326 EXAM 1 MEDS- Exam Study Guide –
Practice Questions & Verified Answers
Prepare for your exams with confidence using this comprehensive and well-organized study
guide. This resource is designed to help students understand key concepts, strengthen their
knowledge, and improve exam performance through carefully structured practice questions
and detailed explanations.
The document includes exam-style questions that closely reflect the format and difficulty of
real assessments, helping students become familiar with the types of questions they may
encounter. Each question is accompanied by accurate answers and clear explanations,
allowing you to fully understand the reasoning behind the correct responses.
What This Study Guide Offers
✔ Practice questions based on important and commonly tested topics
✔ Verified answers with clear, easy-to-follow explanations
✔ Well-structured formatting for efficient studying and revision
✔ Coverage of key course concepts and learning objectives
✔ A reliable resource for strengthening understanding and exam readiness
Why This Resource Is Useful
This study guide is designed to support students who want to review effectively, identify
knowledge gaps, and improve their test-taking skills. By practicing with exam-style questions
and reviewing detailed explanations, students can reinforce their understanding and build
confidence before their exams.
Ideal For
• Final exam preparation
• Midterm review
• Regular revision sessions
• Improving understanding of difficult topics
• Enhancing overall academic performance
,Whether you are studying weeks in advance or reviewing shortly before an exam, this guide
provides structured practice and clear explanations to help you prepare effectively and
perform at your best.
A valuable study resource for students who want to prepare smarter and succeed in their
exams.
A nurse is providing dietary teaching for a client who has a new prescription for a monoamine
oxidase inhibitor (MAOI). When the client develops a sample lunch menu, which of the
following items requires intervention by the nurse?
A. Glass of whole milk
B. Celery sticks
C. Bologna sandwich
D. Sliced apples ------- ✔ CORRECT ANSWER ✓✓C. Bologna sandwich
- Clients who are receiving an MAOI should avoid foods containing a high tyramine content.
Bologna has a high tyramine content and should be avoided.
A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports
blurred vision and ataxia. Which of the following actions should the nurse take?
A. withhold the medication
B. Prepare to administer propranolol
C. administer the next dose as prescribed
D. Plan to administer levothyroxine ------- ✔ CORRECT ANSWER ✓✓A. withhold the medication
- The nurse should withhold the medication, because the client is displaying manifestations of
toxicity, which includes ataxia, confusion, large output of dilute urine, blurred vision, clonic
movements, seizures, stupor, severe hypotension, and coma. Pulmonary complications may
lead to death.
, A nurse reviews the laboratory report for a client who is receiving lithium three times daily PO.
The clients current blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value
indicates which of the following?
A. A blood lithium level of 1.8 mEq/L is not within the maintenance treatment level.
B. The lithium level is at the toxic level.
C. The lithium level is below the therapeutic treatment level.
D. The lithium level is within the therapeutic level for initial treatment. ------- ✔ CORRECT
ANSWER ✓✓B. The lithium level is at the toxic level.
- A blood lithium level greater than 1.5 mEq/L indicates toxicity. The nurse should monitor the
client for GI manifestations, coarse hand tremor, confusion, drowsiness, and should withhold
the lithium and notify the provider. A therapeutic initial blood level of lithium is 0.8 to 1.4
mEq/L. Blood levels for lithium maintenance should be between 0.4 and 1.3 mEq/L.
A nurse is evaluating teaching for a client who has newly diagnosed depression & a new
prescription for bupropion. Which of the following statements by the client indicates
understanding of the teaching?
A. I may develop a slow heartbeat while taking bupropion.
B. I can drink one glass of wine with dinner each day while taking bupropion.
C. I may not notice a lifting of my mood for at least 2 weeks.
D. I should watch for increased salivation and drooling while taking bupropion. ------- ✔
CORRECT ANSWER ✓✓C. I may not notice a lifting of my mood for at least 2 weeks.
- Bupropion is a atypical antidepressant. As with other antidepressants, it can take 2 to 4 weeks
for therapeutic effects to occur when taking bupropion.
A nurse is teaching a client who has depression about a new prescription for fluoxetine 20 mg
daily. Which of the following statements by the client indicates understanding of the teaching?
A. I should expect relief from depression within 3 to 4 days.
B. I will take my fluoxetine at bedtime so I can sleep better.
C. I should notify my provider if I develop a skin rash.
, D. I will notice an improvement in my sex drive. ------- ✔ CORRECT ANSWER ✓✓C. I should notify
my provider if I develop a skin rash.
A nurse is providing discharge teachings to a client who has bipolar disorder and will be
discharged with a prescription for lithium. The nurse should teach the client that which of the
following factors puts her at risk for lithium toxicity?
A. The client runs 4 miles outdoors every afternoon.
B. The client drinks 2 liters of liquids daily.
C. The client eats 2 to 3 gm of sodium-containing foods daily.
D. The client eats foods high in tyramine. ------- ✔ CORRECT ANSWER ✓✓A. The client runs 4
miles outdoors every afternoon.
- Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client at risk for
lithium toxicity. Mild to moderate exercise will not lead to lithium toxicity, but if the client
engages in strenuous exercise during hot weather, she should take care to replace any water
and sodium that have been lost through profuse sweating. This also applies to other factors that
can cause the client to become dehydrated, such as having diarrhea or taking diuretics.
A nurse is an acute care mental health facility is preparing to administer morning medications
for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0
mEq/L. Which of the following actions should the nurse take?
A. Prepare for gastric lavage due to an extremely elevated lithium level.
B. Administer the morning dose of lithium.
C. Check the client's medication record to assess whether the client has been refusing her
lithium.
D. Hold the medication and assess for early manifestations of toxicity. ------- ✔ CORRECT
ANSWER ✓✓B. Administer the morning dose of lithium.
- The nurse should administer the lithium dose since a lithium level of 1.0 mEq/L is within the
expected initial therapeutic range of 0.8 to 1.3 mEq/L. At a therapeutic level the client might
demonstrate adverse effects of lithium, such as a fine hand tremor, thirst, and mild nausea, and
the nurse should note if any of these manifestations are present. The nurse should continue to
Practice Questions & Verified Answers
Prepare for your exams with confidence using this comprehensive and well-organized study
guide. This resource is designed to help students understand key concepts, strengthen their
knowledge, and improve exam performance through carefully structured practice questions
and detailed explanations.
The document includes exam-style questions that closely reflect the format and difficulty of
real assessments, helping students become familiar with the types of questions they may
encounter. Each question is accompanied by accurate answers and clear explanations,
allowing you to fully understand the reasoning behind the correct responses.
What This Study Guide Offers
✔ Practice questions based on important and commonly tested topics
✔ Verified answers with clear, easy-to-follow explanations
✔ Well-structured formatting for efficient studying and revision
✔ Coverage of key course concepts and learning objectives
✔ A reliable resource for strengthening understanding and exam readiness
Why This Resource Is Useful
This study guide is designed to support students who want to review effectively, identify
knowledge gaps, and improve their test-taking skills. By practicing with exam-style questions
and reviewing detailed explanations, students can reinforce their understanding and build
confidence before their exams.
Ideal For
• Final exam preparation
• Midterm review
• Regular revision sessions
• Improving understanding of difficult topics
• Enhancing overall academic performance
,Whether you are studying weeks in advance or reviewing shortly before an exam, this guide
provides structured practice and clear explanations to help you prepare effectively and
perform at your best.
A valuable study resource for students who want to prepare smarter and succeed in their
exams.
A nurse is providing dietary teaching for a client who has a new prescription for a monoamine
oxidase inhibitor (MAOI). When the client develops a sample lunch menu, which of the
following items requires intervention by the nurse?
A. Glass of whole milk
B. Celery sticks
C. Bologna sandwich
D. Sliced apples ------- ✔ CORRECT ANSWER ✓✓C. Bologna sandwich
- Clients who are receiving an MAOI should avoid foods containing a high tyramine content.
Bologna has a high tyramine content and should be avoided.
A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports
blurred vision and ataxia. Which of the following actions should the nurse take?
A. withhold the medication
B. Prepare to administer propranolol
C. administer the next dose as prescribed
D. Plan to administer levothyroxine ------- ✔ CORRECT ANSWER ✓✓A. withhold the medication
- The nurse should withhold the medication, because the client is displaying manifestations of
toxicity, which includes ataxia, confusion, large output of dilute urine, blurred vision, clonic
movements, seizures, stupor, severe hypotension, and coma. Pulmonary complications may
lead to death.
, A nurse reviews the laboratory report for a client who is receiving lithium three times daily PO.
The clients current blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value
indicates which of the following?
A. A blood lithium level of 1.8 mEq/L is not within the maintenance treatment level.
B. The lithium level is at the toxic level.
C. The lithium level is below the therapeutic treatment level.
D. The lithium level is within the therapeutic level for initial treatment. ------- ✔ CORRECT
ANSWER ✓✓B. The lithium level is at the toxic level.
- A blood lithium level greater than 1.5 mEq/L indicates toxicity. The nurse should monitor the
client for GI manifestations, coarse hand tremor, confusion, drowsiness, and should withhold
the lithium and notify the provider. A therapeutic initial blood level of lithium is 0.8 to 1.4
mEq/L. Blood levels for lithium maintenance should be between 0.4 and 1.3 mEq/L.
A nurse is evaluating teaching for a client who has newly diagnosed depression & a new
prescription for bupropion. Which of the following statements by the client indicates
understanding of the teaching?
A. I may develop a slow heartbeat while taking bupropion.
B. I can drink one glass of wine with dinner each day while taking bupropion.
C. I may not notice a lifting of my mood for at least 2 weeks.
D. I should watch for increased salivation and drooling while taking bupropion. ------- ✔
CORRECT ANSWER ✓✓C. I may not notice a lifting of my mood for at least 2 weeks.
- Bupropion is a atypical antidepressant. As with other antidepressants, it can take 2 to 4 weeks
for therapeutic effects to occur when taking bupropion.
A nurse is teaching a client who has depression about a new prescription for fluoxetine 20 mg
daily. Which of the following statements by the client indicates understanding of the teaching?
A. I should expect relief from depression within 3 to 4 days.
B. I will take my fluoxetine at bedtime so I can sleep better.
C. I should notify my provider if I develop a skin rash.
, D. I will notice an improvement in my sex drive. ------- ✔ CORRECT ANSWER ✓✓C. I should notify
my provider if I develop a skin rash.
A nurse is providing discharge teachings to a client who has bipolar disorder and will be
discharged with a prescription for lithium. The nurse should teach the client that which of the
following factors puts her at risk for lithium toxicity?
A. The client runs 4 miles outdoors every afternoon.
B. The client drinks 2 liters of liquids daily.
C. The client eats 2 to 3 gm of sodium-containing foods daily.
D. The client eats foods high in tyramine. ------- ✔ CORRECT ANSWER ✓✓A. The client runs 4
miles outdoors every afternoon.
- Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client at risk for
lithium toxicity. Mild to moderate exercise will not lead to lithium toxicity, but if the client
engages in strenuous exercise during hot weather, she should take care to replace any water
and sodium that have been lost through profuse sweating. This also applies to other factors that
can cause the client to become dehydrated, such as having diarrhea or taking diuretics.
A nurse is an acute care mental health facility is preparing to administer morning medications
for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0
mEq/L. Which of the following actions should the nurse take?
A. Prepare for gastric lavage due to an extremely elevated lithium level.
B. Administer the morning dose of lithium.
C. Check the client's medication record to assess whether the client has been refusing her
lithium.
D. Hold the medication and assess for early manifestations of toxicity. ------- ✔ CORRECT
ANSWER ✓✓B. Administer the morning dose of lithium.
- The nurse should administer the lithium dose since a lithium level of 1.0 mEq/L is within the
expected initial therapeutic range of 0.8 to 1.3 mEq/L. At a therapeutic level the client might
demonstrate adverse effects of lithium, such as a fine hand tremor, thirst, and mild nausea, and
the nurse should note if any of these manifestations are present. The nurse should continue to
