NURS 6521
FINAL REVIEW FOR NURS
6521 EXAM QUESTIONS AND
ND ANSWERS 2024/2025
These types of drugs are used to treat schizophrenia, delusional disorders, bipolar disorder, depressive
psychosis, and drug induced psychosis. - ANS >>Antipsychotics
What is another name for first generation antipsychotics? - ANS >>Conventional Antipsycotics
Should antimycotics be given to dementia patients? - ANS >>No
What are the two classes of antipsychotics - ANS >>First generation (FGA) and Second generation (SGA)
This class produces a strong blockade of dopamine in the central nervous system. As a result can cause
serious movement disorders known as extrapyramidal symptoms (EPS) - ANS >>FGA
This class produces a moderate blockade of receptors for dopamine and a much stronger blockade of
receptors for serotonin. - ANS >>SGA
Which class of antipsychotics is at lower risk for EPS? - ANS >>SGA
Which class of antipsychotics carries a significant risk for metabolic effects such as weight gain, diabetes,
and dyslipidemia? - ANS >>SGA
Chlorpromazine and Haloperidol are what kind of antipsychotics? - ANS >>FGA or traditional
What is an example of a atypical or second generation antimycotics? - ANS >>Clozapine
Because FGA can cause neurological side effects they are also called? - ANS >>Neuroleptics
1
,NURS 6521
Which class of antipsychotics are classified by potency? - ANS >>FGAs
Blocks a variety of receptors within and outside the CNS that block receptors for dopamine,
acetylcholine, histamine, and norepinephrine. - ANS >>FGA's
Chlorpromazine and Thioridazine are which potency for FGA's - ANS >>Low potency
Loxapine, loxitane, and perphenazine are which potency for FGA's - ANS >>Medium
Haldol, Orap, Navane and Trifluoperazine are what potency? - ANS >>High
What are the three types of extrapyramidal symptoms? - ANS >>acute dystonia, parkinsonism, akathisia
The reaction develops within the first few days of therapy and frequently within hours of the first dose.
The patient develops severe spasm of the muscles of the tongue, face, neck, or back. - ANS >>Acute
Dystonia
This EPS is characterized by bradykinesia, mask-like facies, drooling, tremor, rigidity, shuffling gait,
cogwheeling, and stooped posture. Symptoms develop throughout the first month. - ANS
>>Parkinsonism
This EPS is characterized by pacing and squirming brought on by an uncontrollable need to be in motion.
Usually develops within the first two months of treatment. - ANS >>Akathisia
How to treat Akathisia - ANS >>Beta blockers, benzos, and anticholinergic drugs.
This is the most troubling EPS develops in 5% of patients. Involuntary choreoathetoid (twisting, writhing,
worm-like) movements of the tongue and face. Patients also may present with lip-smacking movements,
and their tongues may flick out. - ANS >>Tardive dyskinesia
What are the FDA approved TD (tardive dyskinesia) medications? - ANS >>Ingrezza, valbenazine, Austedo
2
, NURS 6521
This adverse effect is rare but serious. Primary symptoms are lead pipe rigidity, sudden high fever,
sweating , and autonomic instability manifested as dysrhythmias and fluctuations in BP. - ANS
>>Neuroleptic Malignant Syndrome
What is a common adverse effect of FGA's but usually subsides within a week or so? - ANS >>Sedation
Antipsychotics increase levels of circulating prolactin by blocking the inhibitory action of dopamine on
prolactin release. - ANS >>Neuroendocrine Effects
FGA's can reduce seizure threshold there by ____ seizure activity. - ANS >>increasing
A rare but serious reaction among the FGAs, it severely compromises the ability to fight infections. - ANS
>>Agranulosis
What are s/s of EPS in children exposed to antipsychotics? - ANS >>tremor, agitation, sleepiness,
difficulty feeding, severe breathing difficulty, and altered muscle tone.
This SGA can cause life-threatening agranulocytosis. Its use should be reserved for patients who have not
responded to safter alternatives. - ANS >>Clozapine
Rarely this drug has been associated with myocarditis. If symptoms such as fatigue, dyspnea, tachy, chest
pain, palpitations occur the drug should be stopped until myocarditis is ruled out. - ANS >>Clozapine
Long-acting , injectable formulations used for long-term maintenance therapy of schizophrenia. - ANS
>>Depot antipsychotic preparations
What category antidepressants is the following meds: Citalopram, Escitalopram, Fluoxetine,
Fluvoxamine, Paroxetine, Sertraline, Vortioxetine? - ANS >>Selective Serotonin Reuptake Inhibitors
What category antidepressants is the following meds: Desvenlafaxine, Duloxetine, Levo milnacipran,
Venlafaxine. - ANS >>Serotonin-norepinephrine Reuptake Inhibitors
3
FINAL REVIEW FOR NURS
6521 EXAM QUESTIONS AND
ND ANSWERS 2024/2025
These types of drugs are used to treat schizophrenia, delusional disorders, bipolar disorder, depressive
psychosis, and drug induced psychosis. - ANS >>Antipsychotics
What is another name for first generation antipsychotics? - ANS >>Conventional Antipsycotics
Should antimycotics be given to dementia patients? - ANS >>No
What are the two classes of antipsychotics - ANS >>First generation (FGA) and Second generation (SGA)
This class produces a strong blockade of dopamine in the central nervous system. As a result can cause
serious movement disorders known as extrapyramidal symptoms (EPS) - ANS >>FGA
This class produces a moderate blockade of receptors for dopamine and a much stronger blockade of
receptors for serotonin. - ANS >>SGA
Which class of antipsychotics is at lower risk for EPS? - ANS >>SGA
Which class of antipsychotics carries a significant risk for metabolic effects such as weight gain, diabetes,
and dyslipidemia? - ANS >>SGA
Chlorpromazine and Haloperidol are what kind of antipsychotics? - ANS >>FGA or traditional
What is an example of a atypical or second generation antimycotics? - ANS >>Clozapine
Because FGA can cause neurological side effects they are also called? - ANS >>Neuroleptics
1
,NURS 6521
Which class of antipsychotics are classified by potency? - ANS >>FGAs
Blocks a variety of receptors within and outside the CNS that block receptors for dopamine,
acetylcholine, histamine, and norepinephrine. - ANS >>FGA's
Chlorpromazine and Thioridazine are which potency for FGA's - ANS >>Low potency
Loxapine, loxitane, and perphenazine are which potency for FGA's - ANS >>Medium
Haldol, Orap, Navane and Trifluoperazine are what potency? - ANS >>High
What are the three types of extrapyramidal symptoms? - ANS >>acute dystonia, parkinsonism, akathisia
The reaction develops within the first few days of therapy and frequently within hours of the first dose.
The patient develops severe spasm of the muscles of the tongue, face, neck, or back. - ANS >>Acute
Dystonia
This EPS is characterized by bradykinesia, mask-like facies, drooling, tremor, rigidity, shuffling gait,
cogwheeling, and stooped posture. Symptoms develop throughout the first month. - ANS
>>Parkinsonism
This EPS is characterized by pacing and squirming brought on by an uncontrollable need to be in motion.
Usually develops within the first two months of treatment. - ANS >>Akathisia
How to treat Akathisia - ANS >>Beta blockers, benzos, and anticholinergic drugs.
This is the most troubling EPS develops in 5% of patients. Involuntary choreoathetoid (twisting, writhing,
worm-like) movements of the tongue and face. Patients also may present with lip-smacking movements,
and their tongues may flick out. - ANS >>Tardive dyskinesia
What are the FDA approved TD (tardive dyskinesia) medications? - ANS >>Ingrezza, valbenazine, Austedo
2
, NURS 6521
This adverse effect is rare but serious. Primary symptoms are lead pipe rigidity, sudden high fever,
sweating , and autonomic instability manifested as dysrhythmias and fluctuations in BP. - ANS
>>Neuroleptic Malignant Syndrome
What is a common adverse effect of FGA's but usually subsides within a week or so? - ANS >>Sedation
Antipsychotics increase levels of circulating prolactin by blocking the inhibitory action of dopamine on
prolactin release. - ANS >>Neuroendocrine Effects
FGA's can reduce seizure threshold there by ____ seizure activity. - ANS >>increasing
A rare but serious reaction among the FGAs, it severely compromises the ability to fight infections. - ANS
>>Agranulosis
What are s/s of EPS in children exposed to antipsychotics? - ANS >>tremor, agitation, sleepiness,
difficulty feeding, severe breathing difficulty, and altered muscle tone.
This SGA can cause life-threatening agranulocytosis. Its use should be reserved for patients who have not
responded to safter alternatives. - ANS >>Clozapine
Rarely this drug has been associated with myocarditis. If symptoms such as fatigue, dyspnea, tachy, chest
pain, palpitations occur the drug should be stopped until myocarditis is ruled out. - ANS >>Clozapine
Long-acting , injectable formulations used for long-term maintenance therapy of schizophrenia. - ANS
>>Depot antipsychotic preparations
What category antidepressants is the following meds: Citalopram, Escitalopram, Fluoxetine,
Fluvoxamine, Paroxetine, Sertraline, Vortioxetine? - ANS >>Selective Serotonin Reuptake Inhibitors
What category antidepressants is the following meds: Desvenlafaxine, Duloxetine, Levo milnacipran,
Venlafaxine. - ANS >>Serotonin-norepinephrine Reuptake Inhibitors
3
