PRACTICE TEST 2026 TESTED QUESTIONS
AND CORRECT ANSWERS
◉ Medications Affecting the Nervous System: CNS stimulants
Answer: Methylphenidate: ADHD, Conduct Disorder, Narcolepsy
- C: pregnancy, substance abuse, hypertension, psychosis, anxiety
- AE: Decreased appetite, withdrawal, toxicity, cardiovascular effects
- NC: Swallow whole, high potential for abuse
◉ Medications Affecting the Nervous System: Cholinesterase
inhibitors
Answer: Neostigmine, Donepezil: Myasthenia gravis (Neostigmine),
Alzheimers (Donepezil)
- C: GI and renal obstruction, bradycardia, hypotension,
succinylcholine
- AE: Cholinergic crisis, excessive muscarinic stimulation
- NC: Slows the progression and improves ADL's, is not a cure!
Monitor for toxicity.
◉ Medications Affecting the Nervous System: Anti-parkinsons
Answer: Carbidopa/levodopa: Parkinsons
,- AE: Orthostatic hypotension, nausea & vomiting, drowsiness
- NC: Increases ADL's is not a cure
◉ Medications Affecting the Nervous System: Antiepileptics
Answer: Phentynoin, Lamotrigine, Levitiracetam, Topiramate:
Seizures
- C: Pregnancy/lactation
- AE: Skin rash (lamotrigine), CNS effects, toxicity, hepatotoxicity,
drowsiness/sedation
- NC: Monitor therapeutic levels, caution due to sedative effects, do
not discontinue abruptly.
◉ Medications Affecting the Nervous System: Centrally Acting
Muscle Relaxants
Answer: Baclofen, Cyclobenzaprine: Treats muscle spasms
- C: Pregnancy/lactation
- AE: CNS depression, hepatotoxicity, anticholinergic effects,
seizures
- NC: Do not stop taking medication abruptly, avoid other CNS
depressants, avoid driving, take with food to avoid GI upset.
◉ Medications Affecting the Nervous System: Muscarinic Agonists
Answer: Bethanechol: Urinary Retention
,- C: urinary or GI obstruction, asthma, peptic ulcer disease, bladder
weakness
- AE: abdominal cramps, diarrhea, sweating, tearing, bradycardia,
hypotension
- NC: Monitor I & O's, administer orally 1 hour before or 2 hours
after meals
◉ Medications Affecting the Nervous System: Muscarinic
Antagonists
Answer: Oxybutynin: Urinary incontinence, over active bladder, pre-
anesthesia
- C: glaucoma, myasthenia gravis, GI or GU obstruction
- AE: Anticholinergic effects, blurred vision, confusion, prolonged
QT interval
- NC: Swallow ER tablets whole, transdermal patch administered 2x
per week.
◉ Eye & Ear Disorders and Med's Affecting Urinary Output: Osmotic
Agents
Answer: Mannitol: glaucoma, prevent renal failure in shock
- C: Pregnancy, renal failure, active intracranial bleeding
- AE: Headache, nausea, vomiting, edema, fluid/electrolyte
imbalance
, - NC: Monitor for orthostasis, weight client at the same time each
day
◉ Eye and Ear Disorders: Beta-adrenergic Blockers
Answer: Timolol: glaucoma
- C: pregancy, myasthenia gravis, bradycardia
- AE: Stinging discomfort, occasional conjunctivitis, blurred vision,
dry eyes, systemic affects of beta blockers
- NC: Avoid touching applicator to eyes, monitor pulse
◉ Eye and Ear Disorders: Alpha-2 Adrenergic Agonists
Answer: Brimonidine: Glaucoma
- AE: stinging discomfort, dilated pupils, blurred vision, headache,
dry mouth
- NC: Monitor BP, avoid touching applicator to eyes
◉ Eye and Ear Disorders: Prostaglandin Analogs
Answer: Latanoprost: Glaucoma
- AE: Bulging of ocular blood vessels, increased pigmentation,
stinging conjunctiva, blurry vision, migraine
- NC: Avoid touching applicator to eyes
◉ Eye and Ear Disorders: Carbonic Anydrase inhibitor