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NU150 Exam 4 Study Guide (2026) | 350+ Practice Questions & Verified Answers | Neurological Disorders, Psychiatric Pharmacology, Parkinson's Disease & Seizure Medications | Galen College of Nursing

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Prepare for NU150 Exam 4 at Galen College of Nursing with this comprehensive 2026 study guide, featuring 350+ exam-style practice questions with verified answers and detailed rationales covering the essential principles of neurological pharmacology, psychiatric medications, musculoskeletal disorders, endocrine therapies, and central nervous system (CNS) drug management. This resource is designed to strengthen clinical reasoning, medication safety, nursing interventions, and evidence-based pharmacologic decision-making while preparing students for classroom examinations, clinical practice, and NCLEX-style assessments. The practice questions closely reflect the format and difficulty of NU150 exams, making this an invaluable review tool for nursing students. This study guide provides comprehensive coverage of Parkinson's disease pharmacotherapy, including levodopa/carbidopa, dopamine replacement therapy, benztropine, motor symptom management, dyskinesias, neuroleptic malignant syndrome (NMS), drug interactions, protein intake considerations, glaucoma precautions, and patient education. It also offers extensive review of antiepileptic medications, including phenytoin, valproic acid, levetiracetam, seizure precautions, status epilepticus, therapeutic drug monitoring, gingival hyperplasia, hepatotoxicity, thrombocytopenia, blood dyscrasias, folate deficiency, nystagmus, hyperglycemia, drug toxicity, and emergency seizure management. Every verified answer reinforces safe medication administration and clinical judgment required for nursing examinations and patient care. The guide also delivers in-depth review of psychiatric pharmacology, including SSRIs, SNRIs, tricyclic antidepressants (TCAs), monoamine oxidase inhibitors (MAOIs), benzodiazepines, antipsychotics, mood stabilizers, lithium therapy, aripiprazole, haloperidol, citalopram, fluoxetine, venlafaxine, amitriptyline, phenelzine, diazepam, lorazepam, zolpidem, serotonin syndrome, extrapyramidal symptoms (EPS), tardive dyskinesia, neuroleptic malignant syndrome, hyperglycemia, CNS depression, benzodiazepine withdrawal, tyramine-containing foods, therapeutic lithium levels, hyponatremia, and psychiatric medication safety. Additional topics include Alzheimer's disease pharmacology (rivastigmine), osteoporosis medications (alendronate), rheumatoid arthritis therapies (methotrexate, hydroxychloroquine, adalimumab), gout management (allopurinol), benign prostatic hyperplasia (tamsulosin), erectile dysfunction medications (sildenafil), hormone replacement therapy, testosterone therapy, and skeletal muscle relaxants. The guide integrates medication administration, laboratory monitoring, patient education, contraindications, adverse effects, and NCLEX-style clinical scenarios to promote safe and effective nursing practice. This study guide is ideal for NU150 students, Galen College of Nursing students, Fundamentals of Nursing students, Pharmacology students, Practical Nursing (PN/LPN) students, Associate Degree Nursing (ADN) students, Bachelor of Science in Nursing (BSN) students, pre-nursing students, Registered Nursing (RN) students, and learners preparing for NCLEX-RN or NCLEX-PN examinations. The content aligns with leading nursing pharmacology references and evidence-based clinical guidelines, including: Lilley, L. L., Collins, S. R., & Snyder, J. S. Pharmacology and the Nursing Process. Elsevier. Rosenthal, L. D., & Burchum, J. R. Lehne's Pharmacology for Nursing Care. Elsevier. Vallerand, A. H., Sanoski, C. A., & Quiring, C. Davis's Drug Guide for Nurses. F.A. Davis. Brunton, L. L., Hilal-Dandan, R., & Knollmann, B. C. Goodman & Gilman's The Pharmacological Basis of Therapeutics. McGraw-Hill. American Academy of Neurology (AAN). Practice Guidelines for Parkinson Disease and Epilepsy. American Psychiatric Association (APA). Practice Guidelines for the Treatment of Patients with Mental Disorders. National Council of State Boards of Nursing (NCSBN). NCLEX-RN Test Plan. Relevant students: NU150 Students, Galen College of Nursing Students, Fundamentals of Nursing Students, Pharmacology Students, Practical Nursing (PN/LPN) Students, Associate Degree Nursing (ADN) Students, Bachelor of Science in Nursing (BSN) Students, Pre-Nursing Students, Registered Nursing (RN) Students, NCLEX-RN Candidates, NCLEX-PN Candidates, Allied Health Students. Keywords NU150, NU150 Exam 4, Galen College of Nursing, Nursing Pharmacology, Neurological Pharmacology, Psychiatric Pharmacology, Parkinson Disease, Levodopa, Carbidopa, Benztropine, Epilepsy, Seizure Disorders, Phenytoin, Valproic Acid, Levetiracetam, Status Epilepticus, Rivastigmine, Alzheimer's Disease, Lithium, Bipolar Disorder, SSRIs, SNRIs, Tricyclic Antidepressants, TCAs, MAOIs, Benzodiazepines, Lorazepam, Diazepam, Zolpidem, Haloperidol, Aripiprazole, Extrapyramidal Symptoms, EPS, Tardive Dyskinesia, Neuroleptic Malignant Syndrome, Serotonin Syndrome, Alendronate, Osteoporosis, Methotrexate, Hydroxychloroquine, Adalimumab, Allopurinol, Gout, Tamsulosin, Sildenafil, Hormone Replacement Therapy, Medication Safety, NCLEX Review, Nursing Exam Questions, Verified Answers, Study Guide

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NU150 Exam 4 Galen 2026
Exam Questions and Answers |
Already Graded A+



A patient with Parkinson's disease is prescribed levodopa/carbidopa.

Which statement by the patient


indicates the need for further teaching? - ANSWER ✔✔"I should take

this medication with a high-protein meal."

A patient on phenytoin for epilepsy reports gingival hyperplasia. What is

the nurse's priority teaching? - ANSWER ✔✔"Practice good oral

hygiene, including regular flossing and dental checkups."

,What instruction should the nurse provide to a patient taking alendronate

for osteoporosis? - ANSWER ✔✔"Remain upright for at least 30

minutes after taking the medication."

A patient with bipolar disorder is prescribed lithium. What finding

indicates the patient may be


experiencing lithium toxicity? - ANSWER ✔✔Tremors, confusion, and

nausea

Which patient statement indicates a need for further teaching about

sildenafil? - ANSWER ✔✔"This medication will protect me from

sexually transmitted infections."

A patient prescribed lorazepam for anxiety asks about its side effects.

What is the nurse's best


response? - ANSWER ✔✔"You may feel drowsy, so avoid driving

until you know how it affects you."

Which side effect should the nurse monitor for in a patient taking

amitriptyline? - ANSWER ✔✔Orthostatic hypotension


What is the most important teaching point for a patient starting

aripiprazole? - ANSWER ✔✔"You may experience fewer side effects

compared to older antipsychotics."

,A patient diagnosed with mild to moderate Alzheimer's disease is

prescribed rivastigmine. Which


statement by the patient indicates effective teaching? - ANSWER

✔✔"I should take this medication with meals to reduce stomach upset."


What should the nurse include in teaching a patient prescribed

allopurinol for gout? - ANSWER ✔✔"Drink at least 2-3 liters of water

daily to prevent kidney stones."

A patient with rheumatoid arthritis is prescribed methotrexate. What

should the nurse monitor to prevent serious complications? -

ANSWER ✔✔Liver function tests and complete blood count (CBC)


A patient with benign prostatic hyperplasia (BPH) is prescribed

tamsulosin. What side effect should


the nurse educate the patient about? - ANSWER ✔✔Orthostatic

hypotension

The nurse is teaching a patient who has been prescribed fluoxetine for

depression. Which of the


following should the nurse include in the teaching? - ANSWER

✔✔"You may experience sexual dysfunction as a side effect."


3
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, A patient is prescribed cyclobenzaprine for muscle spasms. What is the

nurse's priority teaching? - ANSWER ✔✔. "Avoid operating

machinery or driving while on this medication."

What should the nurse teach a patient who is prescribed zolpidem for

insomnia? - ANSWER ✔✔"Avoid alcohol while taking this

medication."

A patient taking valproic acid for epilepsy reports abdominal pain and

nausea. What is the nurse's


priority action? - ANSWER ✔✔Assess liver function tests.


The nurse is educating a patient starting levetiracetam for seizure

control. Which statement by the


patient requires further teaching? - ANSWER ✔✔"I can stop this

medication if my seizures improve."

What side effect should the nurse monitor for in a patient taking

haloperidol for schizophrenia? - ANSWER ✔✔Extrapyramidal

symptoms (EPS)

A patient taking lithium for bipolar disorder reports frequent urination and

increased thirst. What is the

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