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Exam 2 NCLEX (2026/2027) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

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Exam 2 NCLEX (2026/2027) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

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Exam 2 NCLEX (2026/2027)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Ampatientmcomesmtomthemclinicmformam4-weekmfollow-
upmaftermstartingmfluoxetine.mWhatmismthemhighestmprioritymassessmentmquestionmthemnursemshoul
dmask?



"Howmhavemyoumbeenmsleeping?"

"Didmyoumdrivemtomthemclinicmtoday?"

"Hasmyourmstomachmfeltmuncomfortable?"

"Havemyoumexperiencedmthoughtsmofmhurtingmyourself?"m-
mCORRECTmANSWERm"Havemyoumexperiencedmthoughtsmofmhurtingmyourself?"




Priormtominitiatingmamtricyclicmantidepressantm(TCA),mthemnursemshouldmevaluatemwhichmofmthempat
ient'smdiagnosticmtests?



Electroencephalogramm(EEG)

Electrocardiogram

Lipids

Completembloodmcountm(CBC)m-mCORRECTmANSWERmElectrocardiogram



Whichmbreakfastmselectionsmdemonstratemthatmampatientmunderstandsmthemnurse'smdietaryminstru
ctionsmwhilemtakingmmonoaminemoxidaseminhibitorm(MAOI)mantidepressants?



Bacon,meggs,mcheddarmcheese,mandmavocadomslicesminmamflourmtortilla

,Bananamslicesmandmraisinsminmwhole-grainmcerealmwithmmilk

Blueberrympancakesmwithmyogurt

Oatmealmwithmalmondsmandmmilkm-mCORRECTmANSWERmOatmealmwithmalmondsmandmmilk



Whichmdepressedmpatientmcouldmmostmbenefitmfrommamtrialmprescriptionmofmbupropion?



Anmoldermfemalemadultmwithmamhistorymofmepilepsy

Anmunderweightmteenager

Amyoungmmalemadultmwithmamnicotinemaddiction

Amyoungmfemalemadultmtakingmrisperidonem-
mCORRECTmANSWERmAmyoungmmalemadultmwithmamnicotinemaddiction




Ampatientmprescribedmamtricyclicmantidepressantm(TCA)mformchronicmdepressionmismrecoveringmfro
mmammyocardialminfarction.mWhichminterventionmwillmthemnursemanticipatemasmamresultmofmthempati
ent'smmedicalmcondition?



PreparingmtomweanmthempatientmoffmofmthemprescribedmTCAmmedication

Increasingmthemdosemofmthempatient'smprescribedmTCAmmedication

Addingmammonoaminemoxidaseminhibitorsm(MAOIs)mtomthempatient'smmedicationmregime

Discontinuingmthempatientmfrommallmantidepressantmmedicationsmtemporarilym-
mCORRECTmANSWERmPreparingmtomweanmthempatientmoffmofmthemprescribedmTCAmmedication




Itmhasmbeenmdeterminedmthatmampatientmismexperiencingmlife-
threateningmtoxicitymrelatedmtomtricyclicmantidepressantm(TCA)muse.mWhichminterventionmwillmthem
nursemanticipate?



Frequentlymassessingmformsuicidalmideations

Administeringmthemacetylcholinesteraseminhibitormphysostigminem(Antilirium)

,Insertingmanmindwellingmurinarymcatheter

PreparingmthempatientmformanmEEGm-
mCORRECTmANSWERmAdministeringmthemacetylcholinesteraseminhibitormphysostigminem(Antiliriu


m)



Amchronicallymdepressedmpatientmtellsmthemnurse,m"Mymantidepressantmjustmdoesn'tmseemmtombem
workingmasmwellmasmitmdid."mWhatmismthemnurse'sminitialmassessmentmintervention?



Determiningmwhethermthempatientmhasmbeenmtakingmthemmedicationmasmprescribed

Askingmthempatientmhowmlongmhemormshemhasmbeenmtakingmthismparticularmantidepressant

Determiningmifmthempatientmhasmbeenmexperiencingmanymphysicalmsidemeffects

Askingmthempatientmtomdescribemwhatmhemormshemmeansmbym"notmworkingmasmwell"m-
mCORRECTmANSWERmAskingmthempatientmhowmlongmhemormshemhasmbeenmtakingmthismparticularman


tidepressant



Ampatientmasks,m"WhymhavemImbeenmprescribedmamselectivemserotoninmreuptakeminhibitorm(SSRI)mra
thermthanmonemofmthemothermkindsmofmantidepressants?"mThemnursemaddressesmthempatient'smque
stionmbestmwhenmprovidingmwhichmresponse?



"Thismclassificationmismusuallymeffectivemandmgenerallymcausesmfewermsidemeffects."

"SSRIsmaremfarmlessmexpensivemthanmanymothermantidepressant."

"Yourmmentalmhealthmprovidermhasmdeterminedmthatmyourmsymptomsmwillmbembestmmanagedmwit
hmthismclassificationmofmantidepressants."

"Itmsoundsmlikemyoumhavemsomemdoubtsmaboutmthemeffectivenessmofmthismclassificationmofmantidep
ressants."m-
mCORRECTmANSWERm"Thismclassificationmismusuallymeffectivemandmgenerallymcausesmfewermsidemeff


ects."

, Whichmsidemeffectmofmmonoaminemoxidaseminhibitorm(MAOI)mtherapymwillmthemnursembemparticula
rlymconcernedmaboutmwhenmthismclassificationmofmantidepressantsmismprescribedmtomanmoldermadul
tmpatient?



Orthostaticmhypotensionmresultingminmfalls

Hypertension-inducedmstrokes

Hypertensivemcrisismresultingmfrommeatingmtyramine-richmfoods

Drug-inducedmreflexmtachycardiam-
mCORRECTmANSWERmOrthostaticmhypotensionmresultingminmfalls




Medicationmteachingmregardingmlithiummismregardedmasmsuccessfulmwhenmthemnursemhearsmthempa
tientmmakesmwhichmstatement?



"Potassiummcanmbemdangerousminmmymdiet."

"Mymbodymtreatsmlithiummjustmlikemsalt."

"Ammultivitaminmeachmdaymwillmbemimportant."

"Imwon'tmhavemtomseemthemdoctormform3mmonths."m-
mCORRECTmANSWERm"Mymbodymtreatsmlithiummjustmlikemsalt."




Thempatientmwhomwillmrequiremfurthermteachingmwhilemonmlithiummwouldmmakemwhatmstatement?



"ImknowmImneedmtomeatmandmdrinkmsensibly."

"Mymdieticianmappointmentmismnextmweek."

"Mymlastmlithiummlevelmwasm0.6."

"Imammreallymenjoyingmmymaerobicsmdancemclass."m-
mCORRECTmANSWERm"Imammreallymenjoyingmmymaerobicsmdancemclass."

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