ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions
Question 1 of 5
A patient with multiple sclerosis is having muscle spasticity. The nurse anticipates which drug will be prescribed to treat the patient’s spasticity?
Correct Answer: C
Rationale: The correct answer is C: Cyclobenzaprine. Cyclobenzaprine is a centrally acting muscle relaxant commonly used to treat muscle spasticity in conditions like multiple sclerosis. It works by inhibiting nerve impulses to reduce muscle spasms. Neostigmine (A) is a cholinesterase inhibitor used for myasthenia gravis, not spasticity. Ropinirole (B) is a dopamine agonist used for Parkinson's disease and restless legs syndrome, not spasticity. Pyridostigmine (D) is also a cholinesterase inhibitor used for myasthenia gravis, not spasticity.
Question 2 of 5
A 54-year-old woman suffering from initial insomnia was prescribed a hypnotic drug that increases the activity of a major neurotransmitter system in the brain. Which of the following neurotransmitter systems was most likely involved in the therapeutic action of that drug?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
Which of the following neurotransmitters has been most consistently implicated in the patient's disorder?
Correct Answer: A
Rationale: Acetylcholine has been consistently implicated in Alzheimer's disease, which is the disorder the 71-year-old man was diagnosed with. This neurotransmitter is involved in memory and cognitive function, both of which are affected in Alzheimer's disease. A drug that acts on the central cholinergic system would likely target acetylcholine to improve symptoms in this patient. The other neurotransmitters listed are not as strongly linked to Alzheimer's disease.
Question 4 of 5
Which of the following symptoms did the patient most likely experience upon recovery from sedation?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Which of the following drugs most likely caused the patient's disorder?
Correct Answer: A
Rationale: The patient's oversedation and spending the whole day dozing is a common side effect of Zolpidem, which is a sedative-hypnotic drug used for insomnia. Zolpidem is known to cause drowsiness and oversedation, especially in the elderly population. The patient taking a "sleeping pill" from a friend that he couldn't remember the name of is consistent with Zolpidem being the cause of his symptoms.