NR 229 Exam 2 Question and answers
verified to pass 2025 updated
The nurse has just administered the first dose of haloperidol [Haldol] to a
patient with schizophrenia. Which finding, if present, is the most important for
the nurse to report to the healthcare provider before administering the next
dose of medication?
A. Dry mouth
B. Temperature of 101°F
C. BP of 104/72 mm Hg
D. Drowsiness - correct answer ✔B
A nurse is caring for several patients. In which patient is it appropriate to use
the drug chlorpromazine [Thorazine]?
Select all that apply.
A. An 85-year-old man with Alzheimer's disease
B. A 78-year-old man with intractable hiccups
C. A 76-year-old woman with severe dementia
D. A 48-year-old woman with schizoaffective disorder
E. A 30-year-old man with anxiety and depression - correct answer ✔B, D
,The nurse is preparing to administer the aripiprazole extended-release 400-
mg injection. The nurse is aware that this medication is scheduled to be given
how often?
A. Daily
B. Weekly
C. Monthly
D. As needed - correct answer ✔C
Which statement does the nurse include when teaching a patient about
antipsychotic drug therapy?
Select all that apply.
A. "Restrict the use of antipsychotic drugs to 3 months to prevent the
development of addiction."
B. "Dilute oral preparations in fruit juice to improve their palatability."
C. "Store oral preparations in a dark area."
D. "Do not make skin contact with these drugs; flush the affected area with
water if a spill occurs."
E. "Take an over-the-counter sleep aid if you have trouble falling asleep at
night." - correct answer ✔B,C,D
The nurse is working with the multidisciplinary healthcare team to optimize the
care of a patient with schizophrenia. Which concepts will guide the nursing
care of this patient?
Select all that apply.
, A. The second-generation antipsychotics generally are more effective than
the first-generation agents.
B. Most antipsychotic agents increase the risk of mortality in elderly patients
with dementia.
C. Antipsychotic depot preparations carry a greater risk of neuroleptic
malignant syndrome.
D. The lipid levels of patients receiving second-generation antipsychotics
should be monitored.
E. Schizophrenia is characterized by disordered thinking and loss of touch
with reality. - correct answer ✔B, D, E
The nurse is caring for a patient receiving clozapine [Clozaril]. Which
assessment finding is most indicative of an adverse effect of this drug?
A. Blood urea nitrogen level of 25 mg/dL
B. Blood glucose level of 60 mg/dL
C. Bilirubin level of 2.5 mg/dL
D. White blood cell (WBC) count of 2000/mm3 - correct answer ✔D
When teaching the patient and family about clozapine therapy, which
statements should the nurse include?
Select all that apply.
A. "It is important for you to obtain ordered blood tests when taking this
medication."
, B. "Most patients who take this medication lose weight, so you should
increase the number of calories you consume each day."
C. "If you experience increased urination, increased thirst, or increased
appetite, contact your healthcare provider."
D. "Inform your healthcare provider if you are taking any medications to
control seizures."
E. "Contact your healthcare provider if you experience any unexplained
tiredness, shortness of breath, increased respirations, chest pain, or heart
palpitations." - correct answer ✔A, C, D, E
A nurse assesses a patient receiving haloperidol [Haldol]. The nurse notices
that the patient is shifting in the chair, rocking back and forth, and tapping both
feet constantly. What is the most accurate term to document these findings?
A. Dystonia
B. Tardive dyskinesia
C. Parkinsonism
D. Akathisia - correct answer ✔D
Which statement about aripiprazole would the nurse identify as true?
A. It is the first representative of a unique class of antipsychotic drugs called
dopamine system stabilizers.
B. It must be administered on an empty stomach.
verified to pass 2025 updated
The nurse has just administered the first dose of haloperidol [Haldol] to a
patient with schizophrenia. Which finding, if present, is the most important for
the nurse to report to the healthcare provider before administering the next
dose of medication?
A. Dry mouth
B. Temperature of 101°F
C. BP of 104/72 mm Hg
D. Drowsiness - correct answer ✔B
A nurse is caring for several patients. In which patient is it appropriate to use
the drug chlorpromazine [Thorazine]?
Select all that apply.
A. An 85-year-old man with Alzheimer's disease
B. A 78-year-old man with intractable hiccups
C. A 76-year-old woman with severe dementia
D. A 48-year-old woman with schizoaffective disorder
E. A 30-year-old man with anxiety and depression - correct answer ✔B, D
,The nurse is preparing to administer the aripiprazole extended-release 400-
mg injection. The nurse is aware that this medication is scheduled to be given
how often?
A. Daily
B. Weekly
C. Monthly
D. As needed - correct answer ✔C
Which statement does the nurse include when teaching a patient about
antipsychotic drug therapy?
Select all that apply.
A. "Restrict the use of antipsychotic drugs to 3 months to prevent the
development of addiction."
B. "Dilute oral preparations in fruit juice to improve their palatability."
C. "Store oral preparations in a dark area."
D. "Do not make skin contact with these drugs; flush the affected area with
water if a spill occurs."
E. "Take an over-the-counter sleep aid if you have trouble falling asleep at
night." - correct answer ✔B,C,D
The nurse is working with the multidisciplinary healthcare team to optimize the
care of a patient with schizophrenia. Which concepts will guide the nursing
care of this patient?
Select all that apply.
, A. The second-generation antipsychotics generally are more effective than
the first-generation agents.
B. Most antipsychotic agents increase the risk of mortality in elderly patients
with dementia.
C. Antipsychotic depot preparations carry a greater risk of neuroleptic
malignant syndrome.
D. The lipid levels of patients receiving second-generation antipsychotics
should be monitored.
E. Schizophrenia is characterized by disordered thinking and loss of touch
with reality. - correct answer ✔B, D, E
The nurse is caring for a patient receiving clozapine [Clozaril]. Which
assessment finding is most indicative of an adverse effect of this drug?
A. Blood urea nitrogen level of 25 mg/dL
B. Blood glucose level of 60 mg/dL
C. Bilirubin level of 2.5 mg/dL
D. White blood cell (WBC) count of 2000/mm3 - correct answer ✔D
When teaching the patient and family about clozapine therapy, which
statements should the nurse include?
Select all that apply.
A. "It is important for you to obtain ordered blood tests when taking this
medication."
, B. "Most patients who take this medication lose weight, so you should
increase the number of calories you consume each day."
C. "If you experience increased urination, increased thirst, or increased
appetite, contact your healthcare provider."
D. "Inform your healthcare provider if you are taking any medications to
control seizures."
E. "Contact your healthcare provider if you experience any unexplained
tiredness, shortness of breath, increased respirations, chest pain, or heart
palpitations." - correct answer ✔A, C, D, E
A nurse assesses a patient receiving haloperidol [Haldol]. The nurse notices
that the patient is shifting in the chair, rocking back and forth, and tapping both
feet constantly. What is the most accurate term to document these findings?
A. Dystonia
B. Tardive dyskinesia
C. Parkinsonism
D. Akathisia - correct answer ✔D
Which statement about aripiprazole would the nurse identify as true?
A. It is the first representative of a unique class of antipsychotic drugs called
dopamine system stabilizers.
B. It must be administered on an empty stomach.
