NUR 2459 MENTAL HEALTH NURSING
FINAL EXAM PREPARATION (VERIFIED
AND CORRECT Q & A) SATISFACTION
GUARANTEED 2026/2027
1. A patient taking Clozapine for treatment-resistant schizophrenia reports a sore throat and
fever. Which laboratory value is the priority for the nurse to assess?
A. Blood Urea Nitrogen (BUN)
B. Serum Potassium level
C. Aspartate aminotransferase (AST)
D. Complete Blood Count (CBC) with differential
Answer: D
Conceptual Explanation: Clozapine carries a high risk for agranulocytosis. A sore throat
and fever are early signs of infection due to low white blood cell counts, making the CBC
with differential the priority assessment.
2. A nurse is caring for a patient experiencing a hypertensive crisis after consuming aged
cheese while taking Phenelzine. Which medication should the nurse anticipate administering?
A. Propranolol
B. Lorazepam
,C. Phentolamine
D. Naloxone
Answer: C
Conceptual Explanation: Phenelzine is an MAOI. Consuming tyramine leads to
hypertensive crisis. Phentolamine is an alpha-adrenergic blocker used to lower blood
pressure in these emergencies.
3. A client with Bipolar I Disorder has a serum lithium level of 1.8 mEq/L. Which clinical
manifestation should the nurse expect to observe?
A. Increased appetite and weight gain
B. Vomiting, diarrhea, and lack of coordination
C. Fine hand tremors and mild thirst
D. Urinary retention and constipation
Answer: B
Conceptual Explanation: Lithium levels between 1.5-2.0 mEq/L indicate early toxicity,
characterized by GI upset (vomiting, diarrhea), coarse tremors, and ataxia/lack of
coordination.
, 4. A patient is admitted for a severe depressive episode. The patient states, ‘I am a burden to
everyone; they would be better off without me.’ What is the nurse’s most appropriate
response?
A. ‘You shouldn’t feel that way; your family loves you.’
B. ‘Why do you feel like you are a burden?’
C. ‘Do you have a specific plan to hurt yourself?’
D. ‘Let’s focus on the positive aspects of your life.’
Answer: C
Conceptual Explanation: Safety is the priority. When a patient expresses feelings of
worthlessness or being a burden, the nurse must immediately assess for suicidal ideation
and intent.
5. Which side effect of Haloperidol would require the nurse to immediately administer
Benztropine?
A. Photosensitivity
B. Weight gain
C. Dry Mouth
D. Acute Dystonia
Answer: D
FINAL EXAM PREPARATION (VERIFIED
AND CORRECT Q & A) SATISFACTION
GUARANTEED 2026/2027
1. A patient taking Clozapine for treatment-resistant schizophrenia reports a sore throat and
fever. Which laboratory value is the priority for the nurse to assess?
A. Blood Urea Nitrogen (BUN)
B. Serum Potassium level
C. Aspartate aminotransferase (AST)
D. Complete Blood Count (CBC) with differential
Answer: D
Conceptual Explanation: Clozapine carries a high risk for agranulocytosis. A sore throat
and fever are early signs of infection due to low white blood cell counts, making the CBC
with differential the priority assessment.
2. A nurse is caring for a patient experiencing a hypertensive crisis after consuming aged
cheese while taking Phenelzine. Which medication should the nurse anticipate administering?
A. Propranolol
B. Lorazepam
,C. Phentolamine
D. Naloxone
Answer: C
Conceptual Explanation: Phenelzine is an MAOI. Consuming tyramine leads to
hypertensive crisis. Phentolamine is an alpha-adrenergic blocker used to lower blood
pressure in these emergencies.
3. A client with Bipolar I Disorder has a serum lithium level of 1.8 mEq/L. Which clinical
manifestation should the nurse expect to observe?
A. Increased appetite and weight gain
B. Vomiting, diarrhea, and lack of coordination
C. Fine hand tremors and mild thirst
D. Urinary retention and constipation
Answer: B
Conceptual Explanation: Lithium levels between 1.5-2.0 mEq/L indicate early toxicity,
characterized by GI upset (vomiting, diarrhea), coarse tremors, and ataxia/lack of
coordination.
, 4. A patient is admitted for a severe depressive episode. The patient states, ‘I am a burden to
everyone; they would be better off without me.’ What is the nurse’s most appropriate
response?
A. ‘You shouldn’t feel that way; your family loves you.’
B. ‘Why do you feel like you are a burden?’
C. ‘Do you have a specific plan to hurt yourself?’
D. ‘Let’s focus on the positive aspects of your life.’
Answer: C
Conceptual Explanation: Safety is the priority. When a patient expresses feelings of
worthlessness or being a burden, the nurse must immediately assess for suicidal ideation
and intent.
5. Which side effect of Haloperidol would require the nurse to immediately administer
Benztropine?
A. Photosensitivity
B. Weight gain
C. Dry Mouth
D. Acute Dystonia
Answer: D
