NUR 326 FINAL PREP Exam 250 Questions with 100%
Correct Answers | Latest Version (2026/2027) Expert
Verified
OVERVIEW
This is a high-yield psychiatric pharmacology and mental health nursing exam set focused
on depression, bipolar disorder, suicide risk assessment, and psychotropic medication
management.
It tests recognition of first-line psychiatric medications (SSRIs, lithium, MAO inhibitors,
trazodone, acamprosate, disulfiram), their therapeutic uses, and major adverse effects such
as serotonin syndrome, lithium toxicity, and Stevens-Johnson syndrome, as well as essential
patient education priorities like dietary restrictions with MAO inhibitors and hydration needs
with lithium.
The exam also emphasizes clinical decision-making in mental health settings, including
suicide risk assessment, protective vs risk factors, expected symptoms of major depressive
disorder, and behavioral presentation of mania or severe depression. It further integrates
nursing priorities such as therapeutic communication, safe patient observation, and post-
treatment care after electroconvulsive therapy (ECT).
Overall, it evaluates the ability to identify psychiatric conditions, manage psychotropic
medications safely, and prioritize patient safety in acute and chronic mental health care
scenarios, consistent with NCLEX-style and psychiatric nursing certification exams.
Which of the following medications are used to treat alcohol withdrawal? Select all that apply.
a. Diazepam (Valium)
b. Methadone
c. Fluoxetine
d. Lorazepam (Ativan)
e. Chlordiazepoxide (Librium) - correct answer -A D E
Which of the following medications are used for opiate detox? Select all that apply.
a. Naltrexone
,b. Methadone
c. Buprenorphine (Subutex)
d. Clonapin
e. Clonidine - correct answer -B C E
You are caring for a client who is experiencing extrapyramidal symptoms from antipsychotic medication.
Which of the following medications can you administer for EPS? Select all that apply.
a. Buprenorphine
b. Trihexyphenidyl (Artane)
c. Benzatropine Mesylate (Cogentin)
d. Diphenhydramine (Benadryl)
e. Amantadine (Symmetrel) - correct answer -B C D E
Which of the following medication classes are approved for use for anxiety disorders? Select all that
apply.
a. Beta-blockers
b. Antidepressants
c. Barbiturates
d. Benzodiazepines
e. Non-benzodiazepine agents, such as Buspar - correct answer -A B D E
When caring for a patient during an acute panic attack, which of the following actions by the healthcare
provider is most appropriate?
A. Ask open-ended questions to encourage communication
B. Use distraction techniques to change the patient's focus
C. Offer the patient reassurance of safety and security
D. Explore common phobias associated with panic attacks - correct answer -C
,During a panic attack, a patient states, "I feel like I'm going to die!" The patient is hyperventilating,
tachycardic, and reports feeling upper extremity numbness and tingling. Based on this patient's
presentation, the healthcare provider would anticipate which additional clinical manifestation of the
panic attack?
a. Kussmaul respirations
b. Respiratory acidosis
c. Respiratory alkalosis
d. Hypercapnia - correct answer -C
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should
the nurse take?
a. Discuss new relaxation techniques.
b. Show the client how to change his behavior.
c. Distract the client with a television show
d. Stay with the client and remain quiet. - correct answer -D (During a panic attack, the client is unable
to concentrate on learning new information and stimuli should be decreased.)
A nurse is assessing a client who is experiencing moderate-level anxiety. Which of the following findings
should the nurse expect?
a. The client has a heightened perceptual field.
b. The client has difficulty concentrating.
c. The client reports shortness of breath.
d. The client reports a sense of impending doom. - correct answer -B
Your client is admitted to the emergency room for heroin overdose. Which of the following medication
do you expect the physician will order?
, a. Flumenazil
b. Narcan
c. Naltrexone
d. Methadone - correct answer -B
You are interviewing a client who has an anxiety disorder. They suddenly start to have increased anxiety.
What should you do in this situation?
a. Continue with the interview so they are able to calm down.
b. Call for help.
c. Suspend the interview and take action to identify what is causing the client anxiety.
d. Put on relaxing music to help reduce the patients' anxiety. - correct answer -C
You are caring for a client who about to go into surgery. When interviewing the client about medications
they have previously taken, which of the following would you alert to the surgeon?
a. Ibuprofen
b. Fluoxetine
c. Propanolol
d. Plavix (Clopidogrel) - correct answer -D (Plavix is a blood thinner.)
Your client has an anxiety disorder and their insurance company does not cover Setraline, an anxiolytic,
for anxiety. Which of the following medications could be used an a PRN that is more affordable?
a. Hydroxyzine
b. Lorazepam
c. Buspirone
d. Paroxetine - correct answer -A (Hydroxyzine is the most common anti-histamine for anxiety.)
Which of the following medications can be used for binge eating disorder because it reduces cravings?
Correct Answers | Latest Version (2026/2027) Expert
Verified
OVERVIEW
This is a high-yield psychiatric pharmacology and mental health nursing exam set focused
on depression, bipolar disorder, suicide risk assessment, and psychotropic medication
management.
It tests recognition of first-line psychiatric medications (SSRIs, lithium, MAO inhibitors,
trazodone, acamprosate, disulfiram), their therapeutic uses, and major adverse effects such
as serotonin syndrome, lithium toxicity, and Stevens-Johnson syndrome, as well as essential
patient education priorities like dietary restrictions with MAO inhibitors and hydration needs
with lithium.
The exam also emphasizes clinical decision-making in mental health settings, including
suicide risk assessment, protective vs risk factors, expected symptoms of major depressive
disorder, and behavioral presentation of mania or severe depression. It further integrates
nursing priorities such as therapeutic communication, safe patient observation, and post-
treatment care after electroconvulsive therapy (ECT).
Overall, it evaluates the ability to identify psychiatric conditions, manage psychotropic
medications safely, and prioritize patient safety in acute and chronic mental health care
scenarios, consistent with NCLEX-style and psychiatric nursing certification exams.
Which of the following medications are used to treat alcohol withdrawal? Select all that apply.
a. Diazepam (Valium)
b. Methadone
c. Fluoxetine
d. Lorazepam (Ativan)
e. Chlordiazepoxide (Librium) - correct answer -A D E
Which of the following medications are used for opiate detox? Select all that apply.
a. Naltrexone
,b. Methadone
c. Buprenorphine (Subutex)
d. Clonapin
e. Clonidine - correct answer -B C E
You are caring for a client who is experiencing extrapyramidal symptoms from antipsychotic medication.
Which of the following medications can you administer for EPS? Select all that apply.
a. Buprenorphine
b. Trihexyphenidyl (Artane)
c. Benzatropine Mesylate (Cogentin)
d. Diphenhydramine (Benadryl)
e. Amantadine (Symmetrel) - correct answer -B C D E
Which of the following medication classes are approved for use for anxiety disorders? Select all that
apply.
a. Beta-blockers
b. Antidepressants
c. Barbiturates
d. Benzodiazepines
e. Non-benzodiazepine agents, such as Buspar - correct answer -A B D E
When caring for a patient during an acute panic attack, which of the following actions by the healthcare
provider is most appropriate?
A. Ask open-ended questions to encourage communication
B. Use distraction techniques to change the patient's focus
C. Offer the patient reassurance of safety and security
D. Explore common phobias associated with panic attacks - correct answer -C
,During a panic attack, a patient states, "I feel like I'm going to die!" The patient is hyperventilating,
tachycardic, and reports feeling upper extremity numbness and tingling. Based on this patient's
presentation, the healthcare provider would anticipate which additional clinical manifestation of the
panic attack?
a. Kussmaul respirations
b. Respiratory acidosis
c. Respiratory alkalosis
d. Hypercapnia - correct answer -C
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should
the nurse take?
a. Discuss new relaxation techniques.
b. Show the client how to change his behavior.
c. Distract the client with a television show
d. Stay with the client and remain quiet. - correct answer -D (During a panic attack, the client is unable
to concentrate on learning new information and stimuli should be decreased.)
A nurse is assessing a client who is experiencing moderate-level anxiety. Which of the following findings
should the nurse expect?
a. The client has a heightened perceptual field.
b. The client has difficulty concentrating.
c. The client reports shortness of breath.
d. The client reports a sense of impending doom. - correct answer -B
Your client is admitted to the emergency room for heroin overdose. Which of the following medication
do you expect the physician will order?
, a. Flumenazil
b. Narcan
c. Naltrexone
d. Methadone - correct answer -B
You are interviewing a client who has an anxiety disorder. They suddenly start to have increased anxiety.
What should you do in this situation?
a. Continue with the interview so they are able to calm down.
b. Call for help.
c. Suspend the interview and take action to identify what is causing the client anxiety.
d. Put on relaxing music to help reduce the patients' anxiety. - correct answer -C
You are caring for a client who about to go into surgery. When interviewing the client about medications
they have previously taken, which of the following would you alert to the surgeon?
a. Ibuprofen
b. Fluoxetine
c. Propanolol
d. Plavix (Clopidogrel) - correct answer -D (Plavix is a blood thinner.)
Your client has an anxiety disorder and their insurance company does not cover Setraline, an anxiolytic,
for anxiety. Which of the following medications could be used an a PRN that is more affordable?
a. Hydroxyzine
b. Lorazepam
c. Buspirone
d. Paroxetine - correct answer -A (Hydroxyzine is the most common anti-histamine for anxiety.)
Which of the following medications can be used for binge eating disorder because it reduces cravings?
