GUIDE (2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Themnursemrecallsmthempotentialmsidemeffectsmofmsympathomimeticmtherapymandmadvisesmthempati
entmeducationmto:m-mCORRECTmANSWERm-Takemmedicationmearlyminmthemdaymtomavoidminsomnia
m -Reportmsidemeffectsmsuchmasmdyspneamandmpalpitations
m -Domnotm"doublemup"monmdoses
Thismmedicationmdoesmnotmcausemdrowsinessmsomadvisingmthempatientmtomtakemmedicationmlatemat
mnightmtomminimizemdrowsinessmismthemexception.
Themnursemrecallsmthatmthemgeneralmmechanismsmbymwhichmdrugsmaffectmneurotransmittermactivit
ymtomaltermautonomicmnervousmsystemm(ANS)mresponseminclude:m-mCORRECTmANSWERm-
Affectingmthemsynthesismofmthemneurotransmitter
m -Bindingmtomthemreceptormsitemonmthemneuron
m -Influencingmthemreleasemofmthemneurotransmitter
-influencingmthemstoragemofmthemneurotransmitter
Tip:mMedicationsmdomnotmcorrectmphysiologicmdefectsminmthemANS,mbutmtheymdomaltermANSmrespon
sesmbymeachmofmthemmechanisms.
Themnursemhasmanmordermtomadministermatropine,manmanticholinergicmdrug,mandmunderstandsmthat
mmedicationmismcontraindicatedmformwhichmpatient:m-
mCORRECTmANSWERmThempatientmwithmglaucoma
, Tip:mAnticholinergicmdrugsmcanmincreasempressureminmthemeye;mtheymmustmbemavoidedmformpatient
smwithmglaucoma.
Themnursemismreviewingmthemmedicationsmamphysicianmhasmorderedmandmnoticesmthemdrugmbethan
echolm(Urecholine),mamcholinergicmdrug,mformthismpatientmwithmurinarymretention.mThismpatientmals
omhasmanmenlargedmprostatemglandmsecondarymtomammalignantmtumor.mWhatmismthemprioritymactio
nmbymthemnurse?m-mCORRECTmANSWERmHoldmthemdrugmandmcontactmthemphysician
Tip:mBethanecholm(Urecholine)mrelaxesmthemurinarymsphinctermandmincreasesmvoidingmpressuremb
utmitmismcontraindicatedmwithmanymphysicalmobstructionmofmthemurinarymtract,msuchmasmanmenlarge
dmprostratemsecondarymtomammalignantmtumor.mThempatientmshouldmnotmreceivemthismdrugmsomthem
physicianmshouldmbemcontactedmformadditionalmdirection.mTheremismnomindicationmthatmthempatient
mshouldmbemcatharizedmandmpushingmfluidsmwouldmexacerbatemthemproblem.
Amnursemismassessingmampatientmwhoamhasmamdiagnosismofmgeneralizedmanxietymdisorder,mandmkno
wsmitmismimportantmtomdeterminemwhethermthempatientmhasmwhichmofmthemsymptomsmspecificmtomt
hismsymptom?m-
mCORRECTmANSWERmInabilitymtomconcentratematmworkmandmcompletemusualmassignments
Whichmofmtheseminterventionsmwouldmthemnursemexpectmtomseemlistedmasmthemfirstmpriorityminmthem
planmofmcaremformampatientmwhomhasmsituationalmanxiety?m-
mCORRECTmANSWERmInstructmthempatientmonmthemusemofmcopingmstrategiesmtomaddressmsituations
mthatmcausemanxiety
ThemnursemnotesmthatmSetralinem(Zoloft)mismprescribedmformampatientmwithmdepressionmandmrecalls
mthatmthismdrugmismammoremdesirablemtreatmentmformdepressionmthanmamdrugmfrommthemtricyclicman
tidepressantm(TCA)mclassmbecause:m-
mCORRECTmANSWERmThemdrugmhasmsympathomimeticmandmanticholinergicmeffects
Tip:mSertralinem(Zoloft)mismamSSRI.mThesemdrugsmaremsafermthanmMAOminhibitorsmandmTCAs-
whichmmakesmthemmdrugsmofmchoice.mTheymaremapproximatelymasmefficaciousmatmrelievingmdepres