N310 UNIT 3 Questions and
Answers A+ Graded (2025)
By .what .mechanism .does .lorazepam .reduce .anxiety?
a) .Increasing .serotonin .levels
b) .Blocking .dopamine .receptors
c) .Depressing .norepinephrine .levels
d) .Potentiating .gamma-aminobutyric .acid .(GABA) .- .CORRECT .ANSWER-d
A .patient .started .diazepam .5 .mg .twice .daily .6 .months .ago. .Now, .the .patient
.requires .10 .mg .to .achieve .the .same .effect. .What .phenomenon .is . responsible .for
.this .situation?a. .Addiction
b. .Tolerance
c. .Dependence .
d. .Disinhibition .- .CORRECT .ANSWER-b
A .patient .diagnosed .with .agoraphobia .took .alprazolam .0.5 .mg .three .times .daily
.for .3 .months .and .then .discontinued .it. .The .next .day .the .patient .called .the .nurse
.reporting .insomnia, .shakiness, .and .sweating. .What .should .be .the .focus .of .the
.nurse's .assessment .questions?
a. .Whether .the .patient .may .have .also .been .drinking .alcohol .or .taking
.antihistamines.
b. .The .possibility .that .the .patient .has .built .up .tolerance .to .alprazolam .and .needs
.an .increased .dose.
c. .The .likelihood .that .the .patient .is .having .withdrawal .symptoms .from .abrupt
.discontinuation .of .the .drug.
d. .Whether .the .patient .has .progressed .to .panic .attacks .and .needs .a
.nonbenzodiazepine .medication. .- .CORRECT .ANSWER-c
An .emergency .room .patient .was .very .anxious .after .a .serious .car .accident.
.Lorazepam .2 .mg .intramuscularly .was .administered. .One .hour .later, .which
.finding .indicates .to .the .nurse .that .the .medication .was .effective?
a. .Improved .problem-solving .skills
b. .Increased .alertness
c. .Increased .verbalization
d. .Reduced .environmental .scanning .- .CORRECT .ANSWER-d
,A .patient .has .taken .diazepam .for .1 .week .for .back .spasms. .The .patient .reports
."feeling .sleepy .all .the .time." .Which .response .will .best .address .the .patient's
.concern?
a. ."The .dosage .probably .needs .to .be .decreased."
b. ."Drowsiness .indicates .a .paradoxical .reaction .to .the .drug."
c. ."Tolerance .to .the .sedative .effect .of .the .drug .will .develop .quickly."
d. ."Sleepiness .is .an .unavoidable .side .effect .of .nonbenzodiazepine .drugs." .-
.CORRECT .ANSWER-c
A .patient .has .taken .clonazepam .for .years .to .manage .panic .attacks .but
.impulsively .stopped .the .drug. .Thirty .hours .later, .the .patient .comes .to .the
.emergency . room .in .distress. .What .is .the .nurse's .priority .action?
a. .Begin .seizure .precautions.
b. .Refer .the .patient .for .addiction .counseling.
c. .Institute .a .behavior .modification .program.
d. .Prepare .to .administer .flumazenil. .- .CORRECT .ANSWER-a
Which .patient .behavior .should .the .nurse .identify .as .the .greatest .risk .for
.overdose .with .a .benzodiazepine?
a. .Taking .the .drug .with .antacids
b. .Taking .the .drug .before .meals
c. .Combining .the .drug .with .alcohol
d. .Experiencing .depression .as .well .as .anxiety .- .CORRECT .ANSWER-c
The .nurse .would .expect .to .administer .flumazenil .for .a .patient .with .which
.diagnosis?
a. .Acute .alcohol .withdrawal
b. .Benzodiazepine .overdose
c. .Benzodiazepine-resistant .anxiety
d. .Psychotic .disorder .- .CORRECT .ANSWER-b
A .patient .received .one .dose .of .flumazenil. .What .is .the .nurse's .next .action?
a. .Carefully .observe .for .benzodiazepine .overdose .symptoms.
b. .Teach .the .patient .about .dietary .restrictions.
c. .Prevent .injury .during .seizure .activity.
d. .Force .500 .mL .oral .fluids .over .2 .hours. .- .CORRECT .ANSWER-a
The .nurse .would .expect .a .patient .with .which .comorbid .diagnosis .to .have .a
.magnified .response .to .the .usual .dose .of .a .benzodiazepine .drug?
a. .Rheumatoid .arthritis
b. .Migraine .headache
c. .Hepatic .cirrhosis
d. .Osteoporosis .- .CORRECT .ANSWER-c
A .patient .in .the .emergency .room .has .status .epilepticus. .The .nurse .should
.anticipate .administration .of .what .medication?
a. .Diazepam .(Valium)
b. .Buspirone .(BuSpar)
c. .Clorazepate .(Tranxene)
, d. .Chlordiazepoxide .(Librium) .- .CORRECT .ANSWER-a
The .teaching .plan .for .a .patient .beginning .buspirone .should .include .information
.identifying .this .drug .as .having .what .property?
a. .Norepinephrine .inhibitor
b. .Serotonergic .antagonist
c. .Serotonin .agonist .
d. .GABA .inhibitor .- .CORRECT .ANSWER-c
A .patient .seeking .treatment .for .anxiety .says, ."I .can't .think. .My .job .depends .on
.my .ability .to .think. .I . need .medicine, .but .the .drugs .I .took .a .few .years .ago .made
.me .too .sleepy. .I .could .lose .my .job." .What .information .is .most .important .for .the
.nurse .to .consider .when .formulating .a .response?
a. .All .antianxiety .medication .has .sedating .properties.
b. .Buspirone .alleviates .anxiety .without .sedation .or .cognitive .clouding.
c. .The .patient's .description .of .anxiety .does .not .warrant .treatment .with
.medication.
d. .The .patient .may .be .trying .to .manipulate .the .nurse .to .assist .with .getting .the
.desired
prescription. .- .CORRECT .ANSWER-b
A .patient .diagnosed .with .social .phobia .begins .propranolol. .The .nurse .should
.teach .the .patient .to .expect .what .reaction .to .this .therapy?
a. .Sympathetic .nervous .system .symptoms .of .anxiety .will .be .reduced.
b. .A .sense .of .euphoria .for .30 .minutes .after .taking .the .drug.
c. .Experience .amnesia .for .the .social .situations .that .are .most .intimidating.
d. .Feeling .a .little .drowsy .but .having .no .orthostatic .hypotension. .- .CORRECT
.ANSWER-a
A .patient .states, ."I .have .the .same .thoughts .over .and .over. .I .feel .compelled .to
.count .all .my .footsteps." .The .nurse .can .expect .the .health .care .provider .to
.prescribe .what .medication?
a. .Alprazolam
b. .Propranolol
c. .Clonazepam .
d. .Clomipramine .- .CORRECT .ANSWER-d
What .medication .information .should .the .nurse .provide .the .patient .newly
.prescribed .buspirone?
a. .Produces .profound .sedation.
b. .Will .be .effective .in .7 .to .10 .days.
c. .Has .a .high .risk .for .development .of .dependence.
d. .Is .often .associated .with .cross-tolerance .with .other .CNS .depressants. .-
.CORRECT .ANSWER-b
A .patient .had .five .emergency .room .visits .in .the .past .month .and .reports, ."I .feel
.so .nervous. . I .think . I'm . having .heart .attacks." .The .patient .is .diagnosed .with
.panic .attacks. .Which .comment .by .the .nurse .shows .understanding .of .treatment
.for .panic .attacks?
Answers A+ Graded (2025)
By .what .mechanism .does .lorazepam .reduce .anxiety?
a) .Increasing .serotonin .levels
b) .Blocking .dopamine .receptors
c) .Depressing .norepinephrine .levels
d) .Potentiating .gamma-aminobutyric .acid .(GABA) .- .CORRECT .ANSWER-d
A .patient .started .diazepam .5 .mg .twice .daily .6 .months .ago. .Now, .the .patient
.requires .10 .mg .to .achieve .the .same .effect. .What .phenomenon .is . responsible .for
.this .situation?a. .Addiction
b. .Tolerance
c. .Dependence .
d. .Disinhibition .- .CORRECT .ANSWER-b
A .patient .diagnosed .with .agoraphobia .took .alprazolam .0.5 .mg .three .times .daily
.for .3 .months .and .then .discontinued .it. .The .next .day .the .patient .called .the .nurse
.reporting .insomnia, .shakiness, .and .sweating. .What .should .be .the .focus .of .the
.nurse's .assessment .questions?
a. .Whether .the .patient .may .have .also .been .drinking .alcohol .or .taking
.antihistamines.
b. .The .possibility .that .the .patient .has .built .up .tolerance .to .alprazolam .and .needs
.an .increased .dose.
c. .The .likelihood .that .the .patient .is .having .withdrawal .symptoms .from .abrupt
.discontinuation .of .the .drug.
d. .Whether .the .patient .has .progressed .to .panic .attacks .and .needs .a
.nonbenzodiazepine .medication. .- .CORRECT .ANSWER-c
An .emergency .room .patient .was .very .anxious .after .a .serious .car .accident.
.Lorazepam .2 .mg .intramuscularly .was .administered. .One .hour .later, .which
.finding .indicates .to .the .nurse .that .the .medication .was .effective?
a. .Improved .problem-solving .skills
b. .Increased .alertness
c. .Increased .verbalization
d. .Reduced .environmental .scanning .- .CORRECT .ANSWER-d
,A .patient .has .taken .diazepam .for .1 .week .for .back .spasms. .The .patient .reports
."feeling .sleepy .all .the .time." .Which .response .will .best .address .the .patient's
.concern?
a. ."The .dosage .probably .needs .to .be .decreased."
b. ."Drowsiness .indicates .a .paradoxical .reaction .to .the .drug."
c. ."Tolerance .to .the .sedative .effect .of .the .drug .will .develop .quickly."
d. ."Sleepiness .is .an .unavoidable .side .effect .of .nonbenzodiazepine .drugs." .-
.CORRECT .ANSWER-c
A .patient .has .taken .clonazepam .for .years .to .manage .panic .attacks .but
.impulsively .stopped .the .drug. .Thirty .hours .later, .the .patient .comes .to .the
.emergency . room .in .distress. .What .is .the .nurse's .priority .action?
a. .Begin .seizure .precautions.
b. .Refer .the .patient .for .addiction .counseling.
c. .Institute .a .behavior .modification .program.
d. .Prepare .to .administer .flumazenil. .- .CORRECT .ANSWER-a
Which .patient .behavior .should .the .nurse .identify .as .the .greatest .risk .for
.overdose .with .a .benzodiazepine?
a. .Taking .the .drug .with .antacids
b. .Taking .the .drug .before .meals
c. .Combining .the .drug .with .alcohol
d. .Experiencing .depression .as .well .as .anxiety .- .CORRECT .ANSWER-c
The .nurse .would .expect .to .administer .flumazenil .for .a .patient .with .which
.diagnosis?
a. .Acute .alcohol .withdrawal
b. .Benzodiazepine .overdose
c. .Benzodiazepine-resistant .anxiety
d. .Psychotic .disorder .- .CORRECT .ANSWER-b
A .patient .received .one .dose .of .flumazenil. .What .is .the .nurse's .next .action?
a. .Carefully .observe .for .benzodiazepine .overdose .symptoms.
b. .Teach .the .patient .about .dietary .restrictions.
c. .Prevent .injury .during .seizure .activity.
d. .Force .500 .mL .oral .fluids .over .2 .hours. .- .CORRECT .ANSWER-a
The .nurse .would .expect .a .patient .with .which .comorbid .diagnosis .to .have .a
.magnified .response .to .the .usual .dose .of .a .benzodiazepine .drug?
a. .Rheumatoid .arthritis
b. .Migraine .headache
c. .Hepatic .cirrhosis
d. .Osteoporosis .- .CORRECT .ANSWER-c
A .patient .in .the .emergency .room .has .status .epilepticus. .The .nurse .should
.anticipate .administration .of .what .medication?
a. .Diazepam .(Valium)
b. .Buspirone .(BuSpar)
c. .Clorazepate .(Tranxene)
, d. .Chlordiazepoxide .(Librium) .- .CORRECT .ANSWER-a
The .teaching .plan .for .a .patient .beginning .buspirone .should .include .information
.identifying .this .drug .as .having .what .property?
a. .Norepinephrine .inhibitor
b. .Serotonergic .antagonist
c. .Serotonin .agonist .
d. .GABA .inhibitor .- .CORRECT .ANSWER-c
A .patient .seeking .treatment .for .anxiety .says, ."I .can't .think. .My .job .depends .on
.my .ability .to .think. .I . need .medicine, .but .the .drugs .I .took .a .few .years .ago .made
.me .too .sleepy. .I .could .lose .my .job." .What .information .is .most .important .for .the
.nurse .to .consider .when .formulating .a .response?
a. .All .antianxiety .medication .has .sedating .properties.
b. .Buspirone .alleviates .anxiety .without .sedation .or .cognitive .clouding.
c. .The .patient's .description .of .anxiety .does .not .warrant .treatment .with
.medication.
d. .The .patient .may .be .trying .to .manipulate .the .nurse .to .assist .with .getting .the
.desired
prescription. .- .CORRECT .ANSWER-b
A .patient .diagnosed .with .social .phobia .begins .propranolol. .The .nurse .should
.teach .the .patient .to .expect .what .reaction .to .this .therapy?
a. .Sympathetic .nervous .system .symptoms .of .anxiety .will .be .reduced.
b. .A .sense .of .euphoria .for .30 .minutes .after .taking .the .drug.
c. .Experience .amnesia .for .the .social .situations .that .are .most .intimidating.
d. .Feeling .a .little .drowsy .but .having .no .orthostatic .hypotension. .- .CORRECT
.ANSWER-a
A .patient .states, ."I .have .the .same .thoughts .over .and .over. .I .feel .compelled .to
.count .all .my .footsteps." .The .nurse .can .expect .the .health .care .provider .to
.prescribe .what .medication?
a. .Alprazolam
b. .Propranolol
c. .Clonazepam .
d. .Clomipramine .- .CORRECT .ANSWER-d
What .medication .information .should .the .nurse .provide .the .patient .newly
.prescribed .buspirone?
a. .Produces .profound .sedation.
b. .Will .be .effective .in .7 .to .10 .days.
c. .Has .a .high .risk .for .development .of .dependence.
d. .Is .often .associated .with .cross-tolerance .with .other .CNS .depressants. .-
.CORRECT .ANSWER-b
A .patient .had .five .emergency .room .visits .in .the .past .month .and .reports, ."I .feel
.so .nervous. . I .think . I'm . having .heart .attacks." .The .patient .is .diagnosed .with
.panic .attacks. .Which .comment .by .the .nurse .shows .understanding .of .treatment
.for .panic .attacks?
