NR326 Exam 1 Mental Health [DRUGS]
Actual Questions and Answers Latest
Update 2025/2026 (Graded A+) –
Chamberlain
What drugs are given prior to ECT to decrease clients secretions and help
prevent aspiration? - correct answer Atropine sulfate or Glycopyrrolate
- administer 30 min prior
What drugs are given prior to ECT as short acting anesthetics? - correct
answer Methohexital or Propofol IV bolus
- administered at time of procedure
What drug is given prior to ECT as a muscle relaxant? - correct answer
succinylcholine chloride
When succinylcholine chloride is given prior to ECT, what nursing
responsibilities are needed? - correct answer 1. Place BP cuff on lower leg
prior to administration of succinylcholine chloride
2. Make sure O2 is given as respiratory muscles will also be paralyzed
Succinylcholine chloride - correct answer Muscle relaxant given prior to
ECT to prevent severe muscle contractions during the seizure
Approximately 30 minutes before ECT administer what drug as the
pretreatment medication? - correct answer atropine sulfate or
glycopyrrolate (Robinul)
, NR326 Exam 1 Mental Health [DRUGS]
Actual Questions and Answers Latest
Update 2025/2026 (Graded A+) –
Chamberlain
- given IM
Carbamazepine (Tegretol) - correct answer Anticonvulsant
Serotonin syndrome - correct answer potentially fatal syndrome of
serotonin overstimulation with rapid onset
S/S
- change in mental status, dry mouth, sweating or fever
- hypothermic and shock, diarrhea or nausea
- tremors or reflex changes, muscle rigidity, mixing meds
Interventions
- cessation of drug
- supportive interventions ( O2, IV fluids, control HR & BP, administer
meds, benzodiazepines)
What are the early signs of serotonin syndrome? - correct answer diarrhea,
restlessness, agitation, hyperreflexia, fluctuations in vital signs
Stevens-Johnson Syndrome is a common side effect of what type of mood
stabilizers? Specially what drugs? - correct answer Anticonvulsants
Lamotrigine (Lamictal) and Carbamazepine (Tegretol)
, NR326 Exam 1 Mental Health [DRUGS]
Actual Questions and Answers Latest
Update 2025/2026 (Graded A+) –
Chamberlain
Anticonvulsants as mood stabilizers - correct answer Carbamazepine
(Tegretol)
Valproic acid (Depakote)
Lamotrigine (Lamictal)
Instructions
- dont stop abruptly
- report skin rash, unusual bleeding, spontaneous bruising. sore throat,
fever, malaise, dark urine, yellow skin or eyes
- dont use dangerous machinery
- avoid alchol and OTC meds
Side effects
- dizziness, sedation, constipation
- steven-johnson syndrome (SJS)
-weight gain
A client with Stevens-Johnson syndrome will be experiencing what side
effects? - correct answer Skin Rash, fever, sore throat, malaise, necrotic
skin or peeling skin
Selegiline (Emsam) - correct answer MAOI antidepressant
Actual Questions and Answers Latest
Update 2025/2026 (Graded A+) –
Chamberlain
What drugs are given prior to ECT to decrease clients secretions and help
prevent aspiration? - correct answer Atropine sulfate or Glycopyrrolate
- administer 30 min prior
What drugs are given prior to ECT as short acting anesthetics? - correct
answer Methohexital or Propofol IV bolus
- administered at time of procedure
What drug is given prior to ECT as a muscle relaxant? - correct answer
succinylcholine chloride
When succinylcholine chloride is given prior to ECT, what nursing
responsibilities are needed? - correct answer 1. Place BP cuff on lower leg
prior to administration of succinylcholine chloride
2. Make sure O2 is given as respiratory muscles will also be paralyzed
Succinylcholine chloride - correct answer Muscle relaxant given prior to
ECT to prevent severe muscle contractions during the seizure
Approximately 30 minutes before ECT administer what drug as the
pretreatment medication? - correct answer atropine sulfate or
glycopyrrolate (Robinul)
, NR326 Exam 1 Mental Health [DRUGS]
Actual Questions and Answers Latest
Update 2025/2026 (Graded A+) –
Chamberlain
- given IM
Carbamazepine (Tegretol) - correct answer Anticonvulsant
Serotonin syndrome - correct answer potentially fatal syndrome of
serotonin overstimulation with rapid onset
S/S
- change in mental status, dry mouth, sweating or fever
- hypothermic and shock, diarrhea or nausea
- tremors or reflex changes, muscle rigidity, mixing meds
Interventions
- cessation of drug
- supportive interventions ( O2, IV fluids, control HR & BP, administer
meds, benzodiazepines)
What are the early signs of serotonin syndrome? - correct answer diarrhea,
restlessness, agitation, hyperreflexia, fluctuations in vital signs
Stevens-Johnson Syndrome is a common side effect of what type of mood
stabilizers? Specially what drugs? - correct answer Anticonvulsants
Lamotrigine (Lamictal) and Carbamazepine (Tegretol)
, NR326 Exam 1 Mental Health [DRUGS]
Actual Questions and Answers Latest
Update 2025/2026 (Graded A+) –
Chamberlain
Anticonvulsants as mood stabilizers - correct answer Carbamazepine
(Tegretol)
Valproic acid (Depakote)
Lamotrigine (Lamictal)
Instructions
- dont stop abruptly
- report skin rash, unusual bleeding, spontaneous bruising. sore throat,
fever, malaise, dark urine, yellow skin or eyes
- dont use dangerous machinery
- avoid alchol and OTC meds
Side effects
- dizziness, sedation, constipation
- steven-johnson syndrome (SJS)
-weight gain
A client with Stevens-Johnson syndrome will be experiencing what side
effects? - correct answer Skin Rash, fever, sore throat, malaise, necrotic
skin or peeling skin
Selegiline (Emsam) - correct answer MAOI antidepressant
