EDAPT Intracranial Regulation Practice Test

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• A suvorexant prescription may result in which daytime effect?
• Which statement about alprazolam is true?
• Which of the following is a sign of phenytoin toxicity?
• Which medication is an intermediate-acting benzodiazepine used for its anxiolytic effects?
• Why is it important to try to control seizure activity with one drug therapy if possible?
• Methylphenidate is used cautiously in which child scenario?
• Which other medication prescription on the client's medication list is most concerning to the nurse?
• For an older adult starting cyclobenzaprine, which assessment should be prioritized?
• What unit is used to express the therapeutic serum concentration range for phenytoin?
• A patient on carbidopa-levodopa and selegiline attending a party should avoid which item due to potential interaction?
• Which lifestyle modification helps manage anticholinergic side effects?
• Which mechanism best describes how valproic acid contributes to seizure control?
• What medication was given intravenously to stop the seizures in the emergency department?
• Which medication is used to treat obstructive sleep apnea?
• Compared with an overdose of other CNS depressants, muscle relaxant overdose requires:
• What is a side effect of phenytoin?
• Indirect-acting dopaminergic drugs, such as monoamine oxidase inhibitors (MAOIs), are given to __________ the needed dose of levodopa.
• Rasagiline belongs to which drug category?
• Which statement indicates that more teaching is needed about phenytoin?
• Valproic acid has a __________ affinity for blood plasma protein.
• Which adverse effect is commonly seen with CNS-acting muscle relaxants?
• Which statement best describes growth monitoring for children on stimulant therapy?
• CNS depressants work by which mechanism?
• Carbamazepine __________ affect the metabolism of other drugs that utilize the cytochrome P450 enzyme system.
• Valproic acid is most effective in which phase of bipolar disorder?
• Discharge instructions for cyclobenzaprine should include which statement?
• Which statement describes a contraindicated administration practice when giving IV diazepam for seizures?
• Which statement reflects appropriate dosing timing to minimize sleep interference for ADHD medications?
• Selegiline is used alone or in conjunction with __________ in the early stages of the disease to help with symptom fluctuations.
• Which drug is a direct-acting skeletal muscle relaxant?
• Valproic acid is available in several forms. Which form is used for intravenous administration?
• How long may tremor improvement take after starting benztropine?
• Carbamazepine prevents neuron excitation by blocking which channels from recovering from which state?
• Which diagnostic test would be anticipated for a patient presenting with generalized seizures?
• Which adverse effect is commonly monitored with atomoxetine in children?
• What is the best action when meperidine is prescribed to a patient taking amphetamine/dextroamphetamine?
• Naratriptan belongs to which class of migraine medications?
• Which discharge instruction is appropriate after starting selegiline?
• Benzodiazepines carry a black box warning regarding what?
• Phenobarbital is a long-acting barbiturate used to treat generalized tonic-clonic seizures and fever-induced convulsions.
• Which statement indicates a need for education regarding alcohol use with antiparkinson medication?
• A nurse caring for a client taking dantrolene for malignant hyperthermia after a recent surgery should evaluate which assessment item to determine therapeutic effect?
• Which is a common side effect of cyclobenzaprine?
• Which finding during assessment would be most concerning for a patient receiving phenytoin?
• Which drug is a direct-acting dopamine receptor agonist?
• Which CNS depressants cause sleep with a much more potent CNS effect than sedatives?
• Which statement indicates more teaching is needed about carbamazepine?
• Which adverse effect is most likely with a CNS stimulant in a patient with narcolepsy?
• Which scenario best illustrates the increased risk of dependence when benzodiazepines are used with other CNS depressants?
• Nausea management when taking carbamazepine?
• Which class does alprazolam belong to?
• Which category does Dantrolene belong to?
• Spasmodic contractions of voluntary muscles throughout the body
• A post-anesthesia patient received diazepam for sedation. Family offers grapefruit juice. What is the priority nursing action?
• Which of the following is NOT an indication for alprazolam?
• How should methylphenidate be timed relative to meals for narcolepsy management?
• Which statement is true about a high plasma level of an AED?
• How should phenytoin be administered intravenously to minimize adverse effects?
• The duration of action of ropinirole is 8 hours.
• Which condition is commonly treated with muscle relaxants?
• Which nursing diagnosis is most appropriate for a client receiving an anorexiant?
• Which lifestyle modification helps manage the side effects of anticholinergic therapy?
• There are two subclasses of muscle relaxants; their mechanism of action is:
• Which of the following is a side effect commonly associated with phenytoin?
• Which drug has become a commonly misused muscle relaxant, especially when combined with opioids and benzodiazepines?
• Which statement indicates that more teaching is needed about valproic acid?
• A client taking alprazolam should avoid which beverage due to an interaction that increases drug levels?
• When benzodiazepines are taken with other CNS depressants, the client is at risk for which outcome?
• Doxapram is classified as which type of medication?
• What should discharge instructions include for a patient starting selegiline?
• Carbidopa-levodopa is categorized as which type of therapy?
• What is the wearing-off phenomenon related to Parkinson's disease?
• Methylphenidate used to treat ADHD is what type of medication?
• An 18-year-old with severe hypertension and altered consciousness after internet diet pills is most likely to have which complication?
• Which condition, if present, may be a contraindication to sumatriptan therapy?
• Entacapone, taken with levodopa, is classified as which type of agent?
• An overdose of barbiturates typically leads to what outcome?
• CNS stimulants are approved for treating which condition?
• Regarding benzodiazepine use in pregnancy and lactation, which statement is true?
• What is the therapeutic range for valproic acid?
• Carbamazepine affects metabolism of other drugs using which enzyme system?
• Which drug is an MAOI used in Parkinson's treatment?
• Which medication is NOT typically used to treat narcolepsy?
• Which of the following is NOT a side effect of carbamazepine?
• In the early stages of Parkinson's, which medication is used alone or with carbidopa-levodopa to help with symptom fluctuations?
• Which statement is correct about educating clients on antiparkinson medications?
• What is a mechanism of direct-acting skeletal muscle relaxants such as Dantrolene?
• In muscle relaxant overdose, what is the priority in management?
• Which substance should be avoided to prevent interaction with methylphenidate due to stimulant effects?
• Besides liver enzymes, which laboratory test should be monitored to assess hematologic effects during valproic acid therapy?
• Which laboratory parameter should be monitored to assess hepatic function in patients taking valproic acid?
• Chewable tablets and capsules for phenytoin are not bioequivalent.
• Which medication is used to treat dyskinesia related to Parkinson's disease therapy?
• A client on phenytoin has a very low albumin level. The phenytoin level is expected to be which?
• What are common side effects of valproic acid?
• Which nursing action should be used to minimize the risks associated with this drug class?
• Autoinduction as which response?
• Selegiline is given to __________ the needed dose of levodopa.
• Which IV-form muscle relaxant is used to treat skeletal muscle spasms caused by malignant hyperthermia?
• Which adverse effect should the nurse monitor for when assessing a client on a CNS depressant?
• Parkinson's disease is the deficit of a __________ neurotransmitter.
• ________ stimulates dopamine receptors in the brain.
• Which statement by the client indicates more teaching is needed after starting carbidopa-levodopa?
• Phenytoin is classified as a(n) __________.
• Ropinirole is classified as which type of agent?
• When receiving carbamazepine therapy for seizures, blood levels are to monitor therapeutic effectiveness.
• Carbamazepine is not usually used for which type of seizures?
• Which of the following is an antiepileptic drug?
• Neuronal activity that originates from both hemispheres is called
• Benzodiazepines are most often used for which effect?
• Which statement about barbiturate overdose is true?
• Which description best fits zolpidem?
• Which class of medications is used to treat migraines?
• Which statement describes the interaction between methylphenidate and monoamine oxidase inhibitors (MAOIs)?
• Carbamazepine is commonly prescribed for which type of seizures?
• When considering stopping an AED after seizure control is achieved, what is the recommended approach?
• Muscle relaxants are most effective when combined with what?
• With barbiturates, an interaction with anticoagulants often results in what effect?
• The nurse teaching a patient starting sumatriptan should include what information?
• Which statement about methylphenidate is true?
• Which of the following is considered an adverse effect of phenytoin?
• Barbiturates cause enzyme stimulation in the liver, leading to a shortened duration of many drugs.
• A newborn in respiratory distress is likely to receive which medication?
• Muscle relaxants are indicated for use in which condition?
• Which of the following is NOT an advantage of fosphenytoin over phenytoin?
• Which statement about drug interactions is true?
• Which client instruction is the priority when teaching about a newly prescribed antiepileptic drug?
• A client's plasma level of an antiepileptic drug (AED) is very high. The client is at risk for what?
• Which daily activity is most likely to require assistance during the early phase of antiparkinson medication therapy?
• Which of the following is a sign of carbamazepine toxicity?
• Co-administration of alprazolam and alcohol increases the risk of which adverse effect?
• A client is prescribed benztropine. Which statement best reflects the expected onset of tremor improvement?
• Seizures are treated with __________.
• What is the therapeutic range for carbamazepine?
• The client is receiving phenytoin via intravenous infusion. What should be carefully monitored?
• Before starting barbiturate therapy in a patient of childbearing potential, what precaution should be taken?
• Which muscle relaxant is commonly misused in combination with an opioid and a benzodiazepine, producing a heroin-like effect?
• A client arrives in the emergency department with confusion, restlessness, and increased muscle spasms after taking cyclobenzaprine previously. What is the most likely explanation?
• Which teaching point should the nurse include when educating a client taking benztropine?
• Which muscle relaxant causes marked sedation?
• The therapeutic effect of muscle relaxants can be assessed by the client's:
• Which nursing diagnoses may be appropriate for a client receiving an anorexiant for obesity treatment?
• Valproic acid is indicated for which of the following seizure types?
• Which of the following is a possible side effect of valproic acid?
• Besides modafinil, which medication is commonly used to treat narcolepsy?
• For an older adult on cyclobenzaprine, which assessment should be prioritized to mitigate a common adverse outcome?
• Muscle relaxants are categorized by what characteristic?
• Phenytoin is available in which forms?
• A patient taking cyclobenzaprine asks why they must not drink alcohol. Which statement best explains the reason?
• Orlistat is associated with which adverse effect?
• Which of the following should be monitored with clients prescribed antiepileptic drugs (AEDs)?
• Which combination is often used to extend levodopa's effect in Parkinson's disease therapy?
• Pentobarbital is a short-acting barbiturate now used for preoperative anxiety and to produce sedative effects.
• Which statement about CNS depressants is accurate?
• Which statement about the mechanism of action of the two muscle-relaxant subclasses is correct?
• Which side effects are associated with anticholinergic therapy?
• The nurse caring for a client prescribed cyclobenzaprine should include which discharge instruction?
• Diazepam is a long-acting benzodiazepine commonly used to treat which condition?
• Brief events of abnormal electrical activity in nerve cells of the brain
• Which medication requires caution for somnolence because the client can fall asleep during regular activities?
• Discharge teaching for cyclobenzaprine should include which statement?
• Which of these is the reversal drug for muscle relaxant overdose?
• Discharge instructions for a benzodiazepine should include guidance to avoid which activity?
• Which statement correctly describes a seizure type treated by valproic acid?
• Which substance has central nervous system (CNS) depressive effects and should be used with caution in clients taking alprazolam?
• What is a primary goal of antiepileptic drug therapy?
• Which symptom should be reported when starting selegiline?
• Long-term baclofen therapy may involve an implantable pump device. What should be considered before initiating therapy?
• Which is a contraindication for carbamazepine?
• For a patient on a barbiturate, the nurse should check lab results to ensure the patient __________?
• Before starting a new medication for a patient taking methylphenidate for narcolepsy, what should the nurse advise?
• For a client interested in losing weight, which medication is likely prescribed?
• Which medication on the patient's list is a diuretic?
• The half-life of carbamazepine is __________ hours.
• To reduce the risk of falls in a patient taking a CNS depressant, which action should the nurse recommend?
• Which condition is NOT an approved use for CNS stimulants?
• A treatment category for narcolepsy includes which type of medication?
• A client taking CNS depressants who uses kava for insomnia should be advised that kava __________?
• Pentobarbital and phenobarbital help treat insomnia, withdrawal symptoms, and control status epilepticus.
• CNS stimulants are contraindicated for clients with a history of which condition?
• Which best describes alprazolam's primary use?
• Which benzodiazepine is most commonly used for preoperative anxiety and moderate sedation?
• Which statement best describes sedative-hypnotics?
• The best nurse response to nausea is to tell the patient to:
• Which over-the-counter medication is contraindicated when taking valproic acid?
• Valproic acid therapeutic plasma level is within which range?
• Phenytoin prevents seizures by blocking which channels from recovering from the inactivated state?
• Which statement correctly reflects benzodiazepine dependence management?
• Which imaging study is used to assess brain structure in seizure workup?
• During an intermittent IV infusion of phenytoin, the patient reports burning at the infusion site. What is the priority nursing action?
• Valproic acid is prescribed for which type of seizures?
• Which of the following is NOT a typical side effect listed for valproic acid?
• Which of the following is an antiepileptic drug?
• Which statement about newborn exposure to benzodiazepines is true?
• Carbamazepine is prescribed for which seizures?
• The nurse assessing a client prescribed a muscle relaxant should document which of the following as part of the initial assessment?
• In AED management, which statement best reflects the effect of consistent dosing?
• What is the general purpose of monitoring blood levels for antiepileptic drugs like carbamazepine?
• What is the typical onset for intermediate-acting benzodiazepines?
• Phenytoin's therapeutic plasma level is within which range?
• Barbiturates prescribed for seizures are best described as used for which indication?
• Phentermine-topiramate is used for which purpose?
• GABA is an __________ neurotransmitter. Glutamate (glutamic acid) is an __________.
• Which statement describes zolpidem?
• In a patient taking warfarin, which Parkinson's medication would be contraindicated?
• Indications for muscle relaxants and other CNS depressants differ in what way?
• Which assessment finding with tolcapone is most concerning?
• Central nervous system (CNS) depressants produce a calming effect by what action on the transmission of nerve impulses to the CNS?
• Which of the following is not a listed form of valproic acid?
• Phenytoin affects the metabolism of other drugs that utilize which enzyme system?
• Atomoxetine is used to treat ADHD. It is an example of which type of medication?
• Carbamazepine is prescribed for which type of seizures?
• Which form of phenytoin is a liquid preparation?
• Bromocriptine nondopamine works by direct stimulation of dopamine receptors in the brain. What is its drug class?
• Which adverse effects would you monitor closely for in a patient taking atomoxetine?
• Which medication is a directly acting skeletal muscle relaxant used to treat malignant hyperthermia?
• A patient reports GI upset after starting valproic acid. What is the best nursing response?
• Pentobarbital is a short-acting barbiturate. A patient receiving it may have a history of which condition?
• Long-term use can lead to harmful effects on sleep due to deprivation of rapid eye movement (REM) sleep.
• Which medication should be avoided with selegiline due to serious interaction risk?
• Which CNS depressant produces a sense of calm and reduces nervousness, excitability, and irritability without causing sleep unless given at a large enough dose?
• If a patient on baclofen reports excessive sedation and shallow breathing, what is the nurse's first action?
• Which of the following is an adverse reaction of valproic acid?
• A patient states that their antiepileptic drug causes daytime fatigue. Which nurse's response is appropriate?
• Flumazenil is the antidote to benzodiazepines because it antagonizes which receptor?
• Do not consume large amounts of tyramine-containing foods when taking which medication?
• Which statement about alprazolam's effect on anxiety symptoms is accurate?
• Which of the following is an antiepileptic drug?
• Which of the following is a Direct-Acting Skeletal Muscle Relaxant?
• Amantadine is described as which type of agent?
• Nicotine's effect on alprazolam can lead to reduced efficacy because it increases metabolism.
• What is the purpose of therapeutic drug monitoring in AED therapy?
• Safety of a drug is determined by the degree between which two dose thresholds?
• A patient taking dextroamphetamine reports starting St. John’s Wort; what is the concern?
• When administering alprazolam to a client with COPD, which is a concern?
• Carbamazepine blood levels are to monitor therapeutic effectiveness.
• Which medication is commonly used to treat narcolepsy?
• A pediatric client is on antiepileptic drug therapy. The caregiver reports the child has been lethargic, confused, and sleepy. What should the nurse do next?
• What is the time frame in which valproic acid typically reaches peak plasma concentration?
• Dextroamphetamine is used to treat which condition?
• Carbamazepine is classified as which chemical class?
• Which should be avoided while taking oral formulations of valproic acid?
• Benzodiazepines are contraindicated in which condition?
• Which medication will affect the activity of any drug utilizing the cytochrome p450 enzyme system?
• A pediatric patient starts methylphenidate for ADHD. What health-teaching statement is appropriate?
• Valproic acid liquid suspensions should be shaken prior to pouring.
• Which medication is an MAO-B inhibitor used in Parkinson disease?
• Which statement about barbiturates is true?
• Which outcome is associated with neonatal exposure to benzodiazepines if used during pregnancy?
• Most muscle relaxants work on the central nervous system. Which of the following is an effect on muscles?
• Which statement regarding missed doses indicates a need for education?
• In a client with Parkinson's disease prescribed a centrally acting skeletal muscle relaxant, which therapeutic effect is expected?
• Which of the following is NOT a function of muscle relaxants?
• Selegiline is used with levodopa to reduce the dosage needed for symptom control. Adverse effects appear with doses greater than 10 mg. What type of inhibitor is it?
• Which is a priority teaching consideration when initiating methylphenidate for narcolepsy?
• Alprazolam is a(an) ______ ______ used for its ______ effects by reducing ______.
• For baclofen long-term therapy, which is an important consideration?
• Which of the following is a common side effect of methylphenidate when used for ADHD?
• Cyclobenzaprine is a centrally acting skeletal muscle relaxant. Its primary mechanism is to reduce muscle activity by acting on which system?
• Valproic acid is contraindicated in which condition?
• Which statement about barbiturates is true?
• Which substance is unsafe to combine with benzodiazepines due to additive CNS depression?
• Which of the following actions is an effect of antiepileptic medications that helps reduce seizure activity?
• Which of the following is an adverse reaction of carbamazepine?
• Which drug is a non-stimulant option for ADHD?
• Which drug is in the Centrally-Acting Skeletal Muscle Relaxants category?
• Which medication is used to treat Parkinson disease tremor via anticholinergic mechanism?
• How might the dosage of alprazolam be adjusted in an older adult client and why?
• Phenobarbital therapeutic plasma level is within which range?
• The nurse is caring for a client taking a muscle relaxant for the treatment of muscle spasms and pain. The nurse should assess for which side effect?
• Antiepileptics are used for the long-term maintenance treatment of what condition?
• In older adults, a benzodiazepine is most associated with which safety concern?
• When monitoring a client taking a central nervous system depressant, which assessment should be prioritized?
• Benztropine mesylate is used as adjunct pharmacotherapy to manage motor effects of Parkinson's disease. What class does it belong to?
• Which statement indicates more education is needed?
• Which manifestation should the family notify the healthcare provider immediately?
• Which medication is commonly used to treat dyskinesia related to Parkinson's disease therapy?
• Which term can act as either a sedative or a hypnotic depending on the dose and client responsiveness? In low doses, they calm the CNS without causing sleep. In high doses, they calm the CNS and cause sleep.
• Which of the following should be monitored for pancreatitis in patients taking valproic acid?
• How often should methylphenidate immediate-release be taken?
• Which statement about benztropine side effects is correct?
• Which laboratory test would be expected to monitor potential hepatic injury for anticonvulsant therapy?
• Which laboratory value should be monitored during phenytoin therapy?
• Which barbiturate pair is matched with its common use?
• Benzodiazepines in pregnancy are contraindicated because they can cause CNS depression in the neonate and respiratory issues. Which outcome is associated with neonatal exposure to benzodiazepines?
• Valproic acid is used for bipolar disorder in which phase is most effective?
• Neuronal activity that originates from one hemisphere or location
• Phenytoin is prescribed for which type of seizures?
• Neuronal activity that causes full body contractions and then transitions to alternating contractions and relaxation
• Which statement about Rasagiline is true?
• Combining muscle relaxants with other CNS depressants can increase the risk of adverse effects or overdose. This risk is associated with:
• Which statement about ADHD medication timing to minimize sleep disturbance is true?
• What is the therapeutic level within the range for valproic acid?
• Valproic acid levels are measured in which units?
• Which statement correctly identifies an anticholinergic medication used for Parkinson's disease?
• Which muscle relaxant is used to treat muscle spasms and can be used in an implantable pump device?
• Phenytoin's effect on other drugs is mediated through which system?
• Chronic, recurrent brain activity that causes seizures
• What is the therapeutic range for phenytoin in serum?
• Which statement describes the action class of selegiline?
• Nonbenzodiazepines act on the CNS in a manner that is very similar to benzodiazepines.
• Valproic acid is most commonly prescribed for which condition in patients without a history of seizures?
• When administering phenytoin intravenously, which of the following should be monitored?
• Autoinduction yields which observation?
• What is the goal of drug therapy in treating Parkinson's disease?
• The nurse is caring for a client prescribed zolpidem, a hypnotic CNS depressant. At what time should the nurse plan to administer this medication to maximize its sleep-inducing effectiveness?
• A client who has been taking phenytoin has a repeat phenytoin level of 4 mcg/mL. What should the nurse do next?
• Which medication listed for the patient is most likely to interact negatively with phenytoin?
• Why is caffeine citrate given to a preterm infant after birth?
• Dantrolene acts to reduce which of the following in malignant hyperthermia?
• Theophylline is clinically indicated for which condition?
• For a patient taking a barbiturate, which teaching statement is correct regarding interactions with other substances?
• A patient reports a skin rash while taking phenytoin. What is an appropriate nurse response?
• Why is monitoring laboratory values needed for a patient taking phenytoin?
• Which side effect is associated with Rasagiline?
• Which food item should be avoided with carbamazepine?
• Which of the following is NOT listed as an adverse effect of ropinirole?
• A client demonstrates signs of malignant hyperthermia after anesthesia; which nursing action demonstrates understanding of the prescribed treatment?
• Which of the following should be monitored in clients taking valproic acid?
• Which condition is a contraindication of phenytoin?
• Alprazolam is administered ______.
• A patient recently discharged with a muscle relaxant for a muscle injury continues to have symptoms. What is the most likely reason?
• Which statement correctly describes the overall interaction risk when combining muscle relaxants with other CNS depressants?
• In the management of Parkinson's disease, what is the main function of MAOIs?
• Which of the following is a side effect of carbamazepine?
• Which sign indicates CNS depressant toxicity requiring prompt assessment?
• Which subclass of CNS depressants inhibits nerve impulses by acting on the brainstem and gamma-aminobutyric acid (GABA) receptors, resulting in inhibition of nerve impulses in the cerebral cortex?
• Phenobarbital is a long-acting barbiturate used to treat generalized tonic-clonic seizures and fever-induced convulsions, as well as the prevention of hyperbilirubinemia in neonates; it is no longer used as a sedative or hypnotic.
• Which of the following is currently the more frequently prescribed group of sedative-hypnotic drugs?
• Dextroamphetamine is used to treat which condition among those listed?
• Valproic acid is indicated for generalized seizures.
• Which drugs can decrease benzodiazepine metabolism, increasing risk of toxicity?
• Which statement about a controlled-release carbidopa-levodopa prescription requires further education?
• Which statement best describes Centrally-Acting Skeletal Muscle Relaxants?
• If an adolescent on ADHD medication reports suicidal thoughts, what action is required?
• Carbamazepine therapeutic plasma level is within which range?
• A nurse assessing a patient on CNS depressants will monitor for CNS depression symptoms such as __________?
• Which statement about the relationship between albumin and phenytoin levels is true?
• During the start of antiparkinson medication therapy, the client will most likely need assistance with __________.
• Which disorder is alprazolam commonly prescribed to treat?
• Indirect-acting dopaminergic drugs, such as monoamine oxidase inhibitors (MAOIs), enzymes' main purpose is the breakdown of __________.
• Direct-acting dopamine receptor agonists are most effective in the __________ stages of Parkinson's disease.
• If a patient on a benzodiazepine reports using an MAOI for depression, what is the appropriate clinical action?
• Liquid phenytoin suspensions should be shaken prior to pouring.
• What is the black box warning for all clients prescribed antiepileptic drugs?