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."
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."