client is experiencing an adverse effect to the medication? - CORRECT ANSWER WBC count of 3,000
The nurse has given medication instructions to a client receiving phenytoin. Which statement indicates that the client has an adequate understanding of the instructions? - CORRECT ANSWER Good oral hygiene is needed, including brushing and flossing. A client with myasthenia gravis has become increasingly weaker. The primary health care provider prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or
an increasing severity of the disease (myasthenic crisis). An injection of edrophonium is administered. Which finding would indicate that the client is in cholinergic crisis? - CORRECT ANSWER A temporary worsening of the condition
The nurse is caring for a client receiving mannitol via intravenous (IV) infusion. A vial is sent from the pharmacy, and in preparing the medication the nurse notes that the vial contains crystals. What is the most appropriate nursing action? - CORRECT ANSWER Place the vial in warm water.
The nurse in a long-term care facility is reviewing the primary health care provider's (PHCP's) prescriptions on an assigned client. The nurse notes that the PHCP prescribed ropinirole hydrochloride. The nurse determines that this medication has been prescribed to treat which condition in the client? - CORRECT ANSWER parkinsonian syndrome
A client is receiving phenobarbital sodium. Which finding on the nursing assessment would indicate that the client is experiencing a common side or adverse effect of this medication? - CORRECT ANSWER drowsiness
The nurse is administering medications to a client with trigeminal neuralgia. The nurse expects that which medication will be prescribed for pain relief? - CORRECT ANSWER carbamazepine and gabapentin
The nurse is observing a new nursing graduate who is preparing an intermittent intravenous (IV) infusion
of phenytoin for a client with a diagnosis of seizures. Which solution used by the nursing graduate should indicate to the nurse an understanding of proper preparation of this medication? - CORRECT ANSWER 0.9% sodium chloride
The client with a head injury is experiencing signs of increased intracranial pressure (ICP), and mannitol is prescribed. The nurse administering this medication expects which as intended effects of this medication? SATA
a) Reduced ICP
b) Increased diuresis
c) Increased osmotic pressure of glomerular filtrate
d) Reduced tubular reabsorption of water and solutes
e) Reabsorption of sodium and water in the loop of Henle - CORRECT ANSWER a-d
The nurse is providing instructions to a client who will be taking phenytoin. Which statement, if made by
the client, would indicate an understanding of the information about this medication? - CORRECT ANSWER "I need to perform good oral hygiene, including flossing and brushing my teeth."
The clinic nurse is reviewing the record of a client scheduled to be seen in the clinic. The nurse notes that the client is taking selegiline hydrochloride. The nurse suspects that the client has which disorder? - CORRECT ANSWER parkinson's disease
Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effects of the medication. Which finding indicates that the client is experiencing an adverse effect? - CORRECT ANSWER impaired voluntary movements
The home health nurse visits a client who is taking phenytoin for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information should the nurse include in the teaching plan? - CORRECT ANSWER There is the potential of decreased effectiveness
of birth control pills while taking phenytoin.
A client is taking the prescribed dose of phenytoin to control seizures. Results of a phenytoin blood level study reveal a level of 35 mcg/mL (140 mcmol/L). Which finding would be expected as a result of this laboratory result? - CORRECT ANSWER slurred speech
A client with trigeminal neuralgia is being treated with carbamazepine, 400 mg orally daily. Which value indicates that the client is experiencing an adverse effect to the medication? - CORRECT ANSWER WBC count of 3,000
The nurse has given medication instructions to a client receiving phenytoin. Which statement indicates that the client has an adequate understanding of the instructions? - CORRECT ANSWER Good oral hygiene is needed, including brushing and flossing. A client with myasthenia gravis has become increasingly weaker. The primary health care provider prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or
an increasing severity of the disease (myasthenic crisis). An injection of edrophonium is administered. Which finding would indicate that the client is in cholinergic crisis? - CORRECT ANSWER A temporary worsening of the condition
The nurse is caring for a client receiving mannitol via intravenous (IV) infusion. A vial is sent from the pharmacy, and in preparing the medication the nurse notes that the vial contains crystals. What is the most appropriate nursing action? - CORRECT ANSWER Place the vial in warm water.
The nurse in a long-term care facility is reviewing the primary health care provider's (PHCP's) prescriptions on an assigned client. The nurse notes that the PHCP prescribed ropinirole hydrochloride. The nurse determines that this medication has been prescribed to treat which condition in the client? - CORRECT ANSWER parkinsonian syndrome
A client is receiving phenobarbital sodium. Which finding on the nursing assessment would indicate that the client is experiencing a common side or adverse effect of this medication? - CORRECT ANSWER drowsiness
The nurse is administering medications to a client with trigeminal neuralgia. The nurse expects that which medication will be prescribed for pain relief? - CORRECT ANSWER carbamazepine and gabapentin
The nurse is observing a new nursing graduate who is preparing an intermittent intravenous (IV) infusion
of phenytoin for a client with a diagnosis of seizures. Which solution used by the nursing graduate should indicate to the nurse an understanding of proper preparation of this medication? - CORRECT ANSWER 0.9% sodium chloride
The client with a head injury is experiencing signs of increased intracranial pressure (ICP), and mannitol is prescribed. The nurse administering this medication expects which as intended effects of this medication? SATA
a) Reduced ICP
b) Increased diuresis
c) Increased osmotic pressure of glomerular filtrate
d) Reduced tubular reabsorption of water and solutes
e) Reabsorption of sodium and water in the loop of Henle - CORRECT ANSWER a-d
