ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions
Question 1 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 2 of 5
Compared with other antidepressant drugs, mirtazapine has the distinctive ability to act as an antagonist of
Correct Answer: A
Rationale: Mirtazapine enhances norepinephrine and serotonin release by blocking presynaptic alpha2 receptors.
Question 3 of 5
Which of the following statements is WRONG:
Correct Answer: C
Rationale: Carbimazole treats hyperthyroidism (choice A), Levothyroxine hypothyroidism (choice B), and Propylthiouracil is pregnancy-safe (choice D), all correct. Methimazole (choice C) isn't metabolized into carbimazole; carbimazole is a prodrug for methimazole, the active form, making this wrong. This clarifies thionamide metabolism, key for therapeutic accuracy.
Question 4 of 5
A patient is taking ramelteon for insomnia. The nurse prepares a care plan that includes monitoring of the patient for side effects/adverse reactions of this drug. Which is a side effect of ramelteon?
Correct Answer: D
Rationale: The correct answer is D: Sleep-related behaviors. Ramelteon is a melatonin receptor agonist used to treat insomnia. One of the common side effects is sleep-related behaviors, such as sleepwalking, sleep eating, or other complex behaviors during sleep. This occurs as a result of altered sleep patterns and should be monitored closely. Choice A: Insomnia is incorrect because ramelteon is used to treat insomnia, not cause it. Choice B: Bradycardia is incorrect as it is not a common side effect of ramelteon. Choice C: Laryngospasm is incorrect as it is not a known side effect of ramelteon. In summary, the correct side effect of ramelteon to monitor for is sleep-related behaviors, while the other choices are not typically associated with this medication.
Question 5 of 5
Morphine can be used for all the following therapeutic indications EXCEPT:
Correct Answer: B
Rationale: Morphine treats MI pain (choice A), postoperative pain (choice C), and pulmonary edema (choice D) by reducing pain and preload. Head injury pain (choice B) contraindicates it due to respiratory depression and ICP risks. This exception guides safe use.