ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 13 : Central Nervous System Stimulants and Related Drugs Questions
Question 1 of 5
A 22-year-old nursing student has been taking caffeine tablets for the past few weeks to 'make it through' the end of the semester and exam week. She is in the university clinic today because she is 'exhausted.' What human needs statement may be appropriate for her?
Correct Answer: C
Rationale: Caffeine, a CNS stimulant, can cause restlessness, anxiety, and insomnia, leading to an altered need for sleep. This is the most relevant human needs statement given her exhaustion from overuse. The other options are not directly related to caffeine's effects.
Question 2 of 5
A 10-year-old patient will be started on methylphenidate hydrochloride therapy. The nurse will perform which essential baseline assessment before this drug is started?
Correct Answer: B
Rationale: Methylphenidate may cause temporary growth suppression in children, making baseline height and weight assessment essential for monitoring. Eye exams, liver function studies, and hearing tests are not routinely required for this therapy.
Question 3 of 5
When evaluating a patient who is taking orlistat, which is an intended therapeutic effect?
Correct Answer: C
Rationale: Orlistat is a nonstimulant drug used for weight loss by inhibiting fat absorption, making decreased weight the intended therapeutic effect. It does not affect wakefulness, appetite, or hyperactivity.
Question 4 of 5
The nurse is teaching a patient how to self-administer triptan injections for migraine headaches. Which statement by the patient indicates that he needs further teaching?
Correct Answer: A
Rationale: Triptans are used to treat acute migraine attacks, not to prevent them. The patient's statement about taking the medication regularly for prevention indicates a misunderstanding, requiring further teaching. The other statements align with proper triptan use.
Question 5 of 5
The nurse is reviewing the use of central nervous system stimulants. Which of these are indications for this class of drugs? (Select all that apply.)
Correct Answer: A,D,E,F,G
Rationale: CNS stimulants are indicated for narcolepsy, neonatal apnea, ADHD, appetite suppression in obesity treatment, and migraine headaches (via triptans). They are not used for depression or panic attacks, as they may worsen these conditions.