NURS 4301 Exam 1 Study Questions
And Answers
medications that are considered mood stabilizers - CORRECT ANSWER- lithium, divaproex sodium,
carbamazepine (prozac is not)
this medication interacts with oral contraceptives and is associated with increased risk for birth defects -
CORRECT ANSWER- carbamazepine (divalproex does not interact with oral contraceptives)
symptom of stevens-johnson syndrome (sometimes lamotrigine is discontinued because of this) -
CORRECT ANSWER- serious rash
life threatening signs of lithium toxicity include - CORRECT ANSWER- excessively impaired
consciousness, seizures, fainting, renal insufficiency
instructions to patients when taking lithium due to it being a salt - CORRECT ANSWER- maintain same
salt and fluid intake (increase salt intake when dehydrated to avoid lithium toxicity)
A patient is to receive a blood transfusion. Which nursing action has the greatest impact on preventing a
potential transfusion reaction? - CORRECT ANSWER- Comparing the name on the patient's ID band with
the name on the blood bag tag
Albumin - CORRECT ANSWER- Available as a 5% or 25% solution
Platelets - CORRECT ANSWER- Used to treat thrombocytopenia
Leukocyte-reduced PRBCs - CORRECT ANSWER- Indicated for the prevention of febrile,
non-hemolytic reactions
Fresh frozen plasma - CORRECT ANSWER- Contains most of the coagulation factors
, Cryoprecipitate - CORRECT ANSWER- Used to replace fibrinogen deficiency
When administering blood with Y-type blood administration tubing the tubing should be primed with
what type of IV solution? - CORRECT ANSWER- 0.9% NaCl
The nurse initiates a blood transfusion at which of the following rates? - CORRECT ANSWER- 120 mL/hr
Transfusion-Related Acute Lung Injury (TRALI) is the leading cause of transfusion related death -
CORRECT ANSWER- True
Clozapine was prescribed for your patient and the patient asks why they need to have their blood drawn
weekly after being discharged from the hospital. Which of the following is the most accurate
explanation? - CORRECT ANSWER- This is to check for agranulocytosis (the white blood cells are too low
to protect you from infections) which is dangerous.
Nurses often detect Akathisia because they are observing the patient closely over many hours of the
day/night. Akathisia is different from agitation related to psychosis. Medication should not be increased
but should be decreased when the patient shows signs of akathisia. What would the nurse observe to
determine if the patient has akathisia? - CORRECT ANSWER- The patient marches in place, crosses and
uncrosses the legs repetitively, cannot sit still, and complains of anxiety and jitteriness.
What is Neuroleptic Malignant Syndrome (NMS)? NMS is related to taking an antipsychotic medication
such as risperidone (Risperdal). Medication is stopped and dopamine agonists are given. Nurses provide
supportive care, protecting the patient, reducing fever, insuring hydration. - CORRECT ANSWER- Rare
condition with muscle rigidity, variable vital signs, high fever, sudden mental status changes
Antipsychotic medications have anticholinergic side effects, so all systems in the body are dried. What
would you observe when a patient has anticholinergic side effects? - CORRECT ANSWER- Dry mouth,
constipation, urinary hesitancy, blurred vision
Newer generation antipsychotics can assist with negative as well as positive symptoms. Which of the
following is a negative symptom of schizophrenia? - CORRECT ANSWER- Lack of motivation
And Answers
medications that are considered mood stabilizers - CORRECT ANSWER- lithium, divaproex sodium,
carbamazepine (prozac is not)
this medication interacts with oral contraceptives and is associated with increased risk for birth defects -
CORRECT ANSWER- carbamazepine (divalproex does not interact with oral contraceptives)
symptom of stevens-johnson syndrome (sometimes lamotrigine is discontinued because of this) -
CORRECT ANSWER- serious rash
life threatening signs of lithium toxicity include - CORRECT ANSWER- excessively impaired
consciousness, seizures, fainting, renal insufficiency
instructions to patients when taking lithium due to it being a salt - CORRECT ANSWER- maintain same
salt and fluid intake (increase salt intake when dehydrated to avoid lithium toxicity)
A patient is to receive a blood transfusion. Which nursing action has the greatest impact on preventing a
potential transfusion reaction? - CORRECT ANSWER- Comparing the name on the patient's ID band with
the name on the blood bag tag
Albumin - CORRECT ANSWER- Available as a 5% or 25% solution
Platelets - CORRECT ANSWER- Used to treat thrombocytopenia
Leukocyte-reduced PRBCs - CORRECT ANSWER- Indicated for the prevention of febrile,
non-hemolytic reactions
Fresh frozen plasma - CORRECT ANSWER- Contains most of the coagulation factors
, Cryoprecipitate - CORRECT ANSWER- Used to replace fibrinogen deficiency
When administering blood with Y-type blood administration tubing the tubing should be primed with
what type of IV solution? - CORRECT ANSWER- 0.9% NaCl
The nurse initiates a blood transfusion at which of the following rates? - CORRECT ANSWER- 120 mL/hr
Transfusion-Related Acute Lung Injury (TRALI) is the leading cause of transfusion related death -
CORRECT ANSWER- True
Clozapine was prescribed for your patient and the patient asks why they need to have their blood drawn
weekly after being discharged from the hospital. Which of the following is the most accurate
explanation? - CORRECT ANSWER- This is to check for agranulocytosis (the white blood cells are too low
to protect you from infections) which is dangerous.
Nurses often detect Akathisia because they are observing the patient closely over many hours of the
day/night. Akathisia is different from agitation related to psychosis. Medication should not be increased
but should be decreased when the patient shows signs of akathisia. What would the nurse observe to
determine if the patient has akathisia? - CORRECT ANSWER- The patient marches in place, crosses and
uncrosses the legs repetitively, cannot sit still, and complains of anxiety and jitteriness.
What is Neuroleptic Malignant Syndrome (NMS)? NMS is related to taking an antipsychotic medication
such as risperidone (Risperdal). Medication is stopped and dopamine agonists are given. Nurses provide
supportive care, protecting the patient, reducing fever, insuring hydration. - CORRECT ANSWER- Rare
condition with muscle rigidity, variable vital signs, high fever, sudden mental status changes
Antipsychotic medications have anticholinergic side effects, so all systems in the body are dried. What
would you observe when a patient has anticholinergic side effects? - CORRECT ANSWER- Dry mouth,
constipation, urinary hesitancy, blurred vision
Newer generation antipsychotics can assist with negative as well as positive symptoms. Which of the
following is a negative symptom of schizophrenia? - CORRECT ANSWER- Lack of motivation
