Pharmacology, Leadership &
Community Health Nursing Ultimate
Success Pack | 2025/2026 Complete
Prep – Pass on First Attempt
**1. A patient is prescribed sertraline for major depressive disorder. The nurse should educate the
patient that therapeutic effects may not be fully realized for up to:**
A) 24 to 48 hours
,B) 1 to 2 weeks
C) 4 to 6 weeks
D) 8 to 10 weeks
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Selective serotonin reuptake inhibitors (SSRIs) like sertraline typically take 4 to 6
weeks to achieve their full therapeutic effect. This pharmacology nursing study guide is essential for
nursing exam prep and student success in psychiatric nursing.
**2. A nurse manager is developing a staffing schedule for a medical-surgical unit. Which factor should
be the primary consideration when making assignments?**
A) Staff preferences for specific shifts.
B) The acuity and complexity of patient needs.
C) The number of staff available.
D) The staff's seniority on the unit.
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Patient acuity and complexity should always be the primary consideration in
staffing assignments to ensure safe and effective patient care. This is a key leadership and management
concept for nursing exam prep.
**3. A community health nurse is planning a primary prevention program for a local population. Which
of the following would be the best example of a primary prevention strategy?**
A) Providing diabetes screening for at-risk individuals
B) Administering influenza vaccinations to the elderly
C) Offering a smoking cessation clinic for current smokers
D) Providing case management for patients with heart failure
,💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Primary prevention aims to prevent disease before it occurs. Vaccination is a
primary prevention strategy. This community health nursing study guide is a vital resource for nursing
exam prep.
**4. A patient with schizophrenia is prescribed haloperidol. Which adverse effect is most concerning
due to its potential irreversibility?**
A) Akathisia
B) Dystonia
C) Tardive dyskinesia
D) Parkinsonism
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Tardive dyskinesia is a potentially irreversible extrapyramidal symptom
characterized by involuntary, repetitive movements. This is a key mental health nursing concept for
nursing exam prep.
**5. A nurse is delegating tasks to a licensed practical nurse (LPN) and a certified nursing assistant
(CNA). Which task is most appropriate to delegate to the LPN?**
A) Assessing a patient's skin condition and wound healing
B) Performing a sterile dressing change for a patient with a surgical wound
C) Providing oral care to a patient who is NPO
D) Administering an oral medication via a nasogastric (NG) tube
💫ANSWER✔️✔️: D
💫RATIONALE✔️✔️: Administering medications, including via NG tube, is within the scope of practice
of an LPN in most states. This leadership and management nursing study pack provides clear delegation
guidelines for nursing exam prep.
, **6. A patient with generalized anxiety disorder is prescribed buspirone. The nurse should instruct the
patient that the medication:**
A) Can be used as a rescue medication for acute anxiety.
B) May take 2 to 4 weeks to become effective.
C) Is a controlled substance with high abuse potential.
D) Should be taken with a full glass of grapefruit juice.
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Buspirone is a non-benzodiazepine anxiolytic that is not effective for acute
anxiety and takes 2 to 4 weeks to achieve therapeutic effects. This is a key pharmacological concept for
nursing exam prep.
**7. A charge nurse is making patient assignments for the shift. Which patient should be assigned to the
most experienced registered nurse (RN)?**
A) A 45-year-old patient with diabetes mellitus type 2 requiring a blood glucose check
B) A 70-year-old patient with a new diagnosis of atrial fibrillation who is on a continuous cardiac monitor
C) A 30-year-old patient with a urinary tract infection who is stable and ambulatory
D) A 50-year-old patient who is being discharged with a new colostomy
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: The patient with new-onset atrial fibrillation requires complex assessment and
monitoring, best managed by the most experienced RN. This is a key leadership and delegation concept
for nursing exam prep.
**8. A patient with bipolar disorder is prescribed lithium. The nurse should monitor which laboratory
value most closely?**
A) Serum sodium
Community Health Nursing Ultimate
Success Pack | 2025/2026 Complete
Prep – Pass on First Attempt
**1. A patient is prescribed sertraline for major depressive disorder. The nurse should educate the
patient that therapeutic effects may not be fully realized for up to:**
A) 24 to 48 hours
,B) 1 to 2 weeks
C) 4 to 6 weeks
D) 8 to 10 weeks
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Selective serotonin reuptake inhibitors (SSRIs) like sertraline typically take 4 to 6
weeks to achieve their full therapeutic effect. This pharmacology nursing study guide is essential for
nursing exam prep and student success in psychiatric nursing.
**2. A nurse manager is developing a staffing schedule for a medical-surgical unit. Which factor should
be the primary consideration when making assignments?**
A) Staff preferences for specific shifts.
B) The acuity and complexity of patient needs.
C) The number of staff available.
D) The staff's seniority on the unit.
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Patient acuity and complexity should always be the primary consideration in
staffing assignments to ensure safe and effective patient care. This is a key leadership and management
concept for nursing exam prep.
**3. A community health nurse is planning a primary prevention program for a local population. Which
of the following would be the best example of a primary prevention strategy?**
A) Providing diabetes screening for at-risk individuals
B) Administering influenza vaccinations to the elderly
C) Offering a smoking cessation clinic for current smokers
D) Providing case management for patients with heart failure
,💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Primary prevention aims to prevent disease before it occurs. Vaccination is a
primary prevention strategy. This community health nursing study guide is a vital resource for nursing
exam prep.
**4. A patient with schizophrenia is prescribed haloperidol. Which adverse effect is most concerning
due to its potential irreversibility?**
A) Akathisia
B) Dystonia
C) Tardive dyskinesia
D) Parkinsonism
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Tardive dyskinesia is a potentially irreversible extrapyramidal symptom
characterized by involuntary, repetitive movements. This is a key mental health nursing concept for
nursing exam prep.
**5. A nurse is delegating tasks to a licensed practical nurse (LPN) and a certified nursing assistant
(CNA). Which task is most appropriate to delegate to the LPN?**
A) Assessing a patient's skin condition and wound healing
B) Performing a sterile dressing change for a patient with a surgical wound
C) Providing oral care to a patient who is NPO
D) Administering an oral medication via a nasogastric (NG) tube
💫ANSWER✔️✔️: D
💫RATIONALE✔️✔️: Administering medications, including via NG tube, is within the scope of practice
of an LPN in most states. This leadership and management nursing study pack provides clear delegation
guidelines for nursing exam prep.
, **6. A patient with generalized anxiety disorder is prescribed buspirone. The nurse should instruct the
patient that the medication:**
A) Can be used as a rescue medication for acute anxiety.
B) May take 2 to 4 weeks to become effective.
C) Is a controlled substance with high abuse potential.
D) Should be taken with a full glass of grapefruit juice.
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Buspirone is a non-benzodiazepine anxiolytic that is not effective for acute
anxiety and takes 2 to 4 weeks to achieve therapeutic effects. This is a key pharmacological concept for
nursing exam prep.
**7. A charge nurse is making patient assignments for the shift. Which patient should be assigned to the
most experienced registered nurse (RN)?**
A) A 45-year-old patient with diabetes mellitus type 2 requiring a blood glucose check
B) A 70-year-old patient with a new diagnosis of atrial fibrillation who is on a continuous cardiac monitor
C) A 30-year-old patient with a urinary tract infection who is stable and ambulatory
D) A 50-year-old patient who is being discharged with a new colostomy
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: The patient with new-onset atrial fibrillation requires complex assessment and
monitoring, best managed by the most experienced RN. This is a key leadership and delegation concept
for nursing exam prep.
**8. A patient with bipolar disorder is prescribed lithium. The nurse should monitor which laboratory
value most closely?**
A) Serum sodium
