NURS 660 FINAL EXAM 2025-2026 PREP
QUESTIONS AND ANSWERS GRADED
A+ MARYVILLE UNIVERSITY
What should be monitored closely before patients are on atypical antipsychotics?
BMI
Waist circumference
Blood glucose levels (fasting blood glucose between 100-125)
How are side effects of quetiapine caused?
Sedation (by blocking H1 receptors)
Dizziness, sedation, hypotension (by blocking alpha 1 adrenergic receptors
Dry mouth, constipation, sedation (by blocking muscarinic 1 receptors)
Weight gain, increased incidence of diabetes, dislipidemia, (reason for cause
unknown)
What are the side effects of quetiapine?
Weight gain based on dose
,Increased risk for diabetes and dyslipidemia
Dizziness
Sedation
Constipation
Dry mouth
Dyspepsia
Orthostatic hypotension (in the beginning trial period)
Potentially tardive dyskinesia
What are adverse effects of quetiapine (potentially life threatening)
1. Hyperglycemia causing ketoacidosis or Hyperosmolar hyperglycemic state
(HHS) is a complication of diabetes mellitus in which high blood sugar results in
high osmolarity without significant ketoacidosis.
(resulting in coma)
2. NMS
3. Seizures
4. Increased risk of death and cerebral vascular incident
, Aripiprazole (Abilify, Aristada)
atypical antipsychotic (sometimes second generation)
2 multiple choice options
Aripiprazole is commonly prescribed for
Schizophrenia
Maintaining stability in schizophrenia
Depression
Autism related irritability
Quetiapine (Seroquel)
Serotonin-Dopamine Antagonist
Atypical antipsychotic
3 multiple choice options
How long does it take for quetiapine (Seroquel) to work
Psychotic and manic symptoms can improve within one week. It will take several
week to have full effect on behavior. Recommended to wait 4-6 weeks to
QUESTIONS AND ANSWERS GRADED
A+ MARYVILLE UNIVERSITY
What should be monitored closely before patients are on atypical antipsychotics?
BMI
Waist circumference
Blood glucose levels (fasting blood glucose between 100-125)
How are side effects of quetiapine caused?
Sedation (by blocking H1 receptors)
Dizziness, sedation, hypotension (by blocking alpha 1 adrenergic receptors
Dry mouth, constipation, sedation (by blocking muscarinic 1 receptors)
Weight gain, increased incidence of diabetes, dislipidemia, (reason for cause
unknown)
What are the side effects of quetiapine?
Weight gain based on dose
,Increased risk for diabetes and dyslipidemia
Dizziness
Sedation
Constipation
Dry mouth
Dyspepsia
Orthostatic hypotension (in the beginning trial period)
Potentially tardive dyskinesia
What are adverse effects of quetiapine (potentially life threatening)
1. Hyperglycemia causing ketoacidosis or Hyperosmolar hyperglycemic state
(HHS) is a complication of diabetes mellitus in which high blood sugar results in
high osmolarity without significant ketoacidosis.
(resulting in coma)
2. NMS
3. Seizures
4. Increased risk of death and cerebral vascular incident
, Aripiprazole (Abilify, Aristada)
atypical antipsychotic (sometimes second generation)
2 multiple choice options
Aripiprazole is commonly prescribed for
Schizophrenia
Maintaining stability in schizophrenia
Depression
Autism related irritability
Quetiapine (Seroquel)
Serotonin-Dopamine Antagonist
Atypical antipsychotic
3 multiple choice options
How long does it take for quetiapine (Seroquel) to work
Psychotic and manic symptoms can improve within one week. It will take several
week to have full effect on behavior. Recommended to wait 4-6 weeks to
