NURSE 660 EXAM 1 WITH| MARYVILLE NURSING
660 EXAM 1 PRACTICE EXAM QUESTIONS WITH
VERIFIED SOLUTIONS NEWLY MODIFIED TESTED
AND APPROVED!!!
What is the most common side effect of clozapine --ANSWER--
sedation
What labs need to be done before starting clients on antipsychotic
medications? --ANSWER--fasting lipid panel, fasting glucose,
weight, bp
When someone with schizophrenia is on an atypical antipsychotic
with complaints of increased fatigue, which antipsychotic would you
switch to? --ANSWER--Abilify
Patient has been on an atypical antipsychotic for 6weeks with
unchanged weight. Do you think that weight would be a good
predictor of fasting triglycerides --ANSWER--no
pg. 1
,What is the pathway responsible for regulation of dopamine in the
hypothalamus --ANSWER--mesolimbic pathway
What antidepressant should be avoided for a patient on clozapine? --
ANSWER--Fluvox, paroxetine, sertraline (in large doses)
If a patient is experiencing breast milk secretion while receiving a
med that may stimulate breast secretions which medication could be
switched to that does not have increased prolactin as a side effect? --
ANSWER--Seroquel or zyprexa
What is the pharmacological explanation of the resolution of breast
secretion --ANSWER--decreased dopamine- increased prolactin
Increased serotonin- increased prolactin
What medication is most associated with increased prolactin --
ANSWER--Risperidal
Which medication is most associated with weight gain --ANSWER--
olanzapine
pg. 2
, Second Generation is mainly associated with which side effects? --
ANSWER--Weight gain, hypercholesterolemia, altered glucose
tolerance insulin secretion
First Generation is mainly associated with which side effects? --
ANSWER--TD, EPS
Why is olanzapine associated with weight gain? --ANSWER--High
affinity for 2c receptors
What are the rating scales used to evaluate abnormal movements
associated with psychotropic medication? --ANSWER--SMARTS ,
AIMS, PANAS- self report questionnaire, SAGE,
PHQ-depression, COWS-Opioid withdrawl
What is the black box warning of Clozapine --ANSWER--
Agranulocytosis
pg. 3
660 EXAM 1 PRACTICE EXAM QUESTIONS WITH
VERIFIED SOLUTIONS NEWLY MODIFIED TESTED
AND APPROVED!!!
What is the most common side effect of clozapine --ANSWER--
sedation
What labs need to be done before starting clients on antipsychotic
medications? --ANSWER--fasting lipid panel, fasting glucose,
weight, bp
When someone with schizophrenia is on an atypical antipsychotic
with complaints of increased fatigue, which antipsychotic would you
switch to? --ANSWER--Abilify
Patient has been on an atypical antipsychotic for 6weeks with
unchanged weight. Do you think that weight would be a good
predictor of fasting triglycerides --ANSWER--no
pg. 1
,What is the pathway responsible for regulation of dopamine in the
hypothalamus --ANSWER--mesolimbic pathway
What antidepressant should be avoided for a patient on clozapine? --
ANSWER--Fluvox, paroxetine, sertraline (in large doses)
If a patient is experiencing breast milk secretion while receiving a
med that may stimulate breast secretions which medication could be
switched to that does not have increased prolactin as a side effect? --
ANSWER--Seroquel or zyprexa
What is the pharmacological explanation of the resolution of breast
secretion --ANSWER--decreased dopamine- increased prolactin
Increased serotonin- increased prolactin
What medication is most associated with increased prolactin --
ANSWER--Risperidal
Which medication is most associated with weight gain --ANSWER--
olanzapine
pg. 2
, Second Generation is mainly associated with which side effects? --
ANSWER--Weight gain, hypercholesterolemia, altered glucose
tolerance insulin secretion
First Generation is mainly associated with which side effects? --
ANSWER--TD, EPS
Why is olanzapine associated with weight gain? --ANSWER--High
affinity for 2c receptors
What are the rating scales used to evaluate abnormal movements
associated with psychotropic medication? --ANSWER--SMARTS ,
AIMS, PANAS- self report questionnaire, SAGE,
PHQ-depression, COWS-Opioid withdrawl
What is the black box warning of Clozapine --ANSWER--
Agranulocytosis
pg. 3
