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
All of the following medications should be avoided in the third trimester of pregnancy, except
Correct Answer: A
Rationale: Acetaminophen is considered safe during pregnancy, while NSAIDs, warfarin, lithium, and aspirin pose risks in the third trimester.
Question 3 of 5
The arthritis therapy least likely to cause gastric ulceration is
Correct Answer: B
Rationale: Acetaminophen is not an NSAID and does not cause gastric ulceration.
Question 4 of 5
Which of the following antipsychotics (in excess dose) is responsible for cardiac arrhythmias?
Correct Answer: C
Rationale: Thioridazine has been associated with QT prolongation and a higher risk of cardiac arrhythmias.
Question 5 of 5
Which of the following opioids did the patient most likely take?
Correct Answer: D
Rationale: The patient self-injected what he believed to be heroin, which is commonly sold on the street. Fentanyl is a potent synthetic opioid that is often mixed with or sold as heroin due to its powerful effects. Therefore, the patient most likely took Fentanyl, as it is frequently associated with street drugs like heroin.