NURSING PHARMACOLOGY 2. ALL EXAM REVISION
QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED
A+) (2024 UPDATE) 100%
A client is placed on antidepressant therapy with Zoloft (sertraline). What type of information
should be included in the client's medication teaching plan? - ANSWER- This medication can
cause sexual dysfunction, weight gain, and GI upset.
Which symptoms would the nurse expect to see in a client suspected to have serotonin syndrome?
- ANSWER- Agitation, restless, tremor and sweating.
A patient is taking Selegiline (Eldepryl), Monoamine Oxidase Inhibitors (MAOIs). What diet
would be appropriate for him? - ANSWER- Potatoes, ground beef patty, corn, and green beans
______________ are associated with the inbibitory neurotransmitter, Gamma-amino-butyric acid
(GABA). 1. Anticonvulsants 2. Lithium 3. SSRI 4. Benzodiazepin - ANSWER- 1,4
Which one of the following medications is most likely to be ordered for a client to assist in
controlling the occurrence of panic disorder? - ANSWER- Paxil, SSRI
A patient was admitted to hospital for overnight observation for acute onset anxiety related to
unexpected life events. What classification of medication would the nurse anticipate will be
ordered first? - ANSWER- Benzodiazepine
A psychiatric patient has greatly increased seemingly non-goal-directed motor activity and seems
terror-stricken. He does not respond to nursing staff efforts to calm him. He is noted to have
distorted perceptions and disordered thoughts. Of the medications listed on the patient's medication
,administration sheet, which one, with the appropriate order, can be given as a prn anxiolytic? -
ANSWER- Lorazepam (Ativan), benzodiazepines
When interviewing and caring for a university students with test anxiety, the nurse must be aware
that test anxiety is often treatable with: - ANSWER- beta blocker
The nurse observes a schizophrenia client with head rotated to one side in a stiffly fixed position
and lower jaw is thrust forward and saliva is coming from the mouth. Which intervention is most
warranted? - ANSWER- Administering benztropine (Cogentin) 2 mg intramuscularly
A client comes to the medication clinic on Tuesday. The client's regular weekly appointment is
Friday. The client complains to the nurse that he has a terrible sore throat. The nurse reviews the
client's record and finds that the client is receiving Clozaril (clozapine). The client's temperature
is 100 degrees F. The nurse should make arrangements: - ANSWER- Have WBC done.
The nurse is doing discharge teaching with a client with the diagnosis of schizophrenia on the
medication, clozapine (Clozaril). Which of the following statements accurately reflects
information the nurse must provide? 1. "You should avoid eating foods high in tyramine, such as
aged cheeses and pickled fish." 2. "The most common problems with Clozaril are the
extrapyramidal side effects, including tardive dyskinesia." 3. "You will need to have your blood
drawn frequently in order to check your white blood count." 4. "If you experience sore throat, fever
or other flu-like symptoms, you need to contact your health care provider immediately." -
ANSWER- 3,4
What is a common side effect for which the nurse must monitor during administration of
Haloperidol (Haldol)? - ANSWER- Extrapyramidal symptoms
, A patient with schizophrenia has difficulty in holding a normal conversation. He replies the
questions sparsely, and his speech lacks spontaneous content. In addition, he frequently fails to
provide the answers. These symptoms are categorized under: - ANSWER- Negative symtoms
A client is experiencing acute dystonia, an extrapyramidal symptom (EPS). In addition to reduce
or discontinue the antipsychotic agent, the nurse would anticipate administering a medication in
which category? - ANSWER- Anticholinergic
A client is taking an anxiolytic agent secondary to grief-related anxiety. The client questions the
provider about abruptly discontinuing the drug. Which response from the care provider is most
likely appropriate? - ANSWER- Dosage must be TAPERED off to avoid withdrawal
The client has been started on Elavil. He tells the nurse that he does not take any other medication
except for St. John's wort, which he has found to be mildly therapeutic. What should be the nurse's
highest priority response to this information? - ANSWER- The combination of St. John's wort
and Elavil can produce serotonin syndrome
Which statement is true about mood stabilizers? - ANSWER- The SEs/ADEs of Lithium
include: GI discomfort, hand tremors, renal dysfunction and Ataxia
Which statement is true about antidepressant agents? 1. Tricyclic antidepressants (TCA) are
associated with cardiac dysrhythmias 2. Tranzadone (Desyrel) can cause hyperactivity and
insomnia 3. It is more effective and safer to use SSRI and MAOI together. 4. Bupropion can be
used to help smoking cessation. - ANSWER- 1,4
Which intervention is highest priority for the care plan of a client on lithium therapy? - ANSWER-
Drink 1-2 liters/daily
QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED
A+) (2024 UPDATE) 100%
A client is placed on antidepressant therapy with Zoloft (sertraline). What type of information
should be included in the client's medication teaching plan? - ANSWER- This medication can
cause sexual dysfunction, weight gain, and GI upset.
Which symptoms would the nurse expect to see in a client suspected to have serotonin syndrome?
- ANSWER- Agitation, restless, tremor and sweating.
A patient is taking Selegiline (Eldepryl), Monoamine Oxidase Inhibitors (MAOIs). What diet
would be appropriate for him? - ANSWER- Potatoes, ground beef patty, corn, and green beans
______________ are associated with the inbibitory neurotransmitter, Gamma-amino-butyric acid
(GABA). 1. Anticonvulsants 2. Lithium 3. SSRI 4. Benzodiazepin - ANSWER- 1,4
Which one of the following medications is most likely to be ordered for a client to assist in
controlling the occurrence of panic disorder? - ANSWER- Paxil, SSRI
A patient was admitted to hospital for overnight observation for acute onset anxiety related to
unexpected life events. What classification of medication would the nurse anticipate will be
ordered first? - ANSWER- Benzodiazepine
A psychiatric patient has greatly increased seemingly non-goal-directed motor activity and seems
terror-stricken. He does not respond to nursing staff efforts to calm him. He is noted to have
distorted perceptions and disordered thoughts. Of the medications listed on the patient's medication
,administration sheet, which one, with the appropriate order, can be given as a prn anxiolytic? -
ANSWER- Lorazepam (Ativan), benzodiazepines
When interviewing and caring for a university students with test anxiety, the nurse must be aware
that test anxiety is often treatable with: - ANSWER- beta blocker
The nurse observes a schizophrenia client with head rotated to one side in a stiffly fixed position
and lower jaw is thrust forward and saliva is coming from the mouth. Which intervention is most
warranted? - ANSWER- Administering benztropine (Cogentin) 2 mg intramuscularly
A client comes to the medication clinic on Tuesday. The client's regular weekly appointment is
Friday. The client complains to the nurse that he has a terrible sore throat. The nurse reviews the
client's record and finds that the client is receiving Clozaril (clozapine). The client's temperature
is 100 degrees F. The nurse should make arrangements: - ANSWER- Have WBC done.
The nurse is doing discharge teaching with a client with the diagnosis of schizophrenia on the
medication, clozapine (Clozaril). Which of the following statements accurately reflects
information the nurse must provide? 1. "You should avoid eating foods high in tyramine, such as
aged cheeses and pickled fish." 2. "The most common problems with Clozaril are the
extrapyramidal side effects, including tardive dyskinesia." 3. "You will need to have your blood
drawn frequently in order to check your white blood count." 4. "If you experience sore throat, fever
or other flu-like symptoms, you need to contact your health care provider immediately." -
ANSWER- 3,4
What is a common side effect for which the nurse must monitor during administration of
Haloperidol (Haldol)? - ANSWER- Extrapyramidal symptoms
, A patient with schizophrenia has difficulty in holding a normal conversation. He replies the
questions sparsely, and his speech lacks spontaneous content. In addition, he frequently fails to
provide the answers. These symptoms are categorized under: - ANSWER- Negative symtoms
A client is experiencing acute dystonia, an extrapyramidal symptom (EPS). In addition to reduce
or discontinue the antipsychotic agent, the nurse would anticipate administering a medication in
which category? - ANSWER- Anticholinergic
A client is taking an anxiolytic agent secondary to grief-related anxiety. The client questions the
provider about abruptly discontinuing the drug. Which response from the care provider is most
likely appropriate? - ANSWER- Dosage must be TAPERED off to avoid withdrawal
The client has been started on Elavil. He tells the nurse that he does not take any other medication
except for St. John's wort, which he has found to be mildly therapeutic. What should be the nurse's
highest priority response to this information? - ANSWER- The combination of St. John's wort
and Elavil can produce serotonin syndrome
Which statement is true about mood stabilizers? - ANSWER- The SEs/ADEs of Lithium
include: GI discomfort, hand tremors, renal dysfunction and Ataxia
Which statement is true about antidepressant agents? 1. Tricyclic antidepressants (TCA) are
associated with cardiac dysrhythmias 2. Tranzadone (Desyrel) can cause hyperactivity and
insomnia 3. It is more effective and safer to use SSRI and MAOI together. 4. Bupropion can be
used to help smoking cessation. - ANSWER- 1,4
Which intervention is highest priority for the care plan of a client on lithium therapy? - ANSWER-
Drink 1-2 liters/daily
