neuro
1. A nurse is caring for a client prescribed baclofen for spasticity. Which statement by the client requires immediate follow-up?
A. “I feel a little drowsy during the day.”
B. “I plan to stop taking this medication once my muscles feel better.”
C. “I take this medication with food.”
D. “I avoid alcohol while taking this medication.”
1. B
👉 Baclofen cannot be stopped abruptly → withdrawal (seizures, hallucinations)
6. What is the priority before starting antibiotics?
A. Give fluids
B. Obtain cultures
C. Check temperature
D. Administer oxygen
6. B
👉 ALWAYS get cultures BEFORE antibiotics
11. Isoniazid requires which supplement?
A. Vitamin C
B. Vitamin D
C. Vitamin B6
D. Iron
11. A
👉 Always check glucose first before treating
(ATI LOVES this safety step)
16. Which insulin is cloudy?
A. Rapid
B. Regular
C. NPH
D. Long-acting
16. C
👉 Anaphylaxis = epinephrine FIRST (even before oxygen/fluids)
21. What is the priority before insulin administration?
A. Check BP
B. Check glucose
C. Check pulse
D. Check temp
21. B
👉 Doxorubicin → ❤️ cardiotoxic
2. Which finding requires immediate action in a patient taking phenytoin?
A. Mild nausea
B. Gum overgrowth
C. Skin rash
D. Drowsiness
2. C
👉 Rash = 🚨 Stevens-Johnson Syndrome → LIFE-THREATENING
7. A patient receiving penicillin develops shortness of breath and hives. What is the priority?
A. Stop drug and give epinephrine
B. Give fluids
C. Continue medication
D. Monitor only
7. C
👉 This is anaphylaxis → epinephrine is FIRST (not just stopping drug)
12. Which antibiotic can prolong QT interval?
A. Azithromycin
B. Penicillin
C. Vancomycin
D. Rifampin
12. C
👉 Regular insulin → 30 min before meals
17. When should regular insulin be given?
A. Immediately
B. 30 min before meal
C. After meal
D. At bedtime
17. B
👉 Acyclovir → kidney toxicity → hydrate
22. Which insulin has no peak?
A. Rapid
B. Regular
C. NPH
D. Long-acting
22. C
👉 Blood in urine = 🚨 hemorrhagic cystitis → notify provider
3. A patient on carbamazepine reports easy bruising. What does the nurse suspect?
A. Liver toxicity
B. Bone marrow suppression
C. Kidney failure
D. Dehydration
3. A
👉 WBC 3,000 = 🚨 bone marrow suppression (carbamazepine risk)
8. Which side effect is associated with ciprofloxacin?
A. Red urine
B. Tendon rupture
C. Bradycardia
D. Hypoglycemia
8. C
👉 Achilles pain = 🚨 tendon rupture
13. Which symptom indicates tendon rupture from ciprofloxacin?
A. Chest pain
B. Heel pain
C. Headache
D. Rash
13. B
👉 NPH = cloudy
18. Metformin should be held for:
A. Exercise
B. Contrast dye
C. Eating
D. Sleep
18. B
👉 Oseltamivir works best within 48 hrs
23. Hypoglycemia presents as:
A. Warm, dry skin
B. Cold, clammy skin
C. Hypertension
D. Slow pulse
23. A, B, C, D
👉 CNS depression:
4. Which medication is used for an active seizure?
A. Baclofen
B. Diazepam
C. Phenytoin
D. Carbamazepine
4. C
👉 Diazepam IV = emergency seizure control (fast acting)
9. Red Man Syndrome is associated with:
A. Penicillin
B. Vancomycin
C. Rifampin
D. Azithromycin
9. C
👉 Red Man Syndrome → slow the infusion (not stop unless severe)
14. Which is a common side effect of antibiotics?
A. Constipation
B. Diarrhea
C. Bradycardia
D. Hypertension
14. B
👉 Metformin + contrast → 🚨 lactic acidosis risk → HOLD
19. Which drug can cause hypoglycemia?
A. Metformin
B. Glipizide
C. Glucagon
D. PTU
19. C
👉 Levothyroxine → empty stomach
24. Glipizide works by:
A. Decreasing insulin
B. Increasing insulin
C. Increasing glucagon
D. Decreasing carbs
24. A, B, C
👉 Cardiotoxicity:
❌ Vancomycin = kidneys/ears
❌ Carbamazepine = blood
5. Sumatriptan works by:
A. Dilating vessels
B. Increasing glucose
C. Vasoconstriction
D. Sedation
5. A
👉 Sumatriptan → vasoconstriction → dangerous in hypertension
10. Rifampin causes:
A. Blue urine
B. Orange fluids
C. Hypotension
D. Bradycardia
10. C
👉 Rifampin → normal orange fluids (expected)
15. A patient is pale, shaky, and confused. What is the priority?
A. Give insulin
B. Give glucose
C. Give metformin
D. Give glucagon later
15. C
👉 Unconscious diabetic → glucagon
20. Glucagon is used when:
A. Patient is awake
B. Patient is unconscious
C. Blood sugar is high
D. Patient is eating
20. C
👉 PTU → sore throat/fever = 🚨 agranulocytosis → notify provider
4. Mixed Question (Carb + Correction)
Order:
Client eats 75 g carbs
Blood glucose = 232 mg/dL
👉 Total insulin dose?
4. Carb + Correction
Step 1: Carb dose
75 ÷ 15 = 5 units
Step 2: Sliding scale
BG = 232 → 200–249 → 2 units
Step 3: Total
5 + 2 = 7 units
✅ Answer: 7 units