The nervous system consists of which two divisions? (Select all that apply.) Note: Credit will be
given only if all correct choices and no incorrect choices are selected.
1. Autonomic
2. Sympathetic
3. Central
4. Peripheral
5. Parasympathetic
The autonomic nervous system consists of which two subsystems? (Select all that apply.) Note:
Credit will be given only if all correct choices and no incorrect choices are selected.
1. Somatic nervous system
2. Parasympathetic nervous system
3. Peripheral nervous system
4. Sympathetic nervous system
5. Central nervous system
The somatic nervous system consists of nerves that provide what function?
1. Provide involuntary control over cardiac muscles
2. Provide voluntary control of skeletal muscles
3. Provide involuntary control over smooth muscles
4. Provide involuntary control of glands
What are the two subtypes of norepinephrine receptors? (Select all that apply.) Note: Credit will
be given only if all correct choices and no incorrect choices are selected.
1. Beta
2. Delta
3. Epsilon
4. Alpha
5. Pi
A client with asthma is using ipratropium (Atrovent), an anticholinergic. What is the most
appropriate teaching point for this client?
1. Limit outside activity
2. Monitor serum glucose
3. Increase outside activity
4. Decrease fluid intake
,During discharge education, a nurse tells the client who is prescribed an adrenergic blocker to
notify a healthcare provider before taking over-the-counter cold, cough, or sinus medication.
Which condition does the nurse expect this client to have?
1. Hypertension
2. Gastritis
3. Seizures
4. Severe cold
The nurse knows that some sympathomimetic drugs stimulate which type of receptor that makes
these drugs useful in treating asthma?
1. Beta1
2. Alpha2
3. Beta2
4. Alpha1
Stimulation of the sympathetic nervous system is caused by which type(s) of drug? (Select all
that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
1. Adrenergic agents
2. Parasympathomimetics
3. Sympathomimetics
4. Cholinergic agents
A client with chronic sinusitis complains of heart palpitations and nervousness following the use
of pseudoephedrine (Afrin) nasal spray. The nurse recognizes that these side effects are the result
of which classification of medication?
1. Sympathomimetics
2. Adrenergic blockers
3. Histamines
4. Parasympathomimetics
While providing comfort to a client on anticholinergics, what intervention should the nurse
avoid?
1. Frequent oral hygiene
2. Hard candy
, 3. Oral rinses
4. Alcohol-containing mouthwash
The client asks the nurse why a tricyclic antidepressant has not been prescribed for depression.
What is the best response by the nurse?
1. “Tricyclic antidepressants have many side effects, including orthostatic hypotension,
headache, and diarrhea.”
2. “Tricyclic antidepressants cause sexual dysfunction.”
3. “Tricyclic antidepressants are not recommended for a client with a history of heart
attack.”
4. “Tricyclic antidepressants aid with digestion and elimination.”
A teenage client is taking duloxetine (Cymbalta) for a generalized anxiety disorder. The dose has
been changed by the physician. What adverse effects will the nurse advise the client and family
to watch?
1. Warning signs of suicide
2. Irritability
3. Weight gain
4. Fatigue
The client will be receiving amitriptyline (Elavil), a tricyclic antidepressant, for chronic anxiety.
Which nursing assessment is a priority for this client?
1. History of alcoholism
2. History of heart disease
3. History of ulcers
4. History of diabetes mellitus
A client has been taking clonazepam (Klonopin) for chronic anxiety for three years. The client
tells the nurse they want to stop the medication. What is the best response by the nurse?
1. “You will need to gradually decrease your dose before stopping.”
2. “I don’t think it is a good idea to stop your medication.”
3. “There are not any serious complications to stopping this drug.”
4. “Medications for anxiety must be taken for the rest of your life.”
The client receives zaleplon (Sonata) for sleep. What is the priority teaching by the nurse at the
time of discharge?
1. “This drug can be taken indefinitely.”
2. “Drinking a cup of tea with this drug will promote relaxation.”
3. “It will take about a week for this drug to be effective.”
4. “Avoid taking OTC sleep-inducing antihistamines.”
, The nurse is caring for a client diagnosed with bipolar disorder who is exhibiting the following
symptoms: insomnia, exaggerated confidence, attention seeking, and easily agitated. Based on
these symptoms, what does the nurse believe these symptoms are caused by?
1. Overdose of barbiturates
2. Mania
3. Side effects of lithium (Eskalith)
4. Depression
The client asks the nurse what causes depression. What is the best answer by the nurse?
1. “There are many causes, including genetics, hormone changes, grief, substance abuse,
and prescription drugs.”
2. “Most people are not really depressed. They are just looking for attention.”
3. “The main cause of depression is substance abuse.”
4. “Most people who are depressed suffer from seasonal affective disorder.”
The physician has ordered a tricyclic antidepressant for a client with biological depression. The
nurse expects to find which medications to be ordered for the client?
1. Amitriptyline (Elavil)
2. Citalopram (Celexa)
3. Duloxetine (Cymbalta)
4. Fluoxetine (Prozac)
The client receives amitriptyline (Elavil). What is a priority teaching point at discharge?
1. Do not rapidly stand up or change positions.
2. Begin a low-carbohydrate diet.
3. Avoid green, leafy vegetables.
4. Do not take aspirin with this drug.
A client has just begun therapy with lithium (Eskalith). The nurse notices the serum level of
lithium for this client is 1.3 mEq/L. What is the normal range of lithium?
1. 1.5–3.0 mEq/L.
2. 0.6–1.5 mEq/L.
3. 3.0–4.5 mEq/L.
4. 0.1–0.6 mEq/L.
A client receiving lithium (Eskalith) for bipolar disorder would be at risk for increased lithium
toxicity if it were prescribed with which other medication?
1. Potassium citrate
given only if all correct choices and no incorrect choices are selected.
1. Autonomic
2. Sympathetic
3. Central
4. Peripheral
5. Parasympathetic
The autonomic nervous system consists of which two subsystems? (Select all that apply.) Note:
Credit will be given only if all correct choices and no incorrect choices are selected.
1. Somatic nervous system
2. Parasympathetic nervous system
3. Peripheral nervous system
4. Sympathetic nervous system
5. Central nervous system
The somatic nervous system consists of nerves that provide what function?
1. Provide involuntary control over cardiac muscles
2. Provide voluntary control of skeletal muscles
3. Provide involuntary control over smooth muscles
4. Provide involuntary control of glands
What are the two subtypes of norepinephrine receptors? (Select all that apply.) Note: Credit will
be given only if all correct choices and no incorrect choices are selected.
1. Beta
2. Delta
3. Epsilon
4. Alpha
5. Pi
A client with asthma is using ipratropium (Atrovent), an anticholinergic. What is the most
appropriate teaching point for this client?
1. Limit outside activity
2. Monitor serum glucose
3. Increase outside activity
4. Decrease fluid intake
,During discharge education, a nurse tells the client who is prescribed an adrenergic blocker to
notify a healthcare provider before taking over-the-counter cold, cough, or sinus medication.
Which condition does the nurse expect this client to have?
1. Hypertension
2. Gastritis
3. Seizures
4. Severe cold
The nurse knows that some sympathomimetic drugs stimulate which type of receptor that makes
these drugs useful in treating asthma?
1. Beta1
2. Alpha2
3. Beta2
4. Alpha1
Stimulation of the sympathetic nervous system is caused by which type(s) of drug? (Select all
that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
1. Adrenergic agents
2. Parasympathomimetics
3. Sympathomimetics
4. Cholinergic agents
A client with chronic sinusitis complains of heart palpitations and nervousness following the use
of pseudoephedrine (Afrin) nasal spray. The nurse recognizes that these side effects are the result
of which classification of medication?
1. Sympathomimetics
2. Adrenergic blockers
3. Histamines
4. Parasympathomimetics
While providing comfort to a client on anticholinergics, what intervention should the nurse
avoid?
1. Frequent oral hygiene
2. Hard candy
, 3. Oral rinses
4. Alcohol-containing mouthwash
The client asks the nurse why a tricyclic antidepressant has not been prescribed for depression.
What is the best response by the nurse?
1. “Tricyclic antidepressants have many side effects, including orthostatic hypotension,
headache, and diarrhea.”
2. “Tricyclic antidepressants cause sexual dysfunction.”
3. “Tricyclic antidepressants are not recommended for a client with a history of heart
attack.”
4. “Tricyclic antidepressants aid with digestion and elimination.”
A teenage client is taking duloxetine (Cymbalta) for a generalized anxiety disorder. The dose has
been changed by the physician. What adverse effects will the nurse advise the client and family
to watch?
1. Warning signs of suicide
2. Irritability
3. Weight gain
4. Fatigue
The client will be receiving amitriptyline (Elavil), a tricyclic antidepressant, for chronic anxiety.
Which nursing assessment is a priority for this client?
1. History of alcoholism
2. History of heart disease
3. History of ulcers
4. History of diabetes mellitus
A client has been taking clonazepam (Klonopin) for chronic anxiety for three years. The client
tells the nurse they want to stop the medication. What is the best response by the nurse?
1. “You will need to gradually decrease your dose before stopping.”
2. “I don’t think it is a good idea to stop your medication.”
3. “There are not any serious complications to stopping this drug.”
4. “Medications for anxiety must be taken for the rest of your life.”
The client receives zaleplon (Sonata) for sleep. What is the priority teaching by the nurse at the
time of discharge?
1. “This drug can be taken indefinitely.”
2. “Drinking a cup of tea with this drug will promote relaxation.”
3. “It will take about a week for this drug to be effective.”
4. “Avoid taking OTC sleep-inducing antihistamines.”
, The nurse is caring for a client diagnosed with bipolar disorder who is exhibiting the following
symptoms: insomnia, exaggerated confidence, attention seeking, and easily agitated. Based on
these symptoms, what does the nurse believe these symptoms are caused by?
1. Overdose of barbiturates
2. Mania
3. Side effects of lithium (Eskalith)
4. Depression
The client asks the nurse what causes depression. What is the best answer by the nurse?
1. “There are many causes, including genetics, hormone changes, grief, substance abuse,
and prescription drugs.”
2. “Most people are not really depressed. They are just looking for attention.”
3. “The main cause of depression is substance abuse.”
4. “Most people who are depressed suffer from seasonal affective disorder.”
The physician has ordered a tricyclic antidepressant for a client with biological depression. The
nurse expects to find which medications to be ordered for the client?
1. Amitriptyline (Elavil)
2. Citalopram (Celexa)
3. Duloxetine (Cymbalta)
4. Fluoxetine (Prozac)
The client receives amitriptyline (Elavil). What is a priority teaching point at discharge?
1. Do not rapidly stand up or change positions.
2. Begin a low-carbohydrate diet.
3. Avoid green, leafy vegetables.
4. Do not take aspirin with this drug.
A client has just begun therapy with lithium (Eskalith). The nurse notices the serum level of
lithium for this client is 1.3 mEq/L. What is the normal range of lithium?
1. 1.5–3.0 mEq/L.
2. 0.6–1.5 mEq/L.
3. 3.0–4.5 mEq/L.
4. 0.1–0.6 mEq/L.
A client receiving lithium (Eskalith) for bipolar disorder would be at risk for increased lithium
toxicity if it were prescribed with which other medication?
1. Potassium citrate
