NUR 326 FINAL EXAM / STUDY GUIDE EXAM NEWEST
ACTUAL QUESTIONS AND ANSWERS (A+ GUIDE
SOLUTION)
Which of the following medications are used for alcohol recovery/maintenance? Select all
that apply.
a. Cogentin
b. Naltrexone
c. Disulfiram (Antabuse)
d. Trazadone
e. Acamprosate (Campral) - CORRECT ANSWER-B C E
You have a client that has just been diagnosed with depression. Which of the following are
expected findings related to depression? Select all that apply.
a. Increased libido
b. Anhedonia
c. Generalized pain
d. Anergia
e. Increased socialization - CORRECT ANSWER-B C D (A pt. experiencing depression will
exhibit decreased libido, lack of pleasure in normal activities, anxiety, reports of
sluggishment, changes in eating patterns, changes in bowel habits, sleep disturbances, and
somatic reports, such as fatigue, gastrointestinal changes, and pain.)
You are sitting with a client who has depression and you ask them, "Have you thought about
harming yourself or others?" The patient does not respond. What should you, as the nurse,
do next?
a. Repeat the question because they might not of heard you the first time.
b. Sit with the patient quietly until they are ready to respond.
c. Hug the patient.
d. Implement one-to-one observation because of suicide risk. - CORRECT ANSWER-B (The
answer will almost always be sit with the patient quietly.)
What anti-depressant has been found to be an effective non dependence forming sleep aid?
a. Wellbutrin (Buspar)
,b. Trazadone (Desyrel)
c. Fluoxetine (Prozac)
d. Citalopram (Celexa) - CORRECT ANSWER-B
You are caring for a client who has been prescribed an MAO inhibitor, Phenelazine. Which
of the following statements should the nurse make about education regarding taking this
medication?
a. "Wear sunscreen before you go outside."
b. "Call the physician if you experience a sore throat."
c. "Do not eat aged cheese meats, wine, and chocolate while taking this medication."
d. "It can take a few days before you start to see an improvement in your mood." -
CORRECT ANSWER-C
You are caring for a client who is taking Fluoxetine (Prozac), an SSRI. Which of the following
are manifestations of serotonin syndrome, a serious adverse effect of too much serotonin in
the brain? Select all that apply.
a. Altered level of consciousness
b. Constipation
c. Fever
d. Tachycardia
e. Hypotension
f. Agitation
g. Tremors - CORRECT ANSWER-A C D F (Signs and symptoms of serotonin syndrome
include:
-Confusion
-Disorientation
-Agitation
-Diarrhea
-Tachycardia
-Hallucinations
-Fever
-Poor Coordination
-Elevated B/P
-Vomiting)
,The healthcare provider is caring for a patient who has undergone electroconvulsive therapy
(ECT). The patient should be carefully assessed for which of the following common adverse
effects of this treatment?
a. Dizziness and blurred vision
b. Aggression and violent behavior
c. Headache and memory loss
d. Palpitations and cardiac arrest - CORRECT ANSWER-C
A patient diagnosed with major depressive disorder is admitted for inpatient care. Which of
the following is the primary goal during the admission assessment?
A. Establishing desired outcomes for the patient
B. Administering antidepressant medications
C. Collecting and organizing patient data
D. Reviewing the policies for patient conduct - CORRECT ANSWER-C (The primary goal
during the admission assessment is to collect and organize objective and subjective data so
patient problems and needs can be identified.)
A patient diagnosed with bipolar disorder is prescribed lithium carbonate (Lithobid). When
teaching the patient about the medication, which of these statements is a priority for the
healthcare provider include?
A. "You should follow this low calorie, low sodium diet to prevent weight gain."
B. "You should avoid consuming dairy products when you are taking this medication."
C. "Call our office immediately if you experience any unusual bruising or bleeding."
D. "Drink lots of fluids, especially if you are active during hot weather." - CORRECT
ANSWER-D
A patient diagnosed with depression is prescribed fluoxetine (Prozac). Which of the following
would the healthcare provider most likely observe if the patient experiences an adverse
effect of this medication?
a. Bradycardia
b. Decreased libido
c. Urinary retention
d. Weight loss - CORRECT ANSWER-B
Which of the following would not be a protective factor against suicide?
, a. Having limited access to highly lethal methods of suicide
b. Easy access to a variety of resources and support
c. Lack of coping skills in problem solving, conflict resolution, and nonviolent handling of
disputes.
d. Having a significant other - CORRECT ANSWER-C (Protective factors against suicide
include:
-Effective and appropriate clinical care for mental, physical, and substance abuse disorders
-Easy access to a variety of clinical interventions and support for help-seeking
-Restricted access to highly lethal methods of suicide
-Family and community support
-Support from ongoing medical and mental health care relationships
-Learned skills in problem solving, conflict resolution, and nonviolent handling of disputes
-Cultural and religious beliefs that discourage suicide and support self-preservation instincts
-Going to church
-Having a pet, having children, or being a caregiver
-Having a significant other)
Which of the following are individual risk factors for suicide? Select all that apply.
a. Female gender
b. Command hallucinations
c. Pts. age is 16 years old
d. No history of depression of a mental health disorder
e. The pt. has Parkinson's. - CORRECT ANSWER-B C E (Risk factors for suicide include:
-*Sex* (Male)
-*Age* (<19 or >45)
-History of *depression*
-*Previous* suicide attempt
-*Ethanol* abuse
-*Rational* thinking loss (Ex. command hallucinations)
-*Social* supports lacking
-*Organized* plan
-*No* spouse
-*Sickness* (Chronic debilitating disease)
ACTUAL QUESTIONS AND ANSWERS (A+ GUIDE
SOLUTION)
Which of the following medications are used for alcohol recovery/maintenance? Select all
that apply.
a. Cogentin
b. Naltrexone
c. Disulfiram (Antabuse)
d. Trazadone
e. Acamprosate (Campral) - CORRECT ANSWER-B C E
You have a client that has just been diagnosed with depression. Which of the following are
expected findings related to depression? Select all that apply.
a. Increased libido
b. Anhedonia
c. Generalized pain
d. Anergia
e. Increased socialization - CORRECT ANSWER-B C D (A pt. experiencing depression will
exhibit decreased libido, lack of pleasure in normal activities, anxiety, reports of
sluggishment, changes in eating patterns, changes in bowel habits, sleep disturbances, and
somatic reports, such as fatigue, gastrointestinal changes, and pain.)
You are sitting with a client who has depression and you ask them, "Have you thought about
harming yourself or others?" The patient does not respond. What should you, as the nurse,
do next?
a. Repeat the question because they might not of heard you the first time.
b. Sit with the patient quietly until they are ready to respond.
c. Hug the patient.
d. Implement one-to-one observation because of suicide risk. - CORRECT ANSWER-B (The
answer will almost always be sit with the patient quietly.)
What anti-depressant has been found to be an effective non dependence forming sleep aid?
a. Wellbutrin (Buspar)
,b. Trazadone (Desyrel)
c. Fluoxetine (Prozac)
d. Citalopram (Celexa) - CORRECT ANSWER-B
You are caring for a client who has been prescribed an MAO inhibitor, Phenelazine. Which
of the following statements should the nurse make about education regarding taking this
medication?
a. "Wear sunscreen before you go outside."
b. "Call the physician if you experience a sore throat."
c. "Do not eat aged cheese meats, wine, and chocolate while taking this medication."
d. "It can take a few days before you start to see an improvement in your mood." -
CORRECT ANSWER-C
You are caring for a client who is taking Fluoxetine (Prozac), an SSRI. Which of the following
are manifestations of serotonin syndrome, a serious adverse effect of too much serotonin in
the brain? Select all that apply.
a. Altered level of consciousness
b. Constipation
c. Fever
d. Tachycardia
e. Hypotension
f. Agitation
g. Tremors - CORRECT ANSWER-A C D F (Signs and symptoms of serotonin syndrome
include:
-Confusion
-Disorientation
-Agitation
-Diarrhea
-Tachycardia
-Hallucinations
-Fever
-Poor Coordination
-Elevated B/P
-Vomiting)
,The healthcare provider is caring for a patient who has undergone electroconvulsive therapy
(ECT). The patient should be carefully assessed for which of the following common adverse
effects of this treatment?
a. Dizziness and blurred vision
b. Aggression and violent behavior
c. Headache and memory loss
d. Palpitations and cardiac arrest - CORRECT ANSWER-C
A patient diagnosed with major depressive disorder is admitted for inpatient care. Which of
the following is the primary goal during the admission assessment?
A. Establishing desired outcomes for the patient
B. Administering antidepressant medications
C. Collecting and organizing patient data
D. Reviewing the policies for patient conduct - CORRECT ANSWER-C (The primary goal
during the admission assessment is to collect and organize objective and subjective data so
patient problems and needs can be identified.)
A patient diagnosed with bipolar disorder is prescribed lithium carbonate (Lithobid). When
teaching the patient about the medication, which of these statements is a priority for the
healthcare provider include?
A. "You should follow this low calorie, low sodium diet to prevent weight gain."
B. "You should avoid consuming dairy products when you are taking this medication."
C. "Call our office immediately if you experience any unusual bruising or bleeding."
D. "Drink lots of fluids, especially if you are active during hot weather." - CORRECT
ANSWER-D
A patient diagnosed with depression is prescribed fluoxetine (Prozac). Which of the following
would the healthcare provider most likely observe if the patient experiences an adverse
effect of this medication?
a. Bradycardia
b. Decreased libido
c. Urinary retention
d. Weight loss - CORRECT ANSWER-B
Which of the following would not be a protective factor against suicide?
, a. Having limited access to highly lethal methods of suicide
b. Easy access to a variety of resources and support
c. Lack of coping skills in problem solving, conflict resolution, and nonviolent handling of
disputes.
d. Having a significant other - CORRECT ANSWER-C (Protective factors against suicide
include:
-Effective and appropriate clinical care for mental, physical, and substance abuse disorders
-Easy access to a variety of clinical interventions and support for help-seeking
-Restricted access to highly lethal methods of suicide
-Family and community support
-Support from ongoing medical and mental health care relationships
-Learned skills in problem solving, conflict resolution, and nonviolent handling of disputes
-Cultural and religious beliefs that discourage suicide and support self-preservation instincts
-Going to church
-Having a pet, having children, or being a caregiver
-Having a significant other)
Which of the following are individual risk factors for suicide? Select all that apply.
a. Female gender
b. Command hallucinations
c. Pts. age is 16 years old
d. No history of depression of a mental health disorder
e. The pt. has Parkinson's. - CORRECT ANSWER-B C E (Risk factors for suicide include:
-*Sex* (Male)
-*Age* (<19 or >45)
-History of *depression*
-*Previous* suicide attempt
-*Ethanol* abuse
-*Rational* thinking loss (Ex. command hallucinations)
-*Social* supports lacking
-*Organized* plan
-*No* spouse
-*Sickness* (Chronic debilitating disease)
