NURS 117 Exam 2 Questions and Answers Fully Solved Latest Update 2025-2026
- Answers
Glaucoma key features - Answers - increased intraocular pressure (IOP)
- Peripheral vision loss ("tunnel vision")
- Often painless (open-angle)
Glaucoma NCLEX red flags - Answers - eye pain with nausea/vomiting (acute angle closure= emergency)
- halos around lights
Glaucoma nursing care/patient teaching - Answers - administer miotics (used to treat glaucoma,
constrict the pupil. e.g., pilocarpine)
- avoid mydriatics (eye drops that dilate the pupils. e.g atropine)
- lifelong meds
- routine eye exams
Cataracts key features - Answers - cloudy, blurry vision
- glare and poor night vision
- gradual, painless onset
Cataracts NCLEX red flags - Answers - sudden vision changes (suggest another cause)
Cataracts Nursing care/patient teaching - Answers - pre/post op teaching for cataract surgery
- avoid straining post-op
- use protective eyewear
Eyedrops important information - Answers 1. If ordered, GIVE THEM
2. Wash hands, put on gloves, pull bottom eye lid down, put drops in the sac, hold lacrimal duct, let blink
eye 2-3 times and give something to dab at
T/F: Can dry eyes make people lose vision - Answers yes, it's true especially with glaucoma
SSRIs (selective serotonin reuptake inhibitors) drug examples - Answers Fluoxetine, Sertraline,
Escitalopram
SSRIs primary use - Answers Depression, Anxiety, PTSD
,SSRI's nursing Interventions - Answers - risk of serotonin syndrome (agitation, confusion, sweating,
tremor)
- Takes 4-6 weeks to work
- may increase suicide risk initially
- sexual side effect (#1 reason ppl stop taking these meds)
SNRIs (serotonin-norepinephrine reuptake inhibitors) examples - Answers Venlafaxine, Duloxetine
SNRIs (serotonin-norepinephrine reuptake inhibitors) primary use - Answers Depression, generalized
anxiety
SNRIs (serotonin-norepinephrine reuptake inhibitors) nursing interventions - Answers - similar to SSRIs
- May increase BP
- sexual side effects
- do not stop abruptly
TCAs (tricyclic antidepressants) examples - Answers Amitriptyline, Imipramine
TCAs (tricyclic antidepressants) primary use - Answers Depression, Neuropathic Pain
TCAs (tricyclic antidepressants) nursing interventions - Answers - anticholinergic effects (dry mouth,
constipation)
- Risk of orthostatic hypotension
- Lethal in overdose
- sexual side effect
MAOIs (monoamine oxidase inhibitors) examples - Answers Phenelzine, Tranylcypromine
MAOIs (monoamine oxidase inhibitors) primary use - Answers Atypical depression (EXTREME
DEPRESSION)
MAOIs (monoamine oxidase inhibitors) nursing interventions - Answers - AVOID TYRAMINE (age food,
wine pepperoni cheeses)
- Hypertensive crisis
- avoid SSRIs, TCAS, Stimulants, decongestions (MAOIs do not do well with other drugs)
Typical Antipsychotics examples - Answers Haloperidol, Chlorpromazine
, Typical Antipsychotics primary use - Answers Schizophrenia, Acute Psychosis
Typical Antipsychotics nursing interventions - Answers - EPS (extrapyramidal symptoms): Involuntary
facial movement, parkinsonism, akathisia. Tongue thrusting, shuffle walking
- NMS (Neuroleptic malignant syndrome): Fever, rigidity, confusion- this is an emergency
atypical antipsychotics examples - Answers Aripiprazole (abilify commonly used in children),
Risperidone, Olanzapine, Clozapine
atypical antipsychotics primary use - Answers Schizophrenia, Bipolar Disorder, Mania
atypical antipsychotics nursing interventions - Answers - Metabolic syndrome (a cluster of conditions
that increase the risk of heart disease, stroke, and type 2 diabetes.)
- weight gain
- for Clozapine: monitor WBCs (agranulocytosis)
Mood Stabilizers examples - Answers Lithium Carbonate, Depakote
Mood Stabilizers primary uses - Answers Bipolar Disorders (mania/hypomania)
Mood Stabilizers nursing interventions - Answers - blood work with therapeutic range required on these
meds
- Toxicity: tremor, confusion, GI symptoms
- Maintain sodium levels
What disorders are associated cluster A; Odd/Eccentric - Answers 1. Paranoid
2. Schizoid (Loner)
3. Schizotypal (very odd)
Paranoid core features - Answers Distrust, suspicion, reads hidden meanings into others' action
Schizoid core features - Answers (loner) social detachment, limited emotional expression, prefers to be
alone. May be married. We are not changing the way these people are
Schizotypal core features - Answers (very odd), odd beliefs/magical thinking, eccentric behavior. Not
married, talking to themselves. Not changing these ppl
What disorders are associated cluster B; Dramatic/Erratic - Answers 1. Borderline
2. Antisocial
3. Histrionic
- Answers
Glaucoma key features - Answers - increased intraocular pressure (IOP)
- Peripheral vision loss ("tunnel vision")
- Often painless (open-angle)
Glaucoma NCLEX red flags - Answers - eye pain with nausea/vomiting (acute angle closure= emergency)
- halos around lights
Glaucoma nursing care/patient teaching - Answers - administer miotics (used to treat glaucoma,
constrict the pupil. e.g., pilocarpine)
- avoid mydriatics (eye drops that dilate the pupils. e.g atropine)
- lifelong meds
- routine eye exams
Cataracts key features - Answers - cloudy, blurry vision
- glare and poor night vision
- gradual, painless onset
Cataracts NCLEX red flags - Answers - sudden vision changes (suggest another cause)
Cataracts Nursing care/patient teaching - Answers - pre/post op teaching for cataract surgery
- avoid straining post-op
- use protective eyewear
Eyedrops important information - Answers 1. If ordered, GIVE THEM
2. Wash hands, put on gloves, pull bottom eye lid down, put drops in the sac, hold lacrimal duct, let blink
eye 2-3 times and give something to dab at
T/F: Can dry eyes make people lose vision - Answers yes, it's true especially with glaucoma
SSRIs (selective serotonin reuptake inhibitors) drug examples - Answers Fluoxetine, Sertraline,
Escitalopram
SSRIs primary use - Answers Depression, Anxiety, PTSD
,SSRI's nursing Interventions - Answers - risk of serotonin syndrome (agitation, confusion, sweating,
tremor)
- Takes 4-6 weeks to work
- may increase suicide risk initially
- sexual side effect (#1 reason ppl stop taking these meds)
SNRIs (serotonin-norepinephrine reuptake inhibitors) examples - Answers Venlafaxine, Duloxetine
SNRIs (serotonin-norepinephrine reuptake inhibitors) primary use - Answers Depression, generalized
anxiety
SNRIs (serotonin-norepinephrine reuptake inhibitors) nursing interventions - Answers - similar to SSRIs
- May increase BP
- sexual side effects
- do not stop abruptly
TCAs (tricyclic antidepressants) examples - Answers Amitriptyline, Imipramine
TCAs (tricyclic antidepressants) primary use - Answers Depression, Neuropathic Pain
TCAs (tricyclic antidepressants) nursing interventions - Answers - anticholinergic effects (dry mouth,
constipation)
- Risk of orthostatic hypotension
- Lethal in overdose
- sexual side effect
MAOIs (monoamine oxidase inhibitors) examples - Answers Phenelzine, Tranylcypromine
MAOIs (monoamine oxidase inhibitors) primary use - Answers Atypical depression (EXTREME
DEPRESSION)
MAOIs (monoamine oxidase inhibitors) nursing interventions - Answers - AVOID TYRAMINE (age food,
wine pepperoni cheeses)
- Hypertensive crisis
- avoid SSRIs, TCAS, Stimulants, decongestions (MAOIs do not do well with other drugs)
Typical Antipsychotics examples - Answers Haloperidol, Chlorpromazine
, Typical Antipsychotics primary use - Answers Schizophrenia, Acute Psychosis
Typical Antipsychotics nursing interventions - Answers - EPS (extrapyramidal symptoms): Involuntary
facial movement, parkinsonism, akathisia. Tongue thrusting, shuffle walking
- NMS (Neuroleptic malignant syndrome): Fever, rigidity, confusion- this is an emergency
atypical antipsychotics examples - Answers Aripiprazole (abilify commonly used in children),
Risperidone, Olanzapine, Clozapine
atypical antipsychotics primary use - Answers Schizophrenia, Bipolar Disorder, Mania
atypical antipsychotics nursing interventions - Answers - Metabolic syndrome (a cluster of conditions
that increase the risk of heart disease, stroke, and type 2 diabetes.)
- weight gain
- for Clozapine: monitor WBCs (agranulocytosis)
Mood Stabilizers examples - Answers Lithium Carbonate, Depakote
Mood Stabilizers primary uses - Answers Bipolar Disorders (mania/hypomania)
Mood Stabilizers nursing interventions - Answers - blood work with therapeutic range required on these
meds
- Toxicity: tremor, confusion, GI symptoms
- Maintain sodium levels
What disorders are associated cluster A; Odd/Eccentric - Answers 1. Paranoid
2. Schizoid (Loner)
3. Schizotypal (very odd)
Paranoid core features - Answers Distrust, suspicion, reads hidden meanings into others' action
Schizoid core features - Answers (loner) social detachment, limited emotional expression, prefers to be
alone. May be married. We are not changing the way these people are
Schizotypal core features - Answers (very odd), odd beliefs/magical thinking, eccentric behavior. Not
married, talking to themselves. Not changing these ppl
What disorders are associated cluster B; Dramatic/Erratic - Answers 1. Borderline
2. Antisocial
3. Histrionic
