EXAM II REVIEWS: NR 293 PHARMACOLOGY
FOR NURSING PRACTICE, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
The RN should advise a patient taking valproic acid (Depakote) to monitor
for which adverse effects? - CORRECT-ANSWERS--Jaundice
Liver/hepatoxicity >>> For a patient taking valproic acid (Depakote), the
RN should advise them to monitor for signs and symptoms of severe,
potentially life-threatening adverse effects, as well as more common,
manageable ones.
Which adverse effect would the nurse expect to find in a patient with a
phenytoin level of 27mcg/ml? - CORRECT-ANSWERS--Ataxia and
nystagmus
10-20 mcg/mL is normal level >>> A phenytoin level of 27 mcg/mL is
above the therapeutic range of 10–20 mcg/mL and is in the toxic range.
The nurse should expect to find signs of central nervous system (CNS)
toxicity, most notably nystagmus
Which drug does NOT pose a serious interaction with phenytoin? -
CORRECT-ANSWERS—Acetaminophen >>> some drugs are known for
having minimal to no significant interaction with phenytoin, especially
compared to the numerous drugs that are highly problematic. A prime
example is levetiracetam (Keppra).
,Which of the following statements indicates an understanding of the
teaching about phenytoin (Dilantin)? - CORRECT-ANSWERS--I should let
my dentist know I am taking this drug
Hyperphagias of gums
How should the nurse advise a client that taking lithium who wants to
take ibuprofen for back pain? - CORRECT-ANSWERS--Acetaminophen
would be a better choice than ibuprofen
Fluid levels and bleeding >>> The nurse should advise a client taking
lithium not to take ibuprofen for back pain. Ibuprofen, a nonsteroidal anti-
inflammatory drug (NSAID), is a common cause of lithium toxicity. The
safest alternative is acetaminophen (Tylenol).
A patient receiving an MAOI should receive instructions to avoid which
food products? - CORRECT-ANSWERS--A fine chianti and fava beans
hypertensive crisis - NOT GOOD >>> A patient taking a monoamine
oxidase inhibitor (MAOI) must avoid foods high in tyramine to prevent a
hypertensive crisis. MAOIs block the enzyme that breaks down excess
tyramine in the body. If tyramine levels get too high, it can cause a
dangerous spike in blood pressure.
To which class of psychotherapeutic medications does Phenelzine (Nardil)
belong? - CORRECT-ANSWERS--MAOI
monoamine oxidase inhibitor >>> Phenelzine (Nardil) belongs to the class
of psychotherapeutic medications known as monoamine oxidase inhibitors
(MAOIs). MAOIs were among the first antidepressants developed and are
used to treat certain types of depression, particularly atypical or
treatment-resistant depression.
, Which is not a adverse effect of anticholinergic medications? - CORRECT-
ANSWERS--Diarrhea
Does cause - dry mouth, urinary retention and constipation
An anticholinergic drug like benztropine will place a patient at a higher
risk for which problem? - CORRECT-ANSWERS--Heat stroke
Before giving an anticholinergic drug, the nurse knows to check the
patient's history for which conditions? - CORRECT-ANSWERS--Glaucoma,
asthma
and BPH
Which neurotransmitter is deficient in Parkinson's disease? - CORRECT-
ANSWERS--Dopamine - too little
Too much acetylcholine >>> The neurotransmitter that is primarily
deficient in Parkinson's disease is dopamine. This deficiency is a direct
result of the progressive death of dopamine-producing neurons in a
specific area of the brain called the substantia nigra.
Which is a common adverse effect of phenytoin? - CORRECT-ANSWERS--
Gingival hyperplasia
A patient is brought to the ED with reported overdose of oxycodone. The
RN prepares to administer - CORRECT-ANSWERS--Naloxone (Narcan)
Typical antipsychotics may cause extrapyramidal symptoms (EPS). Which
is considered an extrapyramidal symptom? - CORRECT-ANSWERS--Painful
muscle spasm
FOR NURSING PRACTICE, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
The RN should advise a patient taking valproic acid (Depakote) to monitor
for which adverse effects? - CORRECT-ANSWERS--Jaundice
Liver/hepatoxicity >>> For a patient taking valproic acid (Depakote), the
RN should advise them to monitor for signs and symptoms of severe,
potentially life-threatening adverse effects, as well as more common,
manageable ones.
Which adverse effect would the nurse expect to find in a patient with a
phenytoin level of 27mcg/ml? - CORRECT-ANSWERS--Ataxia and
nystagmus
10-20 mcg/mL is normal level >>> A phenytoin level of 27 mcg/mL is
above the therapeutic range of 10–20 mcg/mL and is in the toxic range.
The nurse should expect to find signs of central nervous system (CNS)
toxicity, most notably nystagmus
Which drug does NOT pose a serious interaction with phenytoin? -
CORRECT-ANSWERS—Acetaminophen >>> some drugs are known for
having minimal to no significant interaction with phenytoin, especially
compared to the numerous drugs that are highly problematic. A prime
example is levetiracetam (Keppra).
,Which of the following statements indicates an understanding of the
teaching about phenytoin (Dilantin)? - CORRECT-ANSWERS--I should let
my dentist know I am taking this drug
Hyperphagias of gums
How should the nurse advise a client that taking lithium who wants to
take ibuprofen for back pain? - CORRECT-ANSWERS--Acetaminophen
would be a better choice than ibuprofen
Fluid levels and bleeding >>> The nurse should advise a client taking
lithium not to take ibuprofen for back pain. Ibuprofen, a nonsteroidal anti-
inflammatory drug (NSAID), is a common cause of lithium toxicity. The
safest alternative is acetaminophen (Tylenol).
A patient receiving an MAOI should receive instructions to avoid which
food products? - CORRECT-ANSWERS--A fine chianti and fava beans
hypertensive crisis - NOT GOOD >>> A patient taking a monoamine
oxidase inhibitor (MAOI) must avoid foods high in tyramine to prevent a
hypertensive crisis. MAOIs block the enzyme that breaks down excess
tyramine in the body. If tyramine levels get too high, it can cause a
dangerous spike in blood pressure.
To which class of psychotherapeutic medications does Phenelzine (Nardil)
belong? - CORRECT-ANSWERS--MAOI
monoamine oxidase inhibitor >>> Phenelzine (Nardil) belongs to the class
of psychotherapeutic medications known as monoamine oxidase inhibitors
(MAOIs). MAOIs were among the first antidepressants developed and are
used to treat certain types of depression, particularly atypical or
treatment-resistant depression.
, Which is not a adverse effect of anticholinergic medications? - CORRECT-
ANSWERS--Diarrhea
Does cause - dry mouth, urinary retention and constipation
An anticholinergic drug like benztropine will place a patient at a higher
risk for which problem? - CORRECT-ANSWERS--Heat stroke
Before giving an anticholinergic drug, the nurse knows to check the
patient's history for which conditions? - CORRECT-ANSWERS--Glaucoma,
asthma
and BPH
Which neurotransmitter is deficient in Parkinson's disease? - CORRECT-
ANSWERS--Dopamine - too little
Too much acetylcholine >>> The neurotransmitter that is primarily
deficient in Parkinson's disease is dopamine. This deficiency is a direct
result of the progressive death of dopamine-producing neurons in a
specific area of the brain called the substantia nigra.
Which is a common adverse effect of phenytoin? - CORRECT-ANSWERS--
Gingival hyperplasia
A patient is brought to the ED with reported overdose of oxycodone. The
RN prepares to administer - CORRECT-ANSWERS--Naloxone (Narcan)
Typical antipsychotics may cause extrapyramidal symptoms (EPS). Which
is considered an extrapyramidal symptom? - CORRECT-ANSWERS--Painful
muscle spasm
