Galen NUR 256 Exam 2 - Mental Health Comprehensiv… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
Galen NUR 256 Exam 2 - Mental Health Comprehensive Prep
2026/2027 UPDATE
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,Galen NUR 256 Exam 2 - Mental Health Comprehensiv… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient taking Fluphenazine is presenting with high fever, muscle rigidity, and
autonomic instability. Which condition should the nurse suspect?
A. Serotonin Syndrome
B. Agranulocytosis
C. Tardive Dyskinesia
D. Neuroleptic Malignant Syndrome
Answer: D
Rationale: Neuroleptic Malignant Syndrome (NMS) is a life-threatening reaction to antipsychotic
drugs, characterized by fever, muscular rigidity, altered mental status, and autonomic dysfunction.
Remembering this point will help you decide the best nursing action when similar questions appear on
the exam. Link the answer to the client’s current condition and risk level. Exam questions often test
whether you can pick the most practical and safe choice for the client in real situations. Focus on what
the nurse can actually do right now.
2. What is the therapeutic serum level range for Lithium during the maintenance phase?
A. 0.6 - 1.2 mEq/L
B. 1.5 - 2.0 mEq/L
C. 0.1 - 0.5 mEq/L
D. 2.5 - 3.0 mEq/L
Answer: A
Rationale: The therapeutic range for lithium maintenance is 0.6 to 1.2 mEq/L. Levels above 1.5 mEq/L
are considered toxic. Clear understanding of this concept improves both test performance and
everyday clinical judgment. Practice applying it to short case scenarios to lock the idea in place. Clear
understanding of this concept improves both test performance and everyday clinical judgment.
Practice applying it to short case scenarios to lock the idea in place.
Exam (Elaborations) • Detailed Rationales Page 2
, Galen NUR 256 Exam 2 - Mental Health Comprehensiv… 2026/2027 • Verified • Assured Grade A+
3. A patient on Phenelzine (an MAOI) must avoid which food to prevent a hypertensive
crisis?
A. Fresh chicken breast
B. Aged cheddar cheese
C. Green beans
D. White bread
Answer: B
Rationale: MAOIs interact with tyramine-rich foods like aged cheeses, cured meats, and red wine,
leading to potentially fatal hypertensive crises. Remembering this point will help you decide the best
nursing action when similar questions appear on the exam. Link the answer to the client’s current
condition and risk level. Remembering this point will help you decide the best nursing action when
similar questions appear on the exam. Link the answer to the client’s current condition and risk level.
4. Which laboratory value is the priority monitoring requirement for a patient starting
Clozapine?
A. Serum Potassium
B. White Blood Cell (WBC) count
C. count
D. Thyroid Stimulating Hormone (TSH)
Answer: B
Rationale: Clozapine carries a risk of agranulocytosis; therefore, regular monitoring of the absolute
neutrophil count (ANC) and WBC count is mandatory. In practice, this guides the nurse to set priorities
and protect the client from harm. Safety, nutrition, and clear communication are frequent priorities.
Understanding this helps the nurse notice early warning signs and act before the problem gets worse.
Early action often prevents bigger complications for the client.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
Galen NUR 256 Exam 2 - Mental Health Comprehensive Prep
2026/2027 UPDATE
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,Galen NUR 256 Exam 2 - Mental Health Comprehensiv… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient taking Fluphenazine is presenting with high fever, muscle rigidity, and
autonomic instability. Which condition should the nurse suspect?
A. Serotonin Syndrome
B. Agranulocytosis
C. Tardive Dyskinesia
D. Neuroleptic Malignant Syndrome
Answer: D
Rationale: Neuroleptic Malignant Syndrome (NMS) is a life-threatening reaction to antipsychotic
drugs, characterized by fever, muscular rigidity, altered mental status, and autonomic dysfunction.
Remembering this point will help you decide the best nursing action when similar questions appear on
the exam. Link the answer to the client’s current condition and risk level. Exam questions often test
whether you can pick the most practical and safe choice for the client in real situations. Focus on what
the nurse can actually do right now.
2. What is the therapeutic serum level range for Lithium during the maintenance phase?
A. 0.6 - 1.2 mEq/L
B. 1.5 - 2.0 mEq/L
C. 0.1 - 0.5 mEq/L
D. 2.5 - 3.0 mEq/L
Answer: A
Rationale: The therapeutic range for lithium maintenance is 0.6 to 1.2 mEq/L. Levels above 1.5 mEq/L
are considered toxic. Clear understanding of this concept improves both test performance and
everyday clinical judgment. Practice applying it to short case scenarios to lock the idea in place. Clear
understanding of this concept improves both test performance and everyday clinical judgment.
Practice applying it to short case scenarios to lock the idea in place.
Exam (Elaborations) • Detailed Rationales Page 2
, Galen NUR 256 Exam 2 - Mental Health Comprehensiv… 2026/2027 • Verified • Assured Grade A+
3. A patient on Phenelzine (an MAOI) must avoid which food to prevent a hypertensive
crisis?
A. Fresh chicken breast
B. Aged cheddar cheese
C. Green beans
D. White bread
Answer: B
Rationale: MAOIs interact with tyramine-rich foods like aged cheeses, cured meats, and red wine,
leading to potentially fatal hypertensive crises. Remembering this point will help you decide the best
nursing action when similar questions appear on the exam. Link the answer to the client’s current
condition and risk level. Remembering this point will help you decide the best nursing action when
similar questions appear on the exam. Link the answer to the client’s current condition and risk level.
4. Which laboratory value is the priority monitoring requirement for a patient starting
Clozapine?
A. Serum Potassium
B. White Blood Cell (WBC) count
C. count
D. Thyroid Stimulating Hormone (TSH)
Answer: B
Rationale: Clozapine carries a risk of agranulocytosis; therefore, regular monitoring of the absolute
neutrophil count (ANC) and WBC count is mandatory. In practice, this guides the nurse to set priorities
and protect the client from harm. Safety, nutrition, and clear communication are frequent priorities.
Understanding this helps the nurse notice early warning signs and act before the problem gets worse.
Early action often prevents bigger complications for the client.
Exam (Elaborations) • Detailed Rationales Page 3
