ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Questions Quizlet Questions
Question 1 of 5
A 54-year-old woman with a previously well-controlled seizure disorder was brought to the hospital because of recurrent, generalized tonic-clonic seizures. The patient was intubated and mechanically ventilated. She was treated with intravenous diazepam and fosphenytoin but continued to exhibit intermittent seizures and did not regain consciousness between them. A diagnosis of refractory status epilepticus was made. A large dose of which of the following drugs would be appropriate to add to the patient's therapy at this time?
Correct Answer: A
Rationale: In the scenario described, the patient is experiencing refractory status epilepticus, which requires aggressive treatment. Valproic acid is a commonly used antiepileptic drug for the management of status epilepticus due to its broad spectrum of action and efficacy in controlling seizures. Additionally, valproic acid has been shown to be effective in cases of refractory status epilepticus where other medications have failed. Therefore, adding valproic acid to the patient's therapy would be appropriate in this situation.
Question 2 of 5
Which of the following prophylactic therapies would be appropriate for this patient to reduce the frequency of seizures?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
What drug would be appropriate for the treatment of a 15-month-old boy with repeated episodes of powerful contractions of trunk and limb muscles?
Correct Answer: B
Rationale: In this case, the patient is presenting with episodes of powerful contractions of trunk and limb muscles, which are characteristic of infantile spasms. Ethosuximide is commonly used to treat infantile spasms, making it the most appropriate choice for this patient. Carbamazepine, Phenytoin, and Phenobarbital are not typically used for infantile spasms, and Prednisone is not a first-line treatment for this condition.
Question 4 of 5
Which of the following antiepileptic drugs would be most appropriate for the 54-year-old man with complex partial seizure, atrioventricular block, and nephrolithiasis?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Which of the following drugs was most likely prescribed for the 45-year-old man with simple partial seizures who was already on lamotrigine therapy?
Correct Answer: D
Rationale: The drug that acts by opening a certain family of potassium channels on brain neurons is Perampanel. Given that the patient was already on lamotrigine and needed an additional drug to address his remaining symptoms, Perampanel would be the most likely choice for reducing the frequency of his attacks further.