NURS 660 EXAM 2 STUDY GUIDE WITH
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+| 2025-2026 ACTUAL
EXAM
Which assessment would the nurse expect to observe in a
patient who has been prescribed trazodone for treatment of
anxiety?
a. Excessive thirst
b. Hand tremor
c. Drowsiness
d. Diarrhea
C
The nurse is caring for a patient who is taking a newly
prescribed drug nefazodone, for treatment of depression.
Which physical assessment finding is important for the
nurse to report to the health care provider immediately?
a. Bradycardia
b. Dizziness
c. Drowsiness
d. Urinary retention
A
The nurse is providing education to a patient who has been
prescribed bupropion (Wellbutrin) for smoking cessation.
Which statement by the patient would indicate the need for
further teaching?
,a. My dose will increase after 3 days
b. I should swallow the medication whole
c. If I have the urge to smoke, I will take more medication
d. I do not need to taper my dose when the drug is
discontinued
C
Which nursing action is most important when providing care
to a patient diagnosed with a mood disorder?
a. Assess the patient for thoughts of suicide
b. Provide supplemental feedings as needed
c. Assist with activities of daily living
d. Offer opportunities for interaction with other patients
A
A patient is admitted to a long term psychiatric setting. The
MAOI medication previously prescribed is discontinued by
the physician. New orders are obtained to initiate imipramine
therapy. The nurse will provide the first dose of imipramine
to the patient _____ the MAOI drug.
a. Immediately following the last dose of
b. In 1 week following the last dose of
c. In 14 days following the last dose of
d. Before discontinuing
C
A patient taking vilazodone has been vomiting persistently
for 12 hours. The priority nursing diagnosis for this patient is
a. Nausea
b. Imbalanced nutrition (less than body requirements)
,c. Fluid volume deficit
d. Altered peripheral tissue perfusion
C
1. You are admitting a new patient who is depressed. Your
initial contact should do what?
a. Address why he is depressed
b. Keep communication open
c. Lift his spirits
d. Establish trust
D
1. In caring for a patient with major depression, the nurse
knows that the patient needs
a. Frequent changes in activities
b. Introduction to multiple new staff members
c. Behavior modification that restructures feelings
d. Well-defined, structured interactions at the beginning of
treatment
D
1. Patients with major depression commonly display signs of
a. Energy
b. Repetitive, compulsive behaviors
c. Worthlessness
d. Visual hallucinations
C
1. When your patient says I am depressed, what is the best
response?
a. We all feel that way now and then
, b. Why do you feel that way?
c. Everything will be OK once you snap out of it
d. Tell me more about what is going on with you
D
1. Your patient takes tranylcypromine for depression. Which
of the following is most likely to indicate dietary restrictions
have not been followed?
a. Hypertensive crisis
b. Syncope
c. Muscle spasms
d. Increased depression
A
1. Your depressed patient who is taking a tricyclic
antidepressant is advised of possible anticholinergic side
effects. Which of the following is not an anticholinergic side
effect?
a. Blurred vision
b. Difficulty starting urine stream
c. Dry mouth
d. Muscle rigidity
D
1. Helen, a 47-year-old client with a long history of severe
depression, has not responded to antidepressant
medications or psychotherapy. The nurse caring for the
patient knows that the treatment of choice for depression
unresponsive to conventional treatment would be
a. Lithium
b. Electroconvulsive therapy (ECT)
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+| 2025-2026 ACTUAL
EXAM
Which assessment would the nurse expect to observe in a
patient who has been prescribed trazodone for treatment of
anxiety?
a. Excessive thirst
b. Hand tremor
c. Drowsiness
d. Diarrhea
C
The nurse is caring for a patient who is taking a newly
prescribed drug nefazodone, for treatment of depression.
Which physical assessment finding is important for the
nurse to report to the health care provider immediately?
a. Bradycardia
b. Dizziness
c. Drowsiness
d. Urinary retention
A
The nurse is providing education to a patient who has been
prescribed bupropion (Wellbutrin) for smoking cessation.
Which statement by the patient would indicate the need for
further teaching?
,a. My dose will increase after 3 days
b. I should swallow the medication whole
c. If I have the urge to smoke, I will take more medication
d. I do not need to taper my dose when the drug is
discontinued
C
Which nursing action is most important when providing care
to a patient diagnosed with a mood disorder?
a. Assess the patient for thoughts of suicide
b. Provide supplemental feedings as needed
c. Assist with activities of daily living
d. Offer opportunities for interaction with other patients
A
A patient is admitted to a long term psychiatric setting. The
MAOI medication previously prescribed is discontinued by
the physician. New orders are obtained to initiate imipramine
therapy. The nurse will provide the first dose of imipramine
to the patient _____ the MAOI drug.
a. Immediately following the last dose of
b. In 1 week following the last dose of
c. In 14 days following the last dose of
d. Before discontinuing
C
A patient taking vilazodone has been vomiting persistently
for 12 hours. The priority nursing diagnosis for this patient is
a. Nausea
b. Imbalanced nutrition (less than body requirements)
,c. Fluid volume deficit
d. Altered peripheral tissue perfusion
C
1. You are admitting a new patient who is depressed. Your
initial contact should do what?
a. Address why he is depressed
b. Keep communication open
c. Lift his spirits
d. Establish trust
D
1. In caring for a patient with major depression, the nurse
knows that the patient needs
a. Frequent changes in activities
b. Introduction to multiple new staff members
c. Behavior modification that restructures feelings
d. Well-defined, structured interactions at the beginning of
treatment
D
1. Patients with major depression commonly display signs of
a. Energy
b. Repetitive, compulsive behaviors
c. Worthlessness
d. Visual hallucinations
C
1. When your patient says I am depressed, what is the best
response?
a. We all feel that way now and then
, b. Why do you feel that way?
c. Everything will be OK once you snap out of it
d. Tell me more about what is going on with you
D
1. Your patient takes tranylcypromine for depression. Which
of the following is most likely to indicate dietary restrictions
have not been followed?
a. Hypertensive crisis
b. Syncope
c. Muscle spasms
d. Increased depression
A
1. Your depressed patient who is taking a tricyclic
antidepressant is advised of possible anticholinergic side
effects. Which of the following is not an anticholinergic side
effect?
a. Blurred vision
b. Difficulty starting urine stream
c. Dry mouth
d. Muscle rigidity
D
1. Helen, a 47-year-old client with a long history of severe
depression, has not responded to antidepressant
medications or psychotherapy. The nurse caring for the
patient knows that the treatment of choice for depression
unresponsive to conventional treatment would be
a. Lithium
b. Electroconvulsive therapy (ECT)
