Antianxiety Medications & Benzodiazepines Quiz

1. A patient on long-term benzodiazepines reports cognitive impairment. What should the nurse assess first?

Blood glucose level

Cumulative dose and duration of therapy

Liver function only

Kidney perfusion

2. Which nursing intervention is most important when administering benzodiazepines IV?

Rapid injection to ensure efficacy

Slow infusion with resuscitation equipment nearby

Administer through peripheral line only

Flush with normal saline immediately after

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5. Which antianxiety medication should be avoided in patients with narrow-angle glaucoma?

Buspiron

Benzodiazepines

Hydroxyzine

Propranolol

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7. Benzodiazepines enhance GABA inhibition, which produces all of the following effects EXCEPT:

Anxiolysis

Sedation

Stimulation

Muscle relaxation

8. A patient develops paradoxical reactions (increased anxiety) to benzodiazepines. What is the appropriate nursing response?

Increase the dose

Report to provider and discontinue

Administer additional medication

Reassure patient it will pass

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10. Which antianxiety medication class does NOT carry significant abuse potential?

Benzodiazepines

Buspirone

Barbiturates

Meprobamate

11. Benzodiazepines work by enhancing the effect of which neurotransmitter in the central nervous system?

Dopamine

GABA

Serotonin

Acetylcholine

12. Antianxiety medications are used off-label for alcohol withdrawal. Which symptom do they address?

Tremors and agitation

Nausea only

Fever alone

Jaundice

13. Which benzodiazepine is preferred for procedural sedation in acute care settings?

Clorazepate

Midazolam

Estazolam

Oxazepam

14. Flumazenil is used to reverse benzodiazepine overdose. What is the primary risk of its use?

Hyperglycemia

Seizures in dependent patients

Respiratory alkalosis

Hypokalemia

15. A patient is prescribed diazepam for anxiety. Which teaching point is most critical?

Take with grapefruit juice for absorption

Avoid alcohol and CNS depressants

Increase dose if tolerance develops

Stop abruptly when feeling better

16. Benzodiazepines should be tapered gradually to avoid which serious withdrawal symptom?

Hypertension only

Seizures

Hypothermia

Bradycardia

17. Which antianxiety medication is a non-benzodiazepine alternative suitable for long-term use?

Buspirone

Midazolam

Triazolam

Alprazolam

18. A patient taking benzodiazepines reports dizziness and confusion. What nursing action is most appropriate?

Increase fluid intake

Implement fall precautions

Encourage exercise

Administer caffeine

19. Antianxiety medications in the benzodiazepine class are contraindicated in patients with which condition?

Hypertension

Sleep apnea

Diabetes

Arthritis

20. Which benzodiazepine has the shortest half-life and is preferred for acute anxiety episodes?

Diazepam

Lorazepam

Chlordiazepoxide

Flurazepam

Anti-Anxiety Quiz: Do You Know the Benzos?

1. A patient on long-term benzodiazepines reports cognitive impairment. What should the nurse assess first?

2.

What first name or nickname would you like us to use?

2. Which nursing intervention is most important when administering benzodiazepines IV?

3. Chlordiazepoxide is commonly used for alcohol withdrawal because it has a ______ half-life.

4. A patient on alprazolam reports difficulty concentrating at work. This side effect is called ______ impairment.

5. Which antianxiety medication should be avoided in patients with narrow-angle glaucoma?

6. The onset of action for IV lorazepam in acute anxiety is approximately ______ minutes.

7. Benzodiazepines enhance GABA inhibition, which produces all of the following effects EXCEPT:

8. A patient develops paradoxical reactions (increased anxiety) to benzodiazepines. What is the appropriate nursing response?

9. Lorazepam is preferred over diazepam in hepatic impairment because it undergoes ______ metabolism.

10. Which antianxiety medication class does NOT carry significant abuse potential?

11. Benzodiazepines work by enhancing the effect of which neurotransmitter in the central nervous system?

12. Antianxiety medications are used off-label for alcohol withdrawal. Which symptom do they address?

13. Which benzodiazepine is preferred for procedural sedation in acute care settings?

14. Flumazenil is used to reverse benzodiazepine overdose. What is the primary risk of its use?

15. A patient is prescribed diazepam for anxiety. Which teaching point is most critical?

16. Benzodiazepines should be tapered gradually to avoid which serious withdrawal symptom?

17. Which antianxiety medication is a non-benzodiazepine alternative suitable for long-term use?

18. A patient taking benzodiazepines reports dizziness and confusion. What nursing action is most appropriate?

19. Antianxiety medications in the benzodiazepine class are contraindicated in patients with which condition?

20. Which benzodiazepine has the shortest half-life and is preferred for acute anxiety episodes?