NSG 322 Final Exam: Questions With Verified
Solutions
Which antipsychotic medication should be avoided for a patient
with a history of atrial fibrillation due to potential contraindications
related to cardiac effects?
A) Olanzapine
B) Risperidone
C) Quetiapine
D) Ziprasidone Right Ans - D) Ziprasidone
Which of the following substances is a natural hormone produced by
the pineal gland that induces sleep?
A) Amphetamine
B) Melatonin
C) Methylphenidate
D) Pemoline Right Ans - B) Melatonin
When teaching a patient about using a cellphone at bedtime, which
consideration should be emphasized?
A) Limiting screen time to reduce exposure to blue light
B) Setting the phone on vibrate mode for better sleep
C) Placing the phone close to the pillow for easy access
D) Using the phone for relaxation apps before sleep Right Ans -
A) Limiting screen time to reduce exposure to blue light
What is a contraindicated medication for seizures?
A) Bupropion
B) Carbamazepine
C) Valproic acid
D) Lamotrigine Right Ans - A) Bupropion
,Milieu therapy is implemented outside. What population would
benefit most from this approach?
A) Children drowning
B) Adolescents with conduct disorder
C) Adults with social anxiety disorder
D) Elderly individuals with dementia Right Ans - A) Children
drowning
A borderline patient throws a tray. What is the appropriate nursing
response?
A) Ignore the behavior
B) Restrict the patient to their room
C) Acknowledge the issue and tell them the behavior is unacceptable
D) Administer a sedative Right Ans - C) Acknowledge the issue
and tell them the behavior is unacceptable
If a patient is in therapy and the session gets rescheduled, what
defense mechanism might they use?
A) Splitting
B) Denial
C) Projection
D) Rationalization Right Ans - A) Splitting
When planning interventions for a patient with Oppositional Defiant
Disorder (ODD), what is a therapeutic goal?
A) Encourage physical expression of aggression
B) Promote isolation to prevent confrontations
C) Reduce aggression from physical to verbal expressions
D) Ignore the aggressive behaviors to extinguish them Right Ans -
C) Reduce aggression from physical to verbal expressions
A patient needs to take benzo 0.25mg TID. What is the appropriate
administration schedule?
A) Take it at bedtime
, B) Take it every 6 hours
C) Take it with meals (breakfast, lunch, and dinner)
D) Take it as needed Right Ans - C) Take it with meals (breakfast,
lunch, and dinner)
A child is suspected of abuse. What is the possible manifestation?
A) Urinary incontinence
B) Visual hallucinations
C) Weight gain
D) Hyperactivity Right Ans - A) Urinary incontinence
For a patient diagnosed with narcolepsy, which medication would
be contraindicated due to potential adverse effects or
ineffectiveness?
A) Venlafaxine
B) Sertraline
C) Methylphenidate
D) Amitriptyline Right Ans - A) Venlafaxine
While administering psychiatric medications, the nurse should be
particularly concerned about a patient whose apical pulse rate falls
below 60 beats per minute. Which psychiatric medication is most
likely associated with this cardiac effect?
A) Selective serotonin reuptake inhibitor (SSRI)
B) Benzodiazepine
C) Tricyclic antidepressant (TCA)
D) Atypical antipsychotic Right Ans - B) Benzodiazepine
A husband complains of poor sleep quality. What sleep-related
phenomenon may be associated with his difficulty in sleeping?
A) Sleepwalking
B) Hypopnea
C) Nightmares
D) Narcolepsy Right Ans - B) Hypopnea
Solutions
Which antipsychotic medication should be avoided for a patient
with a history of atrial fibrillation due to potential contraindications
related to cardiac effects?
A) Olanzapine
B) Risperidone
C) Quetiapine
D) Ziprasidone Right Ans - D) Ziprasidone
Which of the following substances is a natural hormone produced by
the pineal gland that induces sleep?
A) Amphetamine
B) Melatonin
C) Methylphenidate
D) Pemoline Right Ans - B) Melatonin
When teaching a patient about using a cellphone at bedtime, which
consideration should be emphasized?
A) Limiting screen time to reduce exposure to blue light
B) Setting the phone on vibrate mode for better sleep
C) Placing the phone close to the pillow for easy access
D) Using the phone for relaxation apps before sleep Right Ans -
A) Limiting screen time to reduce exposure to blue light
What is a contraindicated medication for seizures?
A) Bupropion
B) Carbamazepine
C) Valproic acid
D) Lamotrigine Right Ans - A) Bupropion
,Milieu therapy is implemented outside. What population would
benefit most from this approach?
A) Children drowning
B) Adolescents with conduct disorder
C) Adults with social anxiety disorder
D) Elderly individuals with dementia Right Ans - A) Children
drowning
A borderline patient throws a tray. What is the appropriate nursing
response?
A) Ignore the behavior
B) Restrict the patient to their room
C) Acknowledge the issue and tell them the behavior is unacceptable
D) Administer a sedative Right Ans - C) Acknowledge the issue
and tell them the behavior is unacceptable
If a patient is in therapy and the session gets rescheduled, what
defense mechanism might they use?
A) Splitting
B) Denial
C) Projection
D) Rationalization Right Ans - A) Splitting
When planning interventions for a patient with Oppositional Defiant
Disorder (ODD), what is a therapeutic goal?
A) Encourage physical expression of aggression
B) Promote isolation to prevent confrontations
C) Reduce aggression from physical to verbal expressions
D) Ignore the aggressive behaviors to extinguish them Right Ans -
C) Reduce aggression from physical to verbal expressions
A patient needs to take benzo 0.25mg TID. What is the appropriate
administration schedule?
A) Take it at bedtime
, B) Take it every 6 hours
C) Take it with meals (breakfast, lunch, and dinner)
D) Take it as needed Right Ans - C) Take it with meals (breakfast,
lunch, and dinner)
A child is suspected of abuse. What is the possible manifestation?
A) Urinary incontinence
B) Visual hallucinations
C) Weight gain
D) Hyperactivity Right Ans - A) Urinary incontinence
For a patient diagnosed with narcolepsy, which medication would
be contraindicated due to potential adverse effects or
ineffectiveness?
A) Venlafaxine
B) Sertraline
C) Methylphenidate
D) Amitriptyline Right Ans - A) Venlafaxine
While administering psychiatric medications, the nurse should be
particularly concerned about a patient whose apical pulse rate falls
below 60 beats per minute. Which psychiatric medication is most
likely associated with this cardiac effect?
A) Selective serotonin reuptake inhibitor (SSRI)
B) Benzodiazepine
C) Tricyclic antidepressant (TCA)
D) Atypical antipsychotic Right Ans - B) Benzodiazepine
A husband complains of poor sleep quality. What sleep-related
phenomenon may be associated with his difficulty in sleeping?
A) Sleepwalking
B) Hypopnea
C) Nightmares
D) Narcolepsy Right Ans - B) Hypopnea
