NCLEX EXAM Antipsychotics, Anxiolytics &
Antidepressants Latest 2026 Actual Questions and
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Terms in this set (85)
A client is to receive a dose of B ~ This medication is very viscous and requires Z-
fluphenazine hydrochloride (Prolixin) track, deep IM injection to avoid muscle irritation.
by intramuscular injection. What is the
most important nursing intervention
related to the injection?
a. Massage the site vigorously after
injection.
b. Administer the drug using Z-
tracking.
c. Avoid rotating the injection sites.
d. Select a 22- to 23-gauge needle.
,The client has been diagnosed with C ~ Negative symptoms are manifested as the
schizophrenia and is exhibiting a loss inability to initiate voluntary motor function. The
of function and motivation. The nurse others are considered positive symptoms.
recognizes that these symptoms are
categorized as:
a. positive.
b. paranoiac.
c. negative.
d. incoherent.
What is a common side effect for D ~ These medications are known for their
which the nurse must monitor during extrapyramidal symptoms.
administration of both phenothiazine
and non-phenothiazine medications?
a. Hypertension
b. Renal failure
c. Increase in number of white blood
cells
d. Extrapyramidal symptoms
A client is to be treated with Prolixin. C ~ The phenothiazine groups major side effect is
The highest priority nursing hypotension.
intervention related to the clients vital
signs is to monitor for:
a. bradycardia.
b. hypertension.
c. hypotension.
d. tachypnea.
,A client has been taking a C ~ The client may feel some effect in 7 to 10 days,
phenothiazine for 1 week. She but generally it takes 6 weeks for the medication to
contacts the crisis intervention clinic take full effect.
because she is still having symptoms.
The nurses response is based on the
premise that the desired effects
usually take _____ to manifest.
a. 1 week
b. 1 to 3 weeks
c. 3 to 6 weeks
d. 3 to 5 months
Extrapyramidal symptoms are a side A ~ Akathisia is described as restless, agitated
effect of perphenazine (Trilafon). The movement.
nurse should assess and observe for
which sign of akathisia?
a. Restlessness and constant moving
about
b. Facial grimacing
c. Chewing motion
d. Involuntary eye movement
Client teaching is important when B ~ Antipsychotic medications affect symptoms
antipsychotics are taken after while they are used. If they are stopped, the
discharge from the hospital. Nursing symptoms will recur.
instruction should include giving
which information to the client and
family?
a. Therapeutic effect should occur in
2 to 3 days with maximum effect in 1
week.
b. The drugs should not be
discontinued without consulting a
healthcare provider.
c. Taking barbiturates in small
dosages with the drug is usually
permissible.
d. Rapid change in position has little
effect on dizziness or blood pressure.
, A client is ordered to receive A ~ Dyspnea and heart palpitations are symptoms of
chlordiazepoxide (Librium) for severe severe anxiety; also experienced is chest pain,
anxiety. The nurse monitors for which dizziness, or faintness.
symptoms of severe anxiety or panic
attack?
a. Dyspnea and heart palpitations
b. Trembling, shaking, and
gastrointestinal upset
c. Dizziness and anorexia
d. Drowsiness and blurred vision
A client is experiencing severe EPS B ~ Anticholinergics, such as benztropine (Cogentin),
effects. In addition to administering a are used to decrease the EPS effects associated
lower dose of the antipsychotic with antipsychotic medications.
agents, the nurse would anticipate
administering a medication in which
category?
a. Cholinergics
b. Anticholinergics
c. Antidepressants
d. Dopamine agonists
A client is taking an anxiolytic agent A ~ Discontinuing anxiolytic agents abruptly may
secondary to grief-related anxiety. lead to withdrawal symptoms.
The client questions the nurse about
abruptly discontinuing these agents.
The nurses response is based on the
knowledge that, when discontinuing
these medications:
a. the dosage must be tapered to
avoid withdrawal.
b. the client must be evaluated for
hyperglycemia.
c. hangover syndrome must be
planned for.
d. blood levels must be monitored.
Antidepressants Latest 2026 Actual Questions and
Verified Answers () A+ Grade 100%
Guarantee Verified by Experts
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (85)
A client is to receive a dose of B ~ This medication is very viscous and requires Z-
fluphenazine hydrochloride (Prolixin) track, deep IM injection to avoid muscle irritation.
by intramuscular injection. What is the
most important nursing intervention
related to the injection?
a. Massage the site vigorously after
injection.
b. Administer the drug using Z-
tracking.
c. Avoid rotating the injection sites.
d. Select a 22- to 23-gauge needle.
,The client has been diagnosed with C ~ Negative symptoms are manifested as the
schizophrenia and is exhibiting a loss inability to initiate voluntary motor function. The
of function and motivation. The nurse others are considered positive symptoms.
recognizes that these symptoms are
categorized as:
a. positive.
b. paranoiac.
c. negative.
d. incoherent.
What is a common side effect for D ~ These medications are known for their
which the nurse must monitor during extrapyramidal symptoms.
administration of both phenothiazine
and non-phenothiazine medications?
a. Hypertension
b. Renal failure
c. Increase in number of white blood
cells
d. Extrapyramidal symptoms
A client is to be treated with Prolixin. C ~ The phenothiazine groups major side effect is
The highest priority nursing hypotension.
intervention related to the clients vital
signs is to monitor for:
a. bradycardia.
b. hypertension.
c. hypotension.
d. tachypnea.
,A client has been taking a C ~ The client may feel some effect in 7 to 10 days,
phenothiazine for 1 week. She but generally it takes 6 weeks for the medication to
contacts the crisis intervention clinic take full effect.
because she is still having symptoms.
The nurses response is based on the
premise that the desired effects
usually take _____ to manifest.
a. 1 week
b. 1 to 3 weeks
c. 3 to 6 weeks
d. 3 to 5 months
Extrapyramidal symptoms are a side A ~ Akathisia is described as restless, agitated
effect of perphenazine (Trilafon). The movement.
nurse should assess and observe for
which sign of akathisia?
a. Restlessness and constant moving
about
b. Facial grimacing
c. Chewing motion
d. Involuntary eye movement
Client teaching is important when B ~ Antipsychotic medications affect symptoms
antipsychotics are taken after while they are used. If they are stopped, the
discharge from the hospital. Nursing symptoms will recur.
instruction should include giving
which information to the client and
family?
a. Therapeutic effect should occur in
2 to 3 days with maximum effect in 1
week.
b. The drugs should not be
discontinued without consulting a
healthcare provider.
c. Taking barbiturates in small
dosages with the drug is usually
permissible.
d. Rapid change in position has little
effect on dizziness or blood pressure.
, A client is ordered to receive A ~ Dyspnea and heart palpitations are symptoms of
chlordiazepoxide (Librium) for severe severe anxiety; also experienced is chest pain,
anxiety. The nurse monitors for which dizziness, or faintness.
symptoms of severe anxiety or panic
attack?
a. Dyspnea and heart palpitations
b. Trembling, shaking, and
gastrointestinal upset
c. Dizziness and anorexia
d. Drowsiness and blurred vision
A client is experiencing severe EPS B ~ Anticholinergics, such as benztropine (Cogentin),
effects. In addition to administering a are used to decrease the EPS effects associated
lower dose of the antipsychotic with antipsychotic medications.
agents, the nurse would anticipate
administering a medication in which
category?
a. Cholinergics
b. Anticholinergics
c. Antidepressants
d. Dopamine agonists
A client is taking an anxiolytic agent A ~ Discontinuing anxiolytic agents abruptly may
secondary to grief-related anxiety. lead to withdrawal symptoms.
The client questions the nurse about
abruptly discontinuing these agents.
The nurses response is based on the
knowledge that, when discontinuing
these medications:
a. the dosage must be tapered to
avoid withdrawal.
b. the client must be evaluated for
hyperglycemia.
c. hangover syndrome must be
planned for.
d. blood levels must be monitored.
