ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions
Question 1 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 2 of 5
A 21-year-old male has recently begun pimozide therapy for Tourette's disorder. His parents bring him to the emergency department. They describe that he has been having “different appearing tics†than before, such as prolonged contraction of the facial muscles. While being examined, he experiences opsichotomus (type of extrapyramidal spasm of the body in which the head and heels are bent backward and the body is bowed forward). Which of the following drugs would be beneficial in reducing these symptoms?
Correct Answer: A
Rationale: Benztropine, an anticholinergic agent, is used to treat extrapyramidal symptoms like dystonia caused by antipsychotic medications.
Question 3 of 5
Epinephrine added to a solution of lidocaine for a peripheral nerve block will
Correct Answer: B
Rationale: Epinephrine causes vasoconstriction, reducing systemic absorption and prolonging the duration of the local anesthetic effect.
Question 4 of 5
Which of the following are NOT correctly paired?
Correct Answer: D
Rationale: Buspirone (choice A), Alprazolam (choice B), and Baclofen (choice C) are correctly paired (anxiolytic, some antidepressant effect, less sedative muscle relaxant). Oxazepam (choice D), a benzodiazepine, isn't a TCA, making it the incorrect pair. This tests drug classification.
Question 5 of 5
Which drug was most likely prescribed for the 48-year-old woman with depressive symptoms?
Correct Answer: A
Rationale: Amitriptyline is a tricyclic antidepressant that increases the availability of norepinephrine and serotonin, making it a likely choice for the treatment of depression in this patient.