1|Page
NUR 114 Exam 3 Practice Questions and Answers with
Solutions
The nurse is teaching a client taking an MAOI about foods with
tyramine that he or she should avoid. Which statement
indicates that the client needs further teaching?
a."I'm so glad I can have pizza as long as I don't order
pepperoni."
b."I will be able to eat cottage cheese without worrying."
c."I will have to avoid drinking nonalcoholic beer."
d."I can eat green beans on this diet." - ANSWER a."I'm so glad I
can have pizza as long as I don't order pepperoni."
A client who has been depressed and suicidal started taking a
tricyclic antidepressant 2 weeks ago and is now ready to leave
the hospital to go home. Which is a concern for the nurse as
discharge plans are finalized? a.The client may need a
prescription for diphenhydramine (Benadryl) to use for side
effects. b.The nurse will evaluate the risk for suicide by
overdose of the tricyclic antidepressant.
c.The nurse will need to include teaching regarding the signs of
neuroleptic malignant syndrome.
,2|Page
d.The client will need regular laboratory work to monitor
therapeutic drug levels. - ANSWER b.The nurse will evaluate the
risk for suicide by overdose of the tricyclic antidepressant.
The signs of lithium toxicity include which?
a.Sedation, fever, and restlessness
b.Psychomotor agitation, insomnia, and increased thirst
c.Elevated WBC count, sweating, and confusion d.Severe
vomiting, diarrhea, and weakness - ANSWER d.Severe vomiting,
diarrhea, and weakness
Which is a concern for children taking stimulants for ADHD for
several years?
a.Dependence on the drug
b.Insomnia
c.Growth suppression
d.Weight gain - ANSWER c.Growth suppression
The nurse is caring for a client with schizophrenia who is taking
haloperidol (Haldol). The client complains of restlessness,
,3|Page
cannot sit still, and has muscle stiffness. Of the following prn
medications, which would the nurse administer?
a.Haloperidol (Haldol), 5 mg PO
b.Benztropine (Cogentin), 2 mg PO
c.Propranolol (Inderal), 20 mg PO
d.Trazodone, 50 mg PO - ANSWER b.Benztropine (Cogentin), 2
mg PO
Client teaching for lamotrigine (Lamictal) should include which
instructions?
a.Eat a well-balanced diet to avoid weight gain. b.Report any
rashes to your doctor immediately.
c.Take each dose with food to avoid nausea.
d.This drug may cause psychological dependence. - ANSWER
b.Report any rashes to your doctor immediately.
Which physician order would the nurse question for a client
who has stated, "I'm allergic to phenothiazines?" a.Haldol, 5 mg
PO bid
b.Navane, 10 mg PO bid
c.Prolixin, 5 mg PO tid
, 4|Page
d.Risperdal, 2 mg bid - ANSWER c.Prolixin, 5 mg PO tid
Clients taking which type of psychotropic medications need
close monitoring of their cardiac status? a.Antidepressants
b.Antipsychotics
c.Mood stabilizers
d.Stimulants - ANSWER b.Antipsychotics
Identify the drug classification for this medication.
_____________________ Clozapine (Clozaril) - ANSWER
Atypical antipsychotic
Identify the drug classification for this medication.
______________________ Fluoxetine (Prozac) - ANSWER SSRI
antidepressant
Identify the drug classification for this medication.
______________________ Amitriptyline (Elavil) - ANSWER
Tricyclic antidepressant
NUR 114 Exam 3 Practice Questions and Answers with
Solutions
The nurse is teaching a client taking an MAOI about foods with
tyramine that he or she should avoid. Which statement
indicates that the client needs further teaching?
a."I'm so glad I can have pizza as long as I don't order
pepperoni."
b."I will be able to eat cottage cheese without worrying."
c."I will have to avoid drinking nonalcoholic beer."
d."I can eat green beans on this diet." - ANSWER a."I'm so glad I
can have pizza as long as I don't order pepperoni."
A client who has been depressed and suicidal started taking a
tricyclic antidepressant 2 weeks ago and is now ready to leave
the hospital to go home. Which is a concern for the nurse as
discharge plans are finalized? a.The client may need a
prescription for diphenhydramine (Benadryl) to use for side
effects. b.The nurse will evaluate the risk for suicide by
overdose of the tricyclic antidepressant.
c.The nurse will need to include teaching regarding the signs of
neuroleptic malignant syndrome.
,2|Page
d.The client will need regular laboratory work to monitor
therapeutic drug levels. - ANSWER b.The nurse will evaluate the
risk for suicide by overdose of the tricyclic antidepressant.
The signs of lithium toxicity include which?
a.Sedation, fever, and restlessness
b.Psychomotor agitation, insomnia, and increased thirst
c.Elevated WBC count, sweating, and confusion d.Severe
vomiting, diarrhea, and weakness - ANSWER d.Severe vomiting,
diarrhea, and weakness
Which is a concern for children taking stimulants for ADHD for
several years?
a.Dependence on the drug
b.Insomnia
c.Growth suppression
d.Weight gain - ANSWER c.Growth suppression
The nurse is caring for a client with schizophrenia who is taking
haloperidol (Haldol). The client complains of restlessness,
,3|Page
cannot sit still, and has muscle stiffness. Of the following prn
medications, which would the nurse administer?
a.Haloperidol (Haldol), 5 mg PO
b.Benztropine (Cogentin), 2 mg PO
c.Propranolol (Inderal), 20 mg PO
d.Trazodone, 50 mg PO - ANSWER b.Benztropine (Cogentin), 2
mg PO
Client teaching for lamotrigine (Lamictal) should include which
instructions?
a.Eat a well-balanced diet to avoid weight gain. b.Report any
rashes to your doctor immediately.
c.Take each dose with food to avoid nausea.
d.This drug may cause psychological dependence. - ANSWER
b.Report any rashes to your doctor immediately.
Which physician order would the nurse question for a client
who has stated, "I'm allergic to phenothiazines?" a.Haldol, 5 mg
PO bid
b.Navane, 10 mg PO bid
c.Prolixin, 5 mg PO tid
, 4|Page
d.Risperdal, 2 mg bid - ANSWER c.Prolixin, 5 mg PO tid
Clients taking which type of psychotropic medications need
close monitoring of their cardiac status? a.Antidepressants
b.Antipsychotics
c.Mood stabilizers
d.Stimulants - ANSWER b.Antipsychotics
Identify the drug classification for this medication.
_____________________ Clozapine (Clozaril) - ANSWER
Atypical antipsychotic
Identify the drug classification for this medication.
______________________ Fluoxetine (Prozac) - ANSWER SSRI
antidepressant
Identify the drug classification for this medication.
______________________ Amitriptyline (Elavil) - ANSWER
Tricyclic antidepressant
