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ATI RN PHARM PRACTICE C 2024 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST VERSION!!!
A client receives benztropine (Cogentin) and tells the
nurse he is going on a cruise. Which statement would be
included in the best plan of the nurse?
A. "Limit your activity while on the cruise."
B. "Be sure to take a hat and sunglasses."
C. "Take a multivitamin for additional energy."
D. "If you forget a few doses, that is all right." - ANSWER-
B
Rationale: Benztropine (Cogentin) can cause photophobia;
the client needs sunglasses. There isn't any need to limit
activity. A multivitamin is not necessary. The dosage
schedule should be maintained.
The client receives trihexyphenidyl (Artane) for
Parkinson's disease. Which assessment data will the
nurse report to the physician?
A. Dry mouth
B. Urinary retention
C. Hypertension
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D. Anorexia - ANSWER-B
Rationale: Urinary retention is a serious side effect that
must be reported to the physician. Dry mouth is a common
side effect of trihexyphenidyl (Artane) that does not need
reporting. Hypertension is not a side effect of
trihexyphenidyl (Artane). Anorexia is not a side effect of
trihexyphenidyl (Artane).
Carbidopa / levodopa (Sinemet) is preferred over regular
levodopa in drug treatment of Parkinson disease because
it
A. is better absorbed from the GI tract
B. induces fewer CNS adverse effects
C. allows more dopamine to reach the brain
D. can be administered once a day - ANSWER-C
Rationale: C is correct because the carbidopa prevents
peripheral conversion of levodopa. A is incorrect because
combining the two drugs does not change absorption of
the medication. B is incorrect because the CNS effects are
from the disease itself and the CNS benefits of the drug
are the same with levodopa or carbidopa / levodopa
(Sinemet). D is incorrect because the dosing of
dopaminergic agents (this means drugs that contain
dopamine) are given more than once a day.
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Carbidopa / levodopa (Sinemet) works by
A. blocking the action of acetylcholine.
B. blocking the action of dopamine.
C. increasing the activation of dopamine receptors in the
brain.
D. Increasing activation of acetylcholine receptors in the
brain. - ANSWER-C
Rationale: Medications for Parkinson's are used to
increase the amount of dopamine. This is helpful in
treating Parkinson's because dopamine is the
neurotransmitter implicated in muscular movement.
However, on high enough doses of this medication nausea
is often the result because excess dopamine is also
implicated with nausea.
A client is taking carbidopa/levodopa (Sinemet). While
assessing the client, which of the following statements
made by the client would require the nurse to intervene?
A. "I just love avocado's! I could eat them everyday."
B. "I tend to watch my meat intake because it just bothers
my stomach."
C. "I eat bran flakes every morning."
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D. "I drink at least 8 glasses of water a day." - ANSWER-A
Rationale: The question is asking the nurse to figure out
which food is not good to eat with carbidopa / levodopa
(Sinemet) and the guidelines are low proteins foods. A is
correct because this food is high in protein. B is incorrect,
because although meat is high in protein and avoiding it
would be useful, the exam item is stating the patient
avoids meat. C and D are incorrect because they are
irrelevant with carbidopa / levodopa (Sinemet).
The wife of a patient with Parkinson's disease state "Will
my husband have to take this medication forever? -
ANSWER-All patients with Parkinson's disease will require
medication therapy to allow for muscular movement. This
is a chronic condition. Other signs and symptoms such as
postural instability are not as treatable with medications
What is the goal of treatment for Parkinson's Disease? -
ANSWER-Knowing why we are treating PD is important
for patient teaching so patients know what to expect. The
drugs improve ADL's only that is they help the patient eat,
drink, ambulate. The drugs do not prevent muscle wasting
that might occur due to declining activity or stop the
tremors that eventually occur. The drugs also do not treat
the depression that may occur with Parkinson's disease.
ATI RN PHARM PRACTICE C 2024 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST VERSION!!!
A client receives benztropine (Cogentin) and tells the
nurse he is going on a cruise. Which statement would be
included in the best plan of the nurse?
A. "Limit your activity while on the cruise."
B. "Be sure to take a hat and sunglasses."
C. "Take a multivitamin for additional energy."
D. "If you forget a few doses, that is all right." - ANSWER-
B
Rationale: Benztropine (Cogentin) can cause photophobia;
the client needs sunglasses. There isn't any need to limit
activity. A multivitamin is not necessary. The dosage
schedule should be maintained.
The client receives trihexyphenidyl (Artane) for
Parkinson's disease. Which assessment data will the
nurse report to the physician?
A. Dry mouth
B. Urinary retention
C. Hypertension
,2|Page
D. Anorexia - ANSWER-B
Rationale: Urinary retention is a serious side effect that
must be reported to the physician. Dry mouth is a common
side effect of trihexyphenidyl (Artane) that does not need
reporting. Hypertension is not a side effect of
trihexyphenidyl (Artane). Anorexia is not a side effect of
trihexyphenidyl (Artane).
Carbidopa / levodopa (Sinemet) is preferred over regular
levodopa in drug treatment of Parkinson disease because
it
A. is better absorbed from the GI tract
B. induces fewer CNS adverse effects
C. allows more dopamine to reach the brain
D. can be administered once a day - ANSWER-C
Rationale: C is correct because the carbidopa prevents
peripheral conversion of levodopa. A is incorrect because
combining the two drugs does not change absorption of
the medication. B is incorrect because the CNS effects are
from the disease itself and the CNS benefits of the drug
are the same with levodopa or carbidopa / levodopa
(Sinemet). D is incorrect because the dosing of
dopaminergic agents (this means drugs that contain
dopamine) are given more than once a day.
,3|Page
Carbidopa / levodopa (Sinemet) works by
A. blocking the action of acetylcholine.
B. blocking the action of dopamine.
C. increasing the activation of dopamine receptors in the
brain.
D. Increasing activation of acetylcholine receptors in the
brain. - ANSWER-C
Rationale: Medications for Parkinson's are used to
increase the amount of dopamine. This is helpful in
treating Parkinson's because dopamine is the
neurotransmitter implicated in muscular movement.
However, on high enough doses of this medication nausea
is often the result because excess dopamine is also
implicated with nausea.
A client is taking carbidopa/levodopa (Sinemet). While
assessing the client, which of the following statements
made by the client would require the nurse to intervene?
A. "I just love avocado's! I could eat them everyday."
B. "I tend to watch my meat intake because it just bothers
my stomach."
C. "I eat bran flakes every morning."
, 4|Page
D. "I drink at least 8 glasses of water a day." - ANSWER-A
Rationale: The question is asking the nurse to figure out
which food is not good to eat with carbidopa / levodopa
(Sinemet) and the guidelines are low proteins foods. A is
correct because this food is high in protein. B is incorrect,
because although meat is high in protein and avoiding it
would be useful, the exam item is stating the patient
avoids meat. C and D are incorrect because they are
irrelevant with carbidopa / levodopa (Sinemet).
The wife of a patient with Parkinson's disease state "Will
my husband have to take this medication forever? -
ANSWER-All patients with Parkinson's disease will require
medication therapy to allow for muscular movement. This
is a chronic condition. Other signs and symptoms such as
postural instability are not as treatable with medications
What is the goal of treatment for Parkinson's Disease? -
ANSWER-Knowing why we are treating PD is important
for patient teaching so patients know what to expect. The
drugs improve ADL's only that is they help the patient eat,
drink, ambulate. The drugs do not prevent muscle wasting
that might occur due to declining activity or stop the
tremors that eventually occur. The drugs also do not treat
the depression that may occur with Parkinson's disease.
