NURS 241- Exam 1 Psychosis,
electrolytes, fluid balance, & HF
Questions with Complete Solutions
(Latest 2025)
Match the following with either a) hypotonic, b) isotonic, or c) hypertonic
1) D5W in body
2) D5 .25%NS
3) D5 .45NS
4) 0.45%NS
5) D10W
6) Normosol
7) 0.33%NS
8) 3%NS
9) D5W in bag
10) D5NS
11) 0.225%NS
12) 0.9%NS
13) LR
14) D5LR - Correct Answers ✅Hypotonic:
1) D5W in body
4) 0.45%NS
7) 0.33%NS
11) 0.225%NS
Isotonic:
2) D5 .25%NS
6) Normosol
9) D5W in bag
,NURS 241- Exam 1 Psychosis,
electrolytes, fluid balance, & HF
Questions with Complete Solutions
(Latest 2025)
12) 0.9%NS
13) LR
Hypertonic:
3) D5 .45NS
5) D10W
8) 3%NS
10) D5NS
14) D5LR
Which of the following nursing interventions would the nurse perform for the
client with psychosis/schizophrenia? (Select all that apply)
a) Assess home medications and current doses, and verify proper
administration/dosing with patient
b) Look for signs and symptoms of suicidal ideation, thoughts, or plans.
c) Assess any available MRI or CT scans to rule out injury
d) Assess labs including electrolytes and any substance abuse toxicology
reports - Correct Answers ✅a) Assess home medications and current
doses, and verify proper administration/dosing with patient
b) Look for signs and symptoms of suicidal ideation, thoughts, or plans.
c) Assess any available MRI or CT scans to rule out injury
d) Assess labs including electrolytes and any substance abuse toxicology
reports
-This is an accurate statement. the nurse should assess not only the
medications, but should recognize usual doses and if the patient is following
,NURS 241- Exam 1 Psychosis,
electrolytes, fluid balance, & HF
Questions with Complete Solutions
(Latest 2025)
the treatment plan. in addition, many psychiatric medications can have
significant side effects that impacts patient use and compliance.
-Suicide risk is real for clients living with psychosis/schizophrenia. The nurse
should assess for risk of suicide. Suicide can be considered a true 'extreme
version' critical scenario with psychosis/schizophrenia.
The nurse is taking care of the client with schizophrenia who has current
visual hallucinations of seeing bats in the activity room. Which of the
following statements indicate that nurse understands therapeutic
communication techniques for the client? (Select all that apply.)
a) "I'm sure it will get better when your meds kick in"
b) "I will just sit here quietly with you. If you want to talk about it, that's ok"
c) "So what you are saying is that you are seeing small flying animals"
d) " Let's see what's on TV"
e) "I am not seeing bats in the activity room" - Correct Answers ✅b) "I will
just sit here quietly with you. If you want to talk about it, that's ok"
c) "So what you are saying is that you are seeing small flying animals"
e) "I am not seeing bats in the activity room"
*This is a correct answer and demonstrates therapeutic listening and/or
silence.
This shows clarification and reinforcing reality.
The nurse is taking care of the patient with acute paranoid schizophrenia.
Which of the following medication orders is the most correct?
a) Haldol decanoate (haloperidol) 15 mg IV x 1 for acute psychosis
b) Haldol decanoate (haloperidol) 150 mg orally every 12 hours
, NURS 241- Exam 1 Psychosis,
electrolytes, fluid balance, & HF
Questions with Complete Solutions
(Latest 2025)
c) Haldol decanoate (haloperidol) 1.5 mg orally every 12 hours
d) Haldol decanoate (haloperidol) 0.15 mg IM x 1 for acute psychosis -
Correct Answers ✅c) Haldol decanoate (haloperidol) 1.5 mg orally every
12 hours
*This is 3 mg daily which falls within the correct range for this medication.
Which of the following predisposing factors are most prevalent in the
development of psychosis? (Select all that apply)
a) Age 65+
b) Encephalitis and/or other infections
c) Substance abuse
d) High income
e) White / caucasian ethnicity - Correct Answers ✅b) Encephalitis and/or
other infections
c) Substance abuse
e) White / caucasian ethnicity
*You're a winner! Infections can cause symptoms of psychosis and should be
ruled out as a part of the diagnosis process.
Yes! There are higher rates of psychosis/schizophrenia with substance abuse,
particularly methamphetamine (and others)
Yes! Psychosis/schizophrenia is more prevalent in white/Caucasian ethnicity
than Hispanic/Latinx, Asian, or Native American ethnicity.
The nurse is taking care of a new admission patient with known
schizophrenia who has been having diarrhea for 3 days from a new
electrolytes, fluid balance, & HF
Questions with Complete Solutions
(Latest 2025)
Match the following with either a) hypotonic, b) isotonic, or c) hypertonic
1) D5W in body
2) D5 .25%NS
3) D5 .45NS
4) 0.45%NS
5) D10W
6) Normosol
7) 0.33%NS
8) 3%NS
9) D5W in bag
10) D5NS
11) 0.225%NS
12) 0.9%NS
13) LR
14) D5LR - Correct Answers ✅Hypotonic:
1) D5W in body
4) 0.45%NS
7) 0.33%NS
11) 0.225%NS
Isotonic:
2) D5 .25%NS
6) Normosol
9) D5W in bag
,NURS 241- Exam 1 Psychosis,
electrolytes, fluid balance, & HF
Questions with Complete Solutions
(Latest 2025)
12) 0.9%NS
13) LR
Hypertonic:
3) D5 .45NS
5) D10W
8) 3%NS
10) D5NS
14) D5LR
Which of the following nursing interventions would the nurse perform for the
client with psychosis/schizophrenia? (Select all that apply)
a) Assess home medications and current doses, and verify proper
administration/dosing with patient
b) Look for signs and symptoms of suicidal ideation, thoughts, or plans.
c) Assess any available MRI or CT scans to rule out injury
d) Assess labs including electrolytes and any substance abuse toxicology
reports - Correct Answers ✅a) Assess home medications and current
doses, and verify proper administration/dosing with patient
b) Look for signs and symptoms of suicidal ideation, thoughts, or plans.
c) Assess any available MRI or CT scans to rule out injury
d) Assess labs including electrolytes and any substance abuse toxicology
reports
-This is an accurate statement. the nurse should assess not only the
medications, but should recognize usual doses and if the patient is following
,NURS 241- Exam 1 Psychosis,
electrolytes, fluid balance, & HF
Questions with Complete Solutions
(Latest 2025)
the treatment plan. in addition, many psychiatric medications can have
significant side effects that impacts patient use and compliance.
-Suicide risk is real for clients living with psychosis/schizophrenia. The nurse
should assess for risk of suicide. Suicide can be considered a true 'extreme
version' critical scenario with psychosis/schizophrenia.
The nurse is taking care of the client with schizophrenia who has current
visual hallucinations of seeing bats in the activity room. Which of the
following statements indicate that nurse understands therapeutic
communication techniques for the client? (Select all that apply.)
a) "I'm sure it will get better when your meds kick in"
b) "I will just sit here quietly with you. If you want to talk about it, that's ok"
c) "So what you are saying is that you are seeing small flying animals"
d) " Let's see what's on TV"
e) "I am not seeing bats in the activity room" - Correct Answers ✅b) "I will
just sit here quietly with you. If you want to talk about it, that's ok"
c) "So what you are saying is that you are seeing small flying animals"
e) "I am not seeing bats in the activity room"
*This is a correct answer and demonstrates therapeutic listening and/or
silence.
This shows clarification and reinforcing reality.
The nurse is taking care of the patient with acute paranoid schizophrenia.
Which of the following medication orders is the most correct?
a) Haldol decanoate (haloperidol) 15 mg IV x 1 for acute psychosis
b) Haldol decanoate (haloperidol) 150 mg orally every 12 hours
, NURS 241- Exam 1 Psychosis,
electrolytes, fluid balance, & HF
Questions with Complete Solutions
(Latest 2025)
c) Haldol decanoate (haloperidol) 1.5 mg orally every 12 hours
d) Haldol decanoate (haloperidol) 0.15 mg IM x 1 for acute psychosis -
Correct Answers ✅c) Haldol decanoate (haloperidol) 1.5 mg orally every
12 hours
*This is 3 mg daily which falls within the correct range for this medication.
Which of the following predisposing factors are most prevalent in the
development of psychosis? (Select all that apply)
a) Age 65+
b) Encephalitis and/or other infections
c) Substance abuse
d) High income
e) White / caucasian ethnicity - Correct Answers ✅b) Encephalitis and/or
other infections
c) Substance abuse
e) White / caucasian ethnicity
*You're a winner! Infections can cause symptoms of psychosis and should be
ruled out as a part of the diagnosis process.
Yes! There are higher rates of psychosis/schizophrenia with substance abuse,
particularly methamphetamine (and others)
Yes! Psychosis/schizophrenia is more prevalent in white/Caucasian ethnicity
than Hispanic/Latinx, Asian, or Native American ethnicity.
The nurse is taking care of a new admission patient with known
schizophrenia who has been having diarrhea for 3 days from a new
