1|Page
NR 546 Midterm exam Newest 2026|| QUESTIONS AND
CORRECT DETAILED ANSWERS ||VERIFIED
EXAM!!(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!!!
Carla is a 35-year-old woman that is currently taking
olanzapine for her diagnosed schizophrenia. She has
gained 30 pounds in the last 6 months and her waist
circumference is 37 inches. She requests a change in
medications. Which of the following medications is less
associated with weight gain? - ANSWER-aripiprazole
-associated with the lowest risk weight gain.
Alex is a returning client who reports leaking fluid from his
nipples. Which of the following is most likely responsible
for these undesirable side effects? - ANSWER-
Risperidone
-highest risk for galactorrhea, due to hyperprolactinemia.
Prescribing Considerations (antipsychotics) - ANSWER--
Start with lowest dose, eval tolerance, then titrate dose
-no evidence that high antipsychotic doses are more
effective than standard doses
-Dose adjustments should be made after two weeks of
taking medication
,2|Page
-Establish efficacy and an effective med dose before
switching to a long-acting injectable (LAI). Dose of LAI will
be same as the effective oral dose.
-Most antipsychotic side effects and adverse effects are
dose-related.
When prescribing, document the _____________ at every
visit. - ANSWER-targeted symptoms, response, and any
adverse effects
Many persons with schizophrenia are treated successfully
in an ______________, though some clients may require
________________ for initial treatment and subsequent
treatment of psychotic episodes - ANSWER-outpatient
setting, inpatient hospitalizations
Why begin with monotherapy? (antipsychotics) -
ANSWER-The use of multiple antipsychotics can increase
the risk of QT prolongation.
-Combinations considered only after single med have
provided inadequate response.
If antipsychotics switched too quickly - ANSWER-can
develop agitation, activation, insomnia, and experience
withdrawal
,3|Page
-due to the binding differences in each medication
subcategory
*Cross titration over several days to weeks is required to
prevent side effects
Clients are more likely to experience side effects when
changing from a medication in one ___________ to a
medication in another ____________ - ANSWER-
subcategory, subcategory
(ex: pine to done)
Special considerations: Pregnancy (antipsychotics) -
ANSWER--Risk of withdrawal symptoms in the newborn:
extrapyramidal symptoms may be present at delivery.
-atypical antipsychotics appear more harmful than typical
antipsychotics due to increased risk of gestational
metabolic complications, increased gestational age
weight, and increased birth weight.
-Avoid Clozapine, Ziprasidone, olanzapine, risperidone,
and quetiapine, especially in the third trimester
Special considerations: breast feeding (antipsychotics) -
ANSWER-All antipsychotics are assumed to be secreted
in breast milk.
, 4|Page
-recommended drug is discontinued or the infant bottle
feeds.
Special considerations: Older Adult (antipsychotics) -
ANSWER-2019 American Geriatric Society (AGS) Beers
Criteria recommendations:
Avoid the use of haloperidol, ziprasidone, and olanzapine
due to an increased risk of cerebrovascular accident
(CVA), cognitive decline, and death in persons with
dementia and with dementia-related psychosis.
Special consideration: children (antipsychotics) -
ANSWER-Black box warnings:
-Aripiprazole: Increased risk of suicide in children.
-Quetiapine: Increased risk of suicidal ideation and
suicidal behavior in adolescents/young adults during the
initial 1-2 months of treatment
Special considerations: caution (antipsychotics) -
ANSWER--Olanzapine - exercise caution in suspected
alcohol withdrawal, stimulant intoxication, or
anticholinergic intoxication
-High and repeated doses of amphetamines or cocaine
can mimic positive symptoms of paranoid schizophrenia
NR 546 Midterm exam Newest 2026|| QUESTIONS AND
CORRECT DETAILED ANSWERS ||VERIFIED
EXAM!!(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!!!
Carla is a 35-year-old woman that is currently taking
olanzapine for her diagnosed schizophrenia. She has
gained 30 pounds in the last 6 months and her waist
circumference is 37 inches. She requests a change in
medications. Which of the following medications is less
associated with weight gain? - ANSWER-aripiprazole
-associated with the lowest risk weight gain.
Alex is a returning client who reports leaking fluid from his
nipples. Which of the following is most likely responsible
for these undesirable side effects? - ANSWER-
Risperidone
-highest risk for galactorrhea, due to hyperprolactinemia.
Prescribing Considerations (antipsychotics) - ANSWER--
Start with lowest dose, eval tolerance, then titrate dose
-no evidence that high antipsychotic doses are more
effective than standard doses
-Dose adjustments should be made after two weeks of
taking medication
,2|Page
-Establish efficacy and an effective med dose before
switching to a long-acting injectable (LAI). Dose of LAI will
be same as the effective oral dose.
-Most antipsychotic side effects and adverse effects are
dose-related.
When prescribing, document the _____________ at every
visit. - ANSWER-targeted symptoms, response, and any
adverse effects
Many persons with schizophrenia are treated successfully
in an ______________, though some clients may require
________________ for initial treatment and subsequent
treatment of psychotic episodes - ANSWER-outpatient
setting, inpatient hospitalizations
Why begin with monotherapy? (antipsychotics) -
ANSWER-The use of multiple antipsychotics can increase
the risk of QT prolongation.
-Combinations considered only after single med have
provided inadequate response.
If antipsychotics switched too quickly - ANSWER-can
develop agitation, activation, insomnia, and experience
withdrawal
,3|Page
-due to the binding differences in each medication
subcategory
*Cross titration over several days to weeks is required to
prevent side effects
Clients are more likely to experience side effects when
changing from a medication in one ___________ to a
medication in another ____________ - ANSWER-
subcategory, subcategory
(ex: pine to done)
Special considerations: Pregnancy (antipsychotics) -
ANSWER--Risk of withdrawal symptoms in the newborn:
extrapyramidal symptoms may be present at delivery.
-atypical antipsychotics appear more harmful than typical
antipsychotics due to increased risk of gestational
metabolic complications, increased gestational age
weight, and increased birth weight.
-Avoid Clozapine, Ziprasidone, olanzapine, risperidone,
and quetiapine, especially in the third trimester
Special considerations: breast feeding (antipsychotics) -
ANSWER-All antipsychotics are assumed to be secreted
in breast milk.
, 4|Page
-recommended drug is discontinued or the infant bottle
feeds.
Special considerations: Older Adult (antipsychotics) -
ANSWER-2019 American Geriatric Society (AGS) Beers
Criteria recommendations:
Avoid the use of haloperidol, ziprasidone, and olanzapine
due to an increased risk of cerebrovascular accident
(CVA), cognitive decline, and death in persons with
dementia and with dementia-related psychosis.
Special consideration: children (antipsychotics) -
ANSWER-Black box warnings:
-Aripiprazole: Increased risk of suicide in children.
-Quetiapine: Increased risk of suicidal ideation and
suicidal behavior in adolescents/young adults during the
initial 1-2 months of treatment
Special considerations: caution (antipsychotics) -
ANSWER--Olanzapine - exercise caution in suspected
alcohol withdrawal, stimulant intoxication, or
anticholinergic intoxication
-High and repeated doses of amphetamines or cocaine
can mimic positive symptoms of paranoid schizophrenia
