1. The risk of experiencing serotonin syndrome when SSRI’s are given with monoamine
oxidase inhibitors such as phenelzine (Nardil). Serotonin syndrome is best
characterized in which of the following?
A. Hypotension and urinary retention.
B. Muscle rigidity and high fever.
C.A productive cough and vomiting.
D. Tea-colored urine and constipation.
2. A newly admit client has started taking bupropion (Wellbutrin). The nurse monitors in
which of the following side effects that would indicate an overdosage of the medication?
A. Headache.
B. Dizziness.
C. Constipation.
D. Seizure.
3. A client with depression is taking the MAOI phenelzine (Nardil). The nurse advises
the client to avoid consuming which foods while taking the medication
A. Crackers.
B. Vegetable salad.
C. Oatmeal.
D. Aged Cheese.
4. Patients taking MAOIs have the tendency to experience hypertensive crisis
especially during an interaction with other drugs such as epinephrine. Which of the
following is a sign of hypertensive crisis?
A. Orthostatic hypotension.
B. Diplopia.
C. Delay in ejaculation.
D. Hair loss.
5. A client taking lithium carbonate (Lithobid) started complaining
of nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, blurred vision and
ringing in the ears. The lithium level is 2 mEq/L. The nurse interprets this value as:
A. Normal level.
B. Toxic level.
C. Below normal level.
D. Above normal level.
, 6. A nurse is giving instructions to a client receiving lithium citrate. The nurse tells the
client to do which of the following to prevent lithium toxicity:
A. Avoid becoming dehydrated during exercise.
B. Instruct the client to change positions slowly.
C. Restrict salt intake in the diet. (keep the same)
D. Limit fluid intake. (keep the same)
7. A nurse is giving instructions to a client taking the second generation antipsychotic,
risperidone (Risperdal). The nurse advises the client to which of the following?
A. Take it on an empty stomach.
B. Change position slowly. (A lot of the 2nd gen antipsychotics casue orthostatic
hypotension) C. Get a daily source of sunlight.
D. Discontinue medication once the symptoms went away.
8. A nurse notes that a client with schizophrenia and receiving an antipsychotic
medication is having uncontrolled movement of the lips and tongue. The nurse
determines that the client is experiencing?
A. Hypertensive crisis.
B. Parkinsonism.
C. Tardive dyskinesia.
D. Neuroleptic malignant syndrome.
9. A client with schizophrenia has been started on medication therapy with clozapine
(Clozaril). A nurse assesses the results of which laboratory study to monitor for adverse
effect related to this medication?
A. White blood cell.
B. Platelet count.
C. Liver function studies.
D. Random blood sugar.
10. Methylphenidate (Ritalin) is prescribed to an 8-year-old child for the treatment of
attention deficit hyperactivity disorder (ADHD). The nurse will most likely monitor
which of the following during the medication therapy?
A. Deep tendon reflex.
B. Intake and output.
C. Temperature and breath sound.
D. Height and weight.
oxidase inhibitors such as phenelzine (Nardil). Serotonin syndrome is best
characterized in which of the following?
A. Hypotension and urinary retention.
B. Muscle rigidity and high fever.
C.A productive cough and vomiting.
D. Tea-colored urine and constipation.
2. A newly admit client has started taking bupropion (Wellbutrin). The nurse monitors in
which of the following side effects that would indicate an overdosage of the medication?
A. Headache.
B. Dizziness.
C. Constipation.
D. Seizure.
3. A client with depression is taking the MAOI phenelzine (Nardil). The nurse advises
the client to avoid consuming which foods while taking the medication
A. Crackers.
B. Vegetable salad.
C. Oatmeal.
D. Aged Cheese.
4. Patients taking MAOIs have the tendency to experience hypertensive crisis
especially during an interaction with other drugs such as epinephrine. Which of the
following is a sign of hypertensive crisis?
A. Orthostatic hypotension.
B. Diplopia.
C. Delay in ejaculation.
D. Hair loss.
5. A client taking lithium carbonate (Lithobid) started complaining
of nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, blurred vision and
ringing in the ears. The lithium level is 2 mEq/L. The nurse interprets this value as:
A. Normal level.
B. Toxic level.
C. Below normal level.
D. Above normal level.
, 6. A nurse is giving instructions to a client receiving lithium citrate. The nurse tells the
client to do which of the following to prevent lithium toxicity:
A. Avoid becoming dehydrated during exercise.
B. Instruct the client to change positions slowly.
C. Restrict salt intake in the diet. (keep the same)
D. Limit fluid intake. (keep the same)
7. A nurse is giving instructions to a client taking the second generation antipsychotic,
risperidone (Risperdal). The nurse advises the client to which of the following?
A. Take it on an empty stomach.
B. Change position slowly. (A lot of the 2nd gen antipsychotics casue orthostatic
hypotension) C. Get a daily source of sunlight.
D. Discontinue medication once the symptoms went away.
8. A nurse notes that a client with schizophrenia and receiving an antipsychotic
medication is having uncontrolled movement of the lips and tongue. The nurse
determines that the client is experiencing?
A. Hypertensive crisis.
B. Parkinsonism.
C. Tardive dyskinesia.
D. Neuroleptic malignant syndrome.
9. A client with schizophrenia has been started on medication therapy with clozapine
(Clozaril). A nurse assesses the results of which laboratory study to monitor for adverse
effect related to this medication?
A. White blood cell.
B. Platelet count.
C. Liver function studies.
D. Random blood sugar.
10. Methylphenidate (Ritalin) is prescribed to an 8-year-old child for the treatment of
attention deficit hyperactivity disorder (ADHD). The nurse will most likely monitor
which of the following during the medication therapy?
A. Deep tendon reflex.
B. Intake and output.
C. Temperature and breath sound.
D. Height and weight.
