ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions
Question 1 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 2 of 5
An action common to most general anesthetics
Correct Answer: C
Rationale: Many general anesthetics inhibit glutamate (excitatory neurotransmitter) to produce sedation and anesthesia.
Question 3 of 5
A physician has a choice in benzodiazepines to prescribe for patients. A particular patient (a 53-year-old man with anxiety) has a difficult time with compliance to medications. The physician is concerned about the patient going into withdrawal because of abrupt discontinuation of the antianxiety medication. Which of the following medications would have the least severe withdrawal reaction?
Correct Answer: A
Rationale: Diazepam has a long half-life, which reduces the risk of severe withdrawal symptoms compared to shorter-acting benzodiazepines like triazolam.
Question 4 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 5 of 5
Trichloroethanol is the active metabolite of:
Correct Answer: D
Rationale: Chloral hydrate (choice D) is metabolized to trichloroethanol, which depresses the CNS, inducing sedation. Morphine (choice A) metabolizes to active compounds like morphine-6-glucuronide, not trichloroethanol. Clorazepate (choice B) becomes desmethyldiazepam, a benzodiazepine. Phenobarbitone (choice C) is a barbiturate, not metabolized to trichloroethanol. This identifies Chloral hydrate's metabolic pathway, key for its hypnotic use.