Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 16

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Question #1
Which disorder is treated with mood stabilizers?
A.   Depressive
B.   Psychotic
C.   Anxiety
D.   Affective
Question #2
Which is the main receptor in the central nervous system (CNS) that is blocked by conventional antipsychotic drugs?
A.   Acetylcholine
B.   Dopamine
C.   Norepinephrine
D.   Serotonin
Question #3
A patient with an anxiety disorder is prescribed an oral dose of diazepam. What is the maximum dose of the drug that the patient would receive in a day?
A.   25 mg/day
B.   50 mg/day
C.   40 mg/day
D.   10 mg/day
Question #4
Which medication would a nurse suggest the health care provider prescribe for a patient with psychosis who is experiencing extrapyramidal effects from conventional antipsychotic pharmacotherapy?
A.   Molindone
B.   Chlorpromazine
C.   Risperidone
D.   Haloperidol
Question #5
Which class of medication found in the patient’s prescription is responsible for constipation and urinary retention in a patient who takes nortriptyline for depression?
A.   Antihypertensives
B.   Anticholinergics
C.   Diuretics
D.   Anxiolytics
Question #6
Which type of medication is indicated to help the patient manage withdrawal symptoms while detoxifying from alcohol abuse?
A.   Dibenzazepine
B.   Phenothiazine
C.   Benzisoxazole
D.   Benzodiazepine
Question #7
Which condition would the nurse suspect that a patient on lithium has been diagnosed with?
A.   Obsessive–compulsive disorder
B.   Absence seizures
C.   Bipolar disorder
D.   Paranoid schizophrenia
Question #8
Which anxiolytic drug promotes agonistic activity at both the serotonin and dopamine receptors?
A.   Buspirone
B.   Alprazolam
C.   Amitriptyline
D.   Lorazepam
Question #9
Which theory states that depression and mania are caused by alterations in the concentration of dopamine and norepinephrine and serotonin and histamine in the brain?
A.   Permissive hypothesis
B.   Biogenic amine hypothesis
C.   Dysregulation hypothesis
D.   Dopamine hypothesis
Question #10
What does the nurse infer from a patient with increased blood glucose levels, increased blood pressure (BP), and abnormal cholesterol levels?
A.   The patient has dyskinesia.
B.   The patient has metabolic syndrome.
C.   The patient has mania.
D.   The patient has dystonia.
Question #11
Which cue is indicative of a benzodiazepine overdose?
A.   Dizziness
B.   Somnolence
C.   Paradoxical anxiety
D.   Blurred vision
Question #12
Which drugs represent the largest class of conventional antipsychotic drugs?
A.   Phenylbutylpiperidines
B.   Dibenzodiazepines
C.   Phenothiazines
D.   Thioxanthene
Question #13
Which hypothesis postulates that depression results from a deficiency of neuronal and synaptic catecholamines and mania from an excess of amines at the adrenergic receptor sites in the brain?
A.   Permissive
B.   Dopamine
C.   Biogenic amine
D.   Dysregulation
Question #14
Which second-generation antidepressant medication interacts with nonsteroidal antiinflammatory drugs (NSAIDs)?
A.   Tertracyclics
B.   Serotonin and norepinephrine reuptake inhibitors (SNRIs)
C.   Selective serotonin reuptake inhibitors (SSRIs)
D.   Trycyclics
Question #15
Which cue is a common symptom of serotonin syndrome?
A.   Renal failure
B.   Rhabdomyolysis
C.   Myoclonus
D.   Hypothermia
Question #16
Which activity would the patient be cautioned to avoid while taking a monoamine oxidase (MAO) inhibitor?
A.   Sunbathing at the pool
B.   Smoking a low-nicotine cigarette
C.   Eating aged cheese
D.   Participating in a bowling league
Question #17
Which atypical antipsychotic medication would the nurse anticipate a health care provider prescribing for treatment of refractory schizophrenia?
A.   Risperidone
B.   Amoxapine
C.   Trazodone
D.   Phenelzine
Question #18
Which drug may cause serotonin syndrome if given together with an antidepressant medication?
A.   Lorazepam
B.   Alprazolam
C.   Buspirone
D.   Diazepam
Question #19
Which drug is responsible for an adverse effect of involuntary wavelike movements of the legs in a patient with bipolar disorder?
A.   Buspirone
B.   Lithium citrate
C.   Diazepam
D.   Alprazolam
Question #20
Which is the current indication for tricyclic antidepressants (TCAs)?
A.   Depression, Seizures, Neuropathic pain syndrome
B.   Insomnia, Childhood enuresis, Neuropathic pain syndrome
C.   Seizures, Insomnia, Depression
D.   Childhood enuresis, Seizures, Depression
Question #21
Which anxiolytic medication might be a better option for a patient with anxiety disorder who is taking lorazepam but finds the side effect of drowsiness to be interfering with life?
A.   Alprazolam
B.   Chlordiazepoxide
C.   Buspirone
D.   Hydroxyzine hydrochloride salt
Question #22
When a patient is prescribed a benzodiazepine and the nurse reviews the patient history, what inquiry may the nurse make?
A.   "Have you undergone any surgery?"
B.   "Are you taking oral contraceptives?"
C.   "Have you ever experienced trauma?"
D.   "Are you taking calcium supplements?"
Question #23
Which reason is necessary for monitoring blood sodium levels in a patient with bipolar disorder who takes lithium citrate?
A.   To prevent renal toxicity caused by the drug
B.   To ensure proper nourishment in the patient
C.   To maintain therapeutic concentration of lithium
D.   To maintain normal cholesterol levels in the body
Question #24
Which phenomenon does the nurse recognize as a positive symptom of schizophrenia?
A.   Hallucinations, Poverty of speech, Social withdrawal
B.   Catatonia, Poverty of speech, Conceptual disorganization
C.   Delusions, Hallucinations, Conceptual disorganization
D.   Catatonia, Poverty of speech, Social withdrawal
Question #25
Which time frame would the nurse include in patient teaching to explain how long it will take for escitalopram to be completely effective?
A.   2 or 3 days
B.   2 or 3 months
C.   Several weeks
D.   1 week
Question #26
Which instruction would the nurse include to educate a patient taking sertraline?
A.   Take sertraline at the same time each day.
B.   Avoid overheating and direct sun exposure.
C.   Expect to feel better in 4 to 6 days.
D.   Report any increase in mania.
Question #27
Which adverse effect does the nurse monitor for in a patient who has been prescribed alprazolam to treat panic disorder?
A.   Ataxia, Dizziness, Paradoxical anxiety, Visual changes
B.   Paradoxical anxiety, Ataxia, Dizziness, Confusion
C.   Dizziness, Confusion, Visual changes, Paradoxical anxiety
D.   Ataxia, Dizziness, Confusion, Visual changes
Question #28
Which adverse effect results from antipsychotic drugs’ action on alpha-adrenergic receptors?
A.   Weight gain, Tardive dyskinesia, Lightheadedness,
B.   Postural hypotension, Tardive dyskinesia, Weight gain
C.   Lightheadedness, Reflex tachycardia, Postural hypotension
D.   Reflex tachycardia, Weight gain, Tardive dyskinesia
Question #29
Which is a common symptom of serotonin syndrome?
A.   Delirium, Myoclonus, Coarse tremors
B.   Myoclonus, Drowsiness, Suicidal thoughts
C.   Drowsiness, Suicidal thoughts, Delirium,
D.   Drowsiness, Coarse tremors, Suicidal thoughts
Question #30
Which mood-stabilizing drug is used to treat bipolar disorder?
A.   Isocarboxazid, Imipramine
B.   Bupropion, Imipramine
C.   Oxcarbazepine, Lithium carbonate
D.   Bupropion, Isocarboxazid
Question #31
Which medication would the nurse expect to administer for a patient with a history of abusing opioid analgesics and needs an antianxiety agent?
A.   Venlafaxine
B.   Diazepam
C.   Buspirone
D.   Escitalopram
Question #32
The primary health care provider reviews the medical history of a patient who is receiving buspirone. The health care provider instructs the nurse to continuously monitor the patient’s blood pressure to prevent hypertension due to a drug interaction. Which other medication is the patient taking?
A.   Oral contraceptives
B.   Monoamine oxidase inhibitor (MAOI)
C.   Iron supplement
D.   Nonsteroidal antiinflammatory drugs
Question #33
Which statement made by a patient demonstrates a lack of understanding of patient teaching regarding phenothiazine drug therapy?
A.   "I need to change positions slowly to prevent dizziness."
B.   "I should call my health care provider if I notice any uncontrollable movements of my tongue."
C.   "It is okay to take this drug with a small glass of wine to help me relax."
D.   "I will need to wear sunscreen and protective clothing when outdoors."
Question #34
Which intervention will the nurse expect to perform for a patient who takes a tricyclic antidepressant (TCA) and who has consumed a lot of alcohol?
A.   Refer the patient for regular hemodialysis.
B.   Administer multiple doses of activated charcoal.
C.   Administer hypotensive drugs as prescribed.
D.   Perform urine acidification until the pH is 5.
Question #35
Which intervention would the nurse implement to prevent adverse effects in a patient who takes isocarboxazid for depression and who is now taking buspirone for a slight increase in blood pressure and agitation?
A.   Administer buspirone intravenously and isocarboxazid orally.
B.   Administer buspirone at night and isocarboxazid after lunch.
C.   Administer buspirone 14 days after discontinuing isocarboxazid.
D.   Administer buspirone and isocarboxazid by dissolving in water.
Question #36
Which symptom does a nurse expect to find in a patient who develops neuroleptic malignant syndrome after being administered antipsychotic drugs?
A.   Acute dystonia, Akathisia, Unstable blood pressure
B.   Myoglobinemia, Akathisia, Acute dystonia
C.   Akathisia, High fever, Acute dystonia
D.   High fever, Myoglobinemia, Unstable blood pressure
Question #37
  
A.   Tobacco, Opioids, Caffeinated drinks, Alcohol
B.   Alcohol, Opioids, Antihistamines, Muscle relaxants
C.   Opioids, Tobacco, Muscle relaxants, Caffeinated drinks
D.   Tobacco, Caffeinated drinks, Alcohol, Antihistamines
Question #38
Which analgesic agent would a nurse avoid to help prevent serotonin syndrome in a patient who takes sertraline for depression?
A.   Fentanyl
B.   Tramadol
C.   Oxycodone
D.   Ibuprofen
Question #39
A patient currently prescribed duloxetine comes to the health clinic complaining of restlessness, agitation, diaphoresis, and tremors. The nurse suspects serotonin syndrome and questions the patient regarding concurrent use of which substance?
A.   Glucosamine chondroitin
B.   Ginkgo
C.   Ibuprofen
D.   St. John's wort
Question #40
Which medication is prescribed to the patient with panic disorder if the nurse uses the intramuscular route for administration of a diluted anxiolytic?
A.   Lorazepam
B.   Alprazolam
C.   Diazepam
D.   Buspirone
Question #41
The nurse would include which teaching point when educating the patient about selective serotonin reuptake inhibitor medication?
A.   There is a risk of toxicity when this medication is taken with alcohol.
B.   The medication is safe; it has been used longer than many others.
C.   This class of medications has no other use and is only for depression.
D.   There are no contraindications to this medication.
Question #42
The nurse is assessing an older adult diagnosed with severe anxiety who was prescribed clonazepam. The patient’s family members inform the nurse that for the last few days, the patient has experienced dizziness and suddenly becomes aggressive and confused. Which does the nurse infer from this behavior?
A.   The patient has reduced drug effect due to calcium deficiency.
B.   The patient has adverse effects due to drug–food interaction.
C.   The patient has withdrawal symptoms of the administered drug.
D.   The patient has adverse effects due to drug–drug interaction.
Question #43
Which is the primary benefit of taking a parenteral formulation of an antipsychotic medication?
A.   Fewer doses are needed for effective therapy.
B.   There is a better chance of effectiveness.
C.   There is increased likelihood of adherence to therapy.
D.   It can be injected as a long-acting agent.
Question #44
Which piece of objective data contraindicates the use of clozapine?
A.   Acute lymphocytic leukemia
B.   Allergy to phenothiazines
C.   Failed antipsychotic therapy
D.   Self-destructive behavior
Question #45
Which patient data would the nurse check to help prevent complications of the pharmacotherapy with a patient taking risperidone who has a necrotic foot ulcer that started as a minor scratch?
A.   Leukocyte count
B.   Liver function studies
C.   Fasting blood glucose
D.   Kidney function studies
Question #46
  
A.   Monitor the postural blood pressure.
B.   Teach the patient about the side effects.
C.   Instruct the patient not to miss doses.
D.   Monitor the patient’s response to therapy.
Question #47
Which assessment may have prompted the administration of flumazenil to a patient who is taking anxiolytic medication?
A.   The patient might have severe abdominal pain. The patient might have perspiration.
B.   The patient might have difficulty breathing. The patient might have been sleeping for a long time.
C.   The patient might have perspiration. The patient might have increased hunger.
D.   The patient might have increased hunger. The patient might have severe abdominal pain.
Question #48
Which laboratory test should be monitored frequently to assess for a potential life-threatening adverse reaction to clozapine?
A.   Renal panel
B.   Immunoglobulin levels
C.   Complete blood count
D.   Liver function tests
Question #49
Which statement made by the patient reflects understanding of medication education when being switched from amitriptyline to citalopram?
A.   "I will need to limit my intake of cheese when taking Celexa to prevent a rise in my blood pressure."
B.   "I will not get as dizzy when I change positions after I switch medications."
C.   "I can just stop taking my Elavil and start taking the Celexa as ordered."
D.   "The health care provider is switching me to this medication because it is less expensive but just as effective."
Question #50
Which atypical antipsychotic agent is a better medication for a patient with schizophrenia with a poorly healing leg ulcer and hyperglycemia?
A.   Risperidone
B.   Quetiapine
C.   Olanzapine
D.   Ziprasidone
Question #51
Which symptom does the nurse monitor for with a patient who is taking tricyclic antidepressant (TCA) therapy for the treatment of insomnia and phenelzine?
A.   Lethargy, Paradoxical anxiety, Shivering
B.   Hyperthermia, Lethargy, Paradoxical anxiety
C.   Paradoxical anxiety, Lethargy, Muscle spasms
D.   Shivering, Hyperthermia, Muscle spasms
Question #52
Which tests will the nurse suggest to the health care provider before duloxetine is started for depression?
A.   Complete urine examination
B.   Liver function test
C.   Complete blood count
D.   Renal function test
Question #53
Which information would be important to include in the teaching plan for a patient who is prescribed clozapine, an atypical antipsychotic medication for schizophreniform disorder?
A.   Contraceptive measures and expected changes in menstruation
B.   The importance of promptly reporting flulike symptoms
C.   Strategies to manage breast enlargement and nipple discharge
D.   The meaning of various components of a white blood cell count
Question #54
Which antagonist may be used to treat an overdose of oxazepam?
A.   Flumazenil
B.   Naltrexone
C.   Naloxone
D.   Nalmefene
Question #55
The nurse recognizes that teaching is needed when the patient with hypertension states taking which over-the-counter medication and/or supplement?
A.   Ginseng
B.   Garlic
C.   Valerian root
D.   St. John’s wort
Question #56
Which extrapyramidal side effect does the nurse monitor for in a patient who is taking an antipsychotic medication?
A.   Orthostatic hypotension
B.   Neuroleptic malignant syndrome
C.   Dystonia
D.   Dry mouth and constipation
Question #57
Which food can be included in the diet of a patient who is taking monoamine oxidase inhibitors?
A.   Corned beef
B.   Red wine
C.   Fava beans
D.   Cottage cheese

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