ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions
Question 1 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 2 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 3 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 4 of 5
A 34-year-old woman with chronic irritable bowel syndrome with predominance of diarrhea and left lower quadrant pain begins smoking in response to the numerous stresses in her personal and professional life. She smokes one pack per day. She presents to her primary care physician for treatment of her irritable bowel syndrome. The physician expects a change in which of the following symptoms of her irritable bowel syndrome?
Correct Answer: A
Rationale: Nicotine can exacerbate diarrhea in patients with irritable bowel syndrome, particularly those with diarrhea-predominant IBS.
Question 5 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.