NUR 210 Exam 4 V2 | NUR 210 Pharmacology |
Actual Q&A with Rationale (NUR 210 Exam 4) |
Galen
1. A client is prescribed fluoxetine for depression. Which statement by the client indicates a
need for further teaching?
A. I will take this medication in the morning to prevent insomnia.
B. I should see the full effect of this medication within one week.
C. I need to report any increased suicidal thoughts to my doctor.
D. I will avoid taking St. John’s Wort while on this medicine.
Correct Answer: B
Explanation: SSRIs like fluoxetine typically take 4 to 6 weeks to reach full therapeutic
effect. Clients must be educated that improvement is not immediate. The drug is often
taken in the morning to avoid sleep disturbances.
2. A nurse is caring for a client with a serum lithium level of 1.8 mEq/L. Which action should
the nurse take first?
A. Notify the healthcare provider immediately.
B. Administer the next scheduled dose as ordered.
C. Encourage the client to increase fluid intake.
D. Document the finding as within the therapeutic range.
,Correct Answer: A
Explanation: The therapeutic range for lithium is 0.6 to 1.2 mEq/L, and levels above 1.5
mEq/L are considered toxic. A level of 1.8 mEq/L requires immediate medical intervention
to prevent severe toxicity. The nurse should hold the dose and notify the provider.
3. A client taking phenelzine, an MAOI, is at a restaurant. Which menu item should the nurse
advise the client to avoid?
A. Grilled chicken breast with steamed broccoli.
B. Pepperoni pizza with aged cheddar cheese.
C. Fresh garden salad with oil and vinegar.
D. Baked potato with sour cream and chives.
Correct Answer: B
Explanation: MAOIs interact with tyramine-rich foods, which can lead to a hypertensive
crisis. Pepperoni and aged cheeses are high in tyramine and must be avoided. Education on
dietary restrictions is a priority for patients on MAOI therapy.
4. A client is prescribed amitriptyline for neuropathic pain. The nurse should instruct the
client to expect which common side effect?
A. Increased salivation and diarrhea.
B. Bradycardia and hypotension.
C. Dry mouth and urinary retention.
, D. Hyperactivity and insomnia.
Correct Answer: C
Explanation: Amitriptyline is a tricyclic antidepressant (TCA) with significant
anticholinergic effects. These include dry mouth, blurred vision, urinary retention, and
constipation. Clients should be monitored for these symptoms and advised on management
strategies.
5. A nurse is assessing a client receiving haloperidol. The client is experiencing muscle rigidity,
high fever, and autonomic instability. What should the nurse suspect?
A. Serotonin syndrome.
B. Extrapyramidal symptoms (EPS).
C. Tardive dyskinesia.
D. Neuroleptic malignant syndrome (NMS).
Correct Answer: D
Explanation: Neuroleptic malignant syndrome is a life-threatening reaction to
antipsychotic drugs. It is characterized by high fever, muscle rigidity (lead-pipe), and
tachycardia. This condition requires immediate discontinuation of the medication and
supportive care.
6. A client is starting clozapine for treatment-resistant schizophrenia. Which laboratory test
must be monitored weekly?
A. Serum potassium levels.
Actual Q&A with Rationale (NUR 210 Exam 4) |
Galen
1. A client is prescribed fluoxetine for depression. Which statement by the client indicates a
need for further teaching?
A. I will take this medication in the morning to prevent insomnia.
B. I should see the full effect of this medication within one week.
C. I need to report any increased suicidal thoughts to my doctor.
D. I will avoid taking St. John’s Wort while on this medicine.
Correct Answer: B
Explanation: SSRIs like fluoxetine typically take 4 to 6 weeks to reach full therapeutic
effect. Clients must be educated that improvement is not immediate. The drug is often
taken in the morning to avoid sleep disturbances.
2. A nurse is caring for a client with a serum lithium level of 1.8 mEq/L. Which action should
the nurse take first?
A. Notify the healthcare provider immediately.
B. Administer the next scheduled dose as ordered.
C. Encourage the client to increase fluid intake.
D. Document the finding as within the therapeutic range.
,Correct Answer: A
Explanation: The therapeutic range for lithium is 0.6 to 1.2 mEq/L, and levels above 1.5
mEq/L are considered toxic. A level of 1.8 mEq/L requires immediate medical intervention
to prevent severe toxicity. The nurse should hold the dose and notify the provider.
3. A client taking phenelzine, an MAOI, is at a restaurant. Which menu item should the nurse
advise the client to avoid?
A. Grilled chicken breast with steamed broccoli.
B. Pepperoni pizza with aged cheddar cheese.
C. Fresh garden salad with oil and vinegar.
D. Baked potato with sour cream and chives.
Correct Answer: B
Explanation: MAOIs interact with tyramine-rich foods, which can lead to a hypertensive
crisis. Pepperoni and aged cheeses are high in tyramine and must be avoided. Education on
dietary restrictions is a priority for patients on MAOI therapy.
4. A client is prescribed amitriptyline for neuropathic pain. The nurse should instruct the
client to expect which common side effect?
A. Increased salivation and diarrhea.
B. Bradycardia and hypotension.
C. Dry mouth and urinary retention.
, D. Hyperactivity and insomnia.
Correct Answer: C
Explanation: Amitriptyline is a tricyclic antidepressant (TCA) with significant
anticholinergic effects. These include dry mouth, blurred vision, urinary retention, and
constipation. Clients should be monitored for these symptoms and advised on management
strategies.
5. A nurse is assessing a client receiving haloperidol. The client is experiencing muscle rigidity,
high fever, and autonomic instability. What should the nurse suspect?
A. Serotonin syndrome.
B. Extrapyramidal symptoms (EPS).
C. Tardive dyskinesia.
D. Neuroleptic malignant syndrome (NMS).
Correct Answer: D
Explanation: Neuroleptic malignant syndrome is a life-threatening reaction to
antipsychotic drugs. It is characterized by high fever, muscle rigidity (lead-pipe), and
tachycardia. This condition requires immediate discontinuation of the medication and
supportive care.
6. A client is starting clozapine for treatment-resistant schizophrenia. Which laboratory test
must be monitored weekly?
A. Serum potassium levels.
