NCLEX Psychiatric/Mental Health Drugs
A client receiving the medication buspirone is admitted to the hospital with the diagnosis of possible
hepatitis. The nurse identifies that the client's sclerae look yellow. What will be the nurse's initial
action?
A. Withhold the medication.
B. Give the buspirone with milk.
C. Reduce the dosage of the medication.
D. Ensure that the medication can be given parenterally.
A. Withhold the medication.
Imipramine, 75 mg three times per day, is prescribed for a client. What nursing action is appropriate
when this medication is being administered?
A. Telling the client that barbiturates and steroids will not be prescribed
B. Warning the client not to eat cheese, fermented products, and chicken liver
C. Monitoring the client for increased tolerance and reporting when the dosage is no longer effective
D. Having the client checked for increased intraocular pressure and teaching about glaucoma
symptoms
D. Having the client checked for increased intraocular pressure and teaching about glaucoma symptoms
A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a
follow-up visit. When interviewing the client, the nurse identifies that the medication has been
effective when the client makes which statement?
A. "I have less pain."
B. "I have been sleeping better."
C. "My blood glucose is under control."
D. "My blood pressure is coming down."
B. "I have been sleeping better."
A client has been receiving fluphenazine for several months. The nurse will assess the client for which
side effects? Select all that apply.
A. Tremors
B. Excess salivation
C. Rambling speech
D. Reluctance to converse
,E. Uncoordinated movement of extremities
E. Uncoordinated movement of extremities
The nurse is teaching a client who is receiving a monoamine oxidase inhibitor about dietary
restrictions. The nurse plans to caution the client to avoid which foods?
A. Pork, spinach, and fresh oysters
B. Milk, grapes, and meat tenderizers
C. Cheese, beer, and products with chocolate
D. Leafy green vegetables, fresh apples, and ice cream
C. Cheese, beer, and products with chocolate
A nurse is counseling a client who abuses cocaine. The nurse recognizes that this drug is representative
of which drug category?
A. An opioid
B. A stimulant
C. A barbiturate
D. A hallucinogen
B. A stimulant
What is the best drug of choice for treating obsessive-compulsive disorder?
A. Imipramine
B. Lithium salts
C. Amitriptyline
D. Clomipramine
D. Clomipramine
Which drug may lead to bruxism (a condition in which you grind, gnash or clench your teeth)?
A. Vilazodone
B. Isocarboxazid
C. Clomipramine
D. Levomilnacipran
D. Levomilnacipran
Which drug is used to treat both generalized anxiety disorder and depression?
A. Fluoxetine
B. Bupropion
, C. Duloxetine
D. Mirtazapine
C. Duloxetine
Which drug is contraindicated in a pregnant client diagnosed with bipolar disorder?
A. Sertraline
B. Paroxetine
C. Venlafaxine
D. Despramine
B. Paroxetine
A healthcare provider prescribes aripiprazole 15 mg by mouth once a day for a client with the
diagnosis of schizophrenia. The hospital pharmacy sends aripiprazole 5 mg/tablet. How many tablets
will the nurse administer? Record your answer as a whole number. ____ tablet(s)
3
A client has been receiving lithium for the past 2 weeks for the treatment of bipolar disorder, manic
phase. What will the nurse include in the teaching plan for this client?
A. A diuretic is necessary for anyone taking lithium.
B. Lithium must be taken for the rest of the client's life.
C. The blood level of lithium must be checked every month.
D. A low-sodium diet must be followed while lithium is being taken.
C. The blood level of lithium must be checked every month.
A client with schizophrenia who is receiving an antipsychotic medication begins to exhibit a shuffling
gait and tremors. The primary healthcare provider prescribes the anticholinergic medication
benztropine, 2 mg daily. What will the nurse assess the client for daily when administering these
medications together?
A. Constipation
B. Hypertension
C. Increased salivation
D. Excessive perspiration
A. Constipation
A healthcare provider prescribes disulfiram for a client who abuses alcohol. The nurse teaches the
client that disulfiram will have which action?
A client receiving the medication buspirone is admitted to the hospital with the diagnosis of possible
hepatitis. The nurse identifies that the client's sclerae look yellow. What will be the nurse's initial
action?
A. Withhold the medication.
B. Give the buspirone with milk.
C. Reduce the dosage of the medication.
D. Ensure that the medication can be given parenterally.
A. Withhold the medication.
Imipramine, 75 mg three times per day, is prescribed for a client. What nursing action is appropriate
when this medication is being administered?
A. Telling the client that barbiturates and steroids will not be prescribed
B. Warning the client not to eat cheese, fermented products, and chicken liver
C. Monitoring the client for increased tolerance and reporting when the dosage is no longer effective
D. Having the client checked for increased intraocular pressure and teaching about glaucoma
symptoms
D. Having the client checked for increased intraocular pressure and teaching about glaucoma symptoms
A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a
follow-up visit. When interviewing the client, the nurse identifies that the medication has been
effective when the client makes which statement?
A. "I have less pain."
B. "I have been sleeping better."
C. "My blood glucose is under control."
D. "My blood pressure is coming down."
B. "I have been sleeping better."
A client has been receiving fluphenazine for several months. The nurse will assess the client for which
side effects? Select all that apply.
A. Tremors
B. Excess salivation
C. Rambling speech
D. Reluctance to converse
,E. Uncoordinated movement of extremities
E. Uncoordinated movement of extremities
The nurse is teaching a client who is receiving a monoamine oxidase inhibitor about dietary
restrictions. The nurse plans to caution the client to avoid which foods?
A. Pork, spinach, and fresh oysters
B. Milk, grapes, and meat tenderizers
C. Cheese, beer, and products with chocolate
D. Leafy green vegetables, fresh apples, and ice cream
C. Cheese, beer, and products with chocolate
A nurse is counseling a client who abuses cocaine. The nurse recognizes that this drug is representative
of which drug category?
A. An opioid
B. A stimulant
C. A barbiturate
D. A hallucinogen
B. A stimulant
What is the best drug of choice for treating obsessive-compulsive disorder?
A. Imipramine
B. Lithium salts
C. Amitriptyline
D. Clomipramine
D. Clomipramine
Which drug may lead to bruxism (a condition in which you grind, gnash or clench your teeth)?
A. Vilazodone
B. Isocarboxazid
C. Clomipramine
D. Levomilnacipran
D. Levomilnacipran
Which drug is used to treat both generalized anxiety disorder and depression?
A. Fluoxetine
B. Bupropion
, C. Duloxetine
D. Mirtazapine
C. Duloxetine
Which drug is contraindicated in a pregnant client diagnosed with bipolar disorder?
A. Sertraline
B. Paroxetine
C. Venlafaxine
D. Despramine
B. Paroxetine
A healthcare provider prescribes aripiprazole 15 mg by mouth once a day for a client with the
diagnosis of schizophrenia. The hospital pharmacy sends aripiprazole 5 mg/tablet. How many tablets
will the nurse administer? Record your answer as a whole number. ____ tablet(s)
3
A client has been receiving lithium for the past 2 weeks for the treatment of bipolar disorder, manic
phase. What will the nurse include in the teaching plan for this client?
A. A diuretic is necessary for anyone taking lithium.
B. Lithium must be taken for the rest of the client's life.
C. The blood level of lithium must be checked every month.
D. A low-sodium diet must be followed while lithium is being taken.
C. The blood level of lithium must be checked every month.
A client with schizophrenia who is receiving an antipsychotic medication begins to exhibit a shuffling
gait and tremors. The primary healthcare provider prescribes the anticholinergic medication
benztropine, 2 mg daily. What will the nurse assess the client for daily when administering these
medications together?
A. Constipation
B. Hypertension
C. Increased salivation
D. Excessive perspiration
A. Constipation
A healthcare provider prescribes disulfiram for a client who abuses alcohol. The nurse teaches the
client that disulfiram will have which action?
