Nokea
Which of the following was the first nonstimulant medication specifically designed and tested for ADHD?
- A. Methylphenidate (Ritalin)
- B. Amphetamine (Adderall)
- C. Atomoxetine (Strattera)
- D. Pemoline (Cylert)
Correct Answer: C
Rationale: Atomoxetine (Strattera) was the first nonstimulant medication specifically designed and tested for ADHD, unlike the stimulant medications Ritalin, Adderall, and Cylert.
You may also like to solve these questions
Which of the following medications rarely causes extrapyramidal side effects (EPS)?
- A. Ziprasidone (Geodon)
- B. Chlorpromazine (Thorazine)
- C. Haloperidol (Haldol)
- D. Fluphenazine (Prolixin)
Correct Answer: A
Rationale: Atypical antipsychotics like ziprasidone rarely cause EPS compared to first-generation antipsychotics like chlorpromazine, haloperidol, and fluphenazine.
A client who is taking paroxetine (Paxil) reports to the nurse that he has been nauseated since beginning the medication. Which of the following actions is indicated initially?
- A. Instruct the client to stop the medication for a few days to see if the nausea goes away.
- B. Reassure the client that this is an expected side effect that will improve with time.
- C. Suggest that the client take the medication with food.
- D. Tell the client to contact the physician for a change in medication.
Correct Answer: C
Rationale: Taking SSRIs like paroxetine with food usually eliminates nausea, making this the initial recommended action.
The nurse is preparing a patient for an MRI scan of the head. The nurse should ask the patient.
- A. Have you ever had an allergic reaction to radioactive dye?
- B. Have you had anything to eat in the last 24 hours?
- C. Does your insurance cover the cost of this scan?
- D. Are you anxious about being in tight spaces?
Correct Answer: D
Rationale: The person undergoing an MRI must lie in a small, closed chamber and remain motionless during the procedure, which takes about 45 minutes. Those who feel claustrophobic or have increased anxiety may require sedation before the procedure. PET scans, not MRIs, require radioactive substances. Fasting is not required for brain imaging studies, and verifying insurance is not a primary nursing role.
In planning for a client's discharge, the nurse must know that the most serious risk for the client taking a tricyclic antidepressant is which of the following?
- A. Hypotension
- B. Narrow-angle glaucoma
- C. Seizures
- D. Suicide by overdose
Correct Answer: D
Rationale: Tricyclic antidepressants are potentially lethal in overdose, posing a significant suicide risk. Other side effects like hypotension and glaucoma are concerning but less severe.
Which of the following is an inhibitory neurotransmitter?
- A. Dopamine
- B. GABA
- C. Norepinephrine
- D. Epinephrine
Correct Answer: B
Rationale: GABA is the major inhibitory neurotransmitter in the brain and has been found to modulate other neurotransmitter systems rather than to provide a direct stimulus. Dopamine, norepinephrine, and epinephrine are excitatory neurotransmitters.