NUR1211 TEST #1 EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
How do you know if your patient is experiencing lithium toxicity? What increases the pt
risk for lithium toxicity? What additional education for lithium? -CORRECT-ANSWERS
Signs and symptoms of early toxicity. include diarrhea, vomiting, drowsiness, muscle
weakness, and lack of coordination. Late toxicity = giddiness, ataxia, blurred vision,
tinnitus, and large output of dilute urine.
Additional education can include maintaining a balanced diet and sodium intake and
notify HCP before making any dietary alterations.
What patient is at risk for developing psuedoparkinsonism syndrome (PS) ? What is the
typical presentation of a patient with PS? -CORRECT-ANSWERS Also known as drug-
induced parkinsonism, those who have low dopamine levels and are taking antipsychotic
medication(s).
Why should a patient on MAOI's avoid foods that are high in Tyramines? What types of
food are high-tyramines? -CORRECT-ANSWERS Tyramine accumulates in the
bloodstream and has an indirect sympathomimetic action causing the release of stored
catecholamines. S/S begin 15 minutes to an hour and include hypertension, sever
headache (occipital or temporal), palpitations, nausea, and vomiting. Can be fatal.
, Alcoholic beverages, all mature cheeses, sour cream and yogurt, avocados, bananas, fava
beans, canned figs, dried fish, liver, pickled herring, salami, sausage, caffeinated
beverages, chocolate, licorice, sauerkraut, soy sauce, yeast.
What are some nursing considerations for a patient taking antidepressants? What do you
teach a pt about taking antidepressants? -CORRECT-ANSWERS Assess patient for
cautions and contraindications (drug allergies, hepatorenal diseases, glaucoma, etc),
seizure disorder and suicidal thoughts, and monitor results of ECG and lab tests. Provide
both comfort and safety measures.
Educate patient that they may not see full therapeutic effects of medications until 2-4
weeks. Take medications as prescribed and to take a dose as soon as they remember, if
they missed one. Abrupt discontinuation can lead to severe withdrawals.
Define neuroleptic malignant syndrome. -CORRECT-ANSWERS Due to antipsychotics:
hyperthermia, rigidity, and autonomic dysfunction.
Define tardive dyskinesia. -CORRECT-ANSWERS A neurological disorder
characterized by involuntary movements of the face and jaw.
Define akathisia. -CORRECT-ANSWERS Motor restlessness
Define bradykinesia. -CORRECT-ANSWERS Slowness of movement
Define serotonin syndrome. -CORRECT-ANSWERS A potentially life threatening
syndrome that can occur with any medication that increases levels of serotonin. S/S:
confusion, hypomania, hallucinations, agitation, sweating, hyperthermia, hypertension,
tachycardia, nausea, diarrhea.
As a nurse, what do you need to consider/do for a patient experiencing neuroleptic
malignant syndrome? -CORRECT-ANSWERS Can be treated with muscle relaxants,
CORRECT QUESTIONS AND ANSWERS
2025
How do you know if your patient is experiencing lithium toxicity? What increases the pt
risk for lithium toxicity? What additional education for lithium? -CORRECT-ANSWERS
Signs and symptoms of early toxicity. include diarrhea, vomiting, drowsiness, muscle
weakness, and lack of coordination. Late toxicity = giddiness, ataxia, blurred vision,
tinnitus, and large output of dilute urine.
Additional education can include maintaining a balanced diet and sodium intake and
notify HCP before making any dietary alterations.
What patient is at risk for developing psuedoparkinsonism syndrome (PS) ? What is the
typical presentation of a patient with PS? -CORRECT-ANSWERS Also known as drug-
induced parkinsonism, those who have low dopamine levels and are taking antipsychotic
medication(s).
Why should a patient on MAOI's avoid foods that are high in Tyramines? What types of
food are high-tyramines? -CORRECT-ANSWERS Tyramine accumulates in the
bloodstream and has an indirect sympathomimetic action causing the release of stored
catecholamines. S/S begin 15 minutes to an hour and include hypertension, sever
headache (occipital or temporal), palpitations, nausea, and vomiting. Can be fatal.
, Alcoholic beverages, all mature cheeses, sour cream and yogurt, avocados, bananas, fava
beans, canned figs, dried fish, liver, pickled herring, salami, sausage, caffeinated
beverages, chocolate, licorice, sauerkraut, soy sauce, yeast.
What are some nursing considerations for a patient taking antidepressants? What do you
teach a pt about taking antidepressants? -CORRECT-ANSWERS Assess patient for
cautions and contraindications (drug allergies, hepatorenal diseases, glaucoma, etc),
seizure disorder and suicidal thoughts, and monitor results of ECG and lab tests. Provide
both comfort and safety measures.
Educate patient that they may not see full therapeutic effects of medications until 2-4
weeks. Take medications as prescribed and to take a dose as soon as they remember, if
they missed one. Abrupt discontinuation can lead to severe withdrawals.
Define neuroleptic malignant syndrome. -CORRECT-ANSWERS Due to antipsychotics:
hyperthermia, rigidity, and autonomic dysfunction.
Define tardive dyskinesia. -CORRECT-ANSWERS A neurological disorder
characterized by involuntary movements of the face and jaw.
Define akathisia. -CORRECT-ANSWERS Motor restlessness
Define bradykinesia. -CORRECT-ANSWERS Slowness of movement
Define serotonin syndrome. -CORRECT-ANSWERS A potentially life threatening
syndrome that can occur with any medication that increases levels of serotonin. S/S:
confusion, hypomania, hallucinations, agitation, sweating, hyperthermia, hypertension,
tachycardia, nausea, diarrhea.
As a nurse, what do you need to consider/do for a patient experiencing neuroleptic
malignant syndrome? -CORRECT-ANSWERS Can be treated with muscle relaxants,
