NCLEX RN PHARMACOLOGY –
NEUROLOGICAL MEDICATIONS
PRACTICE EXAM 2024| 95+ REAL EXAM
QUESTIONS AND CORRECT ANSWERS|
GRADED A+
Carbidopa-levodopa (Sinemet) is prescribed for a patient with Parkinson's disease.
The nursing practitioner monitors the patient for side/adverse effects to the
medication. Which finding indicates that the patient is experiencing an adverse
effect?
1. Pruritus
2. Tachycardia
3. Hypertension
4. Impaired voluntary movements
4. Impaired voluntary movements
The home health nursing practitioner visits a patient who is taking phenytoin
(Dilantin) for control of seizures. During the assessment, the nursing practitioner
notes that the patient is taking birth control pills. Which information should the
nursing practitioner include in the teaching plan?
1. Pregnancy should be avoided while taking phenytoin.
2. The patient may stop the medication if it is causing severe gastrointestinal
effects.
3. There is the potential of decreased effectiveness of birth control pills
while taking phenytoin.
4. There is the increased risk of thrombophlebitis while taking phenytoin and
birth control pills together.
3. There is the potential of decreased effectiveness of birth control pills while
taking phenytoin.
The nursing practitioner is caring for a patient in the emergency department who
has been diagnosed with Bell's palsy. The patient has been taking acetaminophen
(Tylenol), and acetaminophen overdose is suspected. Which antidote should the
nursing practitioner anticipate to be prescribed?
1. Pentostatin (Nipent)
,2. Auranofin (Ridaura)
,3. Fludarabine (Fludara)
4. Acetylcysteine (Mucomyst)
4. Acetylcysteine (Mucomyst)
Meperidine hydrochloride (Demerol) has been prescribed for a patient to treat pain.
Which are side/adverse effects of this medication? Select all that apply.
1. Diarrhea
2. Tremors
3. Drowsiness
4. Hypotension
5. Urinary frequency
6. Increased respiratory rate
2. Tremors
3. Drowsiness
4. Hypotension
A patient is taking the prescribed dose of phenytoin (Dilantin) to control seizures.
Results of a phenytoin blood level study reveal a level of 35 mcg/mL. Which
finding would be expected as a result of this laboratory result?
1. Hypotension
2. Tachycardia
3. Slurred speech
4. No abnormal finding
3. Slurred speech
The patient arrives at the emergency department complaining of back spasms. The
patient states, "I have been taking two to three aspirin every 4 hours for the last
week, and it hasn't helped my back." Since aspirin intoxication is suspected, the
nursing practitioner should assess the patient for which manifestation?
1. Tinnitus
, 2. Diarrhea
3. Constipation
4. Photosensitivity
1. Tinnitus
A patient with trigeminal neuralgia is being treated with carbamazepine
(Tegretol), 400 mg orally daily. Which value indicates that the patient is
experiencing an adverse effect to the medication?
1. Uric acid level, 5 mg/dL
2. Sodium level, 140 mEq/L
3. Blood urea nitrogen level, 15 mg/dL
4. White blood cell count, 3000 cells/mm3
4. White blood cell count, 3000 cells/mm3
The nursing practitioner is caring for a patient with severe back pain. Codeine
sulfate has been prescribed for the patient. Specific to this medication, which
intervention should the nursing practitioner include in the plan of care while the
patient is taking this medication?
1. Monitor radial pulse.
2. Monitor bowel
activity.
3. Monitor apical heart rate.
4. Monitor peripheral pulses.
2. Monitor bowel activity.
The nursing practitioner has given medication instructions to a patient receiving
phenytoin (Dilantin). Which statement indicates that the patient has an adequate
understanding of the instructions?
1. "Alcohol is not contraindicated while taking this medication."
2. "Good oral hygiene is needed, including brushing and flossing."
3. "The medication dose may be self-adjusted, depending on side effects."
4. "The morning dose of the medication should be taken before a serum drug
level is drawn."
NEUROLOGICAL MEDICATIONS
PRACTICE EXAM 2024| 95+ REAL EXAM
QUESTIONS AND CORRECT ANSWERS|
GRADED A+
Carbidopa-levodopa (Sinemet) is prescribed for a patient with Parkinson's disease.
The nursing practitioner monitors the patient for side/adverse effects to the
medication. Which finding indicates that the patient is experiencing an adverse
effect?
1. Pruritus
2. Tachycardia
3. Hypertension
4. Impaired voluntary movements
4. Impaired voluntary movements
The home health nursing practitioner visits a patient who is taking phenytoin
(Dilantin) for control of seizures. During the assessment, the nursing practitioner
notes that the patient is taking birth control pills. Which information should the
nursing practitioner include in the teaching plan?
1. Pregnancy should be avoided while taking phenytoin.
2. The patient may stop the medication if it is causing severe gastrointestinal
effects.
3. There is the potential of decreased effectiveness of birth control pills
while taking phenytoin.
4. There is the increased risk of thrombophlebitis while taking phenytoin and
birth control pills together.
3. There is the potential of decreased effectiveness of birth control pills while
taking phenytoin.
The nursing practitioner is caring for a patient in the emergency department who
has been diagnosed with Bell's palsy. The patient has been taking acetaminophen
(Tylenol), and acetaminophen overdose is suspected. Which antidote should the
nursing practitioner anticipate to be prescribed?
1. Pentostatin (Nipent)
,2. Auranofin (Ridaura)
,3. Fludarabine (Fludara)
4. Acetylcysteine (Mucomyst)
4. Acetylcysteine (Mucomyst)
Meperidine hydrochloride (Demerol) has been prescribed for a patient to treat pain.
Which are side/adverse effects of this medication? Select all that apply.
1. Diarrhea
2. Tremors
3. Drowsiness
4. Hypotension
5. Urinary frequency
6. Increased respiratory rate
2. Tremors
3. Drowsiness
4. Hypotension
A patient is taking the prescribed dose of phenytoin (Dilantin) to control seizures.
Results of a phenytoin blood level study reveal a level of 35 mcg/mL. Which
finding would be expected as a result of this laboratory result?
1. Hypotension
2. Tachycardia
3. Slurred speech
4. No abnormal finding
3. Slurred speech
The patient arrives at the emergency department complaining of back spasms. The
patient states, "I have been taking two to three aspirin every 4 hours for the last
week, and it hasn't helped my back." Since aspirin intoxication is suspected, the
nursing practitioner should assess the patient for which manifestation?
1. Tinnitus
, 2. Diarrhea
3. Constipation
4. Photosensitivity
1. Tinnitus
A patient with trigeminal neuralgia is being treated with carbamazepine
(Tegretol), 400 mg orally daily. Which value indicates that the patient is
experiencing an adverse effect to the medication?
1. Uric acid level, 5 mg/dL
2. Sodium level, 140 mEq/L
3. Blood urea nitrogen level, 15 mg/dL
4. White blood cell count, 3000 cells/mm3
4. White blood cell count, 3000 cells/mm3
The nursing practitioner is caring for a patient with severe back pain. Codeine
sulfate has been prescribed for the patient. Specific to this medication, which
intervention should the nursing practitioner include in the plan of care while the
patient is taking this medication?
1. Monitor radial pulse.
2. Monitor bowel
activity.
3. Monitor apical heart rate.
4. Monitor peripheral pulses.
2. Monitor bowel activity.
The nursing practitioner has given medication instructions to a patient receiving
phenytoin (Dilantin). Which statement indicates that the patient has an adequate
understanding of the instructions?
1. "Alcohol is not contraindicated while taking this medication."
2. "Good oral hygiene is needed, including brushing and flossing."
3. "The medication dose may be self-adjusted, depending on side effects."
4. "The morning dose of the medication should be taken before a serum drug
level is drawn."
