ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions
Question 1 of 5
As the physician, you could tell the patient (and close family members) all of the following things about levodopa except?
Correct Answer: D
Rationale: Levodopa does not cause livedo reticularis (a net-like skin discoloration), but it can cause other side effects such as nausea, dizziness, and dyskinesia.
Question 2 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 3 of 5
Which of the following drugs was most likely prescribed to the patient experiencing heavy drowsiness?
Correct Answer: A
Rationale: The patient reported heavy drowsiness as a side effect of the current medication. Amitriptyline is known to cause sedation and drowsiness, making it the most likely drug to have been prescribed in this case.
Question 4 of 5
Which of the following drugs was most likely prescribed for the 44-year-old woman with poorly controlled simple partial seizures that was only partially effective with valproic acid therapy?
Correct Answer: D
Rationale: The recently approved drug that acts with a novel mechanism of action, a noncompetitive blockade of AMPA receptors on brain neurons, is Perampanel. Given that the patient had poorly controlled seizures with valproic acid, adding Perampanel would provide a different mechanism of action to improve seizure control.
Question 5 of 5
Phenytoin sodium
Correct Answer: A
Rationale: Phenytoin is used in arrhythmias to suppress ventricular automaticity without significantly affecting AV conduction.