NURS 311 – Quiz 10 Review with Practice Questions and Correct
answers for Complex Health Concepts and Nursing Care
87. A client is receiving doxepin (Silenor). For which most dangerous side effect of tricyclic
antidepressants should a nurse monitor the client?
A. Mydriasis
B. Dry mouth
C. Constipation
D. Urinary retention - correct answer A. Mydriasis
88. A client with schizophrenia is actively psychotic, and a new medication regimen is
prescribed. A student nurse asks the primary nurse, "Which of the prescribed medications will
be most helpful for reducing psychotic signs and symptoms?" What should the nurse respond?
A. Citalopram (Celexa)
B. Ziprasidone (Geodon)
C. Benztropine (Cogentin)
D. Acetaminophen with hydrocodone (Lortab) - correct answer B. Ziprasidone (Geodon)
89. A client with a psychosis is receiving olanzapine (Zydis). What is important for a nurse to
consider when administering this drug?
A. It can be given intramuscularly
B. A special tyramine-free diet is required
C. It dissolves instantly after oral administration
D. An empty stomach increases its effectiveness - correct answer C. It dissolves instantly after
oral administration
90. Antipsychotic drugs can cause extrapyramidal side effects. Which responses should the
nurse document as indicating pseudoparkinsonism? SATA
A. Rigidity
B. Tremors
C. Mydriasis
D. Photophobia
, E. Bradykinesia - correct answer A. Rigidity
B. Tremors
E. Bradykinesia
91. A client with schizophrenia is taking benztropine (Cogentin) in conjunction with an
antipsychotic. The client tells a nurse, "Sometimes I forget to take the Cogentin." What should
the nurse teach the client to do if this happens again?
A. Use 2 pills at the next regularly scheduled dose
B. Notify the health care provider about the missed dose immediately
C. Take a dose as soon as possible, up to 2 hours before the next dose
D. Skip the dose, and then take the regularly scheduled dose 2 hours early - correct answer C.
Take a dose as soon as possible, up to 2 hours before the next dose
92. Olanzapine (Zyprexa) is prescribed for a client with bipolar disorder, manic episode. What
cautionary advice should the nurse give the client?
A. Sit up slowly
B. Report double vision
C. Expect increased salivation
D. Take the medication on an empty stomach - correct answer A. Sit up slowly
93. Neuroleptic malignant syndrome is a potentially fatal reaction to antipsychotic therapy.
What signs and symptoms of this syndrome should the nurse identify? SATA
A. Jaundice
B. Diaphoresis
C. Hyperrigidity
D. Hyperthermia
E. Photosensitivity - correct answer B. Diaphoresis
C. Hyperrigidity
D. Hyperthermia
94. Olanzapine (Zyprexa) is prescribed for a client who experienced agranulocytosis from
Clozapine (Clozaril). Which statement indicate that the nurse's teaching about olanzapine has
been effective? SATA
answers for Complex Health Concepts and Nursing Care
87. A client is receiving doxepin (Silenor). For which most dangerous side effect of tricyclic
antidepressants should a nurse monitor the client?
A. Mydriasis
B. Dry mouth
C. Constipation
D. Urinary retention - correct answer A. Mydriasis
88. A client with schizophrenia is actively psychotic, and a new medication regimen is
prescribed. A student nurse asks the primary nurse, "Which of the prescribed medications will
be most helpful for reducing psychotic signs and symptoms?" What should the nurse respond?
A. Citalopram (Celexa)
B. Ziprasidone (Geodon)
C. Benztropine (Cogentin)
D. Acetaminophen with hydrocodone (Lortab) - correct answer B. Ziprasidone (Geodon)
89. A client with a psychosis is receiving olanzapine (Zydis). What is important for a nurse to
consider when administering this drug?
A. It can be given intramuscularly
B. A special tyramine-free diet is required
C. It dissolves instantly after oral administration
D. An empty stomach increases its effectiveness - correct answer C. It dissolves instantly after
oral administration
90. Antipsychotic drugs can cause extrapyramidal side effects. Which responses should the
nurse document as indicating pseudoparkinsonism? SATA
A. Rigidity
B. Tremors
C. Mydriasis
D. Photophobia
, E. Bradykinesia - correct answer A. Rigidity
B. Tremors
E. Bradykinesia
91. A client with schizophrenia is taking benztropine (Cogentin) in conjunction with an
antipsychotic. The client tells a nurse, "Sometimes I forget to take the Cogentin." What should
the nurse teach the client to do if this happens again?
A. Use 2 pills at the next regularly scheduled dose
B. Notify the health care provider about the missed dose immediately
C. Take a dose as soon as possible, up to 2 hours before the next dose
D. Skip the dose, and then take the regularly scheduled dose 2 hours early - correct answer C.
Take a dose as soon as possible, up to 2 hours before the next dose
92. Olanzapine (Zyprexa) is prescribed for a client with bipolar disorder, manic episode. What
cautionary advice should the nurse give the client?
A. Sit up slowly
B. Report double vision
C. Expect increased salivation
D. Take the medication on an empty stomach - correct answer A. Sit up slowly
93. Neuroleptic malignant syndrome is a potentially fatal reaction to antipsychotic therapy.
What signs and symptoms of this syndrome should the nurse identify? SATA
A. Jaundice
B. Diaphoresis
C. Hyperrigidity
D. Hyperthermia
E. Photosensitivity - correct answer B. Diaphoresis
C. Hyperrigidity
D. Hyperthermia
94. Olanzapine (Zyprexa) is prescribed for a client who experienced agranulocytosis from
Clozapine (Clozaril). Which statement indicate that the nurse's teaching about olanzapine has
been effective? SATA
