NU245 Chapter 2 Neurobiologic Theories and Psychopharmacology
2026/2027 – Questions and Answers for A+ Grade Exam Preparation
The nurse is teaching a client taking an MAOI about foods with tyramine that he or she should avoid.
Which statement indicates that the client needs further teaching?
a. "I'm so glad I can have pizza as long as I don't order pepperoni."
b. "I will be able to eat cottage cheese without worrying."
c. "I will have to avoid drinking nonalcoholic beer."
d. "I can eat green beans on this diet." - (answer)a. "I'm so glad I can have pizza as long as I don't order
pepperoni."
A client who has been depressed and suicidal started taking a tricyclic antidepressant 2 weeks ago and is
now ready to leave the hospital to go home. Which is a concern for the nurse as discharge plans are
finalized?
a. The client may need a prescription for diphenhydramine (Benadryl) to use for side effects.
b. The nurse will evaluate the risk for suicide by overdose of the tricyclic antidepressant.
c. The nurse will need to include teaching regarding the signs of neuroleptic malignant syndrome.
d. The client will need regular laboratory work to monitor therapeutic drug levels. - (answer)b. The nurse
will evaluate the risk of suicide by overdose of the tricyclic antidepressant
The signs of lithium toxicity include which?
a. Sedation, fever, and restlessness
b. Psychomotor agitation, insomnia, and increased thirst
c. Elevated WBC count, sweating, and confusion
d. Severe vomiting, diarrhea, and weakness - (answer)d. Severe vomiting, diarrhea, and weakness
Which is a concern for children taking stimulants for ADHD for several years?
a. Dependence on the drug
b. Insomnia
c. Growth suppression
d. Weight gain - (answer)c. growth suppression
,NU245 Chapter 2 Neurobiologic Theories and Psychopharmacology
2026/2027 – Questions and Answers for A+ Grade Exam Preparation
The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client
complains of restlessness, cannot sit still, and has muscle stiffness. Of the following prn medications,
which would the nurse administer?
a. Haloperidol (Haldol), 5 mg PO
b. Benztropine (Cogentin), 2 mg PO
c. Propranolol (Inderal), 20 mg PO
d. Trazodone, 50 mg PO - (answer)b. Benztropine (Cogentin), 2mg PO
Client teaching for lamotrigine (Lamictal) should include which instructions?
a. Eat a well-balanced diet to avoid weight gain.
b. Report any rashes to your doctor immediately.
c. Take each dose with food to avoid nausea.
d. This drug may cause psychological dependence. - (answer)b. report any rashes to your doctor
immediately
Which physician order would the nurse question for a client who has stated, "I'm allergic to
phenothiazines?"
a. Haldol, 5 mg PO bid
b. Navane, 10 mg PO bid
c. Prolixin, 5 mg PO tid
d. Risperdal, 2 mg bid - (answer)c. Prolixin, 5 mg PO tid
Clients taking which type of psychotropic medications need close monitoring of their cardiac status?
a. Antidepressants
b. Antipsychotics
c. Mood stabilizers
d. Stimulants - (answer)b. antipsychotics
, NU245 Chapter 2 Neurobiologic Theories and Psychopharmacology
2026/2027 – Questions and Answers for A+ Grade Exam Preparation
Clozapine (Clozaril) classification - (answer)Atypical antipsychotic
Fluoxetine (Prozac) classification - (answer)SSRI antidepressant
Amitriptyline (Elavil) classification - (answer)Tricyclic antidepressant
Benztropine (Cogentin) classification - (answer)Anticholinergic
Methylphenidate (Ritalin) classification - (answer)Stimulant
Carbamazepine (Tegretol) classification - (answer)Anticonvulsant used as a mood stabilizer
Clonazepam (Klonopin) classification - (answer)Benzodiazepine
Quetiapine (Seroquel) classification - (answer)Atypical antipsychotic
akathisia - (answer)intense need to move about
characterized by restless movement, pacing, inability to remain still, and the client's report of inner
restlessness
anticholinergic side effects - (answer)dry mouth, constipation, urinary hesitancy or retention, dry nasal
passages, and blurred near vision
commonly seen as side effects of medication
antidepressant drugs - (answer)primarily used in the treatment of major depressive illness, anxiety
disorders, the depressed phase of bipolar disorder, and psychotic depression
2026/2027 – Questions and Answers for A+ Grade Exam Preparation
The nurse is teaching a client taking an MAOI about foods with tyramine that he or she should avoid.
Which statement indicates that the client needs further teaching?
a. "I'm so glad I can have pizza as long as I don't order pepperoni."
b. "I will be able to eat cottage cheese without worrying."
c. "I will have to avoid drinking nonalcoholic beer."
d. "I can eat green beans on this diet." - (answer)a. "I'm so glad I can have pizza as long as I don't order
pepperoni."
A client who has been depressed and suicidal started taking a tricyclic antidepressant 2 weeks ago and is
now ready to leave the hospital to go home. Which is a concern for the nurse as discharge plans are
finalized?
a. The client may need a prescription for diphenhydramine (Benadryl) to use for side effects.
b. The nurse will evaluate the risk for suicide by overdose of the tricyclic antidepressant.
c. The nurse will need to include teaching regarding the signs of neuroleptic malignant syndrome.
d. The client will need regular laboratory work to monitor therapeutic drug levels. - (answer)b. The nurse
will evaluate the risk of suicide by overdose of the tricyclic antidepressant
The signs of lithium toxicity include which?
a. Sedation, fever, and restlessness
b. Psychomotor agitation, insomnia, and increased thirst
c. Elevated WBC count, sweating, and confusion
d. Severe vomiting, diarrhea, and weakness - (answer)d. Severe vomiting, diarrhea, and weakness
Which is a concern for children taking stimulants for ADHD for several years?
a. Dependence on the drug
b. Insomnia
c. Growth suppression
d. Weight gain - (answer)c. growth suppression
,NU245 Chapter 2 Neurobiologic Theories and Psychopharmacology
2026/2027 – Questions and Answers for A+ Grade Exam Preparation
The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client
complains of restlessness, cannot sit still, and has muscle stiffness. Of the following prn medications,
which would the nurse administer?
a. Haloperidol (Haldol), 5 mg PO
b. Benztropine (Cogentin), 2 mg PO
c. Propranolol (Inderal), 20 mg PO
d. Trazodone, 50 mg PO - (answer)b. Benztropine (Cogentin), 2mg PO
Client teaching for lamotrigine (Lamictal) should include which instructions?
a. Eat a well-balanced diet to avoid weight gain.
b. Report any rashes to your doctor immediately.
c. Take each dose with food to avoid nausea.
d. This drug may cause psychological dependence. - (answer)b. report any rashes to your doctor
immediately
Which physician order would the nurse question for a client who has stated, "I'm allergic to
phenothiazines?"
a. Haldol, 5 mg PO bid
b. Navane, 10 mg PO bid
c. Prolixin, 5 mg PO tid
d. Risperdal, 2 mg bid - (answer)c. Prolixin, 5 mg PO tid
Clients taking which type of psychotropic medications need close monitoring of their cardiac status?
a. Antidepressants
b. Antipsychotics
c. Mood stabilizers
d. Stimulants - (answer)b. antipsychotics
, NU245 Chapter 2 Neurobiologic Theories and Psychopharmacology
2026/2027 – Questions and Answers for A+ Grade Exam Preparation
Clozapine (Clozaril) classification - (answer)Atypical antipsychotic
Fluoxetine (Prozac) classification - (answer)SSRI antidepressant
Amitriptyline (Elavil) classification - (answer)Tricyclic antidepressant
Benztropine (Cogentin) classification - (answer)Anticholinergic
Methylphenidate (Ritalin) classification - (answer)Stimulant
Carbamazepine (Tegretol) classification - (answer)Anticonvulsant used as a mood stabilizer
Clonazepam (Klonopin) classification - (answer)Benzodiazepine
Quetiapine (Seroquel) classification - (answer)Atypical antipsychotic
akathisia - (answer)intense need to move about
characterized by restless movement, pacing, inability to remain still, and the client's report of inner
restlessness
anticholinergic side effects - (answer)dry mouth, constipation, urinary hesitancy or retention, dry nasal
passages, and blurred near vision
commonly seen as side effects of medication
antidepressant drugs - (answer)primarily used in the treatment of major depressive illness, anxiety
disorders, the depressed phase of bipolar disorder, and psychotic depression
