NR565 FINALEXAM FINAL NEWEST LATEST UPDATE 2025
PSYCHIATRIC ASSESSMENT FOR THE PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER REVIEW CORRECT ANSWERS
AND VERIFED ANSWERS GRADED A+
A nurse is teaching a patient who will begin taking verapamil [Calan] for hypertension about the
drug's side effects. Which statement by the patient indicates understanding of the teaching?
a. "I may become constipated, so I should increase fluids and fiber."
b. "I may experience a rapid heart rate as a result of taking this drug."
c. "I may have swelling of my hands and feet, but this will subside."
d. "I may need to increase my digoxin dose while taking this drug." - ANSWER-a.
A patient who took an overdose of verapamil has been treated with gastric lavage and a cathartic.
The emergency department nurse assesses the patient and notes a heart rate of 50 beats/minute
and a blood pressure of 90/50 mm Hg. The nurse will anticipate:
a. administering intravenous norepinephrine (NE) and atropine and glucagon.
b. assisting with direct-current (DC) cardioversion.
c. placing the patient in an upright position.
d. preparing to administer a beta blocker. - ANSWER-a.
A nurse is preparing to assist a nursing student to administer intravenous verapamil to a patient who
also receives a beta blocker. The nurse asks the nursing student to discuss the plan of care for this
patient. Which statement by the student indicates a need for further teaching?
a. "I will check to see when the last dose of the beta blocker was given."
b. "I will monitor vital signs closely to assess for hypotension."
c. "I will monitor the heart rate frequently to assess for reflex tachycardia."
d. "I will prepare to administer intravenous norepinephrine if necessary." - ANSWER-c.
A patient who has been taking verapamil [Calan] for hypertension complains of constipation. The
patient will begin taking amlodipine [Norvasc] to avoid this side effect. The nurse provides teaching
about the difference between the two drugs. Which statement by the patient indicates that further
teaching is needed?
a. "I can expect dizziness and facial flushing with nifedipine."
b. "I should notify the provider if I have swelling of my hands and feet."
,c. "I will need to take a beta blocker to prevent reflex tachycardia."
d. "I will need to take this drug once a day." - ANSWER-c.
Which are therapeutic uses for verapamil? Select all that apply.
a. Angina of effort
b. Cardiac dysrhythmias
c. Essential hypertension
d. Sick sinus syndrome
e. Suppression of preterm labor - ANSWER-a.
b.
c.
A patient begins taking nifedipine [Procardia], along with metoprolol, to treat hypertension. The
nurse understands that metoprolol is used to:
a. reduce flushing.
b. minimize gingival hyperplasia.
c. prevent constipation.
d. prevent reflex tachycardia. - ANSWER-d.
A nurse has provided education for a patient newly diagnosed with hypertension who is just
beginning therapy with antihypertensive medications. Which statement by the patient indicates a
need for further teaching?
a. "I may experience serious long-term problems even if I am not having symptoms."
b. "I should report side effects to the provider since other drugs may be substituted."
c. "I will need to take medications on a long-term basis."
d. "When my symptoms subside, I may discontinue the medications." - ANSWER-d.
A hospitalized patient has a blood pressure of 145/96 mm Hg. The nurse caring for this patient notes
that the blood pressure the day before was 132/98 mm Hg. The patient reports ambulatory blood
pressure readings of 136/98 and 138/92 mm Hg. The patient has a history of a previous myocardial
infarction and has adopted a lifestyle that includes the use of the DASH diet and regular exercise.
What will the nurse do?
a. Notify the provider and discuss ordering a beta blocker for this patient.
,b. Notify the provider and suggest a thiazide diuretic as initial therapy.
c. Order a diet low in sodium and high in potassium for this patient.
d. Recheck the patient's blood pressure in 4 hours to verify the result - ANSWER-a.
A patient has been taking chlorthalidone to treat hypertension. The patient's prescriber has just
ordered the addition of spironolactone to the patient's drug regimen. Which statement by the
patient indicates a need for further teaching?
a. "I should continue following the DASH diet when adding this drug."
b. "I should not take an ACE inhibitor when adding this drug."
c. "I will need to take potassium supplements when adding this drug."
d. "I will not experience a significant increase in diuresis when adding this drug." - ANSWER-c.
A patient with hypertension will begin taking an alpha1 blocker. What will the nurse teach this
patient?
a. A persistent cough is a known side effect of this drug.
b. Eat foods rich in potassium while taking this drug.
c. Move slowly from sitting to standing when taking this drug.
d. Report shortness of breath while taking this drug. - ANSWER-c.
A nurse checks a patient's vital signs in the hospital and notes a blood pressure of 146/98 mm Hg.
What will the nurse do?
a. Instruct the patient to consume a low-sodium diet.
b. Prepare the patient for an electrocardiogram and blood tests.
c. Recheck the patient's blood pressure in the other arm.
d. Request an order for a thiazide diuretic. - ANSWER-c.
A nursing student asks the nurse why multidrug therapy is often used to treat hypertension. Which
statement by the student indicates a need for further teaching?
a. "Multidrug therapy often means that drugs may be given in lower doses."
b. "Some agents are used to offset adverse effects of other agents."
c. "Treatment of hypertension via different mechanisms increases success."
d. "Two or more drugs will lower blood pressure more quickly." - ANSWER-d.
, A patient has three separate blood pressure (BP) readings of 120/100 mm Hg, 138/92 mmHg, and
126/96 mm Hg. Which category describes this patient's BP?
a. Hypertension
b. Isolated systolic hypertension
c. Normal
d. Prehypertension - ANSWER-a.
A patient has had blood pressures of 150/95 mm Hg and 148/90 mm Hg on two separate office visits.
The patient reports a blood pressure of 145/92 mm Hg taken in an ambulatory setting. The patient's
diagnostic tests are all normal. The nurse will expect this patient's provider to order:
a. a beta blocker.
b. a loop diuretic and spironolactone.
c. a thiazide diuretic.
d. counseling on lifestyle changes. - ANSWER-c.
The nurse is caring for a pregnant patient who is in labor. The woman reports having had mild
preeclampsia with a previous pregnancy.The nurse notes that the woman has a blood pressure of
168/102 mm Hg. The nurse will contact the provider to request an order forwhich drug?
a. Angiotensin-converting enzyme (ACE) inhibitor
b. Hydralazine (Apresoline)
c. Magnesium sulfate
d. Sodium nitroprusside - ANSWER-b.
A patient with diabetes develops hypertension. The nurse will anticipate administering which type of
medication to treat hypertension in this patient?
a. ACE inhibitors
b. Beta blockers
c. Direct-acting vasodilators
d. Thiazide diuretics - ANSWER-a.
A patient who does not consume alcohol or nicotine products reports a strong family history of
hypertension and cardiovascular disease. The patient has a blood pressure of 126/82 mm Hg and a
PSYCHIATRIC ASSESSMENT FOR THE PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER REVIEW CORRECT ANSWERS
AND VERIFED ANSWERS GRADED A+
A nurse is teaching a patient who will begin taking verapamil [Calan] for hypertension about the
drug's side effects. Which statement by the patient indicates understanding of the teaching?
a. "I may become constipated, so I should increase fluids and fiber."
b. "I may experience a rapid heart rate as a result of taking this drug."
c. "I may have swelling of my hands and feet, but this will subside."
d. "I may need to increase my digoxin dose while taking this drug." - ANSWER-a.
A patient who took an overdose of verapamil has been treated with gastric lavage and a cathartic.
The emergency department nurse assesses the patient and notes a heart rate of 50 beats/minute
and a blood pressure of 90/50 mm Hg. The nurse will anticipate:
a. administering intravenous norepinephrine (NE) and atropine and glucagon.
b. assisting with direct-current (DC) cardioversion.
c. placing the patient in an upright position.
d. preparing to administer a beta blocker. - ANSWER-a.
A nurse is preparing to assist a nursing student to administer intravenous verapamil to a patient who
also receives a beta blocker. The nurse asks the nursing student to discuss the plan of care for this
patient. Which statement by the student indicates a need for further teaching?
a. "I will check to see when the last dose of the beta blocker was given."
b. "I will monitor vital signs closely to assess for hypotension."
c. "I will monitor the heart rate frequently to assess for reflex tachycardia."
d. "I will prepare to administer intravenous norepinephrine if necessary." - ANSWER-c.
A patient who has been taking verapamil [Calan] for hypertension complains of constipation. The
patient will begin taking amlodipine [Norvasc] to avoid this side effect. The nurse provides teaching
about the difference between the two drugs. Which statement by the patient indicates that further
teaching is needed?
a. "I can expect dizziness and facial flushing with nifedipine."
b. "I should notify the provider if I have swelling of my hands and feet."
,c. "I will need to take a beta blocker to prevent reflex tachycardia."
d. "I will need to take this drug once a day." - ANSWER-c.
Which are therapeutic uses for verapamil? Select all that apply.
a. Angina of effort
b. Cardiac dysrhythmias
c. Essential hypertension
d. Sick sinus syndrome
e. Suppression of preterm labor - ANSWER-a.
b.
c.
A patient begins taking nifedipine [Procardia], along with metoprolol, to treat hypertension. The
nurse understands that metoprolol is used to:
a. reduce flushing.
b. minimize gingival hyperplasia.
c. prevent constipation.
d. prevent reflex tachycardia. - ANSWER-d.
A nurse has provided education for a patient newly diagnosed with hypertension who is just
beginning therapy with antihypertensive medications. Which statement by the patient indicates a
need for further teaching?
a. "I may experience serious long-term problems even if I am not having symptoms."
b. "I should report side effects to the provider since other drugs may be substituted."
c. "I will need to take medications on a long-term basis."
d. "When my symptoms subside, I may discontinue the medications." - ANSWER-d.
A hospitalized patient has a blood pressure of 145/96 mm Hg. The nurse caring for this patient notes
that the blood pressure the day before was 132/98 mm Hg. The patient reports ambulatory blood
pressure readings of 136/98 and 138/92 mm Hg. The patient has a history of a previous myocardial
infarction and has adopted a lifestyle that includes the use of the DASH diet and regular exercise.
What will the nurse do?
a. Notify the provider and discuss ordering a beta blocker for this patient.
,b. Notify the provider and suggest a thiazide diuretic as initial therapy.
c. Order a diet low in sodium and high in potassium for this patient.
d. Recheck the patient's blood pressure in 4 hours to verify the result - ANSWER-a.
A patient has been taking chlorthalidone to treat hypertension. The patient's prescriber has just
ordered the addition of spironolactone to the patient's drug regimen. Which statement by the
patient indicates a need for further teaching?
a. "I should continue following the DASH diet when adding this drug."
b. "I should not take an ACE inhibitor when adding this drug."
c. "I will need to take potassium supplements when adding this drug."
d. "I will not experience a significant increase in diuresis when adding this drug." - ANSWER-c.
A patient with hypertension will begin taking an alpha1 blocker. What will the nurse teach this
patient?
a. A persistent cough is a known side effect of this drug.
b. Eat foods rich in potassium while taking this drug.
c. Move slowly from sitting to standing when taking this drug.
d. Report shortness of breath while taking this drug. - ANSWER-c.
A nurse checks a patient's vital signs in the hospital and notes a blood pressure of 146/98 mm Hg.
What will the nurse do?
a. Instruct the patient to consume a low-sodium diet.
b. Prepare the patient for an electrocardiogram and blood tests.
c. Recheck the patient's blood pressure in the other arm.
d. Request an order for a thiazide diuretic. - ANSWER-c.
A nursing student asks the nurse why multidrug therapy is often used to treat hypertension. Which
statement by the student indicates a need for further teaching?
a. "Multidrug therapy often means that drugs may be given in lower doses."
b. "Some agents are used to offset adverse effects of other agents."
c. "Treatment of hypertension via different mechanisms increases success."
d. "Two or more drugs will lower blood pressure more quickly." - ANSWER-d.
, A patient has three separate blood pressure (BP) readings of 120/100 mm Hg, 138/92 mmHg, and
126/96 mm Hg. Which category describes this patient's BP?
a. Hypertension
b. Isolated systolic hypertension
c. Normal
d. Prehypertension - ANSWER-a.
A patient has had blood pressures of 150/95 mm Hg and 148/90 mm Hg on two separate office visits.
The patient reports a blood pressure of 145/92 mm Hg taken in an ambulatory setting. The patient's
diagnostic tests are all normal. The nurse will expect this patient's provider to order:
a. a beta blocker.
b. a loop diuretic and spironolactone.
c. a thiazide diuretic.
d. counseling on lifestyle changes. - ANSWER-c.
The nurse is caring for a pregnant patient who is in labor. The woman reports having had mild
preeclampsia with a previous pregnancy.The nurse notes that the woman has a blood pressure of
168/102 mm Hg. The nurse will contact the provider to request an order forwhich drug?
a. Angiotensin-converting enzyme (ACE) inhibitor
b. Hydralazine (Apresoline)
c. Magnesium sulfate
d. Sodium nitroprusside - ANSWER-b.
A patient with diabetes develops hypertension. The nurse will anticipate administering which type of
medication to treat hypertension in this patient?
a. ACE inhibitors
b. Beta blockers
c. Direct-acting vasodilators
d. Thiazide diuretics - ANSWER-a.
A patient who does not consume alcohol or nicotine products reports a strong family history of
hypertension and cardiovascular disease. The patient has a blood pressure of 126/82 mm Hg and a
