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
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 2 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.
Question 3 of 5
A patient has a new prescription for phentermine as part of the treatment for weight loss. Which information will the nurse include when teaching this patient about a stimulant such as phentermine? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Phentermine should be taken in the morning to avoid insomnia, alongside supervised exercise and diet for weight loss, and with measures like mouth rinses to manage dry mouth. Avoiding caffeine prevents additive stimulant effects. Taking it after meals is not necessary, as timing is not meal-dependent.
Question 4 of 5
A patient has just received an injection of onabotulinumtoxin A. The nurse will monitor for which adverse effects? (Select all that apply.)
Correct Answer: B,E
Rationale: Onabotulinumtoxin A (Botox) carries a Black Box Warning for toxin spread beyond the injection site, which may cause dysphagia and breathing difficulties. Insomnia, weight gain, and GI upset are not commonly associated adverse effects.
Question 5 of 5
The order reads: 'Give atomoxetine 0.5 mg/kg/day once daily in the morning before school.' The child weighs 88 pounds. Identify how many milligrams will be administered per dose.
Correct Answer: 20 mg
Rationale: Convert 88 pounds to kilograms: 88 ?· 2.2 = 40 kg. Calculate dose: 0.5 mg/kg/day ?? 40 kg = 20 mg/day.