Pharmacology 338 Neuro 3 Part 1 And Part
2(250 Questions, Answers And Rationales)
2024/2025 Latest Updated Graded A+.
(ATI Book) A nurse in the post anesthesia recovery unit is caring for a client
who received a nondepolarizing neuromuscular blocking agent and has
muscle weakness. The nurse should expect a prescription for which of the
following medications?
A. neostigmine
B. naloxone
C. dantrolene
D. vecuronium - Precise answer A. CORRECT neostigmine is a
cholinesterase inhibitor used to reverse the effects of nondepolarizing
neuromuscular blockers
-------------------------------------------
B. naloxone is used to reverse the effects of opioids
C. dantrolene acts on skeletal muscles to reduce metabolic activity and
treat malignant hyperthermia
D. vecuronium is an intermediate acting nondepolarizing neuromuscular
blocker
(ATI Book) a nurse is providing information to a client who has early
Parkinsons disease and a new prescription for pramipexole. The nurse
should instruct the client to monitor for which of the following adverse
effects of this medication?
A. hallucinations
B. increased salivation
C. diarrhea
D. discoloration of urine - Precise answer A. CORRECT pramipexole can
cause hallucinations within 9 months of the initial dose and might require
discontinuation
----------------------------------------------------
B. inc salivation is an adverse effect of cholinesterase inhibitors. dry mouth
is an adverse effect of pramipexole
C. constipation is an adverse effect of pramipexole
,D. discoloration of urine is an adverse effect of COMT inhibitors and not an
adverse effect of pramipexole
(ATI Book) a nurse is teaching a client who has a new prescription for
levodopa/carbidopa for Parkinson's disease. Which of the following
instructions should the nurse include?
A. inc intake of protein rich foods
B. expect muscle twitching to occur
C. take this medication with food
D. anticipate relief of manifestations in 24 hr - Precise answer C.
CORRECT the client should take this medication with food to reduce GI
effects
--------------------------------------------------
A. the client should avoid protein rich foods, which can result in dec
therapeutic effects of levodopa
B. the client should monitor and report muscle twitching which can indicate
toxicity
D. the client should anticipate relief of manifestations to take several weeks
to months
(ATI Book) a nurse is preparing to administer a medication to a client who
has absence seizures. The nurse should expect to administer which of the
following medications to the client (select all that apply)
A. Phenytoin
B. Ethosuximide
C. Gabapentin
D. Carbamazepine
E. Valproic acid
F. Lamotrigone - Precise answer B. CORRECT the only mechanism of
action of ethosuximide is to treat a client who has absence seizures
E. CORRECT valproic acid has a therapeutic effect when treating a client
who has absence seizures and all other forms of seizures
F. CORRECT lamotrigine has a therapeutic effect when treating a client
who has absence seizures and all other forms of seizures
———————————————————-
A. Phenytoin is prescribed for partial seizures and tonic clonic seizures
C. Gabapentin is prescribed for partial seizures and tonic clonic seizures
, D. Carbamazepine is prescribed for partial seizures and tonic clonic
seizures
(ATI Book) a nurse is reviewing a new prescription for oxcarbazepine with a
client who has partial seizures. Which of the following instructions should
the nurse include? ( select all that apply)
A. Use caution if given a prescription for a diuretic medication
B. Consider using an alternate form of contraception if you are using oral
contraceptives
C. Chew gum to inc saliva production
D. Avoid driving until you see how this medication affects you
E. Notify your provider if you develop a skin rash - Precise answer A.
CORRECT diuretic medics are administered with caution because of the
high risk for hyponatremia when taking oxcarbazepine
B. CORRECT an alternate form of contraception is recommended for client
taking oral contraceptives because oxcarbazepine dec oral contraceptive
levels
D. CORRECT the client should avoid driving if CNS effects of dizziness,
drowsiness, and double vision develop
E. CORRECT the client should notify the provider if a skin rash occurs
because life threatening skin disorders can develop
—————————————————-
C. Chewing gum to inc salivation is not indicated va use the med does not
cause dry mouth
(ATI Book) a nurse is providing instructions to a client who has been
experiencing insomnia and has a new prescription for temazepam. The
nurse should inform the client that which of the following manifestations are
adverse effects of temazepam? (Select all that apply)
A. Incoordination
B. Hypertension
C. Pruritus
D. Sleep driving
E. Amnesia - Precise answer A. CORRECT due to CNS depression,
incoordination is an adverse effect
D. CORRECT sleep driving ( driving after taking the med without memory
of doing so)
2(250 Questions, Answers And Rationales)
2024/2025 Latest Updated Graded A+.
(ATI Book) A nurse in the post anesthesia recovery unit is caring for a client
who received a nondepolarizing neuromuscular blocking agent and has
muscle weakness. The nurse should expect a prescription for which of the
following medications?
A. neostigmine
B. naloxone
C. dantrolene
D. vecuronium - Precise answer A. CORRECT neostigmine is a
cholinesterase inhibitor used to reverse the effects of nondepolarizing
neuromuscular blockers
-------------------------------------------
B. naloxone is used to reverse the effects of opioids
C. dantrolene acts on skeletal muscles to reduce metabolic activity and
treat malignant hyperthermia
D. vecuronium is an intermediate acting nondepolarizing neuromuscular
blocker
(ATI Book) a nurse is providing information to a client who has early
Parkinsons disease and a new prescription for pramipexole. The nurse
should instruct the client to monitor for which of the following adverse
effects of this medication?
A. hallucinations
B. increased salivation
C. diarrhea
D. discoloration of urine - Precise answer A. CORRECT pramipexole can
cause hallucinations within 9 months of the initial dose and might require
discontinuation
----------------------------------------------------
B. inc salivation is an adverse effect of cholinesterase inhibitors. dry mouth
is an adverse effect of pramipexole
C. constipation is an adverse effect of pramipexole
,D. discoloration of urine is an adverse effect of COMT inhibitors and not an
adverse effect of pramipexole
(ATI Book) a nurse is teaching a client who has a new prescription for
levodopa/carbidopa for Parkinson's disease. Which of the following
instructions should the nurse include?
A. inc intake of protein rich foods
B. expect muscle twitching to occur
C. take this medication with food
D. anticipate relief of manifestations in 24 hr - Precise answer C.
CORRECT the client should take this medication with food to reduce GI
effects
--------------------------------------------------
A. the client should avoid protein rich foods, which can result in dec
therapeutic effects of levodopa
B. the client should monitor and report muscle twitching which can indicate
toxicity
D. the client should anticipate relief of manifestations to take several weeks
to months
(ATI Book) a nurse is preparing to administer a medication to a client who
has absence seizures. The nurse should expect to administer which of the
following medications to the client (select all that apply)
A. Phenytoin
B. Ethosuximide
C. Gabapentin
D. Carbamazepine
E. Valproic acid
F. Lamotrigone - Precise answer B. CORRECT the only mechanism of
action of ethosuximide is to treat a client who has absence seizures
E. CORRECT valproic acid has a therapeutic effect when treating a client
who has absence seizures and all other forms of seizures
F. CORRECT lamotrigine has a therapeutic effect when treating a client
who has absence seizures and all other forms of seizures
———————————————————-
A. Phenytoin is prescribed for partial seizures and tonic clonic seizures
C. Gabapentin is prescribed for partial seizures and tonic clonic seizures
, D. Carbamazepine is prescribed for partial seizures and tonic clonic
seizures
(ATI Book) a nurse is reviewing a new prescription for oxcarbazepine with a
client who has partial seizures. Which of the following instructions should
the nurse include? ( select all that apply)
A. Use caution if given a prescription for a diuretic medication
B. Consider using an alternate form of contraception if you are using oral
contraceptives
C. Chew gum to inc saliva production
D. Avoid driving until you see how this medication affects you
E. Notify your provider if you develop a skin rash - Precise answer A.
CORRECT diuretic medics are administered with caution because of the
high risk for hyponatremia when taking oxcarbazepine
B. CORRECT an alternate form of contraception is recommended for client
taking oral contraceptives because oxcarbazepine dec oral contraceptive
levels
D. CORRECT the client should avoid driving if CNS effects of dizziness,
drowsiness, and double vision develop
E. CORRECT the client should notify the provider if a skin rash occurs
because life threatening skin disorders can develop
—————————————————-
C. Chewing gum to inc salivation is not indicated va use the med does not
cause dry mouth
(ATI Book) a nurse is providing instructions to a client who has been
experiencing insomnia and has a new prescription for temazepam. The
nurse should inform the client that which of the following manifestations are
adverse effects of temazepam? (Select all that apply)
A. Incoordination
B. Hypertension
C. Pruritus
D. Sleep driving
E. Amnesia - Precise answer A. CORRECT due to CNS depression,
incoordination is an adverse effect
D. CORRECT sleep driving ( driving after taking the med without memory
of doing so)
