ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions
Question 1 of 5
Which of the following antipsychotics (in excess dose) is responsible for cardiac arrhythmias?
Correct Answer: C
Rationale: Thioridazine has been associated with QT prolongation and a higher risk of cardiac arrhythmias.
Question 2 of 5
What would the nurse teach a patient who is taking anticholinergic therapy for Parkinson disease? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A because alcohol can enhance the side effects of anticholinergic therapy, such as dizziness and drowsiness. Alcohol can also worsen symptoms of Parkinson's disease. Choices B and C are incorrect because there is no direct interaction between cigarettes, caffeine, and anticholinergic therapy. Choice D is incorrect because while it may help relieve dry mouth, it is not specifically related to the use of anticholinergic therapy for Parkinson's disease.
Question 3 of 5
Hyperthyroidism can be treated by the following EXCEPT:
Correct Answer: A
Rationale: Carbimazole (choice A) and Propylthiouracil (choice D) treat hyperthyroidism by inhibiting thyroid hormone synthesis, Propranolol (choice C) manages symptoms. Carbamazepine (choice B), an anticonvulsant, is unrelated, making it the exception. This clarifies antithyroid therapy.
Question 4 of 5
A 14-year-old girl is brought to the emergency room as her mother observed that her daughter experienced frequent impairments of consciousness lasting for about 30 seconds. Neurological evaluation indicates 'Absence seizures'. With which of the following drugs should we start treatment?
Correct Answer: C
Rationale: Ethosuximide (choice C) treats absence seizures by reducing T-type calcium currents, ideal for brief consciousness lapses. Alprazolam (choice A), Diazepam (choice B), and Midazolam (choice D), benzodiazepines, aren't first-line for absence. Ethosuximide's specificity is key.
Question 5 of 5
Which drug most likely enhanced the action of vecuronium in the 66-year-old woman undergoing emergency surgery following a car accident?
Correct Answer: B
Rationale: Darifenacin, a muscarinic receptor antagonist used for urinary tract infections, may enhance the action of vecuronium by reducing the risk of cholinergic side effects, such as bradycardia or bronchoconstriction, associated with muscle relaxants. Gentamicin, Timolol, Latanoprost, and Lovastatin are unlikely to have a significant impact on the action of vecuronium in this context.