ACE YOUR NUR 114 PHARM FINAL EXAM: COMPLETE STUDY GUIDE
WITH COMPREHENSIVE QUESTIONS AND ANSWERS LATEST
2026/2027
• How should communication be documented?. Answer:
Document exactly what was said
• What is id?.
Answer: instinctual drive
• Serotonin Syndrome.
Answer: Excess serotonin (drug interaction or overdose)
• What is ego?.
Answer: the rational self
• What is superego?.
Answer: the perfection principle, moral conscience
• What is ECT?.
Answer: The use of electrical shock current delivered to the brain to induce
a seizure
• SHIVERS.
Answer: S - Shivering, H - Hyperthermia, I - Increased reflexes (clonus,
hyperreflexia), V - Vital sign instability (HTN, tachycardia), E
Encephalopathy (confusion), R - Restlessness, S - Sweating
• Priority for Serotonin Syndrome.
Answer: STOP medication → Notify provider → Benzodiazepines → IV
fluids → Oxygen
• What is ECT used to treat?.
, Answer: severe and treatment resistant depression, severe mania,
schizophrenia, dementia with aggression/agitation
• Lithium Toxicity.
Answer: Therapeutic Range: 0.6-1.2 mEq/L; Severe Toxicity: ≥ 2.0 mEq/L
• Early Signs of Lithium Toxicity.
Answer: Nausea, vomiting, diarrhea, tremor
• What is a contraindication of ECT?. Answer: increased
ICP
• What are some side effects of ECT?.
Answer: short term memory loss, confusion
• True or false: Informed consent is not needed for ECT.
Answer: False. Informed consent is required for ECT
• What care should the nurse provide after an ECT?.
Answer: - vital signs - place pt in side-lying position - assist with secretions
- promote rest/sleep
• What kind of drug are drugs like promethazine and
thorazine?. Answer: antipsychotic
• What are some uses for drugs like promethazine and
thorazine?. Answer: anxiety, schizophrenia, psychosis,
delirium
• Late Signs of Lithium Toxicity.
Answer: Confusion, ataxia, seizures
• What are some side effects for drugs like promethazine
and thorazine?. Answer: - sedation - EPS -
agranulocytosis - hypotension - respiratory depression
, • Priority for Lithium Toxicity.
Answer: Hold lithium → IV fluids → Monitor renal function
• What are some nursing considerations for drugs like
promethazine and thorazine?.
Answer: - do not take with antacids - assess for aspiration - increased fall
risk - do not drink alcohol - change positions slowly
• What are some uses for haloperidol (Haldol)?.
Answer: anxiety, schizophrenia, psychosis, delirium
• Suicide Risk High Risk Indicators.
Answer: Plan, access to means, giving away possessions, sudden mood
improvement
• What are some side effects of haloperidol (Haldol)?.
Answer: - sedation - EPS - agranulocytosis - hypotension - respiratory
depression
• Priority for Suicide Risk.
Answer: 1:1 observation → Remove harmful objects → Never leave patient
alone
• Delirium.
Answer: Sudden onset, fluctuating, reversible, impaired attention
• What are some extrapyramidal side effects?.
Answer: - akathisia - dystonia - pseudo-Parkinsonism - NMS - tardive
dyskinesia
• What is akathisia?.
Answer: restlessness with inability to sit still
• Dementia.
Answer: Gradual onset, progressive, irreversible, memory decline
WITH COMPREHENSIVE QUESTIONS AND ANSWERS LATEST
2026/2027
• How should communication be documented?. Answer:
Document exactly what was said
• What is id?.
Answer: instinctual drive
• Serotonin Syndrome.
Answer: Excess serotonin (drug interaction or overdose)
• What is ego?.
Answer: the rational self
• What is superego?.
Answer: the perfection principle, moral conscience
• What is ECT?.
Answer: The use of electrical shock current delivered to the brain to induce
a seizure
• SHIVERS.
Answer: S - Shivering, H - Hyperthermia, I - Increased reflexes (clonus,
hyperreflexia), V - Vital sign instability (HTN, tachycardia), E
Encephalopathy (confusion), R - Restlessness, S - Sweating
• Priority for Serotonin Syndrome.
Answer: STOP medication → Notify provider → Benzodiazepines → IV
fluids → Oxygen
• What is ECT used to treat?.
, Answer: severe and treatment resistant depression, severe mania,
schizophrenia, dementia with aggression/agitation
• Lithium Toxicity.
Answer: Therapeutic Range: 0.6-1.2 mEq/L; Severe Toxicity: ≥ 2.0 mEq/L
• Early Signs of Lithium Toxicity.
Answer: Nausea, vomiting, diarrhea, tremor
• What is a contraindication of ECT?. Answer: increased
ICP
• What are some side effects of ECT?.
Answer: short term memory loss, confusion
• True or false: Informed consent is not needed for ECT.
Answer: False. Informed consent is required for ECT
• What care should the nurse provide after an ECT?.
Answer: - vital signs - place pt in side-lying position - assist with secretions
- promote rest/sleep
• What kind of drug are drugs like promethazine and
thorazine?. Answer: antipsychotic
• What are some uses for drugs like promethazine and
thorazine?. Answer: anxiety, schizophrenia, psychosis,
delirium
• Late Signs of Lithium Toxicity.
Answer: Confusion, ataxia, seizures
• What are some side effects for drugs like promethazine
and thorazine?. Answer: - sedation - EPS -
agranulocytosis - hypotension - respiratory depression
, • Priority for Lithium Toxicity.
Answer: Hold lithium → IV fluids → Monitor renal function
• What are some nursing considerations for drugs like
promethazine and thorazine?.
Answer: - do not take with antacids - assess for aspiration - increased fall
risk - do not drink alcohol - change positions slowly
• What are some uses for haloperidol (Haldol)?.
Answer: anxiety, schizophrenia, psychosis, delirium
• Suicide Risk High Risk Indicators.
Answer: Plan, access to means, giving away possessions, sudden mood
improvement
• What are some side effects of haloperidol (Haldol)?.
Answer: - sedation - EPS - agranulocytosis - hypotension - respiratory
depression
• Priority for Suicide Risk.
Answer: 1:1 observation → Remove harmful objects → Never leave patient
alone
• Delirium.
Answer: Sudden onset, fluctuating, reversible, impaired attention
• What are some extrapyramidal side effects?.
Answer: - akathisia - dystonia - pseudo-Parkinsonism - NMS - tardive
dyskinesia
• What is akathisia?.
Answer: restlessness with inability to sit still
• Dementia.
Answer: Gradual onset, progressive, irreversible, memory decline
