Pharmacology exam 1 Nervous System
questions and answers
The nurse educator is teaching new LPNs/LVNs about the power and effects of
central nervous drugs. Which statement made by the new LPN/LVN indicates that
teaching has been effective? - ANSWER-"Serious side effects are associated with
drugs entering the brain."
The LPN/LVN is aware that NSAIDs can be combined with narcotics to manage
pain, inflammation, and fever. Which risk would be associated with this type of drug if
oxycodone is prescribed? - ANSWER-Kidney damage
A patient is diagnosed with Parkinson's disease and is prescribed a dopaminergic
antiparkinsonian drug (Sinemet). Which patient manifestation would cause the
LPN/LVN to anticipate the drug being discontinued? - ANSWER-Mental dysfunction
A patient who is 26 years of age is being treated for obsessive compulsive disorder
(OCD) with a selected serotonin reuptake inhibitor (SSRI). During a follow-up visit,
the patient tells the LPN/LVN, "I stopped taking the medicine. My partner says I
seem fine, so I don't think my condition is that bad." Which reason would the
LPN/LVN suspect for the noncompliance - ANSWER-Sexual dysfunction
A patient receives a prescription to use methylsalicylate for soreness after running a
marathon. In which order would the LPN/LVN expect that this medication would be
prescribed and used to provide comfort for this patient? Place the options in the
correct order. All options must be used. - ANSWER--The health-care provider
determines that the pain is from muscle tissue.
-The topical anti-inflammatory medication is applied.
-The surface of the skin is irritated at the application site.
-The blood flow is increased and pain is decreased.
Which factor would be considered the notable difference between local and general
anesthesia? - ANSWER-General anesthesia may be initiated with an IV infusion.
The LPN/LVN is assigned to provide care to four patients. Which patient(s) display
behaviors associated with an anxiety disorder? Select all that apply. - ANSWER--A
patient who keeps stating, "I am so afraid," but cannot give a reason
-A patient who witnessed a friend being killed in a robber
-A patient who begins shouting and throwing items if the door to the room is closed
The LPN/LVN is reviewing information with a patient about a newly prescribed
medication. The health-care provider is prescribing an amphetamine, phentermine
(Zantryl), for obesity. Which comment(s) by the patient would indicate an
, understanding about taking the medications? Select all that apply. - ANSWER--"I
need to be very conscious of my food intake."
-"I can start my exercise slowly and then increase."
For which reason(s) would a psychotropic drug be prescribed? Select all that apply. -
ANSWER--Depression
-Schizophrenia
The LPN/LVN is aware that alcohol intake with medications is discouraged. For
which reason would it be most important to convey this information to a patient? -
ANSWER-Alcohol can enhance the effects of medication
A patient is being medicated during alcohol withdrawal. The health-care provider
prescribes phenytoin (Dilantin) to prevent seizures. Which contraindication to this
medication would most likely result in a change to this prescription? - ANSWER-High
risk for impaired liver function
A patient who is admitted for treatment of schizophrenia tells the LPN/LVN, "The
aliens took me last night and they left one to watch over me. He is in the corner."
Which manifestation of schizophrenia would the LPN/LVN associate with the
patient's comments? - ANSWER--Delusions and hallucinations
The LPN/LVN is reinforcing teaching to a patient who is diagnosed with painful
osteoporosis after running a race. The health-care provider prescribes a combination
drug of acetaminophen and a narcotic for pain management. Which comment made
by the patient would cause the LPN/LVN concern? - ANSWER-"This prescription
along with my usual doses of Tylenol is likely to stop the pain."
The LPN/LVN is caring for a patient in an acute care setting. The patient is being
medicated for mild pain with an oral analgesic. Which medication would the
LPN/LVN associate with the development of an itchy rash on the patient? -
ANSWER-Acetaminophen
The LPN/LVN is assisting with a patient who presents with recurrent abdominal
spasms related to a history of bowel obstruction. The health-care provider prescribes
atropine immediately to lessen the abdominal symptoms. For which reason would
the LPN/LVN seek validation of the prescribed medication? - ANSWER-The drug is
contraindicated for this patient.
Which would the LPN/LVN identify as the reason(s) analgesics may be prescribed?
Select all that apply. - ANSWER-To reduce pain
The LPN/LVN is reinforcing teaching to a caregiver who will be administering
Namzaric (donepezil hydrochloride) to a patient diagnosed with severe dementia
related to Alzheimer's disease. The caregiver states, "I don't know how to get them
to swallow a pill." Which information would the LPN/LVN reinforce? - ANSWER-The
medication can be sprinkled on a small amount of food
A patient with severe pain related to a car accident is medicated with intramuscular
morphine for pain management. The LPN/LVN is preparing to medicate the patient
questions and answers
The nurse educator is teaching new LPNs/LVNs about the power and effects of
central nervous drugs. Which statement made by the new LPN/LVN indicates that
teaching has been effective? - ANSWER-"Serious side effects are associated with
drugs entering the brain."
The LPN/LVN is aware that NSAIDs can be combined with narcotics to manage
pain, inflammation, and fever. Which risk would be associated with this type of drug if
oxycodone is prescribed? - ANSWER-Kidney damage
A patient is diagnosed with Parkinson's disease and is prescribed a dopaminergic
antiparkinsonian drug (Sinemet). Which patient manifestation would cause the
LPN/LVN to anticipate the drug being discontinued? - ANSWER-Mental dysfunction
A patient who is 26 years of age is being treated for obsessive compulsive disorder
(OCD) with a selected serotonin reuptake inhibitor (SSRI). During a follow-up visit,
the patient tells the LPN/LVN, "I stopped taking the medicine. My partner says I
seem fine, so I don't think my condition is that bad." Which reason would the
LPN/LVN suspect for the noncompliance - ANSWER-Sexual dysfunction
A patient receives a prescription to use methylsalicylate for soreness after running a
marathon. In which order would the LPN/LVN expect that this medication would be
prescribed and used to provide comfort for this patient? Place the options in the
correct order. All options must be used. - ANSWER--The health-care provider
determines that the pain is from muscle tissue.
-The topical anti-inflammatory medication is applied.
-The surface of the skin is irritated at the application site.
-The blood flow is increased and pain is decreased.
Which factor would be considered the notable difference between local and general
anesthesia? - ANSWER-General anesthesia may be initiated with an IV infusion.
The LPN/LVN is assigned to provide care to four patients. Which patient(s) display
behaviors associated with an anxiety disorder? Select all that apply. - ANSWER--A
patient who keeps stating, "I am so afraid," but cannot give a reason
-A patient who witnessed a friend being killed in a robber
-A patient who begins shouting and throwing items if the door to the room is closed
The LPN/LVN is reviewing information with a patient about a newly prescribed
medication. The health-care provider is prescribing an amphetamine, phentermine
(Zantryl), for obesity. Which comment(s) by the patient would indicate an
, understanding about taking the medications? Select all that apply. - ANSWER--"I
need to be very conscious of my food intake."
-"I can start my exercise slowly and then increase."
For which reason(s) would a psychotropic drug be prescribed? Select all that apply. -
ANSWER--Depression
-Schizophrenia
The LPN/LVN is aware that alcohol intake with medications is discouraged. For
which reason would it be most important to convey this information to a patient? -
ANSWER-Alcohol can enhance the effects of medication
A patient is being medicated during alcohol withdrawal. The health-care provider
prescribes phenytoin (Dilantin) to prevent seizures. Which contraindication to this
medication would most likely result in a change to this prescription? - ANSWER-High
risk for impaired liver function
A patient who is admitted for treatment of schizophrenia tells the LPN/LVN, "The
aliens took me last night and they left one to watch over me. He is in the corner."
Which manifestation of schizophrenia would the LPN/LVN associate with the
patient's comments? - ANSWER--Delusions and hallucinations
The LPN/LVN is reinforcing teaching to a patient who is diagnosed with painful
osteoporosis after running a race. The health-care provider prescribes a combination
drug of acetaminophen and a narcotic for pain management. Which comment made
by the patient would cause the LPN/LVN concern? - ANSWER-"This prescription
along with my usual doses of Tylenol is likely to stop the pain."
The LPN/LVN is caring for a patient in an acute care setting. The patient is being
medicated for mild pain with an oral analgesic. Which medication would the
LPN/LVN associate with the development of an itchy rash on the patient? -
ANSWER-Acetaminophen
The LPN/LVN is assisting with a patient who presents with recurrent abdominal
spasms related to a history of bowel obstruction. The health-care provider prescribes
atropine immediately to lessen the abdominal symptoms. For which reason would
the LPN/LVN seek validation of the prescribed medication? - ANSWER-The drug is
contraindicated for this patient.
Which would the LPN/LVN identify as the reason(s) analgesics may be prescribed?
Select all that apply. - ANSWER-To reduce pain
The LPN/LVN is reinforcing teaching to a caregiver who will be administering
Namzaric (donepezil hydrochloride) to a patient diagnosed with severe dementia
related to Alzheimer's disease. The caregiver states, "I don't know how to get them
to swallow a pill." Which information would the LPN/LVN reinforce? - ANSWER-The
medication can be sprinkled on a small amount of food
A patient with severe pain related to a car accident is medicated with intramuscular
morphine for pain management. The LPN/LVN is preparing to medicate the patient
