ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions
Question 1 of 5
Regarding ketamine, which statement is true?
Correct Answer: D
Rationale: Ketamine can increase heart rate and is contraindicated in conditions like sick sinus syndrome.
Question 2 of 5
Allopurinol is indicated in the following category of chronic gout patients
Correct Answer: D
Rationale: Allopurinol is used in all these patient groups as it reduces uric acid synthesis.
Question 3 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 4 of 5
A 42-year-old man is diagnosed with diabetes mellitus. He has tried diet and exercise without success. A second-generation sulfonylurea agent is prescribed. Which of the following is the most likely side effect he will experience?
Correct Answer: A
Rationale: Second-generation sulfonylureas (e.g., glimepiride, choice A) cause hypoglycemia by stimulating insulin release, a common side effect. Lactic acidosis (choice B) is Metformin-related, myositis (choice C) and pruritus (choice D) aren't typical. Hypoglycemia requires monitoring.
Question 5 of 5
Which of the following effects most likely occurred during surgery?
Correct Answer: D
Rationale: The correct answer is D. Increased skeletal muscle tone, fever, skeletal muscle contractions, and diaphoresis are signs of malignant hyperthermia, a rare but life-threatening condition triggered by certain anesthesia agents like halothane and succinylcholine in susceptible individuals. This condition can lead to severe metabolic and respiratory acidosis, cardiac arrhythmias, and hyperkalemia.