NursingPlex
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. While obtaining a patient history, the nurse notes that the patient has been prescribed ethosuximide (Zarontin). The nurse suspects that the patient has which type of seizure?
      A)Absence
      B)Focal impaired
      C)Focal aware
      D)Simple partial
    2. A patient with Parkinson disease is taking levodopa/carbidopa (Sinemet) and reports occasional periods of loss of drug effect lasting from minutes to several hours. The nurse questions the patient further and discovers that these episodes occur at different times related to the medication administration. The nurse will contact the provider to discuss:
      A)Giving a direct-acting dopamine agonist
      B)Shortening the dosing interval of levodopa/carbidopa
      C)Administering a catechol-O-methyltransferase (COMT) inhibitor, such as entacapone
      D)Adding the DA-releasing agent amantadine to the regimen
    3. A nurse is caring for an older adult patient who has Alzheimer disease. The patient is taking a cholinesterase inhibitor drug. Which side effects would concern the nurse?(SATA)
      A)Dizziness and headache
      B)Confusion and memory impairment
      C)Nausea, vomiting and diarrhea
      D)Slowed heart rate and lightheadedness
    4. Reason that dopamine itself is not used to treat in Parkinson's disease:
      A)Levodopa has a higher affinity for the D2 receptor
      B)The problem is cholinergic in nature
      C)Dopamine does not cross the blood-brain barrier
      D)Too expensive
    Page 1 of 11

    Exam Review

    1. A patient administers interferon beta-1a SQ (Rebif) 22 mcg/0.5 mL 3 times each week. the patient calls the nurse to report unrelieved itching and erythema at the injection site, despite the use of topical hydrocortisone for several weeks. What will the nurse tell this patient to do?
      A)Apply ice to the injection site before and after the injection
      B)Ask the provider to reduce the dose of interferon beta to 8.8 mcg/0.2 mL
      C)Take oral diphenhydramine (Benadryl)
      D)Discuss using a prescription strength hydrocortisone product with the provider
    2. You are counseling a patient who is to begin taking phenytoin (Dilantin) for epilepsy/ Which statement by the patient indicates understanding of your teaching?
      A)I should brush and floss my teeth regularly
      B)I can consume alcohol in moderation while taking this drug
      C)Once therapeutic blood levels are reached, they are easy to maintain
      D)Rashes are a common side effect but are not serious
    3. Which monoamines act as neurotransmitters in the central nervous system? (Select all that apply. One, some, or all) (Select All that Apply.)(SATA)
      A)Norepinephrine
      B)Epinephrine
      C)Acetylcholine
      D)Histamine
      E)Dopamine
      F)Serotonin
    4. You are preparing to administer cholinesterase inhibitor to a patient with Alzheimer's disease. Which medication, if ordered by the provider, should you question?
      A)Famotidine (Pepcid)
      B)Levothyroxine (Synthroid)
      C)Memantine (Namenda)
      D)Amitriptyline (Elavil)
    Page 2 of 11

    Exam Review

    1. A patient who has been taking phenobarbital for epilepsy begins taking valproic acid (Depakote) as adjunct therapy. You note in this patient that he is very drowsy. What will you do?
      A)Request an order for liver function tests to monitor for hepatotoxicity
      B)Notify the prescriber of the need to increase the dose of valproic acid
      C)Notify the prescriber, and request and order to reduce the dose of phenobarbital
      D)Explain to the patient that tolerance to sedation eventually will develop
    2. A patient is receiving Interferon Beta for treatment of multiple sclerosis. As the nurse you will stress the importance of?
      A)Hand hygiene and avoiding infection
      B)Reporting ideation of suicide
      C)Low fat diet
      D)Physical exercise to improve fatigue
    3. A patient asks a nurse to explain what drug tolerance means. The nurse responds by telling the patient that when tolerance occurs, it means the patient:
      A)Will cause an abstinence syndrome if the drug is discontinued abruptly
      B)Will have increased sensitivity to drug side effects
      C)Has developed a psychologic dependence on the drug
      D)May need increased amounts of the drug over time
    4. What is a benefit of use of risperidone and olanzapine for individuals with Alzheimer's disease?
      A)Improved appetite
      B)Amplified effects of other drugs
      C)Improved memory
      D)Decreased neuropsychiatric symptoms
    Page 3 of 11

    Exam Review

    1. Which treatment for dyspepsia could potentially decrease the renal excretion of memantine and cause toxicity?
      A)Lansoprazole
      B)Ranitidine
      C)Calcium carbonate
      D)Sodium bicarbonate
    2. A patient has been diagnosed with primary progressive multiple sclerosis for 1 year and reports a recent brief period of being symptom free. The nurse will tell the patient that this indicates what?
      A)Development of relapsing-remitting MS
      B)Temporary improvement
      C)Hope for long-term remission
      D)Development of secondary progressive MS
    3. What is the effect of the addition of carbidopa to levodopa? (Select all that apply. One, some, or all)(SATA)
      A)It allows for an increase in levodopa dosage without significant adverse effects
      B)It decreases the risk of adverse effects of abnormal movements and psychiatric symptoms
      C)It inhibits the conversion of levodopa to dopamine in the intestines and in tissue outside the central nervous system
      D)It decreases the adverse effects such as nausea and vomiting
      E)It adds to the therapeutic effect because carbidopa more readily crosses the blood brain barrier than levodopa
    4. A child is diagnosed with absence seizures, and the prescriber orders ethosuximide (Zarontin). When teaching the child's parents about dosage adjustments for this drug, the nurse will stress the importance of:
      A)Recording the number of seizures the child has each day
      B)Reporting dizziness and drowsiness to the provider
      C)Frequent serum drug level monitoring
      D)Learning as much as possible about the disorder and its treatment
    Page 4 of 11

    Exam Review

    1. A client with Alzheimer's disease is being treated with the medication Exelon. The nurse knows that this drug is also used to treat which disorder?
      A)Multiple sclerosis
      B)None of the above
      C)Parkinson disease
      D)Seizure disorders
    2. A patient will begin taking a cholinesterase inhibitor for early Alzheimer disease. The nurse is teaching the patient's spouse about the medication. Which statement by the spouse indicates a need for further teaching?
      A)This drug helps neurons that aren't already damage to function better
      B)This drug significantly slows the progression of the disease
      C)People taking this drug should not take antihistamines
      D)Gastrointestinal symptoms are common with this medication
    3. Which are medical applications of central nervous system drugs? (Select all that apply. One, some, or all)(SATA)
      A)Analgesia
      B)Seizure control
      C)Depression
      D)Anesthesia
    4. A patient has been diagnosed with Parkinson disease and begins treatment with levodopa/carbidopa (Sinemet). After several months of therapy, the patient reports no change in symptoms. The nurse will expect the provider to:
      A)add a dopamine agonist
      B)discuss the "on-off phenomenon
      C)increase the dose of Sinemet
      D)re-evaluate the diagnosis
    Page 5 of 11

    Exam Review

    1. Which is the most appropriate nursing action when the nurse notes an asymmetric, irregular, darkly pigmented mole on the back of a patient who is receiving levodopa and rasagiline for Parkinson disease?
      A)Continue to assess the patient
      B)Stop administering the levodopa
      C)Tell the patient that he should consult a dermatologist
      D)Notify the prescriber of the mole characteristics
    2. Your patient with MS is prescribed interferon beta (Betaseron). What is a priority for teaching at this time?
      A)Teach symptoms of hepatotoxicity
      B)Educate about self injection technique
      C)Forewarn about blue tint to urine and skin
      D)Provide information about myelosuppression
    3. You are caring for a patient who has been taking an antiepileptic drug for several weeks. You ask the patient if the therapy is effective. The patient reports little change in seizure frequency. What will you do?
      A)Request an order to increase the dose of the antiepileptic drug
      B)As the patient to complete a seizure frequency chart for the past few weeks
      C)Contact the provider to request an order for serum drug levels
      D)Reinforce the need to take the medications as prescribed
    4. A patient receiving valproic acid (Depakote) should be monitored for which adverse effects? (Select all that apply. One, some or all)(SATA)
      A)Rash
      B)Tremors
      C)Hair loss
      D)Hapatotoxicity
      E)Reduced appetite
    Page 6 of 11