A)

B)
C)
D)

1.A patient has been prescribed methocarbamol (Robaxin) for fibromyalgia. The nurse has
spent an hour educating the patient on the use of methocarbamol for muscle pain. Which
of the following statements by the patient indicates that he has an understanding of at
least one of the significant side effects of methocarbamol?
My urine could be discolored while I take this drug.
I should have lots of energy while taking this drug.
I will probably have diarrhea while taking this drug.
This drug will help my tension headaches.

A)
B)
C)
D)

2.Which of the following patients would have the highest risk for hepatotoxicity from
dantrolene (Dantrium)?
A 32-year-old male who is taking an antipsychotic drug
A 45-year-old female who is taking an antihypertensive agent
A 57-year-old female who is on hormone replacement therapy
A 70-year-old male who is taking a cardiac glycoside

A)
B)
C)
D)

3.A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her
multiple sclerosis. The nurse will inform the patient and her husband that the adverse
effect that poses the greatest safety risk to the patient is:
Constipation
Dry mouth
Fatigue
Hypotension

A)
B)
C)
D)

4.A nurse is working with a 39-year-old patient who is experiencing muscle spasms
associated with multiple sclerosis. The patient reports that she needs help with basic care
and that her 15-year-old daughter has been helping bathe and dress her for a week. The
patient's physician has prescribed baclofen (Lioresal). The nurse and the patient agree
that an appropriate goal related to helping her maintain her self-worth would be to:
Experience relief of pain
Experience improved motor function
Increase self-care in activities of daily living
Take her medication independently

A)
B)
C)
D)

5.A patient has been experiencing muscle spasms in his neck from a four-wheeler accident.
He is receiving 10 mg of cyclobenzaprine (Flexeril) PO t.i.d. The nurse's teaching plan
should include which of the following instructions?
Take the medication with a small amount of water.
Do not drive or operate heavy machinery for the first week.
Increase the dosage if necessary.
Stop the drug if dizziness occurs.
6.A nurse is caring for a male patient who has a spinal cord injury due to a motorcycle
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A)
B)
C)
D)

accident. He has been taking dantrolene (Dantrium) for 2 weeks. The nurse will monitor
which of the following?
Prothrombin time and partial thromboplastin time
Urine specific gravity
Alanine aminotransferase and total bilirubin levels
Follicle-stimulating hormone levels

A)
B)
C)
D)

7.A nurse is assessing a patient who has come to the Emergency Department complaining
of back spasms. The patient states that he is a recovering drug addict and does not want to
take any drug that puts me at risk of becoming physically dependent. Which of the
following medications would the nurse question, if ordered?
Methocarbamol (Robaxin)
Orphenadrine (Norflex)
Cyclobenzaprine (Flexeril)
Metaxalone (Skelaxin)

A)
B)
C)
D)

8.A patient is taking gabapentin (Neurontin) for spasticity associated with multiple
sclerosis. Which of the following should the nurse monitor?
Hepatic function
Cardiac function
Respiratory function
Renal function

A)
B)
C)
D)

9.A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about
dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a
construction company. In order to minimize one important adverse effect of the drug, the
nurse will give the patient which of the following instructions?
Eat a high-protein diet.
Decrease the dosage if any adverse effect is experienced.
Wear appropriate clothing and sunscreen whenever he is in direct sunlight.
Have a complete blood cell count done weekly.

A)
B)
C)
D)

10.Which of the following would be the most important safety-related instruction for a nurse
to give to a patient taking baclofen (Lioresal)?
Do not walk or drive after taking the drug.
Discontinue the use of alcohol.
Learn to self-administer the drug.
Take a laxative when needed.

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Answer Key
1.A
2.C
3.D
4.C
5.B
6.C
7.C
8.D
9.C
10.B

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