NUR 256
Final Exam Advanced Mental Health Nursing
Final Exam • Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 256
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 256 Final Exam: Advanced Mental Health Nursing 2026/2027 UPDATE – Galen
1. A patient with schizophrenia is prescribed Clozapine. Which laboratory value requires the
nurse to immediately withhold the medication and contact the provider?
A. Blood glucose of 110 mg/dL
B. White Blood Cell (WBC) count of 2,800/mm³
C. Serum potassium of 3.6 mEq/L
D. Platelet count of 150,000/mm³
Answer: B
Rationale: Clozapine carries a risk of agranulocytosis. A WBC count below 3,000/mm³ or
an Absolute Neutrophil Count (ANC) below 1,500/mm³ requires immediate cessation of
the drug.
2. Which neurotransmitter imbalance is most commonly associated with the etiology of
Alzheimer’s disease?
A. Excessive Dopamine
B. Excessive Glutamate
C. Deficient Serotonin
D. Deficient Acetylcholine
, Answer: D
Rationale: Acetylcholine is vital for memory and learning; its deficiency is a hallmark of
Alzheimer’s disease pathology.
3. A nurse is caring for a client in the acute phase of mania. Which dietary intervention is
most appropriate?
A. Providing a formal three-course meal in the dining hall
B. Low-sodium diet to prevent lithium toxicity
C. Offering high-calorie, high-protein finger foods
D. Restricting fluids to prevent water intoxication
Answer: C
Rationale: Manic patients are often too hyperactive to sit for meals. Finger foods allow
them to consume necessary nutrients while on the move.
4. Which assessment finding is a hallmark symptom of Neuroleptic Malignant Syndrome
(NMS)?
A. Hypothermia and bradycardia
B. Muscle flaccidity and diarrhea
C. Increased salivation and hypotension
D. Severe ‘lead-pipe’ muscle rigidity and hyperpyrexia
Answer: D
Final Exam Advanced Mental Health Nursing
Final Exam • Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 256
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 256 Final Exam: Advanced Mental Health Nursing 2026/2027 UPDATE – Galen
1. A patient with schizophrenia is prescribed Clozapine. Which laboratory value requires the
nurse to immediately withhold the medication and contact the provider?
A. Blood glucose of 110 mg/dL
B. White Blood Cell (WBC) count of 2,800/mm³
C. Serum potassium of 3.6 mEq/L
D. Platelet count of 150,000/mm³
Answer: B
Rationale: Clozapine carries a risk of agranulocytosis. A WBC count below 3,000/mm³ or
an Absolute Neutrophil Count (ANC) below 1,500/mm³ requires immediate cessation of
the drug.
2. Which neurotransmitter imbalance is most commonly associated with the etiology of
Alzheimer’s disease?
A. Excessive Dopamine
B. Excessive Glutamate
C. Deficient Serotonin
D. Deficient Acetylcholine
, Answer: D
Rationale: Acetylcholine is vital for memory and learning; its deficiency is a hallmark of
Alzheimer’s disease pathology.
3. A nurse is caring for a client in the acute phase of mania. Which dietary intervention is
most appropriate?
A. Providing a formal three-course meal in the dining hall
B. Low-sodium diet to prevent lithium toxicity
C. Offering high-calorie, high-protein finger foods
D. Restricting fluids to prevent water intoxication
Answer: C
Rationale: Manic patients are often too hyperactive to sit for meals. Finger foods allow
them to consume necessary nutrients while on the move.
4. Which assessment finding is a hallmark symptom of Neuroleptic Malignant Syndrome
(NMS)?
A. Hypothermia and bradycardia
B. Muscle flaccidity and diarrhea
C. Increased salivation and hypotension
D. Severe ‘lead-pipe’ muscle rigidity and hyperpyrexia
Answer: D
