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RN Nursing School · Pharmacology · 333 questions

Medications Affecting the Nervous System practice questions

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  1. 1A young adult patient with a history of tobacco use disorder and mild depression wants to quit smoking. There is no history of seizures or eating disorders. Which pharmacologic option BEST aligns with evidence-based practice for nicotine-free cessation therapy while minimizing risk?Answer →
  2. 2A patient is admitted for phenytoin toxicity after accidently taking the medication twice. Which patient assessment finding should the nurse expect?Answer →
  3. 3What should the nurse include in the teaching to a parent whose child is prescribed methylphenidate (Ritalin)? (Select all that apply)Answer →
  4. 4H₁ anti-histaminics that present anticholinergic action can be used for symptom management for which disorder?Answer →
  5. 5A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?Answer →
  6. 6How does the blood-brain barrier affect the entry of therapeutic agents into the brain?Answer →
  7. 7A family member is commenting on the condition of a patient since beginning memantine (Namenda XR). Which response indicates a therapeutic effect of this medication?Answer →
  8. 8Which of the following adverse effects are associated with opiate agonists? (select all that apply)Answer →
  9. 9A patient has started a regimen of phenelzine (Nardil). What should the nurse teach the patient to avoid to prevent adverse effects?Answer →
  10. 10A patient who has received haloperidol intramuscularly for acute psychosis suddenly develops painful muscle contractions in the tongue, face, and neck. Which medication should the nurse prepare to administer?Answer →
  11. 11After months of receiving opioids for chronic pain, a male client is admitted with abdominal distension and pain, reporting that he has not had a bowel movement in two weeks. Which should the nurse do first?Answer →
  12. 12A nurse is educating a client who has several chronic medical conditions. The client has a new prescription for onabotulinumtoxinA, a neuromuscular blocking agent. Which of the following conditions should the nurse include as an indication for the use of this medication?Answer →
  13. 13A client taking phenelzine reports a sudden severe occipital headache, palpitations, and neck stiffness after consuming aged cheese and cured meats. After assessing the client's symptoms and vital signs, which nursing action should be implemented first?Answer →
  14. 14The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later the nurse assessment reveals respiratory rate 4 breaths/min, oxygen saturation 75%, and the client is unable to be aroused. Which action should the nurse implement first?Answer →
  15. 15Indicate whether the finding is caused by Cholinergic Stimulation or Anticholinergic Effects.Answer →
  16. 16A patient is prescribed pilocarpine (Pilocar). What is the mechanism of action for this medication?Answer →
  17. 17A client is taking diclofenac, a nonsteroidal anti-inflammatory drug (NSAID) for chronic pain. Which change in bowel patterns is most important for the nurse to report to the healthcare provider?Answer →
  18. 18A patient who experiences an adverse effect of a muscarinic antagonist would present with:Answer →
  19. 19What is the therapeutic effect of midazolam when used for moderate sedation of a patient?Answer →
  20. 20What should the nurse include in the teaching plan for a patient with a new prescription for rizatriptan (Maxalt)? (Select all that apply)Answer →
  21. 21A nurse is assisting with the care of a client in a mental health facility. Provider Prescriptions 0900: Lithium 300 mg PO twice daily Which of the following information should the nurse reinforce about the prescribed medication? (Select All that Apply.)Answer →
  22. 22A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?Answer →
  23. 23A nurse is reviewing the treatment plan for a client who has multiple sclerosis and reports chronic pain and muscle spasms. Which of the following medications should the nurse anticipate will be included in the treatment plan to reduce the client's risk of reliance on opioid medications?Answer →
  24. 24A patient who has advanced cancer is receiving opioid medications scheduled around the clock for comfort measures. Which term describes this type of therapy?Answer →
  25. 25A client with chronic lower back pain has been taking ibuprofen PO twice a day for several months. Which assessment is most important for the nurse to complete?Answer →
  26. 26A nurse is teaching a client who has a new prescription for ergotamine to treat vascular headaches. The nurse should inform the client that which of the following is a potential adverse effect of this medication?Answer →
  27. 27A nurse is preparing a presentation about the relationship of genetics, stress, and developing mental illness. Which of the following information should the nurse plan to include in the presentation?Answer →
  28. 28A nurse is caring for a client who is experiencing mild depression and asks about herbal treatments. The nurse should identify that which of the following herbal treatments is used for depression?Answer →
  29. 29A nurse is caring for a client who is prescribed alprazolam, a benzodiazepine for managing severe manifestations of anxiety. Which of the following should the nurse prepare to discuss with the client?Answer →
  30. 30A nurse is caring for a client who recently gave birth. The nurse notices the newborn is displaying manifestations of opioid withdrawal. The nurse should recognize the newborn's manifestations as signs of which of the following conditions?Answer →
  31. 31A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?Answer →
  32. 32A patient is receiving modafinil (Provigil). What is the therapeutic effect of this medication?Answer →
  33. 33A nurse is discussing the mechanism of action of venlafaxine with a newly licensed nurse. Which of the following information should the nurse include?Answer →
  34. 34A nurse finds an unresponsive client with a respiratory rate of 6/min and pinpoint pupils. The nurse suspects opioid overdose. Which medication should the nurse administer immediately to reverse the symptoms?Answer →
  35. 35A patient who is going to drive 100 miles to enjoy a day of boating with friends this weekend plans to use diphenhydramine (Benadryl) to prevent sea sickness. The nurse should instruct the patient to do what?Answer →
  36. 36A patient taking buspirone has recently been prescribed escitalopram (Lexapro). The patient presents to the emergency department with confusion, diaphoresis, tachycardia, and anxiety. The nurse is most concerned that the patient is experiencing which adverse effect?Answer →
  37. 37Which of the statements below is the most correct?Answer →
  38. 38What is the priority teaching for a patient receiving morphine sulfate (MS Contin)?Answer →
  39. 39A nurse is reviewing treatment options with a client who has been diagnosed with osteoarthritis and reports difficulty tolerating nonsteroidal anti-inflammatory drugs (NSAIDs) due to gastrointestinal upset. Which of the following medication classes should the nurse suggest as an alternative that specifically targets joint pain and inflammation?Answer →
  40. 40A nurse is reviewing the preoperative assessment of a client scheduled for laparoscopic abdominal surgery. Which of the following anesthetic agents should the nurse anticipate will be avoided due to the type of surgical procedure?Answer →
  41. 41A patient with myasthenia gravis receives pyridostigmine. Which findings indicate a therapeutic response? (Select all that apply.)Answer →
  42. 42A 71-year-old patient receives diazepam (Valium) for acute anxiety related to hospitalization. The next morning, the patient is excessively drowsy and unsteady when attempting to walk. What is the priority nursing intervention?Answer →
  43. 43An older adult patient with mild Alzheimer's disease (AD) and their family ask about pharmacologic options to improve memory and cognition. Which education points below BEST reflect evidence-based practice in managing cognitive impairment due to AD?Answer →
  44. 44Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client?Answer →
  45. 45A nurse is reviewing the medical record of a client who is taking clozapine. Which of the following findings should the nurse report to the provider immediately?Answer →
  46. 46A nurse is reviewing the medical history of a client who has been prescribed pregabalin. Which of the following conditions in the client's history should the nurse identify as a contraindication for taking pregabalin?Answer →
  47. 47A 42-year-old woman with a history of migraine presents with persistent symptoms despite using topiramate for prophylaxis. She complains of difficulty finding words and reduced concentration. What is the BEST next step in management?Answer →
  48. 48A patient who is taking an MAOI for depression presents to the clinic and reports he is experiencing a migraine. Which vital sign finding would indicate the patient might be experiencing a hypertensive crisis?Answer →
  49. 49A middle-aged patient with Parkinson's disease is being started on a new CNS-active medication. As part of patient education, the nurse practitioner explains that many CNS drugs act on neurotransmitters whose exact roles are not fully proven. Which statement BEST reflects an appropriate clinical approach when initiating therapy based on knowledge of CNS-active medications?Answer →
  50. 50A 45-year-old male with a history of migraines presents to the clinic complaining of frequent migraine attacks occurring more than 3 times a week. He reports using over-the-counter pain relievers daily for symptom relief. What complications of excessive abortive medication use should be considered in this patient?Answer →
  51. 51The nurse practitioner is educating a patient recently prescribed memantine for Alzheimer's disease. Which patient statement indicates a correct understanding of the teaching?Answer →
  52. 52The nurse is caring for a client who has been taking ibuprofen. Which finding is most important for the nurse report to the healthcare provider?Answer →
  53. 53A nurse is collecting data from a client who has depression and was prescribed fluoxetine six months ago. The client reports that they recently stopped taking the prescription. Which of the following manifestations indicates the client is experiencing antidepressant discontinuation syndrome (ADDS)?Answer →
  54. 54A nurse is providing teaching to a client who is receiving intermittent parenteral phenytoin. Which of the following conditions should the nurse recognize as an indication for this medication?Answer →
  55. 55A patient complains of issues with sexual dysfunction after being prescribed venlafaxine (Effexor). What medication does the nurse expect the provider to prescribe in addition to the venlafaxine to assist with the complaint?Answer →
  56. 56A nurse is teaching a client who has a prescription for erenumab for migraine headaches. Which of the following client statements indicates an understanding of the teaching?Answer →
  57. 57A nurse is teaching a client how to use patient-controlled analgesia with morphine. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  58. 58A nurse is caring for a client who is experiencing manifestations of opiate withdrawal. When collecting data on the client, which of the following purposes describes the function of the Clinical Opiate Withdrawal Scale (COWS)?Answer →
  59. 59The nurse is assessing a patient with yellow skin, yellow sclera and dark colored urine. The healthcare provider orders acetylcysteine (Acetadote) for administration. The nurse knows there is a suspected overdose of which medication?Answer →
  60. 60For each potential medication, click to specify if the potential medication is anticipated, nonessential, or contraindicated for the client.Answer →
  61. 61Which CNS stimulant is not addictive?Answer →
  62. 62What are the symptoms of cholinergic crisis? (Select all that apply)Answer →
  63. 63A client started taking Venlafaxine about 2 months ago for major depression. The client is expected to follow-up in the clinic to renew their prescription. Which of the following assessments will the nurse prioritize?Answer →
  64. 64A 45-year-old male presents with fever, cough, and myalgia and is using over-the-counter pain relievers daily. What complications of excessive abortive medication use should be considered in a patient with frequent migraine attacks occurring more than 3 times a week?Answer →
  65. 65Which nursing intervention is most important when caring for a client receiving aspirin 650 mg PO four times a day?Answer →
  66. 66The nurse is caring for a client that developed neuroleptic malignant syndrome. The client is demonstrating mental status changes, tachycardia, hyperthermia, and excessive muscle rigidity. Which of the following medication orders will the nurse prioritize administering? Select all that apply.Answer →
  67. 67Review H and P, nurse's notes, flow sheet, and prescriptions Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.Answer →
  68. 68A nurse is caring for a client who has received a local anesthetic and begins to exhibit numbness around the mouth and a metallic taste. Which of the following conditions should the nurse suspect?Answer →
  69. 69A nurse is preparing to administer haloperidol 5 mg IM to a client. The amount available is haloperidol 10 mg/mL. How many mL should the nurse administer? Round to the nearest tenths place, if required. Enter numeric value only (no commas or labels) mLAnswer →
  70. 70Which assessment finding would be a priority for the nurse to report if a patient was receiving naproxen (Aleve)?Answer →
  71. 71The nurse is providing care for a patient newly prescribed Isocarboxazid for severe depression. Which of the following statements by the client would be most concerning, and require follow-up by the nurse?Answer →
  72. 72Which clinical manifestation indicates a therapeutic effect of carbidopa/levodopa (Sinemet)?Answer →
  73. 73A nurse is reviewing the medical record for a client who has a new prescription for phenytoin. Which of the following statements from the medical record should the nurse identify as a contraindication for the administration of phenytoin?Answer →
  74. 74What statement by a client who is taking an antitussive with codeine would indicate that the nurse's teaching has been effective?Answer →
  75. 75An adult patient with generalized anxiety disorder (GAD) has a history of alcohol misuse. The NP is considering pharmacologic treatment for generalized anxiety disorder (GAD). Which option is the MOST appropriate to initiate based on this patient's history?Answer →
  76. 76What is the primary mechanism of tricyclic antidepressants in migraine prevention?Answer →
  77. 77A client undergoing alcohol withdrawal exhibits tremors, sweating, and a blood pressure of 168/92 mm Hg. Considering the clinical presentation and pharmacologic management principles, which medication should the nurse anticipate administering to manage the withdrawal symptoms effectively?Answer →
  78. 78A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?Answer →
  79. 79An adult patient has a history of recurrent absence seizures since childhood. Which drug would be MOST appropriate initial choice for their treatment?Answer →
  80. 80The provider is evaluating a client with depression that is also requesting medication to assist in smoking cessation. Which of the following pharmacological agents would the nurse anticipate the provider will prescribe?Answer →
  81. 81A patient was started on phenytoin (Dilantin) 2 weeks ago and is admitted to the hospital with a phenytoin level of 30 mcg/mL The nurse would assess for which clinical manifestation? (Drug level reference range 10-20 mcg/mL)Answer →
  82. 82A patient receiving antidepressant therapy reports new-onset symptoms of agitation, irritability, and increased anxiety. What action should the NP take based on these symptoms?Answer →
  83. 83What is an essential aspect of monitoring patients receiving cholinesterase inhibitors for Alzheimer's disease?Answer →
  84. 84Which nursing intervention has priority when initiating a continuous epidural infusion with an opioid analgesic?Answer →
  85. 85A nurse is assisting with teaching a class about the use of pain medications to clients who have an opioid addiction. Which of the following medications are a nonopioid analgesic? (Select All that Apply.)Answer →
  86. 86A college student asks the student health nurse which medication is most effective to treat a recent onset of insomnia. Which is the best response from the nurse?Answer →
  87. 87A patient who started duloxetine (Cymbalta) 7 days ago complains that there has been no relief of symptoms. What is the nurse's appropriate response?Answer →
  88. 88Which of the following medication is considered an indirect cholinergic agonist?Answer →
  89. 89A nurse is preparing a presentation on neurotransmission. Which of the following statements about the neurotransmitter histamine should the nurse include?Answer →
  90. 90A client undergoing alcohol withdrawal is prescribed clonidine. After several days of therapy, which clinical finding best indicates that the medication is effective?Answer →
  91. 91Client on clozapine for 6 months, fever, lethargy, sore throat, ANC 900 cells/µL. Select indicated actions (Select all that apply — 5 needed):Answer →
  92. 92An older adult patient with advanced Parkinson's disease (PD) presents with worsening bradykinesia and tremor despite initial therapy. The nurse practitioner considers pharmacologic options to restore dopamine-acetylcholine balance in the striatum. Which management approach BEST aligns with current evidence-based guidelines?Answer →
  93. 93The client has an order for methadone HCL 40 mg PO. The medication available is methadone HCL 10 mg/5 mL. How many mL will the nurse administer? (If needed, round to the nearest whole number.)Answer →
  94. 94A nurse in a mental health facility is reinforcing teaching to a newly licensed nurse about how to perform an Abnormal Involuntary Movement Scale (AIMS) test on a client. The charge nurse should identify that the AIMS test is used for which of the following conditions?Answer →
  95. 95What is the primary reason tricyclic antidepressants are NOT recommended for treating bipolar disorder?Answer →
  96. 96A nurse is caring for a client who has dementia and has a prescription for levodopa. Which of the following types of dementia should the nurse identify that the client has?Answer →
  97. 97A nurse in a behavioral health clinic is contributing to the teaching plan for a client with a new prescription for memantine. Provider Prescriptions: Memantine 5 mg. PO 1 tab once daily x 6 weeks, then PO 10 mg 1 tab once daily thereafter Which of the following statements should the nurse expect to be included in the teaching? For each potential instruction, click to specify if it is indicated or not indicated for the client taking memantine.Answer →
  98. 98A client newly diagnosed with schizophrenia is being prescribed an antipsychotic medication. Which of the following are important to include in patient education?Answer →
  99. 99A nurse is teaching a client prescribed a fentanyl transdermal patch for chronic pain. Which statement made by the client indicates a need for further teaching?Answer →
  100. 100A nurse is preparing to administer lithium 200 mg PO every 8 hr. Available is lithium carbonate 50 mg capsules. How many capsules should the nurse administer per dose? Round to the nearest whole number. Enter numeric value only (no commas or labels) capsule(s)Answer →
  101. 101An adult patient with atypical depression is being considered for treatment with a monoamine oxidase inhibitor (MAOI). Which action is MOST important to implement before initiating therapy?Answer →
  102. 102A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. When collecting data, which of the following findings should the nurse identify as being consistent with serotonin syndrome?Answer →
  103. 103Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a clientAnswer →
  104. 104A nurse is caring for a client who requires anti-inflammatory medication but has a history of gastritis. To minimize gastrointestinal side effects, which medication classification should the nurse anticipate the provider to prescribe?Answer →
  105. 105Match the screening tool with the most appropriate description:Answer →
  106. 106Which of the following side effects is commonly associated with dopamine agonists?Answer →
  107. 107The nurse practitioner is treating an adult patient with bipolar disorder who is experiencing acute mania. The patient has normal liver function and will be started on quetiapine. Which titration schedule is the MOST appropriate?Answer →
  108. 108A patient has been taking oxycodone for the last several months for a chronic pain condition and now reports that over the past few months larger doses are needed to achieve the same pain relief. Which of the following is the patient experiencing?Answer →
  109. 109An adult patient with generalized anxiety disorder (GAD) has a history of alcohol misuse. The NP is considering pharmacologic treatment for generalized anxiety disorder (GAD). Which option is the MOST appropriate to initiate based on this patient's history?Answer →
  110. 110A nurse is instructing a caregiver on how to use naloxone in case of an opioid overdose. Which of the following instructions is most important for the caregiver to understand and follow?Answer →
  111. 111A client has been taking Fluoxetine for 5 years for major depression. The client is upset about the side effects of the medication and requests to stop taking the medication. Which of the following is the most appropriate response by the nurse?Answer →
  112. 112The healthcare provider ordered naloxone HCL 10 mcg/kg, IV. The client weighs 140 lbs. The medication available is naloxone HCL 0.4 mg/mL vials. How many mL will the nurse prepare to administer? (If needed, round to the nearest tenth.)Answer →
  113. 113A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?Answer →
  114. 114A client diagnosed with depression and has been taking a Selective Serotonin Reuptake Inhibitor (SSRI). Upon admission to the hospital, the nurse is completing medication reconciliation and identifies the patient who also recently started taking St. John's Wort. What is the priority nursing action?Answer →
  115. 115A client has been taking Lithium over the last few years for bipolar disorder. The client is newly admitted to the hospital with nausea, vomiting, and excessive urine output. Which of the following orders will the nurse prioritize completing?Answer →
  116. 116A nurse is caring for a client who has been taking acetaminophen regularly for mild to moderate pain. Which of the following laboratory test results should the nurse prioritize to assess for potential acetaminophen-induced hepatotoxicity?Answer →
  117. 117An elderly patient fell at home and presented to the emergency department (ED) with a laceration to the forehead that requires sutures. The patient receives lidocaine with epinephrine. How does this combination therapy provide a benefit to the patient?Answer →
  118. 118A patient with a history of depression is interested in starting naltrexone/bupropion for weight loss. What information should the NP provide regarding the black box warning associated with this medication?Answer →
  119. 119A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?Answer →
  120. 120A patient is prescribed gabapentin for seizure management. Based on its mechanism of action, which effects below would the NP expect gabapentin to produce?Answer →
  121. 121The nurse is caring for a patient who is taking clonazepam (Klonopin) and presents with confusion and diminished reflexes. Which medication does the nurse anticipate being added to the medication regimen?Answer →
  122. 122The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg PO three times a day for postherpetic neuralgia Which symptom should the nurse tell the client to report to the healthcare providerAnswer →
  123. 123A client has been taking Valproic Acid for bipolar disorder for the last year. The patient reports struggling with depressive type symptoms. Which of the following is the most appropriate response by the nurse?Answer →
  124. 124Match the mechanism of action (Column 1) with the corresponding anti-inflammatory drug (Column 2)Answer →
  125. 125A 30-year-old patient with occasional difficulty falling asleep at night seeks advice on selecting an over-the-counter sleep aid. The patient expresses concern about potential side effects and asks for a recommendation. Which advice would be MOST appropriate for this patient?Answer →
  126. 126A nurse is teaching a client about the potential side effects of ibuprofen. Which of the following should the nurse include in the teaching?Answer →
  127. 127An adult patient has been taking a hypnotic nightly for 3 months to manage insomnia. The patient reports that the medication has become less effective and asks if the dose can be doubled. What is the MOST appropriate response by the nurse practitioner?Answer →
  128. 128A 68-year-old male with a history of partial seizures is prescribed gabapentin for seizure control. He started on a low dose and gradually titrated up to a higher dose over several weeks. Despite the dose escalation, he continues to experience breakthrough seizures. Which of the following explanations BEST describes the phenomenon observed in this patient?Answer →
  129. 129Which statement BEST describes the role of validated self-administered screening tools in primary care mental health assessment?Answer →
  130. 130The nurse assesses a patient who is experiencing adverse effects of alprazolam (Xanax). Which substance should the patient be instructed to avoid?Answer →
  131. 131A patient is suffering from anaphylaxis. What Adrenergic medication would likely be ordered to be given to this patient?Answer →
  132. 132The nurse is teaching a patient about the prescription for cyclobenzaprine. What information should the nurse include in the teaching plan?Answer →
  133. 133A patient is prescribed long term treatment with phenytoin for epilepsy. What health promotion screening should the neurology nurse include during an annual routine visit?Answer →
  134. 134A middle-aged patient with Parkinson's disease is being started on a new central nervous system (CNS)-active medication. As part of patient education, the nurse practitioner explains that many CNS drugs act on neurotransmitters whose exact roles are not fully proven. Which statement BEST reflects an appropriate clinical approach when initiating therapy based on knowledge of CNS-active medications?Answer →
  135. 135The nurse practitioner is treating an adult patient with bipolar disorder who is experiencing acute mania. The patient has normal liver function and will be started on quetiapine. Which titration schedule is the MOST appropriate?Answer →
  136. 136Which action should the nurse take to assess for analgesic tolerance in a client who is unable to communicate?Answer →
  137. 137The nurse is assessing a patient with schizophrenia who recently began taking Fluphenazine. The patient is exhibiting tremors, bradykinesias, and a shuffling gait. Which adverse effect does the nurse suspect has occurred from Fluphenazine treatment?Answer →
  138. 138A nurse is reinforcing education with a client about mental illness and the client asks, "Why do some people who take medications experience resolution of clinical manifestations of their mental illness while other people experience relapses or worsening clinical manifestations?" Which of the following statements should the nurse make?Answer →
  139. 139A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?Answer →
  140. 140A patient who has epilepsy will begin an antiepileptic drug (AED). The patient asks the nurse how long the medication will be necessary. Which of these is the nurse's best response?Answer →
  141. 141The client prescribed an antidepressant five days ago tells the psychiatric clinic nurse, "I really don't think this medication is helping me". What is the most appropriate response by the nurse?Answer →
  142. 142A nurse is preparing to administer lorazepam for the acute management of convulsive status epilepticus. The nurse recognizes that this medication is expected to be effective because it belongs to which of the following medication classes?Answer →
  143. 143Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.Answer →
  144. 144A nurse is assisting in the care of a client who has persistent depressive disorder. When reinforcing education to the client about their illness, which of the following statements should the nurse make?Answer →
  145. 145A patient has been started on valproate for seizure management. Which laboratory test is most important to monitor to ensure patient safety?Answer →
  146. 146A client experiencing opioid withdrawal reports diarrhea, nausea, and muscle pain. Which nursing intervention should be prioritized to manage these symptoms safely and effectively?Answer →
  147. 147A nurse is teaching a client about the use of intrathecal baclofen for severe muscle spasticity. Which of the following statements should the nurse include in the teaching?Answer →
  148. 148The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?Answer →
  149. 149Which of the following agents should not be used for more than 5 consecutive days?Answer →
  150. 150An adult patient has had trouble falling asleep for the past 2 weeks. Non-drug strategies, such as sleep hygiene, have been ineffective. Which approach is MOST appropriate for managing this patient's insomnia?Answer →
  151. 151A patient with a seizure disorder is taking lamotrigine and is newly prescribed linezolid for treatment of a resistant infection. A few hours after the first dose, the patient becomes agitated, diaphoretic, develops tremors, and has a temperature of 38.9°C (102°F). The nurse recognizes these findings are most consistent with which condition?Answer →
  152. 152A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?Answer →
  153. 153A client is newly prescribed Lithium therapy. The nurse is concerned and will closely monitor the client for complications because of which potential medication interaction(s)?Answer →
  154. 154A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?Answer →
  155. 155A client taking levodopa/carbidopa reports that the medication is not working. Which intervention should the nurse implement first?Answer →
  156. 156The provider ordered Phenytoin 375 mg PO once a day. Given the medication label listed below, how many mL should be administered? Round to nearest tenths place, if required. Enter numeric value only (no commas or labels). mLAnswer →
  157. 157The nurse conducts a follow up call for a patient with epilepsy who recently had a valproic acid dose adjustment made. Which statement from the patient would require Immediate follow up?Answer →
  158. 158The nurse practitioner is educating a patient recently prescribed memantine for Alzheimer's disease. Which patient statement indicates a correct understanding of the teaching?Answer →
  159. 159A client taking dextroamphetamine-amphetamine extended-release reports difficulty sleeping. Which assessment is most important?Answer →
  160. 160A nurse is speaking with the parent of a client who is experiencing manifestations of psychosis. The parent states, "I don't understand how a child can experience psychosis." Which of the following responses should the nurse make?Answer →
  161. 161A young adult patient presents to the clinic with recurrent migraine attacks. The nurse practitioner chooses to prescribe sumatriptan for acute relief. Which approach BEST reflects an evidence-based strategy for using sumatriptan effectively?Answer →
  162. 162A nurse is caring for a 58-year-old patient who has been prescribed lorazepam and morphine for post-surgical anxiety and pain. Which of the following nursing interventions is the highest priority when administering these medications together?Answer →
  163. 163A nurse is participating in a family meeting alongside a geriatrician and social worker to discuss the care plan for an 84-year-old male patient diagnosed with Alzheimer's disease (AD). Which treatment goal should the nurse prioritize when educating the family about the management of AD?Answer →
  164. 164A nurse is teaching a client with multiple sclerosis who has been prescribed baclofen for muscle spasticity. Which side effect should the nurse instruct the client to monitor for at home that could significantly impair safety?Answer →
  165. 165A patient is prescribed daily gabapentin for chronic nerve pain. Which instruction should the nurse include when providing patient teaching?Answer →
  166. 166A nurse is reviewing a client's medication administration record and notes a new prescription for tetrabenazine. The nurse should identify that this medication is prescribed to treat which of the following types of dementia?Answer →
  167. 167A nurse is providing teaching to a client about the use of dantrolene. Which of the following client statements indicates a correct understanding of the medication administration?Answer →
  168. 168A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?Answer →
  169. 169A patient taking zolpidem (Ambien) reports several new symptoms. Which finding requires immediate follow-up by the nurse?Answer →
  170. 170Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.Answer →
  171. 171The nurse is assessing a patient status post gun shot wound with no heart rate. The nurse is preparing to administer epinephrine IV push. What should the nurse consider prior to administering?Answer →
  172. 172A patient receiving hydromorphone (Dilaudid) has shallow, irregular respirations of 6 breaths per minute and continues to rate pain at an 8/10 on the adult numeric pain scale. What is the priority action by the nurse?Answer →
  173. 173A patient with Parkinson's disease is prescribed carbidopa/levodopa and reports dizziness upon standing. Which nursing intervention is the priority to ensure patient safety?Answer →
  174. 174Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.Answer →
  175. 175A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?Answer →
  176. 176A young adult patient with a history of major convulsive seizures is starting carbamazepine therapy. The nurse practitioner wants to achieve rapid seizure control and minimize the risk of toxicity. Which approach BEST reflects evidence-based practice for monitoring and adjusting the patient's antiseizure therapy?Answer →
  177. 177A nurse is conducting discharge teaching for a patient with major depressive disorder who has been prescribed phenelzine. Which of the following foods should the nurse include in the plan as safe for the patient to consume while taking phenelzine?Answer →
  178. 178A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?Answer →
  179. 179A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?Answer →
  180. 180A patient is prescribed gabapentin for seizure management. Based on its mechanism of action, which effects below would the NP expect gabapentin to produce?Answer →
  181. 181A young adult patient with bipolar disorder presents with severe insomnia, anxiety, and agitation during an acute manic episode. Which management strategy would be MOST appropriate for this patient?Answer →
  182. 182A nurse is preparing to administer morphine 15 mg via IV bolus to a client. The amount available is morphine 10 mg/mL. How many mL should the nurse administer per dose? Round to the nearest tenths place, if required. Enter numeric value only (no commas or labels) mLAnswer →
  183. 183A nurse is assisting to provide an in-service to a group of nurses on medications used to treat the progression of dementia. Which of the following medications should the nurse include in the teaching?Answer →
  184. 184A nurse is providing discharge instructions to a client who has received a barbiturate during a medical procedure. Which of the following instructions is most important for the nurse to include to ensure the client's safety?Answer →
  185. 185A nurse is reinforcing education about mental health to a group of high school students. Which of the following information about screening for mental illness should the nurse include?Answer →
  186. 186A young adult patient newly started on topiramate for migraine prophylaxis reports experiencing tingling in the fingers and difficulty finding words during follow-up. What is the MOST appropriate action by the nurse practitioner?Answer →
  187. 187A 68-year-old male with a history of partial seizures is prescribed gabapentin for seizure control. He started on a low dose and gradually titrated up to a higher dose over several weeks. Despite the dose escalation, he continues to experience breakthrough seizures. Which of the following explanations BEST describes the phenomenon observed in this patient?Answer →
  188. 188A nurse is using the Clinical Opiate Withdrawal Scale (COWS) to assess a client undergoing opioid withdrawal. Which of the following findings would most likely increase the client's COWS score, indicating opiate withdrawal symptoms?Answer →
  189. 189The nurse practitioner is selecting an initial dosing regimen for a patient with Parkinson's disease starting pramipexole immediate-release tablets. Which option BEST reflects the correct starting dose and titration schedule?Answer →
  190. 190A postoperative client has a prescription for ketorolac 30 mg IV every 6 hours. Which intervention should the nurse implement to determine if the expected outcome of the medication has been achieved?Answer →
  191. 191The nurse is providing care for a client that is experiencing acute anxiety about an upcoming procedure. The nurse calls the provider requesting a one-time order of which of the following medications?Answer →
  192. 192The client has an order for valproic acid 10 mg/kg/day PO divided into 2 doses. The client weighs 214 lbs. How many mg will the nurse administer for each dose? (If needed, round to the nearest whole number.)Answer →
  193. 193A nurse is teaching a client who has a new prescription for phenytoin extended-release capsules. Which of the following instructions should the nurse include?Answer →
  194. 194The nurse is preparing a client's dose of an IM analgesic in a single syringe. The prescription is hydromorphone 4 mg and hydroxyzine 25 mg. The hydromorphone ampule is labeled 10 mg/mL and the hydroxyzine is labeled 50 mg/mL. How many mL in total should the nurse administer? Enter numerical value only. If rounding is required, round to the nearest tenth.Answer →
  195. 195Which of the following agents are used as adjuvants to opioid medications for greater analgesia in patients with neuropathic pain?Answer →
  196. 196A nurse is caring for a client who is experiencing manifestations of opiate withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?Answer →
  197. 197A nurse is providing education to a client who has been prescribed amitriptyline for depression. Which of the following instructions should the nurse emphasize to ensure the client's safety while taking this medication?Answer →
  198. 198A nurse is caring for a client who is experiencing periods of hyperactivity, impulsivity, and inattentiveness. Which of the following medications should the nurse anticipate the provider to prescribe?Answer →
  199. 199A patient is taking zolpidem for insomnia. Which instruction is most important for the nurse to include to prevent injury?Answer →
  200. 200A nurse is reinforcing education to the family of a client who has Alzheimer's disease. Which of the following statements should the nurse make when explaining the role of acetylcholine in this disease process?Answer →
  201. 201Which statement BEST describes the role of validated self-administered screening tools in primary care mental health assessment?Answer →
  202. 202The nurse is planning teaching to a patient about an antidepressant medication. What should be included in the teaching plan? (Select all that apply).Answer →
  203. 203The nurse is caring for a client who is taking diclofenac for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review?Answer →
  204. 204A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?Answer →
  205. 205A nurse is assessing a client who describes experiencing a sharp, electric shock-like sensation when brushing their teeth. Which of the following conditions should the nurse suspect as the cause of the client's manifestations?Answer →
  206. 206A patient with a history of hypertension reports frequent migraines. Which of the following medications would be contraindicated for this patient due to their medical history?Answer →
  207. 207A client is taking the tricyclic antidepressant Amitriptyline. While assessing the client, the nurse would monitor for which common side effect?Answer →
  208. 208A child is prescribed lisdexamfetamine (Vyvanse). What are possible adverse effects the nurse will monitor for?Answer →
  209. 209The nurse is collecting the health history of a client and determines that the client has risk factors for developing mental illness. Which of the following should the nurse identify as a possible contributing factor in the development of a mental health disorder?Answer →
  210. 210A client is prescribed lorazepam for acute anxiety and oxycodone for post-procedure pain. The nurse recognizes that concurrent administration of these medications requires careful monitoring primarily due to which potential complication?Answer →
  211. 211Two weeks after initiating haloperidol for schizophrenia, a patient develops rigidity, bradykinesia, and a shuffling gait. Which action should the nurse practitioner take?Answer →
  212. 212The nurse administers oxycodone 5 mg with acetaminophen 500 mg (Percocet) to a patient for postoperative pain. Which patient teaching about the analgesic agent is the nurse's priority before the nurse leaves the patient's room?Answer →
  213. 213A patient is treated for status epilepticus. The nurse administers a dose of intravenous lorazepam, and the seizure activity stops. What medication should the nurse anticipate giving next?Answer →
  214. 214A nurse is reinforcing education to a newly licensed nurse about psychiatric pharmacogenomic testing. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?Answer →
  215. 215The nurse is preparing to administer butorphanol to a patient with a history of substance abuse disorder. Which statement is true regarding butorphanol?Answer →
  216. 216A nurse is educating a client who will be starting an opioid agonist for chronic pain management. Which of the following side effects should the nurse instruct is a priority to report?Answer →
  217. 217A patient is given a prescription for buspirone. What must the nurse include in the teaching plan?Answer →
  218. 218A patient treated with a first-generation antipsychotic presents with severe spasms of the muscles of the tongue, face, and neck shortly after initiating therapy. What is the MOST appropriate initial treatment for this condition?Answer →
  219. 219Acetaminophen (Tylenol) toxicities seen with elevated doses is due toAnswer →
  220. 220A nurse is planning care for a client who is experiencing acute alcohol withdrawal. Which of the following medications should the nurse expect to administer?Answer →
  221. 221What drug class mimics the Parasympathetic nervous system?Answer →
  222. 222A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?Answer →
  223. 223Ketorolac (Toradol) is prescribed for short term use because of the potential for which complication?Answer →
  224. 224A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine elixir 37.5 mg every 4 hr as needed. The amount available is diphenhydramine elixir 50 mg/5 ml. How many mL should the nurse administer per dose? Round to be nearest tenths place. Enter numeric value only (no commas or labels) mLAnswer →
  225. 225An adult patient has had trouble falling asleep for the past 2 weeks. Non-drug strategies, such as sleep hygiene, have been ineffective. Which approach is MOST appropriate for managing this patient's insomnia?Answer →
  226. 226A patient taking fluoxetine (Prozac) complains to the nurse about having a decrease in sexual desire, sleep and weight gain. What is the appropriate response by the nurse?Answer →
  227. 227A nurse is caring for a client who has generalized anxiety disorder and has been prescribed a tricyclic antidepressant (TCA). Which of the following medications should the nurse anticipate the provider prescribing?Answer →
  228. 228A young adult presents with sudden episodes of intense fear, heart palpitations, sweating, and a sense of choking that peaks within 10 minutes. They avoid crowded places because of these attacks. Which intervention would MOST effectively help the patient manage their panic disorder?Answer →
  229. 229A nurse is caring for a client who has been prescribed carisoprodol for muscle spasms. Which of the following adverse reactions should the nurse monitor for?Answer →
  230. 230A 68-year-old male with a history of partial seizures is prescribed gabapentin for seizure control. He started on a low dose and gradually titrated up to a higher dose over several weeks. Despite the dose escalation, he continues to experience breakthrough seizures. Which of the following explanations BEST describes the phenomenon observed in this patient?Answer →
  231. 231A client taking dextroamphetamine-amphetamine extended-release reports difficulty sleeping. Which assessment is most important?Answer →
  232. 232The nurse is providing care to a client that was switched from a first generation antipsychotic to a second generation antipsychotic agent. The patient asks 'what is the difference between these drugs?' Which of the following is the best response by the nurse?Answer →
  233. 233Which nursing intervention has priority when initiating a continuous epidural infusion with an opioid analgesic?Answer →
  234. 234The neurotransmitter responsible for the transmission of nerve impulses to the effector cells and muscarinic receptors in the Parasympathetic Nervous system (PNS)Answer →
  235. 235A client in a mental health facility takes Lithium to manage bipolar disorder. The nurse reviews the client's serum Lithium lab results of 1.0mEq/L. What is the appropriate response by the nurse?Answer →
  236. 236The nurse practitioner is selecting an initial dosing regimen for a patient with Parkinson's disease starting pramipexole immediate-release tablets. Which option BEST reflects the correct starting dose and titration schedule?Answer →
  237. 237A client using a nicotine transdermal patch reports applying the patch to the same skin site daily and asks if smoking a cigarette while wearing the patch is acceptable. Which response by the nurse is appropriate?Answer →
  238. 238A nurse is caring for a client who has been prescribed lorazepam for anxiety. Which of the following adverse effects should the nurse instruct the client to report immediately due to its life-threatening potential?Answer →
  239. 239Which statement by the patient indicates that the education provided about phenytoin (Dilantin) was effective?Answer →
  240. 240A nurse is evaluating a client who received subcutaneous sumatriptan 1 hour ago. Which of the following findings should the nurse identify as an adverse effect of the medication?Answer →
  241. 241The nurse in the postanesthesia care unit (PACU) notes that a patient has a respiratory rate of 8 breaths/min 30 minutes after surgery. Which action should the nurse implement next?Answer →
  242. 242The nurse is assessing a postoperative patient who is prescribed hydrocodone/acetaminophen (Norco). Which assessment finding requires the nurse to take action?Answer →
  243. 243A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?Answer →
  244. 244A client who is taking levodopa-carbidopa reports that the medication is not working. Which intervention should the nurse implement first?Answer →
  245. 245How does levodopa enter the brain to exert its therapeutic effects?Answer →
  246. 246A patient is prescribed carbamazepine (Tegretol). What is the priority assessment while caring for this patient?Answer →
  247. 247Naloxone (Narcan) induces which one of the following responses?Answer →
  248. 248While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow. Which action should the nurse take in response to this finding?Answer →
  249. 249A 68-year-old male with a history of partial seizures is prescribed gabapentin for seizure control. He started on a low dose and gradually titrated up to a higher dose over several weeks. Despite the dose escalation, he continues to experience breakthrough seizures. Which of the following explanations BEST describes the phenomenon observed in this patient?Answer →
  250. 250Two weeks after initiating haloperidol for schizophrenia, a patient develops rigidity, bradykinesia, and a shuffling gait. Which action should the nurse practitioner take?Answer →
  251. 251A client is scheduled to start naltrexone for opioid use disorder. Which client statement indicates a need for immediate nursing intervention before initiating the medication?Answer →
  252. 252A nurse is caring for a client who has been taking acetaminophen regularly for mild to moderate pain. Which of the following laboratory test results should the nurse prioritize to assess for potential acetaminophen-induced hepatotoxicity?Answer →
  253. 253What should the nurse include in the patient teaching for long-term Non-Steroidal Anti-inflammatory Drug (NSAIDs) therapy?Answer →
  254. 254The nursing student is creating a presentation about antipsychotic medications. Which of the following will the nursing student include about the mechanism of action of antipsychotic agents?Answer →
  255. 255A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should identify that which of the following is the priority finding?Answer →
  256. 256A patient who has severe asthma wants to take ibuprofen (Motrin) for joint pain. Which instruction should the nurse give the patient?Answer →
  257. 257A nurse is reinforcing education to a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?Answer →
  258. 258A nurse is caring for a client who is receiving propofol for an outpatient colonoscopy. Which of the following is a priority for the nurse to monitor?Answer →
  259. 259The healthcare provider prescribes aspirin for an adult client with a temperature of 100.4° F (38° C). Which condition should the nurse recognize as a contraindication for receiving the medication?Answer →
  260. 260A patient with dementia has recently been prescribed memantine. During a follow-up visit, which side effect should the nurse most expect to monitor for?Answer →
  261. 261The client has an order for PO lithium. The minimum therapeutic dose is 15 mg/kg/day in 3 divided doses. The client weighs 62 lbs. What is the minimum therapeutic dosage of medication the client can receive per dose? ______ mg (If needed, round to the nearest whole number.)Answer →
  262. 262A nurse is monitoring a client receiving methadone therapy. The client reports feeling mildly sedated, and the nurse notes mild constipation. The ECG shows QT prolongation. Which clinical finding requires the nurse to take immediate action?Answer →
  263. 263The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, the nurse assessment reveals respiratory rate 4 breaths/min, oxygen saturation 75%, and the client is unable to be aroused. Which action should the nurse implement first?Answer →
  264. 264A young adult patient with a history of major convulsive seizures is starting carbamazepine therapy. The nurse practitioner wants to achieve rapid seizure control and minimize the risk of toxicity. Which approach BEST reflects evidence-based practice for monitoring and adjusting the patient's antiseizure therapy?Answer →
  265. 265How does levodopa enter the brain to exert its therapeutic effects?Answer →
  266. 266Which existing condition in a patient would cause the nurse to question an order for bethanechol?Answer →
  267. 267A nurse is caring for a client who is scheduled for a cesarean birth and has a known pseudocholinesterase deficiency. Which type of local anesthetic should the nurse anticipate will be avoided for this client's spinal anesthesia?Answer →
  268. 268Which clinical manifestation would the nurse expect if the patient is having a therapeutic effect of lioresal (Baclofen)?Answer →
  269. 269An adult patient who smokes 20 cigarettes per day is highly motivated to quit. The patient has tried nicotine gum in the past but found it inconvenient and difficult to use. The patient prefers a steady nicotine delivery without frequent dosing and would like a nonprescription option. Which pharmacologic strategy BEST aligns with evidence-based guidance?Answer →
  270. 270A nurse is preparing to administer topiramate 25 mg PO capsules BID to a client who has difficulty swallowing. Which of the following actions should the nurse take?Answer →
  271. 271A nurse is preparing to administer trazodone 12.5 mg PO at bedtime. Available is trazodone 25 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  272. 272A patient is receiving morphine sulfate (MS Contin) twice daily for chronic pain but reports inadequate pain control. The healthcare provider adds amitriptyline to the medication regimen. The nurse understands that amitriptyline is being prescribed for which purpose?Answer →
  273. 273A nurse is caring for a client who is experiencing manifestations of alcohol withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?Answer →
  274. 274A patient with a seizure disorder is newly prescribed valproic acid. As part of ongoing monitoring, which laboratory value should the nurse plan to monitor to identify potential adverse effects of this medication?Answer →
  275. 275What are the nursing considerations regarding the use of fentanyl (Duragesic) transdermal patches? Select all that applyAnswer →
  276. 276A nurse is preparing to assess a client who reports they are experiencing frequent episodes of tension-type headaches (TTH). Which of the following manifestations should the nurse expect?Answer →
  277. 277What is the primary reason tricyclic antidepressants are NOT recommended for treating bipolar disorder?Answer →
  278. 278What is a notable characteristic of gabapentin concerning drug interactions?Answer →
  279. 279The client tells the nurse that their medication is not working. Which intervention should the nurse implement first?Answer →
  280. 280A nurse is caring for a client who has been taking sumatriptan for several months. Which of the following statements by the client indicates a therapeutic response to the medication?Answer →
  281. 281A client who is currently taking isocarboxazid and reports taking pseudoephedrine for nasal congestion. Which of the following is the priority nursing action?Answer →
  282. 282A 45-year-old male with a history of migraines presents to the clinic complaining of frequent migraine attacks occurring more than 3 times a week. He reports using over-the-counter pain relievers daily for symptom relief. What complications of excessive abortive medication use should be considered in this patient?Answer →
  283. 283A client with suspected cholinergic crisis arrives with excessive bronchial secretions and RR 8/min. What is the priority action?Answer →
  284. 284A nurse is preparing a presentation about alcohol withdrawal. Which of the following findings should the nurse include in the presentation?Answer →
  285. 285A patient taking lithium has a blood level of 2.8 mEq/L. What is the most appropriate nursing action? Drug level 0.6-1.2 mEq/LAnswer →
  286. 286A nurse is caring for an older adult client who has dementia. The client's family member asks why the provider will not prescribe a medication to calm the client down. Which of the following statements should the nurse make?Answer →
  287. 287A nurse is caring for a pediatric client who is scheduled for inhalation induction of general anesthesia. Which of the following inhaled anesthetic agents should the nurse anticipate the anesthesia provider will utilize for this client?Answer →
  288. 288Client presents with severe muscle spasms of neck and face, cervical dystonia, started on fluphenazine 2 days ago. Received benztropine 2 mg IM. What is the plan of care? (Select all that apply)Answer →
  289. 289The healthcare provider prescribes a mood-stabilizing medication known to be teratogenic. Which finding from the patient's history or assessment would cause the nurse to question the prescription before administering the medication?Answer →
  290. 290A nurse is assessing a patient with poorly controlled neuropathic pain due to shingles (herpes zoster). The patient reports burning, shooting pain along the affected dermatome. Which medication would be most effective to treat the patient's pain?Answer →
  291. 291A patient presents to the Emergency room with confusion, tachycardia, constipation, dry mouth and urinary retention. They are on Atropine. What medication would be the drug of choice for this patient's condition?Answer →
  292. 292A 7-year-old boy presents with a 12-month history of inattention, hyperactivity, and impulsivity at school and home. Teachers report he frequently calls out, leaves tasks incomplete, and cannot wait his turn. His parents are concerned about academic difficulties and behavioral challenges. After a thorough evaluation, the nurse practitioner confirms a diagnosis of attention-deficit hyperactivity disorder (ADHD), combined type. What is the MOST appropriate initial therapy for this patient?Answer →
  293. 293An adult patient presents with a history of recurrent absence seizures since childhood. They report no history of tonic-clonic or partial seizures. Which antiseizure drug would be the MOST appropriate initial choice for their treatment?Answer →
  294. 294The nurse is assessing a client recently diagnosed with Parkinson's disease who is taking carbidopa/levodopa. The client reports that the medication is not working. Which intervention should the nurse implement first?Answer →
  295. 295A nurse is meeting with a 15-year-old client who has ADHD. The client and their parent state they would like their medications stopped due to the unpleasant side effects. Which of the following statements should the nurse make?Answer →
  296. 296A client takes diclofenac, a nonsteroidal anti-inflammatory drug (NSAID), for osteoarthritis-associated pain. The client reports the onset of pasty clay-colored stools. Which serum laboratory value is most important for the nurse to monitor?Answer →
  297. 297A male client is admitted for observation because he is reporting progressively increasing fatigue over the past month and a brief episode of dizziness that occurred today He has a history of heartburn and indigestion that he self treats with ibuprofen and antacids Which assessment finding should the nurse report immediately to the healthcare provider HCPAnswer →
  298. 298The nurse practitioner is initiating a selective serotonin reuptake inhibitor (SSRI) (sertraline) for an older adult with major depression who is also taking a thiazide diuretic. Which guideline below is MOST appropriate in prescribing sertraline?Answer →
  299. 299A client has a new prescription for diclofenac (NSAID). Which history finding is of greatest concern?Answer →
  300. 300A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?Answer →
  301. 301A patient has been prescribed a first-generation antipsychotic. Which patient education strategy BEST promotes safety at home and during daily activities?Answer →
  302. 302A nurse is preparing to administer ketorolac to a client. Which of the following conditions should the nurse include as a contraindication for taking this medication?Answer →
  303. 303Which statement BEST describes a key property of newer-generation antiseizure drugs compared with traditional antiseizure drugs?Answer →
  304. 304Which lab test would be important for the nurse to monitor with administration of clozapine (Clozaril)?Answer →
  305. 305A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?Answer →
  306. 306Which statement BEST describes the primary therapeutic effect of central nervous system stimulants in children with attention deficit/hyperactivity disorder (ADHD)?Answer →
  307. 307Which of the following is the most accurate statement regarding antipsychotic medications?Answer →
  308. 308The nurse is providing care to a client receiving Lithium. Which of the client's serum laboratory results would be most important for the nurse to monitor? Select all that apply.Answer →
  309. 309A middle-aged patient with advanced Parkinson's disease (PD) presents with worsening bradykinesia and tremor despite initial therapy. The nurse practitioner considers pharmacologic options to restore dopamine-acetylcholine balance in the striatum. Which management approach BEST aligns with current evidence-based guidelines?Answer →
  310. 310A young adult presents with sudden episodes of intense fear, heart palpitations, sweating, and a sense of choking that peaks within 10 minutes. They avoid crowded places because of these attacks. Which intervention would MOST effectively help the patient manage their panic disorder?Answer →
  311. 311The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg PO three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?Answer →
  312. 312A nurse is caring for a client who has somatic symptom disorder. The client says to the nurse. "If I can't get the medical help I need. I might as well just end it all." Which of the following actions should the nurse take?Answer →
  313. 313A nurse is reviewing the medical history of a client who has been prescribed diazepam, a benzodiazepine medication. Which of the following client conditions should alert the nurse that benzodiazepines are contraindicated?Answer →
  314. 314A patient receives a prescription for quetiapine (Seroquel). What instruction should the nurse include in the teaching plan?Answer →
  315. 315A nurse is reviewing the treatment plan for a client who is experiencing chronic migraines. Which of the following medication classes should the nurse identify as effective in migraine prevention due to vasodilatory effects?Answer →
  316. 316A nurse is caring for a client who is postoperative and has a PCA pump. Which of the following assessments should the nurse make in the first 24 hr following initiation of the PCA?Answer →
  317. 317A patient receives a prescription for sumatriptan (Imitrex). Which information in the patient's history is a contraindication to the use of this drug?Answer →
  318. 318What is the priority nursing action for a patient receiving levetiracetam (Keppra) for the first time?Answer →
  319. 319A 45-year-old female with rheumatoid arthritis is prescribed ibuprofen for inflammation and pain. Which nursing interventions should the nurse include in the care plan? (Select all that apply.)Answer →
  320. 320A patient presents to the urgent care with a "pounding" unilateral headache, photophobia, and nausea. The provider is considering prescribing Sumatriptan (Imitrex). Which item in the patient's medical history should the nurse report as a definitive contraindication for this drug?Answer →
  321. 321The nurse is caring for a patient who has been taking allopurinol (Zyloprim) for several years. Which assessment finding would indicate an adverse effect of this drug?Answer →
  322. 322The client has an order for lithium 300 mg PO. The medication available is lithium 300 mg capsules. How many capsules will the nurse administer? (If needed, round to the nearest whole number.)Answer →
  323. 323A patient has been taking clonazepam (Klonopin) for insomnia. The patient reports sleeping well but feels tired the next day. What is the appropriate response by the nurse?Answer →
  324. 324The nurse is caring for a client who is being treated for a fever. Which nursing intervention is most important to prevent chills?Answer →
  325. 325A young adult patient presents to the clinic with recurrent migraine attacks. The nurse practitioner chooses to prescribe sumatriptan for acute relief. Which approach BEST reflects an evidence-based strategy for using sumatriptan effectively?Answer →
  326. 326A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?Answer →
  327. 327A nurse is assisting with teaching a newly licensed nurse about collecting data on a client who received naloxone to treat opioid toxicity. The nurse should include that which of the following findings indicate the intervention is effective?Answer →
  328. 328A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?Answer →
  329. 329The client is receiving fentanyl transdermal patch 25 mcg/hr. Which nursing intervention is most important?Answer →
  330. 330A nurse is discussing medication used for maintaining alcohol abstinence with a client who is undergoing this type of treatment. Which of the following statements by the client indicates an understanding of their prescriptions?Answer →
  331. 331Which medication is used to reverse an opioid overdose?Answer →
  332. 332A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?Answer →
  333. 333A nurse is contributing to a plan of care for an 8-year-old child prescribed an anticonvulsant for pain. Which of the following recommendations should the nurse plan to make? (Select All that Apply.)Answer →