NR 229 Exam 2 ( 2026/2027Questions And Answers All
Correct) Questions With Complete Solutions
A distraught patient is admitted to the emergency department
with symptoms of palpitations, tachycardia, chest pain, and
shortness of breath. The physical examination reveals no
physiologic basis for the symptoms. Which diagnosis therefore
is most likely?
Panic disorder
Bipolar disorder
Generalized anxiety disorder
Clinical depression Correct Answers A
A family member of a patient who is experiencing a severe
manic episode asks the nurse why the patient is receiving an
antipsychotic medication. The nurse informs the family member
that antipsychotics are used in the treatment of severe manic
episodes to do what?
A.Help control symptoms during the severe manic episode
B. Elevate mood during the severe manic episode
C. Produce sedating effects during the severe manic episode
D. Reduce the amount of physical pain the patient experiences
during the severe manic episode Correct Answers A
,A nurse administers metoclopramide [Reglan] to a patient who
is having nausea and vomiting postoperatively. The nurse should
expect which therapeutic action if the medication is having the
desired result?
Blocking of serotonin and dopamine receptors
Inactivation of histaminergic (H1) receptors
Activation of chloride channels in the intestine
Reduced motility in the small intestine Correct Answers A
A nurse administers which medication to inhibit an enzyme that
makes gastric acid in a patient who has a duodenal ulcer?
Omeprazole [Prilosec]
Famotidine [Pepcid]
Misoprostol [Cytotec]
Ranitidine [Zantac] Correct Answers A
A nurse assesses a male patient who has developed
gynecomastia while receiving treatment for peptic ulcers. Which
medication from the patient's history should the nurse recognize
as a contributing factor?
Amoxicillin [Amoxil]
,Cimetidine [Tagamet]
Metronidazole [Flagyl]
Omeprazole [Prilosec] Correct Answers B
A nurse assesses a patient receiving haloperidol [Haldol]. The
nurse notices that the patient is shifting in the chair, rocking
back and forth, and tapping both feet constantly. What is the
most accurate term to document these findings?
A. Dystonia
B. Tardive dyskinesia
C. Parkinsonism
D. Akathisia Correct Answers D
A nurse assesses a patient who is taking pramlintide [Symlin]
with mealtime insulin. Which finding requires immediate
follow-up by the nurse?
Skin rash
Sweating
Itching
Pedal edema Correct Answers B
, A nurse assesses a patient who takes a maintenance dose of
lithium carbonate [Lithobid] for bipolar disorder. The patient
complains of hand tremor, nausea, vomiting, and diarrhea. The
patient's gait is unsteady. The patient most likely has done what?
A. Consumed some foods high in tyramine
B. Not taken the lithium as directed
C. Developed tolerance to the lithium
D. Developed lithium toxicity Correct Answers D
A nurse caring for a patient who has diabetic ketoacidosis
recognizes which characteristics in the patient?
Select all that apply.
Type 2 diabetes
Altered fat metabolism leading to ketones
Arterial blood pH of 7.35 to 7.45
Sudden onset, triggered by acute illness
Plasma osmolality of 300 to 320 mOsm/L Correct Answers
B,D,E
A nurse instructs a female patient with peptic ulcer disease who
is to start a treatment regimen that includes ranitidine [Zantac]
and bismuth subsalicylate [Pepto-Bismol]. Which statement by
the patient indicates that the teaching has been effective?
Correct) Questions With Complete Solutions
A distraught patient is admitted to the emergency department
with symptoms of palpitations, tachycardia, chest pain, and
shortness of breath. The physical examination reveals no
physiologic basis for the symptoms. Which diagnosis therefore
is most likely?
Panic disorder
Bipolar disorder
Generalized anxiety disorder
Clinical depression Correct Answers A
A family member of a patient who is experiencing a severe
manic episode asks the nurse why the patient is receiving an
antipsychotic medication. The nurse informs the family member
that antipsychotics are used in the treatment of severe manic
episodes to do what?
A.Help control symptoms during the severe manic episode
B. Elevate mood during the severe manic episode
C. Produce sedating effects during the severe manic episode
D. Reduce the amount of physical pain the patient experiences
during the severe manic episode Correct Answers A
,A nurse administers metoclopramide [Reglan] to a patient who
is having nausea and vomiting postoperatively. The nurse should
expect which therapeutic action if the medication is having the
desired result?
Blocking of serotonin and dopamine receptors
Inactivation of histaminergic (H1) receptors
Activation of chloride channels in the intestine
Reduced motility in the small intestine Correct Answers A
A nurse administers which medication to inhibit an enzyme that
makes gastric acid in a patient who has a duodenal ulcer?
Omeprazole [Prilosec]
Famotidine [Pepcid]
Misoprostol [Cytotec]
Ranitidine [Zantac] Correct Answers A
A nurse assesses a male patient who has developed
gynecomastia while receiving treatment for peptic ulcers. Which
medication from the patient's history should the nurse recognize
as a contributing factor?
Amoxicillin [Amoxil]
,Cimetidine [Tagamet]
Metronidazole [Flagyl]
Omeprazole [Prilosec] Correct Answers B
A nurse assesses a patient receiving haloperidol [Haldol]. The
nurse notices that the patient is shifting in the chair, rocking
back and forth, and tapping both feet constantly. What is the
most accurate term to document these findings?
A. Dystonia
B. Tardive dyskinesia
C. Parkinsonism
D. Akathisia Correct Answers D
A nurse assesses a patient who is taking pramlintide [Symlin]
with mealtime insulin. Which finding requires immediate
follow-up by the nurse?
Skin rash
Sweating
Itching
Pedal edema Correct Answers B
, A nurse assesses a patient who takes a maintenance dose of
lithium carbonate [Lithobid] for bipolar disorder. The patient
complains of hand tremor, nausea, vomiting, and diarrhea. The
patient's gait is unsteady. The patient most likely has done what?
A. Consumed some foods high in tyramine
B. Not taken the lithium as directed
C. Developed tolerance to the lithium
D. Developed lithium toxicity Correct Answers D
A nurse caring for a patient who has diabetic ketoacidosis
recognizes which characteristics in the patient?
Select all that apply.
Type 2 diabetes
Altered fat metabolism leading to ketones
Arterial blood pH of 7.35 to 7.45
Sudden onset, triggered by acute illness
Plasma osmolality of 300 to 320 mOsm/L Correct Answers
B,D,E
A nurse instructs a female patient with peptic ulcer disease who
is to start a treatment regimen that includes ranitidine [Zantac]
and bismuth subsalicylate [Pepto-Bismol]. Which statement by
the patient indicates that the teaching has been effective?
