NUR 327
NUR 327 Exam 6 Mood & Affect Questions with
Detailed Answers Top Graded 2025
A nurse in an ED is assessing a patient who has been taking haloperidol for 3
months. The patient has a temperature of 39.5 C (103.4 F), blood pressure of
150/110 mmHg, and muscle rigidity. Which of the following complications should
the nurse expect?
a. Agranulocytosis
b. Neuroleptic malignant syndrome
c. Akathisia
d. Tardive dyskinesia -Correct Answer ✔b. Neuroleptic malignant syndrome
Neuroleptic malignant syndrome (NMS) is a rare and potentially fatal adverse
effect of antipsychotic medications that requires emergency medical intervention.
Manifestations of NMS are sudden and include changes in LOC, seizures, and
stupor.
A nurse is caring for a patient who was admitted with acute psychosis and is being
treated with haloperidol. The nurse should suspect that the patient may be
experiencing tardive dyskinesia when the patient exhibits with of the following?
Select all that apply.
a. Find hand tremors and pill rolling
b. Tongue thrusting and lip smacking
c. Facial grimacing and eye blinking
d. Urinary retention and constipation
e. Involuntary pelvic rocking and hip thrusting movements -Correct Answer ✔b.
Tongue thrusting and lip smacking, c. Facial grimacing and eye blinking, & e.
Involuntary pelvic rocking and hip thrusting movements
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,NUR 327
Symptoms of tardive dyskinesia can include repetitive, uncontrollable movements
such as tongue thrusting, lip smacking, facial grimacing, eye blinking, and
irregular involuntary movements of the head, neck, trunk, and extremities.
A nurse is developing a care plan for a patient who has schizophrenia and is taking
chlorpromazine. Which of the following actions should the nurse include in the
plan?
a. Monitor the patient's respirations every 4 hours
b. Administer an antacid with the medication to decrease nausea
c. Weigh the patient daily
d. Monitor the patient for signs of bleeding -Correct Answer ✔a. Monitor the
patient's respirations every 4 hours
Chlorpromazine can cause respiratory depression, dyspnea, and laryngospasm.
A nurse is providing discharge teaching to a patient who has bipolar disorder and
will be discharged with a prescription for lithium. The nurse should teach the
patient that which of the following factors puts her at risk for lithium toxicity?
a. The patient runs 4 miles outdoors every afternoon
b. The patient drinks 2 liters of liquids daily
c. The patient eats 2 to 3 grams of sodium-containing foods daily
d. The patient eats foods high in tyramine -Correct Answer ✔a. The patient runs 4
miles outdoors every afternoon
Strenuous exercise in outdoor heat, which can lead to dehydration, puts the patient
at risk for lithium toxicity. Mild to moderate exercise will not lead to lithium
toxicity, but if the patient engages in strenuous exercise during hot weather, she
should take care to replace any water and sodium that have been lost through
profuse sweating. This also applies to other factors that can cause the patient to
become dehydrated, such as having diarrhea or taking diuretics.
NUR 327
,NUR 327
A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a
patient who is taking chlorpromazine. Which of the following findings should the
nurse recognize as EPS? Select all that apply.
a. Muscle spasms of the neck
b. Blurred vision
c. Tremors of the hands
d. Fidgeting behavior
e. Sexual dysfunction -Correct Answer ✔a. Muscle spasms of the neck, c. Tremors
of the hands, & d. Fidgeting behavior
Muscle spasms, fidgeting behavior (akathisia), and hand tremors are manifestations
of EPS associated with conventional antipsychotics.
A nurse is caring for a patient who has a serum lithium level of 2.0 mEq/L. Which
of the following is the priority action for the nurse to take?
a. Notify the primary provider the result indicates toxicity
b. Continue to monitor this expected maintenance level
c. Request the provider increase the patient's medication does
d. Check the patient for manifestations of hypernatremia -Correct Answer ✔a.
Notify the primary provider the result indicates toxicity
The therapeutic reference range for lithium in 0.8-1.4 mEq/L. The nurse should
recognize the patient could require hospitalization and report the finding to the
provider. The nurse should check the patient for findings associated with advanced
to severe lithium toxicity like vision changes, neurological impairment, and
hypotension.
A nurse is providing medication teaching for a patient who has a new prescription
for phenelzine. Which of the following statements should the nurse include in the
teaching?
a. You should change positions slowly while taking this medication
NUR 327
, NUR 327
b. This medication is prescribed to help overcome alcohol addiction
c. You should omit foods containing oxalates while taking phenelzine
d. You should avoid drinking liquids after your evening meal -Correct Answer ✔a.
You should change positions slowly while taking this medication
Patients should change positions slowly while taking an MAOI due to the risk of
orthostatic hypotension. Lightheadedness and fainting are common when taking
phenelzine.
A nurse in an acute care mental facility is preparing to administer morning
medication for a patient who has been taking lithium for 2 weeks and has a current
lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?
a. Prepare for gastric lavage due to an extremely elevated lithium level
b. Administer the morning dose of lithium
c. Check the patient's medication record to assess whether the patient has been
refusing her lithium
d. Hold the medication and assess for early manifestations of toxicity -Correct
Answer ✔b. Administer the morning dose of lithium
The nurse should administer the lithium dose since a lithium level of 1.0 mEq/L is
within the expected initial therapeutic range of 0.8-1.4 mEq/L. At a therapeutic
level the patient might demonstrate adverse effects of lithium, such as a fine hand
tremor, thirst, and mild nausea, and the nurse should note if any of these
manifestations are present. The nurse should continue to monitor for adverse
effects and signs of toxicity, which usually occur at levels of 1.5 mEq/L or higher.
A nurse on a crisis hotline is speaking to a patient who says, "I just took an entire
bottle or amitriptyline." Which of the following responses should the nurse make?
a. I'm glad you called, and I want to send an ambulance to help you
b. You must have been feeling pretty depressed to do that
c. Do you know how many pills were in the bottle?
NUR 327
NUR 327 Exam 6 Mood & Affect Questions with
Detailed Answers Top Graded 2025
A nurse in an ED is assessing a patient who has been taking haloperidol for 3
months. The patient has a temperature of 39.5 C (103.4 F), blood pressure of
150/110 mmHg, and muscle rigidity. Which of the following complications should
the nurse expect?
a. Agranulocytosis
b. Neuroleptic malignant syndrome
c. Akathisia
d. Tardive dyskinesia -Correct Answer ✔b. Neuroleptic malignant syndrome
Neuroleptic malignant syndrome (NMS) is a rare and potentially fatal adverse
effect of antipsychotic medications that requires emergency medical intervention.
Manifestations of NMS are sudden and include changes in LOC, seizures, and
stupor.
A nurse is caring for a patient who was admitted with acute psychosis and is being
treated with haloperidol. The nurse should suspect that the patient may be
experiencing tardive dyskinesia when the patient exhibits with of the following?
Select all that apply.
a. Find hand tremors and pill rolling
b. Tongue thrusting and lip smacking
c. Facial grimacing and eye blinking
d. Urinary retention and constipation
e. Involuntary pelvic rocking and hip thrusting movements -Correct Answer ✔b.
Tongue thrusting and lip smacking, c. Facial grimacing and eye blinking, & e.
Involuntary pelvic rocking and hip thrusting movements
NUR 327
,NUR 327
Symptoms of tardive dyskinesia can include repetitive, uncontrollable movements
such as tongue thrusting, lip smacking, facial grimacing, eye blinking, and
irregular involuntary movements of the head, neck, trunk, and extremities.
A nurse is developing a care plan for a patient who has schizophrenia and is taking
chlorpromazine. Which of the following actions should the nurse include in the
plan?
a. Monitor the patient's respirations every 4 hours
b. Administer an antacid with the medication to decrease nausea
c. Weigh the patient daily
d. Monitor the patient for signs of bleeding -Correct Answer ✔a. Monitor the
patient's respirations every 4 hours
Chlorpromazine can cause respiratory depression, dyspnea, and laryngospasm.
A nurse is providing discharge teaching to a patient who has bipolar disorder and
will be discharged with a prescription for lithium. The nurse should teach the
patient that which of the following factors puts her at risk for lithium toxicity?
a. The patient runs 4 miles outdoors every afternoon
b. The patient drinks 2 liters of liquids daily
c. The patient eats 2 to 3 grams of sodium-containing foods daily
d. The patient eats foods high in tyramine -Correct Answer ✔a. The patient runs 4
miles outdoors every afternoon
Strenuous exercise in outdoor heat, which can lead to dehydration, puts the patient
at risk for lithium toxicity. Mild to moderate exercise will not lead to lithium
toxicity, but if the patient engages in strenuous exercise during hot weather, she
should take care to replace any water and sodium that have been lost through
profuse sweating. This also applies to other factors that can cause the patient to
become dehydrated, such as having diarrhea or taking diuretics.
NUR 327
,NUR 327
A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a
patient who is taking chlorpromazine. Which of the following findings should the
nurse recognize as EPS? Select all that apply.
a. Muscle spasms of the neck
b. Blurred vision
c. Tremors of the hands
d. Fidgeting behavior
e. Sexual dysfunction -Correct Answer ✔a. Muscle spasms of the neck, c. Tremors
of the hands, & d. Fidgeting behavior
Muscle spasms, fidgeting behavior (akathisia), and hand tremors are manifestations
of EPS associated with conventional antipsychotics.
A nurse is caring for a patient who has a serum lithium level of 2.0 mEq/L. Which
of the following is the priority action for the nurse to take?
a. Notify the primary provider the result indicates toxicity
b. Continue to monitor this expected maintenance level
c. Request the provider increase the patient's medication does
d. Check the patient for manifestations of hypernatremia -Correct Answer ✔a.
Notify the primary provider the result indicates toxicity
The therapeutic reference range for lithium in 0.8-1.4 mEq/L. The nurse should
recognize the patient could require hospitalization and report the finding to the
provider. The nurse should check the patient for findings associated with advanced
to severe lithium toxicity like vision changes, neurological impairment, and
hypotension.
A nurse is providing medication teaching for a patient who has a new prescription
for phenelzine. Which of the following statements should the nurse include in the
teaching?
a. You should change positions slowly while taking this medication
NUR 327
, NUR 327
b. This medication is prescribed to help overcome alcohol addiction
c. You should omit foods containing oxalates while taking phenelzine
d. You should avoid drinking liquids after your evening meal -Correct Answer ✔a.
You should change positions slowly while taking this medication
Patients should change positions slowly while taking an MAOI due to the risk of
orthostatic hypotension. Lightheadedness and fainting are common when taking
phenelzine.
A nurse in an acute care mental facility is preparing to administer morning
medication for a patient who has been taking lithium for 2 weeks and has a current
lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?
a. Prepare for gastric lavage due to an extremely elevated lithium level
b. Administer the morning dose of lithium
c. Check the patient's medication record to assess whether the patient has been
refusing her lithium
d. Hold the medication and assess for early manifestations of toxicity -Correct
Answer ✔b. Administer the morning dose of lithium
The nurse should administer the lithium dose since a lithium level of 1.0 mEq/L is
within the expected initial therapeutic range of 0.8-1.4 mEq/L. At a therapeutic
level the patient might demonstrate adverse effects of lithium, such as a fine hand
tremor, thirst, and mild nausea, and the nurse should note if any of these
manifestations are present. The nurse should continue to monitor for adverse
effects and signs of toxicity, which usually occur at levels of 1.5 mEq/L or higher.
A nurse on a crisis hotline is speaking to a patient who says, "I just took an entire
bottle or amitriptyline." Which of the following responses should the nurse make?
a. I'm glad you called, and I want to send an ambulance to help you
b. You must have been feeling pretty depressed to do that
c. Do you know how many pills were in the bottle?
NUR 327
