Nur 205 Exam Questions and Answers
A+ Graded (2025)
The patient with major depression and suicidal ideation has been taking
bupropion(wellbutrin) 100 mg PO four times daily for 5 days. Assessment reveals
the patient to be somewhat less withdrawn, able to perform activities daily living
with minimal assistance and eating 50% of each meal. At this time, the nurse
should monitor the patient specifically for which of the following behaviors?
Select all that apply - CORRECT ANSWER-Suicide attempts
Decrease in reports of sadness
The patient with depression who is taking imipramine(Tofranil) states to the
nurse, "My doctor wants me to have an ECG in 2 weeks, but my heart is fine."
Which response by the nurse is most appropriate? - CORRECT ANSWER-It's
routine practice to have ECGs periodically because there is a slight chance that
the drug may affect the heart.
A patient who is taking Doxepin(Sinequan) 10 mg PO at bedtime has dizziness on
arising. Which of the following suggestions is most appropriate? - CORRECT
ANSWER-"Get up slowly and dangle your feet before standing."
The primary healthcare provider prescribes mirtazapine (Remeron) 30 mg PO at
bedtime for a depressed patient. The nurse should? - CORRECT ANSWER-Give
medication as prescribed
The patient diagnosed with major depression has been taking Lexapro
(Escitalopram) 10 mg daily for the past 2 weeks. Which of the following
parameters should the nurse monitor most closely at this time? - CORRECT
ANSWER-Suicidal ideation
YOu are instructed to give cephalexin monohydrate (Keflex) 0.5 g. The drug
comes as 250 mg per capsule. How many capsules would the nurse give? -
CORRECT ANSWER-2
If the patient is to receive insulin at 3 units/hr with a solution of 50 units per 100
ml is normal saline (NS)the rate of infusion in milliliters would be? - CORRECT
ANSWER-6
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The nurse notes that a patient who has been receiving paroxetine(paxil) for
symptoms of major depression and whose sensorium had been clear, begins to
behave as though somewhat confused and elated. The nurse also notes the
presence of restlessness, muscle jerking and diaphoresis. The nurse should
assess these symptoms as probable? - CORRECT ANSWER-Serotonin Syndrome
When following up on ssri medication side effects, the nurse will need to make
specific inquires about? - CORRECT ANSWER-Sexual dysfunction
A patient who is taking SSRIs mention to the nurse that his current medication
causes fewer side effects than the TCA he took several years earlier. THe nurse
understands that SSRIs advantage is due to? - CORRECT ANSWER-Blocking only
serotonin
What would be a priority nursing diagnosis for a patient taking
zolpidem(Ambien)? - CORRECT ANSWER-Disturbed Sleep pattern
A patients is taking Sertraline(Zoloft). The nurse explains to the patient that how
much time will pass before the onset of the medication occurs? - CORRECT
ANSWER-1-2 weeks
A patient has been taking #0 mg of duloxetine hydrochloride (Cymbalta)twice
daily for 2 months because of depression and vague aches and pains. While
interacting with the nurse, the patient disclosed a pattern of drinking a six pack of
beer daily for the past 10 years to help with sleep. What should the nurse do first?
- CORRECT ANSWER-Report the patient's beer consumption to the primary
healthcare provider.
Which patient complaint should receive priority from a patient who is taking
tranylcypromine(Parnate)? - CORRECT ANSWER-"I've had a headache ever since
i drank some coffee."
Sertraline(Zoloft) has been prescribed for a patient with symptoms of major
depression. which factor was probably most important in the physician's decision
to use an SSRI? - CORRECT ANSWER-Good side effect profile
Which statement by a patient who will be maintained on lithium following
discharge should the nurse evaluate as evidence of a need for further
instruction? - CORRECT ANSWER-"When I get home, I may go on salt-free diet."
To understand what to expect following administration of a benzodiazepine, the
nurse must understand that benzodiazepine? - CORRECT ANSWER-Enhances the
activity of GABA
A patient was prescribed alprazolam(Xanax) for symptoms of anxiety related to a
recent divorce and relocation She stated to the nurse, "A little while after I take
the medication , I feel out of it and spacey." What is the likely cause of this
feeling? - CORRECT ANSWER-Rapid absorption and distribution to brain cells