NR 326 Final Exam Preparation Newest 2026-2027 With
Complete 100 Questions And Correct Detailed Answers|
Brand New Version!
You are caring for a patient that is being prescribed Clozapine (Clozaril)
for psychotic features secondary to bipolar disorder. Which of the
following lab tests must be done weekly for this medication?
a. Serum drug level
b. White blood cell count
c. Serum sodium levels
d. PT and INR - ANSWER-B (A very dangerous adverse effect of this
medication of agranulocytosis. CBCs must be taken weekly to monitor
WBC count.)
You are caring for a client who is being prescribed Risperidone for
schizophrenia. Which of the following should be monitored in this
patient?
a. Constipation
b. Thrombocytopenia
c. Weight gain and blood sugar levels
1|Page
,d. Dry mouth - ANSWER-C (Atypical antipsychotics increase the risk for
metabolic syndrome due to weight gain and increased blood glucose
levels. To minimize weight gain, advise the client to follow a healthy,
low-calorie diet, engage in regular exercise and monitor weight.)
All atypical antipsychotics are capable of what side effect?
a. Postural hypotension
b. Urinary retention
c. Cardiac arrhythmias from widened QT interval
d. Steven-Johnson's syndrome - ANSWER-C
Your client is taking Haloperidol to treat positive symptoms related to
psychosis. Upon assessment, you see that the patients muscles are
extremely stiff and rigid. You notice a unilateral hand tremor and pin
rolling. What is the first action you should take?
a. Administer Cogentin IM.
b. Call the physician.
c. Increase the dose of the Haldol because this means the medication is
not working effectively.
d. Put the patient on their side. - ANSWER-A (This patient is
experiencing pseudoparkinsonism related to the medication they are
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,taking. You can treat this adverse effect with artane, cogentin, or
symmetrel (Amantadine).)
Your patient has just been prescribed Haldol, a typical antipsychotic, for
delusions the patient is having. When educating the patient about acute
dystonia, how should you describe this adverse effect to them?
a. "You will feel stiff and rigid and have tremors."
b. "You will have contractions of the tongue, face, neck and back."
c. "You will not be able to stop moving, such as pacing back and forth."
d. "You might experience lip smacking, tongue protrusion, and
purposeless movement of your limbs." - ANSWER-B
One of your patient in a mental health facility is taking Risperidone for
psychosis. You watch them continuously pace back and forth for several
minutes before intervening. You approach the patient and you say, "I
see you are pacing back and forth. Are you experiencing some anxiety?"
The patient replies, "No, I just can't stop moving. Something feels
wrong." What should the nurse suspect is going on with the patient?
a. Akathsia
b. Tardive dyskinesia
c. Depression
3|Page
, d. Acute dystonia - ANSWER-A
Which of the following side effects would you expect to see in a patient
experiencing Tardive Dyskinesia, an extrapyramidal symptom of
antipsychotics?
a. Muscle rigidity
b. Lip smacking and tongue protrusion
c. Pacing back and forth
d. Contractions of the tongue, face, neck, and back - ANSWER-B
You are caring for a patient on an antipsychotic medication for psychosis
secondary to bipolar disorder. One very serious adverse effect of
antipsychotics is Neuroleptic Malignant Syndrome. Which of the
following manifestations would you expect to see in a patient exhibiting
this? Select all that apply.
a. Respiratory depression
b. Severe muscle rigidity
c. Temperature of 104.2 F
d. Bradycardia
e. Elevated creatinine phosphokinase (CPK)
f. Altered mental status - ANSWER-B C E F (Manifestations of NMS:
4|Page
Complete 100 Questions And Correct Detailed Answers|
Brand New Version!
You are caring for a patient that is being prescribed Clozapine (Clozaril)
for psychotic features secondary to bipolar disorder. Which of the
following lab tests must be done weekly for this medication?
a. Serum drug level
b. White blood cell count
c. Serum sodium levels
d. PT and INR - ANSWER-B (A very dangerous adverse effect of this
medication of agranulocytosis. CBCs must be taken weekly to monitor
WBC count.)
You are caring for a client who is being prescribed Risperidone for
schizophrenia. Which of the following should be monitored in this
patient?
a. Constipation
b. Thrombocytopenia
c. Weight gain and blood sugar levels
1|Page
,d. Dry mouth - ANSWER-C (Atypical antipsychotics increase the risk for
metabolic syndrome due to weight gain and increased blood glucose
levels. To minimize weight gain, advise the client to follow a healthy,
low-calorie diet, engage in regular exercise and monitor weight.)
All atypical antipsychotics are capable of what side effect?
a. Postural hypotension
b. Urinary retention
c. Cardiac arrhythmias from widened QT interval
d. Steven-Johnson's syndrome - ANSWER-C
Your client is taking Haloperidol to treat positive symptoms related to
psychosis. Upon assessment, you see that the patients muscles are
extremely stiff and rigid. You notice a unilateral hand tremor and pin
rolling. What is the first action you should take?
a. Administer Cogentin IM.
b. Call the physician.
c. Increase the dose of the Haldol because this means the medication is
not working effectively.
d. Put the patient on their side. - ANSWER-A (This patient is
experiencing pseudoparkinsonism related to the medication they are
2|Page
,taking. You can treat this adverse effect with artane, cogentin, or
symmetrel (Amantadine).)
Your patient has just been prescribed Haldol, a typical antipsychotic, for
delusions the patient is having. When educating the patient about acute
dystonia, how should you describe this adverse effect to them?
a. "You will feel stiff and rigid and have tremors."
b. "You will have contractions of the tongue, face, neck and back."
c. "You will not be able to stop moving, such as pacing back and forth."
d. "You might experience lip smacking, tongue protrusion, and
purposeless movement of your limbs." - ANSWER-B
One of your patient in a mental health facility is taking Risperidone for
psychosis. You watch them continuously pace back and forth for several
minutes before intervening. You approach the patient and you say, "I
see you are pacing back and forth. Are you experiencing some anxiety?"
The patient replies, "No, I just can't stop moving. Something feels
wrong." What should the nurse suspect is going on with the patient?
a. Akathsia
b. Tardive dyskinesia
c. Depression
3|Page
, d. Acute dystonia - ANSWER-A
Which of the following side effects would you expect to see in a patient
experiencing Tardive Dyskinesia, an extrapyramidal symptom of
antipsychotics?
a. Muscle rigidity
b. Lip smacking and tongue protrusion
c. Pacing back and forth
d. Contractions of the tongue, face, neck, and back - ANSWER-B
You are caring for a patient on an antipsychotic medication for psychosis
secondary to bipolar disorder. One very serious adverse effect of
antipsychotics is Neuroleptic Malignant Syndrome. Which of the
following manifestations would you expect to see in a patient exhibiting
this? Select all that apply.
a. Respiratory depression
b. Severe muscle rigidity
c. Temperature of 104.2 F
d. Bradycardia
e. Elevated creatinine phosphokinase (CPK)
f. Altered mental status - ANSWER-B C E F (Manifestations of NMS:
4|Page
