NR606 FINAL EXAM SCRIPT PAPER
ACTUAL QUESTIONS AND ANSWERS FULLY
SOLVED PREMIUM RESOURCE
●● patch applied in the morning and removed after 9 hour
Answer: Daytrana
●● Available in immediate release and extended release
More potent than Ritalin
High risk of adverse effects
Answer: Dexmethylphenidate (Focalin)
●● It is available in orally disintegrating extended-release formula for
children who cannot swallow pills.
Avoid prescribing when an monoamine oxidase inhibitors (MAOIs) has
been used within 14 days.
Answer: amphetamine (Adzenys
●● Available in immediate and extended-release formulations
Most abused and diverted prescription stimulant
Answer: dextroamphetamine (Adderall)
,●● Prodrug, Less abuse and diversion potential than other stimulants
Higher-cost medication
Answer: lisdexamfetamine (Vyvanse)
●● drug of choice for adults with ADHD, no abuse potential
tolerated well when prescribed in twice daily dosing
appropriate choice for comorbid substance abuse
may augment the effects of antidepressants and antianxiety medications
can be dosed at bedtime if fatigue is noted
unlikely to worsen tics
Answer: noradrenergic (NRI)
atomoxetine (Strattera)
●● enhances precortical function for better mental focus
appetite neutral
may help with sleep disturbances, administer at bedtime
adverse effects: sedation, brain fog
monitor of blood pressure closely during initial titration, risk of
hypotension
tapered to avoid rebound hypertension post discontinuation
Answer: clonidine
,●● may also be used for children with tics, sleep disturbances, or
aggression
tolerability and convenience enhanced by once-daily oral controlled-
release formulation
adverse effects: sedation, headache, decreased appetite
reduced side-effect profile comparable to clonidine
bedtime administration to avoid daytime sedation
Answer: guanfacine
●● off-label use for ADHD in adults
appropriate for clients with concurrent depression or tobacco abuse
Answer: bupropion (Wellbutrin)
●● a long-term disorder characterized by either hyperactivity and
impulsivity or inattention.
Answer: ADHD
●● The following describe which type of ADHD symptoms:
Lack of attention to detail
Careless mistakes
Not listening
Losing things
Diverting attention
, Forgetfulness
Answer: selective attention
●● The following describe which type of ADHD symptoms:
Poor problem solving
Difficulty completing tasks
Disorganization
Difficulty sustaining mental effort
Answer: lack of sustained attention
●● The following describe which type of ADHD symptoms:
Excessive talking
Blurting things out
Not waiting for one's turn
Interrupting
Answer: impulsivity
●● The following describe which type of ADHD symptoms:
Fidgeting
Leaving one's seat
Running, climbing
Trouble playing quietly
ACTUAL QUESTIONS AND ANSWERS FULLY
SOLVED PREMIUM RESOURCE
●● patch applied in the morning and removed after 9 hour
Answer: Daytrana
●● Available in immediate release and extended release
More potent than Ritalin
High risk of adverse effects
Answer: Dexmethylphenidate (Focalin)
●● It is available in orally disintegrating extended-release formula for
children who cannot swallow pills.
Avoid prescribing when an monoamine oxidase inhibitors (MAOIs) has
been used within 14 days.
Answer: amphetamine (Adzenys
●● Available in immediate and extended-release formulations
Most abused and diverted prescription stimulant
Answer: dextroamphetamine (Adderall)
,●● Prodrug, Less abuse and diversion potential than other stimulants
Higher-cost medication
Answer: lisdexamfetamine (Vyvanse)
●● drug of choice for adults with ADHD, no abuse potential
tolerated well when prescribed in twice daily dosing
appropriate choice for comorbid substance abuse
may augment the effects of antidepressants and antianxiety medications
can be dosed at bedtime if fatigue is noted
unlikely to worsen tics
Answer: noradrenergic (NRI)
atomoxetine (Strattera)
●● enhances precortical function for better mental focus
appetite neutral
may help with sleep disturbances, administer at bedtime
adverse effects: sedation, brain fog
monitor of blood pressure closely during initial titration, risk of
hypotension
tapered to avoid rebound hypertension post discontinuation
Answer: clonidine
,●● may also be used for children with tics, sleep disturbances, or
aggression
tolerability and convenience enhanced by once-daily oral controlled-
release formulation
adverse effects: sedation, headache, decreased appetite
reduced side-effect profile comparable to clonidine
bedtime administration to avoid daytime sedation
Answer: guanfacine
●● off-label use for ADHD in adults
appropriate for clients with concurrent depression or tobacco abuse
Answer: bupropion (Wellbutrin)
●● a long-term disorder characterized by either hyperactivity and
impulsivity or inattention.
Answer: ADHD
●● The following describe which type of ADHD symptoms:
Lack of attention to detail
Careless mistakes
Not listening
Losing things
Diverting attention
, Forgetfulness
Answer: selective attention
●● The following describe which type of ADHD symptoms:
Poor problem solving
Difficulty completing tasks
Disorganization
Difficulty sustaining mental effort
Answer: lack of sustained attention
●● The following describe which type of ADHD symptoms:
Excessive talking
Blurting things out
Not waiting for one's turn
Interrupting
Answer: impulsivity
●● The following describe which type of ADHD symptoms:
Fidgeting
Leaving one's seat
Running, climbing
Trouble playing quietly
