ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions
Question 1 of 5
A newborn with transposition of great arteries needed to keep the ductus arteriosus open. The drug used was
Correct Answer: D
Rationale: Misoprostol, a prostaglandin E1 analog, helps maintain ductus arteriosus patency.
Question 2 of 5
Which of the following drugs has been associated with Reye's syndrome in children?
Correct Answer: A
Rationale: Aspirin (choice
A) is linked to Reye's syndrome, a rare liver/brain disorder in children post-viral infection. Acetaminophen (choice
B), Ibuprofen (choice
C), and Naproxen (choice
D) aren't associated. This contraindication limits aspirin's pediatric use.
Question 3 of 5
Diethylstilbestrol (DES) should never be used in pregnant women because it is associated with all of the following EXCEPT:
Correct Answer: A
Rationale: DES, a synthetic estrogen, causes deep vein thrombosis (choice
A), feminization of male offspring (choice
B), and miscarriages (choice
C) in pregnancy, linked to historical congenital anomalies (e.g., vaginal adenocarcinoma). Virilization of female offspring (choice
D) isn't reported; DES mimics estrogen, not androgens. This exception highlights its teratogenic risks, banning its use in pregnancy.
Question 4 of 5
Which of the following drugs would be useful to treat the patient's condition of repeated head jerking, blinking, and grimacing?
Correct Answer: B
Rationale: Aripiprazole is an antipsychotic medication that is commonly used to treat symptoms of
Tourette syndrome, which includes tics like head jerking, blinking, and grimacing. Fluoxetine, clonazepam, naltrexone, and imipramine are not typically used for treating tics associated with
Tourette syndrome.
Question 5 of 5
A woman enters your clinic with an enlarged thyroid and you suspect simple adenomatous goiter. Which of the following would be the best treatment if the laboratory results shows low levels of free T3 and T4?
Correct Answer: D
Rationale: Levothyroxine (choice
D) treats hypothyroid goiter (low T3/T4) by replacing thyroid hormone, shrinking the gland. TSH infusion (choice
A) worsens it, Propranolol (choice
B) manages hyperthyroid symptoms, Propylthiouracil (choice
C) reduces hormone in hyperthyroidism. Levothyroxine is appropriate.