NURS 327 FINA EXAM 1 F
NURS 327 FINA EXAM 1 / NURS 327 F
EXAM 1 PREP /NURS 327 PREDICTOR
EXAM VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS
(RATIONALES) |ALREADY GRADED A+
A patient prescribed alprazolam (Xanax) for symptoms of anxiety shares with the nurse that, Im
F F F F F F F F F F F F F
concerned about getting off this medication. Upon which fact will the nurse base the response
F F F F F F F F F F F F F F
to the patients concern?
F F F
a. Long elimination half-life will result in a manageable withdrawal treatment plan.
F F F F F F F F F F
b. Rapid absorption and distribution to brain cells make withdrawal more difficult to
F F F F F F F F F F F F
manage.
c. Sensitivity of the mesencephalic reticular activating system makes addiction
F F F F F F F F F
unlikely.
A+ TEST BANK 1
, NURS 327 FINA EXAM 1 F
d. The combination of medication with an antidepressant often positively impacts
F F F F F F F F F F
withdrawal.
ANS: B F
In general, shorter-acting benzodiazepines are more difficult to taper and potentially cause more
F F F F F F F F F F F F F
problems with withdrawal. The remaining options are neither true nor relevant.
F F F F F F F F F F
Which patient outcomes would be most applicable for the patient who has been taking
F F F F F F F F F F F F F F
benzodiazepines? Patient will state: F F F
a. That there are specific foods to avoid while on this medication
F F F F F F F F F F
b. An understanding of how to increase medication dosage
F F F F F F F
c. That alcohol is a substance to avoid while on the medication
F F F F F F F F F F
d. An understanding that he or she can return to work while on this medication
F F F F F F F F F F F F F
ANS: C F
Combining a benzodiazepine with alcohol or other CNS depressant is potentially fatal. No food
F F F F F F F F F F F F F F
restrictions exist. Dosage should not be changed without consultation with the physician.
F F F F F F F F F F F
Patients
may return to work unless experiencing sedation. In this case, they would be cautioned not to
F F F F F F F F F F F F F F F F
operate machinery. F
Which person with mania is the least likely candidate to receive lithium? The patient who is:
F F F F F F F F F F F F F F F
a. Six weeks pregnant
F F
b. Recovering from a hysterectomy F F F
c. Taking hormone replacement therapy
F F F
d. Displaying symptoms of postpartum depression F F F F
ANS: A F
A+ TEST BANK 2
, NURS 327 FINA EXAM 1 F
Lithium is contraindicated during pregnancy because of teratogenic effects. The remaining options
F F F F F F F F F F F F
would not be contraindicative to lithium therapy.
F F F F F F
An individual with poststroke depression is receiving an SSRI. What is the rationale for giving
F F F F F F F F F F F F F F F
the medication at breakfast and again at midday?
F F F F F F F
a. Prevent insomnia F
b. Prevent toxic reactions F F
c. Decrease afternoon sleepiness F F
d. Give an opportunity to monitor behavior closely
F F F F F F
ANS: A F
CNS stimulants may cause insomnia if given late in the day. Toxicity is a result of excessive
F F F F F F F F F F F F F F F F F
medication in the system, not when it is administered. The drowsiness resulting from SSRI use
F F F F F F F F F F F F F F F
would not be minimized if taken as described. There is no expectation that resulting behaviors will
F F F F F F F F F F F F F F F F
need to be so closely monitored.
F F F F F
A patient who has received lithium for 3 weeks to control acute mania has the following
F F F F F F F F F F F F F F F F
symptoms: coarse hand tremor, diarrhea, vomiting, lethargy, and mild confusion. The priority
F F F F F F F F F F F F
nursing action should be to: F F F F
a. Administer prn Cogentin to relieve the symptoms. F F F F F F
b. Provide reassurance that the symptoms are transient. F F F F F F
c. Obtain a stat lithium level; hold lithium pending results.
F F F F F F F F
d. Assist the patient to decrease the sodium in their daily diet.
F F F F F F F F F F F
ANS: C F
The symptoms the patient is experiencing are consistent with moderate lithium toxicity. The nurse
F F F F F F F F F F F F F F
should hold lithium, obtain a stat lithium level, and notify the physician. Cogentin is inappropriate;
F F F F F F F F F F F F F F F
the symptoms are not EPS. The nurse may reassure the patient but cannot suggest
F F F F F F F F F F F F F
that the symptoms will resolve over time. Minimizing salt would worsen lithium toxicity.
F F F F F F F F F F F F
A patient with rapid cycling bipolar disorder is not responding well to lithium. The patient
F F F F F F F F F F F F F F
tells the nurse, It feels as though Ill never get well. I get better, and then I get worse. The reply
F F F F F F F F F F F F F F F F F F F F
that is based on knowledge of current therapy would be:
F F F F F F F F F
A+ TEST BANK 3
, NURS 327 FINA EXAM 1 F
a. Youre feeling very discouraged arent you?
F F F F F
b. Its not all bad, is it? Sometimes you like being high.
F F F F F F F F F F
c. Another drug, valproic acid, is proving effective for rapid cycling.
F F F F F F F F F
d. If your kidneys hold out, the lithium will eventually control the symptoms
F F F F F F F F F F F
ANS: C F
Valproic acid is a first-line agent for the treatment of bipolar disorder. It is particularly effective
F F F F F F F F F F F F F F F F
with rapid cycling. The other options are not responsive to the question stem, which asks for
F F F F F F F F F F F F F F F F
knowledge of current therapy. F F F
Which statement by a patient with generalized anxiety disorder for whom lorazepam (Ativan) is
F F F F F F F F F F F F F F
prescribed as needed (prn) suggests the patient understands the purpose of the medication?
F F F F F F F F F F F F
a. I can talk with my therapist more easily after my medication takes effect.
F F F F F F F F F F F F
b. I wonder if I will have to take this medication for the rest of my entire life.
F F F F F F F F F F F F F F F F
c. Im embarrassed and dont want anyone to know Im on this kind of medication.
F F F F F F F F F F F F F
d. Im going to ask for my prn dose so I can sleep instead of worrying about my kids.
F F F F F F F F F F F F F F F F F
ANS: A F
The patient recognizes the therapeutic effects of the medication in assisting her to work
effectively with the therapist. The remaining options show questions and inappropriate use of
the F
medication.
A patient has been taking chlorpromazine (Thorazine) for the past 2 weeks. He drools, has
F F F F F F F F F F F F F F F
hand tremors, and walks with a shuffling gait. The nurse would correctly attribute these
F F F F F F F F F F F F F F
behaviors to: F
a. Akinesia
b. Tardive dyskinesia F
A+ TEST BANK 4
NURS 327 FINA EXAM 1 / NURS 327 F
EXAM 1 PREP /NURS 327 PREDICTOR
EXAM VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS
(RATIONALES) |ALREADY GRADED A+
A patient prescribed alprazolam (Xanax) for symptoms of anxiety shares with the nurse that, Im
F F F F F F F F F F F F F
concerned about getting off this medication. Upon which fact will the nurse base the response
F F F F F F F F F F F F F F
to the patients concern?
F F F
a. Long elimination half-life will result in a manageable withdrawal treatment plan.
F F F F F F F F F F
b. Rapid absorption and distribution to brain cells make withdrawal more difficult to
F F F F F F F F F F F F
manage.
c. Sensitivity of the mesencephalic reticular activating system makes addiction
F F F F F F F F F
unlikely.
A+ TEST BANK 1
, NURS 327 FINA EXAM 1 F
d. The combination of medication with an antidepressant often positively impacts
F F F F F F F F F F
withdrawal.
ANS: B F
In general, shorter-acting benzodiazepines are more difficult to taper and potentially cause more
F F F F F F F F F F F F F
problems with withdrawal. The remaining options are neither true nor relevant.
F F F F F F F F F F
Which patient outcomes would be most applicable for the patient who has been taking
F F F F F F F F F F F F F F
benzodiazepines? Patient will state: F F F
a. That there are specific foods to avoid while on this medication
F F F F F F F F F F
b. An understanding of how to increase medication dosage
F F F F F F F
c. That alcohol is a substance to avoid while on the medication
F F F F F F F F F F
d. An understanding that he or she can return to work while on this medication
F F F F F F F F F F F F F
ANS: C F
Combining a benzodiazepine with alcohol or other CNS depressant is potentially fatal. No food
F F F F F F F F F F F F F F
restrictions exist. Dosage should not be changed without consultation with the physician.
F F F F F F F F F F F
Patients
may return to work unless experiencing sedation. In this case, they would be cautioned not to
F F F F F F F F F F F F F F F F
operate machinery. F
Which person with mania is the least likely candidate to receive lithium? The patient who is:
F F F F F F F F F F F F F F F
a. Six weeks pregnant
F F
b. Recovering from a hysterectomy F F F
c. Taking hormone replacement therapy
F F F
d. Displaying symptoms of postpartum depression F F F F
ANS: A F
A+ TEST BANK 2
, NURS 327 FINA EXAM 1 F
Lithium is contraindicated during pregnancy because of teratogenic effects. The remaining options
F F F F F F F F F F F F
would not be contraindicative to lithium therapy.
F F F F F F
An individual with poststroke depression is receiving an SSRI. What is the rationale for giving
F F F F F F F F F F F F F F F
the medication at breakfast and again at midday?
F F F F F F F
a. Prevent insomnia F
b. Prevent toxic reactions F F
c. Decrease afternoon sleepiness F F
d. Give an opportunity to monitor behavior closely
F F F F F F
ANS: A F
CNS stimulants may cause insomnia if given late in the day. Toxicity is a result of excessive
F F F F F F F F F F F F F F F F F
medication in the system, not when it is administered. The drowsiness resulting from SSRI use
F F F F F F F F F F F F F F F
would not be minimized if taken as described. There is no expectation that resulting behaviors will
F F F F F F F F F F F F F F F F
need to be so closely monitored.
F F F F F
A patient who has received lithium for 3 weeks to control acute mania has the following
F F F F F F F F F F F F F F F F
symptoms: coarse hand tremor, diarrhea, vomiting, lethargy, and mild confusion. The priority
F F F F F F F F F F F F
nursing action should be to: F F F F
a. Administer prn Cogentin to relieve the symptoms. F F F F F F
b. Provide reassurance that the symptoms are transient. F F F F F F
c. Obtain a stat lithium level; hold lithium pending results.
F F F F F F F F
d. Assist the patient to decrease the sodium in their daily diet.
F F F F F F F F F F F
ANS: C F
The symptoms the patient is experiencing are consistent with moderate lithium toxicity. The nurse
F F F F F F F F F F F F F F
should hold lithium, obtain a stat lithium level, and notify the physician. Cogentin is inappropriate;
F F F F F F F F F F F F F F F
the symptoms are not EPS. The nurse may reassure the patient but cannot suggest
F F F F F F F F F F F F F
that the symptoms will resolve over time. Minimizing salt would worsen lithium toxicity.
F F F F F F F F F F F F
A patient with rapid cycling bipolar disorder is not responding well to lithium. The patient
F F F F F F F F F F F F F F
tells the nurse, It feels as though Ill never get well. I get better, and then I get worse. The reply
F F F F F F F F F F F F F F F F F F F F
that is based on knowledge of current therapy would be:
F F F F F F F F F
A+ TEST BANK 3
, NURS 327 FINA EXAM 1 F
a. Youre feeling very discouraged arent you?
F F F F F
b. Its not all bad, is it? Sometimes you like being high.
F F F F F F F F F F
c. Another drug, valproic acid, is proving effective for rapid cycling.
F F F F F F F F F
d. If your kidneys hold out, the lithium will eventually control the symptoms
F F F F F F F F F F F
ANS: C F
Valproic acid is a first-line agent for the treatment of bipolar disorder. It is particularly effective
F F F F F F F F F F F F F F F F
with rapid cycling. The other options are not responsive to the question stem, which asks for
F F F F F F F F F F F F F F F F
knowledge of current therapy. F F F
Which statement by a patient with generalized anxiety disorder for whom lorazepam (Ativan) is
F F F F F F F F F F F F F F
prescribed as needed (prn) suggests the patient understands the purpose of the medication?
F F F F F F F F F F F F
a. I can talk with my therapist more easily after my medication takes effect.
F F F F F F F F F F F F
b. I wonder if I will have to take this medication for the rest of my entire life.
F F F F F F F F F F F F F F F F
c. Im embarrassed and dont want anyone to know Im on this kind of medication.
F F F F F F F F F F F F F
d. Im going to ask for my prn dose so I can sleep instead of worrying about my kids.
F F F F F F F F F F F F F F F F F
ANS: A F
The patient recognizes the therapeutic effects of the medication in assisting her to work
effectively with the therapist. The remaining options show questions and inappropriate use of
the F
medication.
A patient has been taking chlorpromazine (Thorazine) for the past 2 weeks. He drools, has
F F F F F F F F F F F F F F F
hand tremors, and walks with a shuffling gait. The nurse would correctly attribute these
F F F F F F F F F F F F F F
behaviors to: F
a. Akinesia
b. Tardive dyskinesia F
A+ TEST BANK 4
