Final Review NUR2520 Practice Questions With Complete
Solutions
A client was recently admitted to the inpatient unit after a
suicide attempt and has not responded to SSRIs or tricyclic
antidepressants. The client asks the nurse, "I heard about MAOIs
(monoamine oxidase inhibitors). Why can't they be added to
what I am on now? Wouldn't adding one help?" Which is the
most appropriate nursing response?
A. "Electroconvulsive therapy (ECT) is your best option at this
point."
B. "Combined use can lead to a life-threatening condition called
a hypertensive crisis."
C. "There is no reason why an MAOI couldn't be added to your
therapy."
D. "They can't be used together because their mechanisms of
action are very different."
B. "Combined use can lead to a life-threatening condition called
a hypertensive crisis."
A client began taking lithium for the treatment of bipolar
disorder approximately 1 month ago and asks why he has gained
12 pounds since then. Which is the most appropriate nursing
response?
A. "I'm surprised you have gained; weight loss is the typical
pattern when taking lithium."
,B. "Your weight gain is more likely related to food intake than
medication."
C. "Weight gain is a common, but troubling side effect. Let's
talk about some strategies for safely improving your nutrition
and exercise habits."
D. "There's not much you can do about the weight gain. It's
better than being emotionally unstable though."
C. "Weight gain is a common, but troubling side effect. Let's
talk about some strategies for safely improving your nutrition
and exercise habits.
The nurse is assessing a client who has a diagnosis of
Schizophrenia and takes an antipsychotic agent daily. Which
finding requires further nursing assessment?
A. Respirations of 22 beats/minute
B. Weight gain of 8 pounds in 2 months
C. Temperature of 101°F
D. Excess salivation
C. Temperature of 101°F
An aging client with chronic schizophrenia takes an
antipsychotic and propranolol, a beta-adrenergic blocking agent,
for hypertension. Given the combined side effects of these
drugs, which client teaching should the nurse provide?
A. "Make sure you concentrate on taking slow, deep, cleansing
breaths."
B. "Watch your diet and try to engage in some regular physical
,activity."
C. "Rise slowly when you change position from lying to sitting
or sitting to standing."
D. "Wear sunscreen and try to avoid midday sun exposure."
C. "Rise slowly when you change position from lying to sitting
or sitting to standing."
Which statement about tricyclic antidepressant medications is
accurate?
A. Strong or aged cheese should not be eaten while taking them.
B. Their full therapeutic potential may not be reached until 4
weeks.
C. They may cause hypomania or recent memory impairment.
D. They should not be given with antianxiety agents.
B. Their full therapeutic potential may not be reached until 4
weeks.
Which medication does not require periodic blood-level
monitoring?
A. Eskalith (lithium carbonate)
B. Depakote (valproic acid)
C. Clozaril (clozapine)
D. Paxil (paroxetine)
D. Paxil (paroxetine)
As part of discharge teaching, which guideline regarding lithium
therapy will the nurse plan to include?
, A. Avoid excessive use of beverages containing caffeine.
B. Maintain a consistent sodium intake.
C. Consume at least 2500 to 3000 mL of fluid per day.
D. All of the above
D. All of the above
A client is diagnosed with Anxiety Disorder. Which medication
is prescribed for anxiety?
A. Chlorpromazine (Thorazine)
B. Clozapine (Clozaril)
C. Diazepam (Valium)
D. Methylphenidate (Ritalin)
C. Diazepam (Valium)
The nurse is caring for a severely depressed client who has just
been admitted to the in-client psychiatric unit. Which of the
following is a PRIORITY of care?
A. Nutrition
B. Elimination
C. Rest
D. Safety
D. Safety
A nurse assesses a confused older adult. The nurse experiences
sadness and reflects, "The patient is like one of my
grandparents, so helpless." What feelings does the nurse
Solutions
A client was recently admitted to the inpatient unit after a
suicide attempt and has not responded to SSRIs or tricyclic
antidepressants. The client asks the nurse, "I heard about MAOIs
(monoamine oxidase inhibitors). Why can't they be added to
what I am on now? Wouldn't adding one help?" Which is the
most appropriate nursing response?
A. "Electroconvulsive therapy (ECT) is your best option at this
point."
B. "Combined use can lead to a life-threatening condition called
a hypertensive crisis."
C. "There is no reason why an MAOI couldn't be added to your
therapy."
D. "They can't be used together because their mechanisms of
action are very different."
B. "Combined use can lead to a life-threatening condition called
a hypertensive crisis."
A client began taking lithium for the treatment of bipolar
disorder approximately 1 month ago and asks why he has gained
12 pounds since then. Which is the most appropriate nursing
response?
A. "I'm surprised you have gained; weight loss is the typical
pattern when taking lithium."
,B. "Your weight gain is more likely related to food intake than
medication."
C. "Weight gain is a common, but troubling side effect. Let's
talk about some strategies for safely improving your nutrition
and exercise habits."
D. "There's not much you can do about the weight gain. It's
better than being emotionally unstable though."
C. "Weight gain is a common, but troubling side effect. Let's
talk about some strategies for safely improving your nutrition
and exercise habits.
The nurse is assessing a client who has a diagnosis of
Schizophrenia and takes an antipsychotic agent daily. Which
finding requires further nursing assessment?
A. Respirations of 22 beats/minute
B. Weight gain of 8 pounds in 2 months
C. Temperature of 101°F
D. Excess salivation
C. Temperature of 101°F
An aging client with chronic schizophrenia takes an
antipsychotic and propranolol, a beta-adrenergic blocking agent,
for hypertension. Given the combined side effects of these
drugs, which client teaching should the nurse provide?
A. "Make sure you concentrate on taking slow, deep, cleansing
breaths."
B. "Watch your diet and try to engage in some regular physical
,activity."
C. "Rise slowly when you change position from lying to sitting
or sitting to standing."
D. "Wear sunscreen and try to avoid midday sun exposure."
C. "Rise slowly when you change position from lying to sitting
or sitting to standing."
Which statement about tricyclic antidepressant medications is
accurate?
A. Strong or aged cheese should not be eaten while taking them.
B. Their full therapeutic potential may not be reached until 4
weeks.
C. They may cause hypomania or recent memory impairment.
D. They should not be given with antianxiety agents.
B. Their full therapeutic potential may not be reached until 4
weeks.
Which medication does not require periodic blood-level
monitoring?
A. Eskalith (lithium carbonate)
B. Depakote (valproic acid)
C. Clozaril (clozapine)
D. Paxil (paroxetine)
D. Paxil (paroxetine)
As part of discharge teaching, which guideline regarding lithium
therapy will the nurse plan to include?
, A. Avoid excessive use of beverages containing caffeine.
B. Maintain a consistent sodium intake.
C. Consume at least 2500 to 3000 mL of fluid per day.
D. All of the above
D. All of the above
A client is diagnosed with Anxiety Disorder. Which medication
is prescribed for anxiety?
A. Chlorpromazine (Thorazine)
B. Clozapine (Clozaril)
C. Diazepam (Valium)
D. Methylphenidate (Ritalin)
C. Diazepam (Valium)
The nurse is caring for a severely depressed client who has just
been admitted to the in-client psychiatric unit. Which of the
following is a PRIORITY of care?
A. Nutrition
B. Elimination
C. Rest
D. Safety
D. Safety
A nurse assesses a confused older adult. The nurse experiences
sadness and reflects, "The patient is like one of my
grandparents, so helpless." What feelings does the nurse
