ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions
Question 1 of 5
A 33-year-old woman who takes diazepam for anxiety disorder is currently enrolled in an online master's degree program in accounting. She states that she has attended all classes and studied for a final examination. She has never had this type of problem before. However, when she took the examination, she remembered nothing that she studied. What is the most likely explanation for this finding?
Correct Answer: B
Rationale: Diazepam, a benzodiazepine, can cause anterograde amnesia, impairing the ability to form new memories while on the medication.
Question 2 of 5
What is true of risperidone?
Correct Answer: D
Rationale: Risperidone is an atypical antipsychotic that blocks both dopamine and serotonin receptors with minimal extrapyramidal effects.
Question 3 of 5
Buspirone is:
Correct Answer: D
Rationale: Buspirone (choice D), a 5-HT1A partial agonist, treats anxiety without sedation (choice A), isn't for insomnia (choice B), and has a slow onset (choice C incorrect), taking weeks. Its anxiolytic action offers a non-addictive alternative to benzodiazepines.
Question 4 of 5
A first-year surgery intern has rotated on numerous surgical services. He has gotten quite used to ordering morphine for pain control. However, which of the following is an absolute contraindication to opioid use?
Correct Answer: A
Rationale: Closed head injury (choice A) contraindicates morphine due to respiratory depression and ICP elevation, masking neurological signs. MI (choice B), pulmonary edema (choice C), and diarrhea (choice D) benefit from morphine. This exception ensures safety.
Question 5 of 5
Match the description with the appropriate agent.
Correct Answer: A
Rationale: Cimetidine decreases theophylline clearance; Ipratropium has anticholinergic activity with few side effects; Albuterol has high β2-adrenergic selectivity.