NR 326 NURSING BOARD REVIEW: PSYCHIATRIC NURSING PRACTICE
TEST PART 2
All the questions in the quiz along with their answers are shown below.
Your answers are bolded. The correct answers have a green background while the
incorrect ones have a red background.
1. A male client with a history of medication noncompliance is receiving outpatient
treatment for chronic undifferentiated schizophrenia. The physician is most likely to
prescribe which medication for this client?
a. Chlorpromazine (Thorazine)
b. Imipramine (Tofranil)
c. Lithium carbonate (Lithane)
d. Fluphenazine decanoate (Prolixin Decanoate)
Fluphenazine decanoate is a long-acting antipsychotic agent given by injection. Because
it has a 4-week duration of action, it’s commonly prescribed for outpatients with a
history of medication noncompliance. Chlorpromazine, also an antipsychotic agent,
must be administered daily to maintain adequate plasma levels, which necessitates
compliance with the dosage schedule. Imipramine, a tricyclic antidepressant,
and lithium carbonate, a mood stabilizer, are rarely used to treat clients with chronic
schizophrenia.
,2. Which of the following medications would the nurse in-charge expect the doctor to
order to reverse a dystonic reaction?
a. Procholorperazine (Compazine)
b. Diphenhydramine (Benadryl)
c. Haloperidol (Haldol)
, d. Midazolam (Versed)
Diphenhydramine, 25 to 50 mg I.M. or I.V., would quickly reverse this condition.
Prochlorperazine and haloperidol are both capable of causing dystonia, not reversing it.
Midazolam would make this patient drowsy.
3. A nurse places a female client in full leather restraints. How often must the nurse
check the client’s circulation?
a. Once per hour
b. Once per shift
c. Every 10 to 15 minutes
d. Every 2 hours
Circulation as well as skin and nerve damage can occur within 15 minutes.
Checking every hour, 2 hours, or 8 hours isn’t often enough and could result in
permanent damage to the client’s extremities. Restraints should be removed every
2 hours, and range-of-motion exercises should be performed.
4. The client tells the nurse he was involved in a car accident while he was intoxicated.
What would be the most therapeutic response from the nurse?
a. "Why didn't you get someone else to drive you?"
b. "Tell me how you feel about the accident."
c. "You should know better than to drink and drive."
d. "I recommend that you attend an Alcoholics Anonymous meeting."
TEST PART 2
All the questions in the quiz along with their answers are shown below.
Your answers are bolded. The correct answers have a green background while the
incorrect ones have a red background.
1. A male client with a history of medication noncompliance is receiving outpatient
treatment for chronic undifferentiated schizophrenia. The physician is most likely to
prescribe which medication for this client?
a. Chlorpromazine (Thorazine)
b. Imipramine (Tofranil)
c. Lithium carbonate (Lithane)
d. Fluphenazine decanoate (Prolixin Decanoate)
Fluphenazine decanoate is a long-acting antipsychotic agent given by injection. Because
it has a 4-week duration of action, it’s commonly prescribed for outpatients with a
history of medication noncompliance. Chlorpromazine, also an antipsychotic agent,
must be administered daily to maintain adequate plasma levels, which necessitates
compliance with the dosage schedule. Imipramine, a tricyclic antidepressant,
and lithium carbonate, a mood stabilizer, are rarely used to treat clients with chronic
schizophrenia.
,2. Which of the following medications would the nurse in-charge expect the doctor to
order to reverse a dystonic reaction?
a. Procholorperazine (Compazine)
b. Diphenhydramine (Benadryl)
c. Haloperidol (Haldol)
, d. Midazolam (Versed)
Diphenhydramine, 25 to 50 mg I.M. or I.V., would quickly reverse this condition.
Prochlorperazine and haloperidol are both capable of causing dystonia, not reversing it.
Midazolam would make this patient drowsy.
3. A nurse places a female client in full leather restraints. How often must the nurse
check the client’s circulation?
a. Once per hour
b. Once per shift
c. Every 10 to 15 minutes
d. Every 2 hours
Circulation as well as skin and nerve damage can occur within 15 minutes.
Checking every hour, 2 hours, or 8 hours isn’t often enough and could result in
permanent damage to the client’s extremities. Restraints should be removed every
2 hours, and range-of-motion exercises should be performed.
4. The client tells the nurse he was involved in a car accident while he was intoxicated.
What would be the most therapeutic response from the nurse?
a. "Why didn't you get someone else to drive you?"
b. "Tell me how you feel about the accident."
c. "You should know better than to drink and drive."
d. "I recommend that you attend an Alcoholics Anonymous meeting."
