EDAPT NCLEX Readiness: Pharmacology Review Part 6 – Psych
Meds & High-Risk Safety|Verified Questions Provided with A+
Graded Rationales Latest Updated 2026
The nurse is caring for a client with schizophrenia who is prescribed haloperidol. The client
develops tremors, muscle rigidity, a fever, and is confused.
The client is most likely experiencing __________ caused by __________.
Neuroleptic malignant syndrome
Antipsychotics
For each client with a new prescription for a benzodiazepine, click to indicate if the nurse should
be concerned or not concerned about the new order.
Should Cause Concern:
A 29-year-old pregnant client with an anxiety disorder
A 54-year-old client with anxiety and alcohol use disorder
An 82-year-old client with insomnia
No Concern:
A 42-year-old client with an acute back injury who is experiencing muscle spasms
A nurse is caring for a client with a new prescription for lithium. For each client statement, click
to specify whether the statement indicates understanding or a need for further education about
the medication.
Indicates Understanding:
"I will need to have blood drawn regularly while taking this medication."
"I should report severe vomiting, diarrhea, or confusion to my healthcare provider."
"I should limit my intake of coffee, tea, and soda."
Requires Further Education:
"I should avoid foods like aged cheeses, cured meats, and red wine."
The nurse is caring for a client with a new prescription for sertraline. Review the note and
highlight the findings that will require the nurse to provide education.
Insomnia
St. John's wort
, Lisinopril
Stopped taking it after 2 weeks
The nurse is caring for a client who has been taking lithium 600 mg PO every 12 hours for 6
months. The client takes the medication at 0800 and 2000. The client is scheduled for a serum
lithium level. The nurse should plan to obtain the trough lithium serum level at __________.
The trough lithium serum result was 0.5 mEq/L (Reference range: 0.6 and 1.2 mEq/L). The nurse
should anticipate the healthcare provider will __________ the dose.
0730
Increase
The nurse is caring for a client who has been taking lithium 600 mg PO every 12 hours for 6
months. Available is lithium 150 mg tablets. How many tablet(s) should the nurse administer
per dose?
4
A nurse is caring for a client who is prescribed fluoxetine. Drag the assessment findings to the
boxes on the right that should be concerning to the nurse.
Confusion
Sweating
Hyperthermia
Muscle rigidity
Restlessness
A nurse is caring for a 19-year-old client with a new diagnosis of major depressive disorder. The
healthcare provider prescribes paroxetine. What is the most important education that the nurse
should provide?
Report worsening depression to the healthcare provider immediately.
The nurse is caring for a client with a history of type 2 diabetes. The client's glycosylated
hemoglobin is 8% (Reference range: 4%-5.9%). The client reports severe pain and numbness in
the legs and feet, which is impacting their mobility. Which medication should the nurse
anticipate the healthcare provider will prescribe?
Amitriptyline
For each client, click to specify whether the nurse should anticipate if the healthcare provider
will prescribe cyproheptadine or flumazenil.
Meds & High-Risk Safety|Verified Questions Provided with A+
Graded Rationales Latest Updated 2026
The nurse is caring for a client with schizophrenia who is prescribed haloperidol. The client
develops tremors, muscle rigidity, a fever, and is confused.
The client is most likely experiencing __________ caused by __________.
Neuroleptic malignant syndrome
Antipsychotics
For each client with a new prescription for a benzodiazepine, click to indicate if the nurse should
be concerned or not concerned about the new order.
Should Cause Concern:
A 29-year-old pregnant client with an anxiety disorder
A 54-year-old client with anxiety and alcohol use disorder
An 82-year-old client with insomnia
No Concern:
A 42-year-old client with an acute back injury who is experiencing muscle spasms
A nurse is caring for a client with a new prescription for lithium. For each client statement, click
to specify whether the statement indicates understanding or a need for further education about
the medication.
Indicates Understanding:
"I will need to have blood drawn regularly while taking this medication."
"I should report severe vomiting, diarrhea, or confusion to my healthcare provider."
"I should limit my intake of coffee, tea, and soda."
Requires Further Education:
"I should avoid foods like aged cheeses, cured meats, and red wine."
The nurse is caring for a client with a new prescription for sertraline. Review the note and
highlight the findings that will require the nurse to provide education.
Insomnia
St. John's wort
, Lisinopril
Stopped taking it after 2 weeks
The nurse is caring for a client who has been taking lithium 600 mg PO every 12 hours for 6
months. The client takes the medication at 0800 and 2000. The client is scheduled for a serum
lithium level. The nurse should plan to obtain the trough lithium serum level at __________.
The trough lithium serum result was 0.5 mEq/L (Reference range: 0.6 and 1.2 mEq/L). The nurse
should anticipate the healthcare provider will __________ the dose.
0730
Increase
The nurse is caring for a client who has been taking lithium 600 mg PO every 12 hours for 6
months. Available is lithium 150 mg tablets. How many tablet(s) should the nurse administer
per dose?
4
A nurse is caring for a client who is prescribed fluoxetine. Drag the assessment findings to the
boxes on the right that should be concerning to the nurse.
Confusion
Sweating
Hyperthermia
Muscle rigidity
Restlessness
A nurse is caring for a 19-year-old client with a new diagnosis of major depressive disorder. The
healthcare provider prescribes paroxetine. What is the most important education that the nurse
should provide?
Report worsening depression to the healthcare provider immediately.
The nurse is caring for a client with a history of type 2 diabetes. The client's glycosylated
hemoglobin is 8% (Reference range: 4%-5.9%). The client reports severe pain and numbness in
the legs and feet, which is impacting their mobility. Which medication should the nurse
anticipate the healthcare provider will prescribe?
Amitriptyline
For each client, click to specify whether the nurse should anticipate if the healthcare provider
will prescribe cyproheptadine or flumazenil.
