MARYVILLE NURS660 PSYCHOPHARMACOLOGY
EXAM 4 QUESTIONS WITH CORRECT VERIFIED
SOLUTIONS 100% GUARANTEED PASS.
1. A nurse is educating a patient about a new prescription for donepezil (Aricept) for
Alzheimer's disease. Which statement should the nurse include in the teaching plan?
A. "This medication works by blocking the effects of excess glutamate in the brain."
B. "You may experience some temporary gastrointestinal upset when first starting this
medication."
C. "This medication is available as a patch to help minimize side effects."
D. "You will need regular blood draws to monitor for liver or kidney damage."
CORRECT ANSWER: B
Rationale: Donepezil is a reversible, long-acting acetylcholinesterase inhibitor. Its most
common side effects are gastrointestinal (nausea, diarrhea) and are often transient. It is
taken orally once daily and does not require routine blood monitoring for renal or
hepatic function.
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2. A patient is being prescribed galantamine for mild to moderate Alzheimer's disease.
The nurse reviews the patient's chart and would question this order if the patient has
a history of which condition?
A. Hypertension
B. Type 2 diabetes mellitus
C. Severe renal impairment
D. Osteoporosis
CORRECT ANSWER: C
Rationale: Galantamine is contraindicated in patients with severe renal or hepatic
impairment. Its clearance is reduced in these populations, increasing the risk of adverse
effects. The other conditions do not represent absolute contraindications.
3. A nurse is comparing donepezil and rivastigmine. Which statement accurately
describes a key difference between these two medications?
A. Donepezil inhibits both AChE and BuChE, while rivastigmine only inhibits AChE.
B. Rivastigmine is available in an oral and transdermal formulation, while donepezil is
only oral.
C. Rivastigmine has a longer half-life and is dosed once daily, while donepezil requires
twice-daily dosing.
D. Donepezil acts as a positive allosteric modulator of nicotinic receptors, while