NSG 354 ACTUAL EXAM QUESTIONS AND
COMPLETE STUDY GUIDE 2026
▶ EPS tx. Answer: -IV/IM anticholinergics for acute dystonic reaction
(emergency)
Benztropine
Diphenhydramine
-Preventative assessment
AIMS
Psychiatrist to test every 3 months
-TX to lower dose of antipsychotic and prescribe anticholinergic
trihexyphenidyl
benztropine mesylate
diphenhydramine
amantadine hydrochloride
▶ early symptoms of TD. Answer: tongue fasciculations and constant lip
smacking
▶ later signs of TD (permanent). Answer: -oral movements (uncontrollable
bite, chewing, sucking; open mouth; lateral jaw movement)
-thrusting, serpentine or choreic movements of neck, trunk or pelvis
-torticollis
-facial tics
▶ AIMS assessment. Answer: measures involuntary movements seen in
TD
▶ TD tx. Answer: -no tx: stop antipsych med
▶ atypical (2nd and 3rd gen) antipsychotics. Answer: target pos and neg
symptoms of schizophrenia
-clozapine
-olanzapine
-paliperidone
-quetiapine
COMPLETE STUDY GUIDE 2026
▶ EPS tx. Answer: -IV/IM anticholinergics for acute dystonic reaction
(emergency)
Benztropine
Diphenhydramine
-Preventative assessment
AIMS
Psychiatrist to test every 3 months
-TX to lower dose of antipsychotic and prescribe anticholinergic
trihexyphenidyl
benztropine mesylate
diphenhydramine
amantadine hydrochloride
▶ early symptoms of TD. Answer: tongue fasciculations and constant lip
smacking
▶ later signs of TD (permanent). Answer: -oral movements (uncontrollable
bite, chewing, sucking; open mouth; lateral jaw movement)
-thrusting, serpentine or choreic movements of neck, trunk or pelvis
-torticollis
-facial tics
▶ AIMS assessment. Answer: measures involuntary movements seen in
TD
▶ TD tx. Answer: -no tx: stop antipsych med
▶ atypical (2nd and 3rd gen) antipsychotics. Answer: target pos and neg
symptoms of schizophrenia
-clozapine
-olanzapine
-paliperidone
-quetiapine
