NUR 180 FINAL EXAM 2026/2027 – NURSING STUDY GUIDE, PRACTICE
QUESTIONS, COMPREHENSIVE REVIEW & TEST PREP
Fluoxetine (Prozac)
What to avoid (2)
SE (4)
How to store and take - correct answer ✔✔Antidepressant, SSRI
Avoid St. Johns wort and aspirin (GI issues)
SE: weight changes, dizziness/drowsiness, dry mouth, constipation
store in room temp and take daily
Olanzapine (Zyprexa)
SE: (1) - correct answer ✔✔-antipsychotic
watch for extrapyramidal side effects
Venlafaxine (Effexor)
How to take
SE (1) - correct answer ✔✔antidepressant (SNRI)
-take w/ food, take in am (insomnia)
Med given to treat extrapyramidal effect (2) - correct answer ✔✔Benadryl and Cogentin
ANTICHOLINERGICS
Cogentin (Benztropine) - correct answer ✔✔Anticholinergic given to Parkinson's pt to tx extrapyramidal
effects
Lorazepam (Ativan)
uses
Avoid (4)
SE: (1) - correct answer ✔✔Given to prevent seizures from alcohol WD and anxiety
NO driving, alcohol, cough syrup, or diphenhydramine
SE: Dizzy/drowsy
What are MAOI's and what to avoid (5) - correct answer ✔✔-Antidepressants drug class
-Avoid food w/ tyramine (pepperoni, sausage, wine, chocolate, picked foods, cheeses)
Causes severe hypertensive crisis (not following dietary restrictions)
Antipsychotics (4 names) - correct answer ✔✔-Haloperidol (Haldol)
-Quetiapine (Seroquel)
-Fluphenazine (Prolixin)
-Risperidone (Risperdal)
What do we need to monitor when giving antipsychotics? (2) - correct answer ✔✔For extrapyramidal
effects and for signs of neuroleptic malignant syndrome
extrapyramidal symptoms (4) - correct answer ✔✔-Akinesia (unable to move voluntarily)
, -acute dystonia (involuntary muscle contraction)
-Tardive dyskinesia (tongue twitching, lip smacking)
-Parkinsonism (shuffling gait, pill rolling, bradykinesia, tremors)
Signs of neuroleptic malignant syndrome (9) - correct answer ✔✔FEVER
Change in LOC/mood
muscle rigidity
Resp difficulties
tremors
tachycardia
diaphoresis
BP change
inability to speak
Lithium uses
therpautic level
SE: (3) - correct answer ✔✔Mood stabalizer (bipolar, personality disorder)
0.6-1.2
SE:tremors, fatigue, NVD
lithium toxicity & signs (6) - correct answer ✔✔> 1.5
NV, tremors, seizures, hotn, coma, confusion
Maslow's Hierarchy of Needs - correct answer ✔✔(level 1) Physiological Needs,
(level 2) Safety and Security,
(level 3) Relationships, Love and Affection,
(level 4) Self Esteem,
(level 5) Self Actualization
Interventions or anxiety (6) - correct answer ✔✔Stay with pt
Assure safety
Place in calm room
Encourage to discuss feelings
Give simple and clear instructions if needed
(Cognitive behavioral therapy helps)
What interferes with coping? (4) - correct answer ✔✔-Culture
-family dynamics
-stress
-addictions
Things to remember about OCD (3) - correct answer ✔✔-Rituals are performed to decrease anxiety
-Set limits
-May need to start ritual/act earlier
S/S of bullying (4) - correct answer ✔✔-depressed mood
-headache
QUESTIONS, COMPREHENSIVE REVIEW & TEST PREP
Fluoxetine (Prozac)
What to avoid (2)
SE (4)
How to store and take - correct answer ✔✔Antidepressant, SSRI
Avoid St. Johns wort and aspirin (GI issues)
SE: weight changes, dizziness/drowsiness, dry mouth, constipation
store in room temp and take daily
Olanzapine (Zyprexa)
SE: (1) - correct answer ✔✔-antipsychotic
watch for extrapyramidal side effects
Venlafaxine (Effexor)
How to take
SE (1) - correct answer ✔✔antidepressant (SNRI)
-take w/ food, take in am (insomnia)
Med given to treat extrapyramidal effect (2) - correct answer ✔✔Benadryl and Cogentin
ANTICHOLINERGICS
Cogentin (Benztropine) - correct answer ✔✔Anticholinergic given to Parkinson's pt to tx extrapyramidal
effects
Lorazepam (Ativan)
uses
Avoid (4)
SE: (1) - correct answer ✔✔Given to prevent seizures from alcohol WD and anxiety
NO driving, alcohol, cough syrup, or diphenhydramine
SE: Dizzy/drowsy
What are MAOI's and what to avoid (5) - correct answer ✔✔-Antidepressants drug class
-Avoid food w/ tyramine (pepperoni, sausage, wine, chocolate, picked foods, cheeses)
Causes severe hypertensive crisis (not following dietary restrictions)
Antipsychotics (4 names) - correct answer ✔✔-Haloperidol (Haldol)
-Quetiapine (Seroquel)
-Fluphenazine (Prolixin)
-Risperidone (Risperdal)
What do we need to monitor when giving antipsychotics? (2) - correct answer ✔✔For extrapyramidal
effects and for signs of neuroleptic malignant syndrome
extrapyramidal symptoms (4) - correct answer ✔✔-Akinesia (unable to move voluntarily)
, -acute dystonia (involuntary muscle contraction)
-Tardive dyskinesia (tongue twitching, lip smacking)
-Parkinsonism (shuffling gait, pill rolling, bradykinesia, tremors)
Signs of neuroleptic malignant syndrome (9) - correct answer ✔✔FEVER
Change in LOC/mood
muscle rigidity
Resp difficulties
tremors
tachycardia
diaphoresis
BP change
inability to speak
Lithium uses
therpautic level
SE: (3) - correct answer ✔✔Mood stabalizer (bipolar, personality disorder)
0.6-1.2
SE:tremors, fatigue, NVD
lithium toxicity & signs (6) - correct answer ✔✔> 1.5
NV, tremors, seizures, hotn, coma, confusion
Maslow's Hierarchy of Needs - correct answer ✔✔(level 1) Physiological Needs,
(level 2) Safety and Security,
(level 3) Relationships, Love and Affection,
(level 4) Self Esteem,
(level 5) Self Actualization
Interventions or anxiety (6) - correct answer ✔✔Stay with pt
Assure safety
Place in calm room
Encourage to discuss feelings
Give simple and clear instructions if needed
(Cognitive behavioral therapy helps)
What interferes with coping? (4) - correct answer ✔✔-Culture
-family dynamics
-stress
-addictions
Things to remember about OCD (3) - correct answer ✔✔-Rituals are performed to decrease anxiety
-Set limits
-May need to start ritual/act earlier
S/S of bullying (4) - correct answer ✔✔-depressed mood
-headache
