NR 668 CEA (Clinical Evaluation and
Assessment) test bank questions and verified
answers
, 1. A 24-year-old male develops severe muscle rigidity, altered mental
status, tachycardia, and a temperature of 103.8°F (39.9°C) three days after
starting Haloperidol. What is the most likely diagnosis?
A) Serotonin syndrome
B) Neuroleptic malignant syndrome (NMS)
C) Anticholinergic toxicity
D) Acute dystonic reaction
Answer: B
2. Which laboratory parameter must be strictly monitored prior to and
during therapy with Clozapine?
A) Serum creatinine
B) Absolute neutrophil count (ANC)
C) Alanine aminotransferase (ALT)
D) Thyroid-stimulating hormone (TSH)
Answer: B
3. A 28-year-old female with Bipolar I disorder plans to become pregnant.
Which mood stabilizer carries the highest risk for neural tube defects?
A) Lamotrigine
B) Lithium
C) Valproate
D) Oxcarbazepine
Answer: C
4. A patient taking Lithium presents with a coarse hand tremor, ataxia,
slurred speech, and confusion. The serum lithium level is 2.1 mEq/L. What
is the correct intervention?
, A) Continue current dose and increase fluid intake
B) Hold the medication and assess for toxicity/hydration status
C) Administer a dose of Benztropine
D) Increase the dose to achieve a therapeutic level
Answer: B
5. Which antidepressant is strictly contraindicated in patients with a history
of Bulimia Nervosa due to an increased risk of seizures?
A) Fluoxetine
B) Sertraline
C) Bupropion
D) Duloxetine
Answer: C
6. A patient taking Phenelzine (an MAOI) presents to the emergency
department with a severe, throbbing occipital headache, palpitations, and a
blood pressure of 210/120 mmHg. What likely caused this reaction?
A) Co-ingestion of acetaminophen
B) Consumption of aged cheese or red wine
C) Missing two consecutive doses of the medication
D) Excessive intake of processed white sugar
Answer: B
7. Lamotrigine titration must be performed slowly primarily to minimize the
risk of which life-threatening condition?
A) Agranulocytosis
B) Stevens-Johnson syndrome
C) Acute pancreatitis
D) Nephrogenic diabetes insipidus
, Answer: B
8. Which medication is considered a first-line, non-stimulant option for the
treatment of ADHD in adults with a history of substance use disorder?
A) Methylphenidate
B) Atomoxetine
C) Lisdexamfetamine
D) Modafinil
Answer: B
9. A patient experiences hyperreflexia, clonus, shivering, and diaphoresis
after taking both Sertraline and over-the-counter Dextromethorphan. What
is the primary mechanism causing these symptoms?
A) Dopamine receptor blockade
B) Norepinephrine reuptake inhibition
C) Excessive serotonergic agonism
D) GABA-A receptor modulation
Answer: C
10. Which antipsychotic is most associated with significant weight gain,
hyperlipidemia, and new-onset Diabetes Mellitus?
A) Aripiprazole
B) Olanzapine
C) Ziprasidone
D) Lurasidone
Answer: B
Assessment) test bank questions and verified
answers
, 1. A 24-year-old male develops severe muscle rigidity, altered mental
status, tachycardia, and a temperature of 103.8°F (39.9°C) three days after
starting Haloperidol. What is the most likely diagnosis?
A) Serotonin syndrome
B) Neuroleptic malignant syndrome (NMS)
C) Anticholinergic toxicity
D) Acute dystonic reaction
Answer: B
2. Which laboratory parameter must be strictly monitored prior to and
during therapy with Clozapine?
A) Serum creatinine
B) Absolute neutrophil count (ANC)
C) Alanine aminotransferase (ALT)
D) Thyroid-stimulating hormone (TSH)
Answer: B
3. A 28-year-old female with Bipolar I disorder plans to become pregnant.
Which mood stabilizer carries the highest risk for neural tube defects?
A) Lamotrigine
B) Lithium
C) Valproate
D) Oxcarbazepine
Answer: C
4. A patient taking Lithium presents with a coarse hand tremor, ataxia,
slurred speech, and confusion. The serum lithium level is 2.1 mEq/L. What
is the correct intervention?
, A) Continue current dose and increase fluid intake
B) Hold the medication and assess for toxicity/hydration status
C) Administer a dose of Benztropine
D) Increase the dose to achieve a therapeutic level
Answer: B
5. Which antidepressant is strictly contraindicated in patients with a history
of Bulimia Nervosa due to an increased risk of seizures?
A) Fluoxetine
B) Sertraline
C) Bupropion
D) Duloxetine
Answer: C
6. A patient taking Phenelzine (an MAOI) presents to the emergency
department with a severe, throbbing occipital headache, palpitations, and a
blood pressure of 210/120 mmHg. What likely caused this reaction?
A) Co-ingestion of acetaminophen
B) Consumption of aged cheese or red wine
C) Missing two consecutive doses of the medication
D) Excessive intake of processed white sugar
Answer: B
7. Lamotrigine titration must be performed slowly primarily to minimize the
risk of which life-threatening condition?
A) Agranulocytosis
B) Stevens-Johnson syndrome
C) Acute pancreatitis
D) Nephrogenic diabetes insipidus
, Answer: B
8. Which medication is considered a first-line, non-stimulant option for the
treatment of ADHD in adults with a history of substance use disorder?
A) Methylphenidate
B) Atomoxetine
C) Lisdexamfetamine
D) Modafinil
Answer: B
9. A patient experiences hyperreflexia, clonus, shivering, and diaphoresis
after taking both Sertraline and over-the-counter Dextromethorphan. What
is the primary mechanism causing these symptoms?
A) Dopamine receptor blockade
B) Norepinephrine reuptake inhibition
C) Excessive serotonergic agonism
D) GABA-A receptor modulation
Answer: C
10. Which antipsychotic is most associated with significant weight gain,
hyperlipidemia, and new-onset Diabetes Mellitus?
A) Aripiprazole
B) Olanzapine
C) Ziprasidone
D) Lurasidone
Answer: B
