NURS 371 PHAMACOLOGY –THE NEUROLOGICAL SYSTEM
EXAM QUESTIONS WITH ANSWERS 2022
Case Study Questions #1:
1. The healthcare professional is about to administer a loading dose of phenytoin IV. Which of
the following is essential for the health care professional to do before administering
phenytoin IV?
A. Protect the phenytoin solution from light.
B. Make sure the phenytoin solution is cloudy.
C. Mix phenytoin with a dextrose solution.
D. Infuse phenytoin slowly.
2. The health care professional is now assessing the client. Which of the following findings
can be an early indication of phenytoin toxicity?
A. Nystagmus
B. Tachycardia
C. Tachypnea
D. Jaundice
3. The healthcare professional is talking with the client, who is soon to be discharged to
home, about the adverse effects of phenytoin. Which of the following instructions may
help minimize the adverse effects of phenytoin?
A. Use good oral hygiene.
B. Take the drug on an empty stomach.
C. Use sunblock when outdoors.
D. Decrease dietary fiber.
4. The client is taking oral contraceptives for birth control. Which of the following instructions
should the health care professional include?
A. It is safe to discontinue birth control while taking phenytoin.
B. Additional birth control methods may be needed.
C. Oral contraceptives may increase the risk for phenytoin toxicity.
D. Oral contraceptives may reduce the effectiveness of phenytoin.
5. Which of the following assessments of this client is most important immediately following the
administration of intravenous diazepam?
A. ECG
B. Seizure Activity
C. Blood Pressure
D. Respiratory Rate
Case Study Questions #2:
1. Which laboratory tests should you monitor for a client who is taking interferon beta-1b to
treat multiple sclerosis? (Select all that apply.)
A. Serum osmolality
B. Blood glucose
C. Thyroid hormones
D. Liver function
E. CBC
● Interferon beta-1b, an immunosuppressant, may cause hepatotoxicity and
myelosuppression. Minot liver studies and CBC. The client should undergo thyroid
function testing every 6 months
2. While obtaining a client's medical history, you find that the client is taking levodopa/carbidopa
for Parkinson's disease. Which information in the client's health history alerts you to take
further action?
,NURS 371 PHAMACOLOGY –THE NEUROLOGICAL SYSTEM
EXAM QUESTIONS WITH ANSWERS 2022
A. Bradycardia
,NURS 371 PHAMACOLOGY –THE NEUROLOGICAL SYSTEM
EXAM QUESTIONS WITH ANSWERS 2022
B. Pancreatic disease
C. Glaucoma
D. Impaired hearing
● The combination of levodopa and carbidopa, both dopamine-replacement drugs, can
cause changes in intraocular pressure.
3. At a visit to the provider's office, an older adult client's partner reports that the client has
nausea, diarrhea, and a loss of appetite. He has a history of Alzheimer's disease and is
taking donepezil. Which information should be provided by the nurse?
A. Take the drug with food.
B. Stop taking the drug right away.
C. Take a reduced dosage of the drug.
D. Undergo liver function tests right away.
4. You are instructing a client who has multiple sclerosis about how dantrolene will help control
spasticity. With which mechanism is this drug effective in treating this manifestation?
A. Blocks acetylcholine at the neuromuscular junction
B. Interrupts nerve signals from the spinal cord to the muscles
C. Inhibits destruction of acetylcholine by acetylcholinesterase
D. Alters intracellular calcium exchange at the muscles
5. You are caring for a client who is preoperative and is NPO. Theclient takes carbamazepine,
200 mg PO BID for a seizure disorder. Which action should the nurse take?
A. Give the oral dose of carbamazepine with a sip of water.
B. Give carbamazepine IV.
C. Withhold the carbamazepine.
D. Administer half the usual morning dose of carbamazepine
6. You are instructing a school-age child and his parent about the use of amphetamine-
dextroamphetamine to manage the child's attention-deficit/hyperactivity disorder. Which
clinical manifestations should the nurse instruct the parent to report? (Select all that apply.)
A. Weight loss
B. Insomnia
C. Hallucinations
D. Orthostatic hypotension
E. Flu-like symptoms
7. Drag the drug classification in the left column to match it with its therapeutic use in the right
column.
● Hydantoin: Controls seizures
● Immunomodulator: Reduces symptoms of multiple sclerosis
● Dopamine receptor agonist: Reduces the effects of Parkinson's disease
● Cholinesterase inhibitor: Helps minimize symptoms of Alzheimer's disease
8. A primary care provider prescribes sumatriptan to treat a client's migraine headaches.
Which instructions should the nurse include when telling the client how to take
sumatriptan? (Select all that apply.)
A. Take the drug after onset of the migraine.
B. Administer one nasal spray into each nostril.
C. Take it once per day to prevent migraine.
D. Repeat the dose once if the headache returns.
E. Allow the tablet to dissolve under the tongue.
9. A client receives spinal anesthesia with lidocaine and epinephrine. You explain that
, NURS 371 PHAMACOLOGY –THE NEUROLOGICAL SYSTEM
EXAM QUESTIONS WITH ANSWERS 2022
epinephrine is used with lidocaine for which of the following reasons?
EXAM QUESTIONS WITH ANSWERS 2022
Case Study Questions #1:
1. The healthcare professional is about to administer a loading dose of phenytoin IV. Which of
the following is essential for the health care professional to do before administering
phenytoin IV?
A. Protect the phenytoin solution from light.
B. Make sure the phenytoin solution is cloudy.
C. Mix phenytoin with a dextrose solution.
D. Infuse phenytoin slowly.
2. The health care professional is now assessing the client. Which of the following findings
can be an early indication of phenytoin toxicity?
A. Nystagmus
B. Tachycardia
C. Tachypnea
D. Jaundice
3. The healthcare professional is talking with the client, who is soon to be discharged to
home, about the adverse effects of phenytoin. Which of the following instructions may
help minimize the adverse effects of phenytoin?
A. Use good oral hygiene.
B. Take the drug on an empty stomach.
C. Use sunblock when outdoors.
D. Decrease dietary fiber.
4. The client is taking oral contraceptives for birth control. Which of the following instructions
should the health care professional include?
A. It is safe to discontinue birth control while taking phenytoin.
B. Additional birth control methods may be needed.
C. Oral contraceptives may increase the risk for phenytoin toxicity.
D. Oral contraceptives may reduce the effectiveness of phenytoin.
5. Which of the following assessments of this client is most important immediately following the
administration of intravenous diazepam?
A. ECG
B. Seizure Activity
C. Blood Pressure
D. Respiratory Rate
Case Study Questions #2:
1. Which laboratory tests should you monitor for a client who is taking interferon beta-1b to
treat multiple sclerosis? (Select all that apply.)
A. Serum osmolality
B. Blood glucose
C. Thyroid hormones
D. Liver function
E. CBC
● Interferon beta-1b, an immunosuppressant, may cause hepatotoxicity and
myelosuppression. Minot liver studies and CBC. The client should undergo thyroid
function testing every 6 months
2. While obtaining a client's medical history, you find that the client is taking levodopa/carbidopa
for Parkinson's disease. Which information in the client's health history alerts you to take
further action?
,NURS 371 PHAMACOLOGY –THE NEUROLOGICAL SYSTEM
EXAM QUESTIONS WITH ANSWERS 2022
A. Bradycardia
,NURS 371 PHAMACOLOGY –THE NEUROLOGICAL SYSTEM
EXAM QUESTIONS WITH ANSWERS 2022
B. Pancreatic disease
C. Glaucoma
D. Impaired hearing
● The combination of levodopa and carbidopa, both dopamine-replacement drugs, can
cause changes in intraocular pressure.
3. At a visit to the provider's office, an older adult client's partner reports that the client has
nausea, diarrhea, and a loss of appetite. He has a history of Alzheimer's disease and is
taking donepezil. Which information should be provided by the nurse?
A. Take the drug with food.
B. Stop taking the drug right away.
C. Take a reduced dosage of the drug.
D. Undergo liver function tests right away.
4. You are instructing a client who has multiple sclerosis about how dantrolene will help control
spasticity. With which mechanism is this drug effective in treating this manifestation?
A. Blocks acetylcholine at the neuromuscular junction
B. Interrupts nerve signals from the spinal cord to the muscles
C. Inhibits destruction of acetylcholine by acetylcholinesterase
D. Alters intracellular calcium exchange at the muscles
5. You are caring for a client who is preoperative and is NPO. Theclient takes carbamazepine,
200 mg PO BID for a seizure disorder. Which action should the nurse take?
A. Give the oral dose of carbamazepine with a sip of water.
B. Give carbamazepine IV.
C. Withhold the carbamazepine.
D. Administer half the usual morning dose of carbamazepine
6. You are instructing a school-age child and his parent about the use of amphetamine-
dextroamphetamine to manage the child's attention-deficit/hyperactivity disorder. Which
clinical manifestations should the nurse instruct the parent to report? (Select all that apply.)
A. Weight loss
B. Insomnia
C. Hallucinations
D. Orthostatic hypotension
E. Flu-like symptoms
7. Drag the drug classification in the left column to match it with its therapeutic use in the right
column.
● Hydantoin: Controls seizures
● Immunomodulator: Reduces symptoms of multiple sclerosis
● Dopamine receptor agonist: Reduces the effects of Parkinson's disease
● Cholinesterase inhibitor: Helps minimize symptoms of Alzheimer's disease
8. A primary care provider prescribes sumatriptan to treat a client's migraine headaches.
Which instructions should the nurse include when telling the client how to take
sumatriptan? (Select all that apply.)
A. Take the drug after onset of the migraine.
B. Administer one nasal spray into each nostril.
C. Take it once per day to prevent migraine.
D. Repeat the dose once if the headache returns.
E. Allow the tablet to dissolve under the tongue.
9. A client receives spinal anesthesia with lidocaine and epinephrine. You explain that
, NURS 371 PHAMACOLOGY –THE NEUROLOGICAL SYSTEM
EXAM QUESTIONS WITH ANSWERS 2022
epinephrine is used with lidocaine for which of the following reasons?
