NUR 422 Exam Questions With Correct
Answers
The nurse manager on the psychiatric unit was explaining to the new
| | | | | | | | | | | |
staff the differences between typical and atypical antipsychotics. The
| | | | | | | | |
nurse correctly states that atypical antipsychotics:
| | | | |
a. Remain in the system longer
| | | | |
b. Act more quickly to reduce delusions
| | | | | |
c. Produce fewer extrapyramidal effects
| | | |
d. Are risk free for neuroleptic malignant syndrome - CORRECT
| | | | | | | | | |
ANSWER✔✔-ANS: C |
Atypical antipsychotics produce less D2 blockade; thus movement
| | | | | | | |
disorders are less of a | | | |
problem. No evidence suggests that the medication remains in the
| | | | | | | | | |
system longer nor that it actsmore quickly to reduce delusions. The
| | | | | | | | | | |
atypicals are not risk free for NMS.
| | | | | |
The nurse would assess for neuroleptic malignant syndrome (NMS) if a
| | | | | | | | | | |
patient on haloperidol(Haldol) develops a:
| | | |
a. 30 mm Hg decrease in blood pressure reading
| | | | | | | |
b. Respiratory rate of 24 respirations per minute
| | | | | | |
c. Temperature reading of 104 F
| | | | |
,d. Pulse rate of 70 beats per minute - CORRECT ANSWER✔✔-ANS: C
| | | | | | | | | | |
Increased temperature is the cardinal sign of NMS. This BP is not a
| | | | | | | | | | | | |
significant feature of NMS. | | |
There are no significant findings to support the options related to
| | | | | | | | | | |
respirations or pulse rate. | | |
Which behavior displayed by a patient receiving a typical antipsychotic
| | | | | | | | | |
medication would beassessed as displaying behaviors characteristic of
| | | | | | | |
tardive dyskinesia (TD)? | |
a. Grimacing and lip smacking
| | | |
b. Falling asleep in the chair and refusing to eat lunch
| | | | | | | | | |
c. Experiencing muscle rigidity and tremors
| | | | |
d. Having excessive salivation and drooling - CORRECT ANSWER✔✔-
| | | | | | | |
ANS: A |
TD manifests as abnormal movements of voluntary muscle groups after
| | | | | | | | | |
a prolonged period of
| | |
dopamine blockade. Movements may affect any muscle group, but
| | | | | | | | |
muscles of the face, mouth,tongue, and digits are commonly affected.
| | | | | | | | | |
Falling asleep is reflective of the sedative effect of these medications.
| | | | | | | | | | |
Muscle rigidity and drooling reflect EPS caused from imbalance between
| | | | | | | | |
dopamine and acetylcholine.
| | |
,When the nurse realizes that a patient diagnosed with schizophrenia is
| | | | | | | | | | |
not taking the prescribed oral haloperidol (Haldol), which intervention
| | | | | | | | |
would promote medication compliance?
| | |
a. Instructing the patient to have friends monitor his medications
| | | | | | | | |
b. Beginning administration of haloperidol (Haldol) decanoate
| | | | | |
c. Writing instructions in detail for the patient to follow
| | | | | | | | |
d. Changing haloperidol to an atypical antipsychotic - CORRECT
| | | | | | | | |
ANSWER✔✔-ANS: B |
Haloperidol decanoate is a depot medication, given intramuscularly
| | | | | | | |
every 2 to 4 weeks. It is unknown whether the patient has a support
| | | | | | | | | | | | | |
system. The patient probably received education, including written
| | | | | | | |
instructions prior to discharge. Changing to
| | | | |
another classification of medication would not necessarily improve
| | | | | | | |
compliance.
When asked how tricyclic antidepressants affect neurotransmitter
| | | | | | |
activity, the nurse should respond that they:
| | | | | |
a. Decrease available dopamine.
| | |
b. Increase availability of norepinephrine and serotonin.
| | | | | |
c. Make available increased amounts of monoamine oxidase.
| | | | | | |
d. Increase the effects of the chemical gamma-aminobutyric acid. -
| | | | | | | | | |
CORRECT ANSWER✔✔-ANS: B | |
Tricyclic antidepressants block neurotransmitter uptake, increasing the
| | | | | | |
amounts of norepinephrine and serotonin available. Decreasing
| | | | | | |
, dopamine is the action of typical antipsychotic medication. Increasing
| | | | | | | | |
monoamine oxidase is not the action of tricyclics.Benzodiazepines, not
| | | | | | | | |
tricyclics, increase the effects of GABA.
| | | | |
Which of these statements made by a patient taking the MAOI
| | | | | | | | | | |
phenelzine (Nardil) would warrant further instruction?
| | | | |
a. I often forget to wear sunscreen when I go outside.
| | | | | | | | | |
b. I need to restrict the amount of sodium in my diet.
| | | | | | | | | | |
c. I should not use over-the-counter cold medications.
| | | | | | |
d. I usually order liver and onions when my wife and I eat out. -
| | | | | | | | | | | | | | |
CORRECT ANSWER✔✔-ANS: D | |
MAOIs require patients to observe a tyramine-free diet to prevent
| | | | | | | | | |
hypertensive crisis. Liver is a food that contains large amounts of
| | | | | | | | | | |
tyramine. The remaining options have no relevance for MAOI therapy.
| | | | | | | | |
Which statement made by a patient who will be maintained on lithium
| | | | | | | | | | | |
following discharge will require further instruction by the nurse?
| | | | | | | |
a. I will have my blood work done regularly.
| | | | | | | |
b. When I get home, I may go on a salt-free diet.
| | | | | | | | | | |
c. I have learned not to restrict my intake of water.
| | | | | | | | | |
d. I understand some people gain weight on lithium. - CORRECT
| | | | | | | | | | |
ANSWER✔✔-ANS: B |
This statement shows that the patient does not understand the
| | | | | | | | | |
relationship between lithium and sodium. The patient must be taught
| | | | | | | | | |
Answers
The nurse manager on the psychiatric unit was explaining to the new
| | | | | | | | | | | |
staff the differences between typical and atypical antipsychotics. The
| | | | | | | | |
nurse correctly states that atypical antipsychotics:
| | | | |
a. Remain in the system longer
| | | | |
b. Act more quickly to reduce delusions
| | | | | |
c. Produce fewer extrapyramidal effects
| | | |
d. Are risk free for neuroleptic malignant syndrome - CORRECT
| | | | | | | | | |
ANSWER✔✔-ANS: C |
Atypical antipsychotics produce less D2 blockade; thus movement
| | | | | | | |
disorders are less of a | | | |
problem. No evidence suggests that the medication remains in the
| | | | | | | | | |
system longer nor that it actsmore quickly to reduce delusions. The
| | | | | | | | | | |
atypicals are not risk free for NMS.
| | | | | |
The nurse would assess for neuroleptic malignant syndrome (NMS) if a
| | | | | | | | | | |
patient on haloperidol(Haldol) develops a:
| | | |
a. 30 mm Hg decrease in blood pressure reading
| | | | | | | |
b. Respiratory rate of 24 respirations per minute
| | | | | | |
c. Temperature reading of 104 F
| | | | |
,d. Pulse rate of 70 beats per minute - CORRECT ANSWER✔✔-ANS: C
| | | | | | | | | | |
Increased temperature is the cardinal sign of NMS. This BP is not a
| | | | | | | | | | | | |
significant feature of NMS. | | |
There are no significant findings to support the options related to
| | | | | | | | | | |
respirations or pulse rate. | | |
Which behavior displayed by a patient receiving a typical antipsychotic
| | | | | | | | | |
medication would beassessed as displaying behaviors characteristic of
| | | | | | | |
tardive dyskinesia (TD)? | |
a. Grimacing and lip smacking
| | | |
b. Falling asleep in the chair and refusing to eat lunch
| | | | | | | | | |
c. Experiencing muscle rigidity and tremors
| | | | |
d. Having excessive salivation and drooling - CORRECT ANSWER✔✔-
| | | | | | | |
ANS: A |
TD manifests as abnormal movements of voluntary muscle groups after
| | | | | | | | | |
a prolonged period of
| | |
dopamine blockade. Movements may affect any muscle group, but
| | | | | | | | |
muscles of the face, mouth,tongue, and digits are commonly affected.
| | | | | | | | | |
Falling asleep is reflective of the sedative effect of these medications.
| | | | | | | | | | |
Muscle rigidity and drooling reflect EPS caused from imbalance between
| | | | | | | | |
dopamine and acetylcholine.
| | |
,When the nurse realizes that a patient diagnosed with schizophrenia is
| | | | | | | | | | |
not taking the prescribed oral haloperidol (Haldol), which intervention
| | | | | | | | |
would promote medication compliance?
| | |
a. Instructing the patient to have friends monitor his medications
| | | | | | | | |
b. Beginning administration of haloperidol (Haldol) decanoate
| | | | | |
c. Writing instructions in detail for the patient to follow
| | | | | | | | |
d. Changing haloperidol to an atypical antipsychotic - CORRECT
| | | | | | | | |
ANSWER✔✔-ANS: B |
Haloperidol decanoate is a depot medication, given intramuscularly
| | | | | | | |
every 2 to 4 weeks. It is unknown whether the patient has a support
| | | | | | | | | | | | | |
system. The patient probably received education, including written
| | | | | | | |
instructions prior to discharge. Changing to
| | | | |
another classification of medication would not necessarily improve
| | | | | | | |
compliance.
When asked how tricyclic antidepressants affect neurotransmitter
| | | | | | |
activity, the nurse should respond that they:
| | | | | |
a. Decrease available dopamine.
| | |
b. Increase availability of norepinephrine and serotonin.
| | | | | |
c. Make available increased amounts of monoamine oxidase.
| | | | | | |
d. Increase the effects of the chemical gamma-aminobutyric acid. -
| | | | | | | | | |
CORRECT ANSWER✔✔-ANS: B | |
Tricyclic antidepressants block neurotransmitter uptake, increasing the
| | | | | | |
amounts of norepinephrine and serotonin available. Decreasing
| | | | | | |
, dopamine is the action of typical antipsychotic medication. Increasing
| | | | | | | | |
monoamine oxidase is not the action of tricyclics.Benzodiazepines, not
| | | | | | | | |
tricyclics, increase the effects of GABA.
| | | | |
Which of these statements made by a patient taking the MAOI
| | | | | | | | | | |
phenelzine (Nardil) would warrant further instruction?
| | | | |
a. I often forget to wear sunscreen when I go outside.
| | | | | | | | | |
b. I need to restrict the amount of sodium in my diet.
| | | | | | | | | | |
c. I should not use over-the-counter cold medications.
| | | | | | |
d. I usually order liver and onions when my wife and I eat out. -
| | | | | | | | | | | | | | |
CORRECT ANSWER✔✔-ANS: D | |
MAOIs require patients to observe a tyramine-free diet to prevent
| | | | | | | | | |
hypertensive crisis. Liver is a food that contains large amounts of
| | | | | | | | | | |
tyramine. The remaining options have no relevance for MAOI therapy.
| | | | | | | | |
Which statement made by a patient who will be maintained on lithium
| | | | | | | | | | | |
following discharge will require further instruction by the nurse?
| | | | | | | |
a. I will have my blood work done regularly.
| | | | | | | |
b. When I get home, I may go on a salt-free diet.
| | | | | | | | | | |
c. I have learned not to restrict my intake of water.
| | | | | | | | | |
d. I understand some people gain weight on lithium. - CORRECT
| | | | | | | | | | |
ANSWER✔✔-ANS: B |
This statement shows that the patient does not understand the
| | | | | | | | | |
relationship between lithium and sodium. The patient must be taught
| | | | | | | | | |
