EXAM 2026ACCURATE EXAM APPROVED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(CORRECT VERIFIED SOLUTIONS) CURRENTLY UPDATED
2026-2027||Vancouver Island University
A psychiatrist prescribed fluoxetine to a client who was diagnosed with
depression. What are the side effects of this drug?
A. Weight changes, nausea, diarrhea
B. Sensitivity to light, convulsions, swelling of the limbs, high blood sugar
C. Postprandial hypotension and dizziness
D. Tachycardia, immunosuppression, fever
Answer: A. Weight changes, nausea, diarrhea
Fluoxetine, sold under the brand name Prozac or Sarafem, is classified as
a selective serotonin reuptake inhibitor (SSRI). It treats psychiatric
conditions such as depression, bulimia nervosa, and obsessive-
compulsive disorder (OCD). Its side effects include decreased libido,
mouth dryness, weight changes, and gastrointestinal problems such as
diarrhea and nausea.
Fluoxetine causes gastrointestinal symptoms since it leads to increased
serotonin levels, which stimulate receptors in the nervous system and the
gastrointestinal tract. Alterations may bring about weight changes in
appetite, which is also another side effect of the mechanism of action of
SSRIs.
,Which side effects of Phenytoin can occur when taking the incorrect
dose?
A. Abnormal heart rhythm
B. Vertigo, weakness, nausea and vomiting, unsteady gait
C. Grey mucous membranes
D. Bulimia nervosa
Answer: B. Vertigo, weakness, nausea and vomiting, unsteady gait
Phenytoin is anticonvulsant drug. It is often used in clients with complex
partial seizures, grand mal seizures, and postoperative seizures.
Like most drugs, Phenytoin can also produce unwanted effects in the
body when used too often or too much. Self-medication administration,
improper use of the drug, and drug interactions are three major causes
of phenytoin intoxication. The most common symptoms of phenytoin
intoxication include dizziness, nausea, vomiting, generalized weakness,
unsteady gait, and drowsiness. The serum phenytoin levels must be
checked to confirm phenytoin intoxication.
,What toy is developmentally best for a toddler?
A) Small blunt scissors, paper, and other art materials
B) Wooden puzzles
C) Stickers and glitter
D) Over the crib mobile
Answer: B. Wooden puzzles
- Wood puzzles with 4-12 pieces are ideal for two-year-old toddlers. This
helps children in this age group enhance their fine motor skills and hand-
eye coordination. Options A & B are suited better for the Preschool or
School -aged child. An Over the crib mobile is suitable for an infant
, A client arrives to the ER with a blood glucose of 32 mmol/L. What are
the 3 polys of Type diabetes mellitus?
A. Polyuria, polyopia, polycystic
B. Polydipsia, polyphagia, polyarthritis
C. Polyphagia, polyuria, polydipsia
D. Polyuria, polycythemia, polyarthritis
Polyphagia, polyuria, polydipsia
Type I diabetes mellitus (DM) develops when the body can no longer
produce insulin due to the destruction of beta cells of the pancreas
responsible for insulin production. Lack of insulin production leads to
poor control of blood glucose levels. Polyphagia, polyuria, and
polydipsia are known as the cardinal signs of diabetes. They develop
faster in clients with type I DM.
Polydipsia refers to increased thirst caused by high blood sugar levels
that make the blood more concentrated.
Polyuria is the medical term for increased frequency of urination and
passage of high volumes of urine, followed by the excess intake of fluids.
Polyphagia refers to increased appetite which occurs because of excess
loss of glucose in the urine, making the body crave food.