Page 1 of 197
NUR 326 FINAL Exam NEWEST 500
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
NUR 326 FINAL
QUESTION: You are sitting with a client who has depression and you ask them, "Have you
thought about harming yourself or others?" The patient does not respond. What should you, as
the nurse, do next?
a. Repeat the question because they might not of heard you the first time.
b. Sit with the patient quietly until they are ready to respond.
c. Hug the patient.
d. Implement one-to-one observation because of suicide risk. - ANSWER-B (The answer will
almost always be sit with the patient quietly.)
QUESTION: What anti-depressant has been found to be an effective non dependence forming
sleep aid?
a. Wellbutrin (Buspar)
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b. Trazadone (Desyrel)
c. Fluoxetine (Prozac)
d. Citalopram (Celexa) - ANSWER-B
QUESTION: You are caring for a client who has been prescribed an MAO inhibitor, Phenelazine.
Which of the following statements should the nurse make about education regarding taking this
medication?
a. "Wear sunscreen before you go outside."
b. "Call the physician if you experience a sore throat."
c. "Do not eat aged cheese meats, wine, and chocolate while taking this medication."
d. "It can take a few days before you start to see an improvement in your mood." - ANSWER-C
QUESTION: You are caring for a client who is taking Fluoxetine (Prozac), an SSRI. Which of the
following are manifestations of serotonin syndrome, a serious adverse effect of too much
serotonin in the brain? Select all that apply.
a. Altered level of consciousness
b. Constipation
c. Fever
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d. Tachycardia
e. Hypotension
f. Agitation
g. Tremors - ANSWER-A C D F (Signs and symptoms of serotonin syndrome include:
-Confusion
-Disorientation
-Agitation
-Diarrhea
-Tachycardia
-Hallucinations
-Fever
-Poor Coordination
-Elevated B/P
-Vomiting)
Q; Which of the following medications are used for alcohol recovery/maintenance? Select all
that apply.
a. Cogentin
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b. Naltrexone
c. Disulfiram (Antabuse)
d. Trazadone
e. Acamprosate (Campral) - ANSWER-B C E
QUESTION: You have a client that has just been diagnosed with depression. Which of the
following are expected findings related to depression? Select all that apply.
a. Increased libido
b. Anhedonia
c. Generalized pain
d. Anergia
e. Increased socialization - ANSWER-B C D (A pt. experiencing depression will exhibit decreased
libido, lack of pleasure in normal activities, anxiety, reports of sluggishment, changes in eating
patterns, changes in bowel habits, sleep disturbances, and somatic reports, such as fatigue,
gastrointestinal changes, and pain.)
QUESTION: The healthcare provider is caring for a patient who has undergone electroconvulsive
therapy (ECT). The patient should be carefully assessed for which of the following common
adverse effects of this treatment?
4
NUR 326 FINAL Exam NEWEST 500
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
NUR 326 FINAL
QUESTION: You are sitting with a client who has depression and you ask them, "Have you
thought about harming yourself or others?" The patient does not respond. What should you, as
the nurse, do next?
a. Repeat the question because they might not of heard you the first time.
b. Sit with the patient quietly until they are ready to respond.
c. Hug the patient.
d. Implement one-to-one observation because of suicide risk. - ANSWER-B (The answer will
almost always be sit with the patient quietly.)
QUESTION: What anti-depressant has been found to be an effective non dependence forming
sleep aid?
a. Wellbutrin (Buspar)
1
, Page 2 of 197
b. Trazadone (Desyrel)
c. Fluoxetine (Prozac)
d. Citalopram (Celexa) - ANSWER-B
QUESTION: You are caring for a client who has been prescribed an MAO inhibitor, Phenelazine.
Which of the following statements should the nurse make about education regarding taking this
medication?
a. "Wear sunscreen before you go outside."
b. "Call the physician if you experience a sore throat."
c. "Do not eat aged cheese meats, wine, and chocolate while taking this medication."
d. "It can take a few days before you start to see an improvement in your mood." - ANSWER-C
QUESTION: You are caring for a client who is taking Fluoxetine (Prozac), an SSRI. Which of the
following are manifestations of serotonin syndrome, a serious adverse effect of too much
serotonin in the brain? Select all that apply.
a. Altered level of consciousness
b. Constipation
c. Fever
2
, Page 3 of 197
d. Tachycardia
e. Hypotension
f. Agitation
g. Tremors - ANSWER-A C D F (Signs and symptoms of serotonin syndrome include:
-Confusion
-Disorientation
-Agitation
-Diarrhea
-Tachycardia
-Hallucinations
-Fever
-Poor Coordination
-Elevated B/P
-Vomiting)
Q; Which of the following medications are used for alcohol recovery/maintenance? Select all
that apply.
a. Cogentin
3
, Page 4 of 197
b. Naltrexone
c. Disulfiram (Antabuse)
d. Trazadone
e. Acamprosate (Campral) - ANSWER-B C E
QUESTION: You have a client that has just been diagnosed with depression. Which of the
following are expected findings related to depression? Select all that apply.
a. Increased libido
b. Anhedonia
c. Generalized pain
d. Anergia
e. Increased socialization - ANSWER-B C D (A pt. experiencing depression will exhibit decreased
libido, lack of pleasure in normal activities, anxiety, reports of sluggishment, changes in eating
patterns, changes in bowel habits, sleep disturbances, and somatic reports, such as fatigue,
gastrointestinal changes, and pain.)
QUESTION: The healthcare provider is caring for a patient who has undergone electroconvulsive
therapy (ECT). The patient should be carefully assessed for which of the following common
adverse effects of this treatment?
4
