NSG 322 EXAM 3 GCU
QUESTIONS AND ANSWERS 2026
- 2027
Which of the following is a second-generation antipsychotic?
A. Haloperidol
B. Fluphenazine
C. Clozapine
D. Thiothixene
C. Clozapine
A client taking risperidone develops gynecomastia and
galactorrhea. What is the likely cause?
A. Liver failure
B. Dopamine Blockade
C. Dehydration
D. Iron deficiency
B. Dopamine Blockade
Which antipsychotic is most associated with agranulocytosis?
A. Risperidone
B. Clozapine
C. Quetiapine
D. Ziprasidone
,B. Clozapine
A nurse assesses a client with tardive dyskinesia. Which tool is
most appropriate?
A. CIWA scale
B. PHQ-9
C. AIMS
D. GAD-7
C. AIMS
A client taking olanzapine has gained 20 pounds in 3 months.
What is the priority nursing action?
A. Discontinue the medication
B. Start a low-carb diet
C. Screen for metabolic syndrome
D. Increase the dosage
C. Screen for metabolic syndrome
Which side effect is most associated with haloperidol?
A. Weight gain
B. Insomnia
C. Extrapyramidal symptoms
D. Hyperglycemia
C.
A client taking clozapine reports sore throat and fatigue. What is
the priority action?
A. Reassure the patient that this is expected
B. Assess for dehydration
, C. Obtain a WBC count immediately
D. Administer acetaminophen
C.
A client with schizoaffective disorder has symptoms of:
A. Schizophrenia and anxiety
B. Bipolar disorder and panic disorder
C. Schizophrenia and a mood disorder
D. Depression and dissociative amnesia
C.
Which of the following symptoms is most characteristic of bipolar
II disorder?
A. Full manic episode with psychosis
B. Hypomania alternating with major depression
C. Constant irritability and grandiosity
D. Periods of euphoria with hallucinations
B.
A client is starting lithium for mood stabilization. Which teaching
statement requires further education?
A. "I will drink plenty of fluids each day."
B. "I'll avoid using salt substitutes with potassium."
C. "If I have diarrhea or vomiting, I should notify my provider."
D. "I can take ibuprofen for headaches if needed."
D.
The nurse suspects early lithium toxicity in a patient reporting
nausea and tremors. What is the priority action?
A. Notify the provider and hold the next dose
B. Offer food to reduce nausea
QUESTIONS AND ANSWERS 2026
- 2027
Which of the following is a second-generation antipsychotic?
A. Haloperidol
B. Fluphenazine
C. Clozapine
D. Thiothixene
C. Clozapine
A client taking risperidone develops gynecomastia and
galactorrhea. What is the likely cause?
A. Liver failure
B. Dopamine Blockade
C. Dehydration
D. Iron deficiency
B. Dopamine Blockade
Which antipsychotic is most associated with agranulocytosis?
A. Risperidone
B. Clozapine
C. Quetiapine
D. Ziprasidone
,B. Clozapine
A nurse assesses a client with tardive dyskinesia. Which tool is
most appropriate?
A. CIWA scale
B. PHQ-9
C. AIMS
D. GAD-7
C. AIMS
A client taking olanzapine has gained 20 pounds in 3 months.
What is the priority nursing action?
A. Discontinue the medication
B. Start a low-carb diet
C. Screen for metabolic syndrome
D. Increase the dosage
C. Screen for metabolic syndrome
Which side effect is most associated with haloperidol?
A. Weight gain
B. Insomnia
C. Extrapyramidal symptoms
D. Hyperglycemia
C.
A client taking clozapine reports sore throat and fatigue. What is
the priority action?
A. Reassure the patient that this is expected
B. Assess for dehydration
, C. Obtain a WBC count immediately
D. Administer acetaminophen
C.
A client with schizoaffective disorder has symptoms of:
A. Schizophrenia and anxiety
B. Bipolar disorder and panic disorder
C. Schizophrenia and a mood disorder
D. Depression and dissociative amnesia
C.
Which of the following symptoms is most characteristic of bipolar
II disorder?
A. Full manic episode with psychosis
B. Hypomania alternating with major depression
C. Constant irritability and grandiosity
D. Periods of euphoria with hallucinations
B.
A client is starting lithium for mood stabilization. Which teaching
statement requires further education?
A. "I will drink plenty of fluids each day."
B. "I'll avoid using salt substitutes with potassium."
C. "If I have diarrhea or vomiting, I should notify my provider."
D. "I can take ibuprofen for headaches if needed."
D.
The nurse suspects early lithium toxicity in a patient reporting
nausea and tremors. What is the priority action?
A. Notify the provider and hold the next dose
B. Offer food to reduce nausea
