EXAM 1
Psychopharmacology
Actual Questions with Verified Answers
Wilkes University
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,Table of Contents
NSG 552 Exam 1...............................................................2
NSG 552 Exam 1 Study Guide ................................. 55
NSG 552 Exam 1
Question 1 (SINGLE BEST ANSWER)
A 24-year-old male with schizophrenia is prescribed haloperidol 10 mg IM for
acute agitation. Which medication should be co-administered to reduce the risk
of severe extrapyramidal symptoms (EPS)?
• A. Propranolol
• B. Benztropine
• C. Amantadine
• D. Clonazepam
Correct Answer: B. Benztropine
Rationale: IM haloperidol should be administered with an anticholinergic agent
such as benztropine or diphenhydramine to reduce the risk of severe EPS,
particularly acute dystonia.
, Question 2 (SINGLE BEST ANSWER)
A patient presents with involuntary movements of the facial muscles, tongue
protrusion, and lip smacking after 5 years of antipsychotic therapy. Which
condition is most likely?
• A. Acute dystonia
• B. Akathisia
• C. Tardive dyskinesia
• D. Neuroleptic malignant syndrome
Correct Answer: C. Tardive dyskinesia
Rationale: Tardive dyskinesia (TD) is characterized by involuntary movements of
the facial muscles, tongue, and limbs. It is a neurotoxic side effect of long-term
antipsychotic use targeting dopamine receptors.
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Question 3 (SELECT ALL THAT APPLY)
A patient on clozapine presents with fever, sore throat, and malaise. The PMHNP
suspects agranulocytosis. Select all that apply regarding clozapine monitoring:
• A. Monitor WBC and ANC weekly for the first 6 months
• B. Discontinue clozapine if ANC falls below 1,500/mm³
• C. Agranulocytosis occurs in approximately 1% of patients
• D. Sialorrhea occurs in 30-80% of patients and is managed with glycopyrrolate
• E. Clozapine is first-line for all patients with schizophrenia
Correct Answer: A, B, C, D