NUR 114 Exam 3 Practice Questions and Complete Solutions
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Course
NUR 114
Institution
NUR 114
The nurse is teaching a client taking an MAOI about foods with tyramine that he or she should avoid. Which statement indicates that the client needs further teaching? a."I'm so glad I can have pizza as long as I don't order pepperoni." b."I will be able to eat cottage cheese without worrying." c."I...
NUR 114 Exam 3 Practice Questions and
Complete Solutions
The nurse is teaching a client taking an MAOI about foods with tyramine that he or she
should avoid. Which statement indicates that the client needs further teaching?
a."I'm so glad I can have pizza as long as I don't order pepperoni."
b."I will be able to eat cottage cheese without worrying."
c."I will have to avoid drinking nonalcoholic beer."
d."I can eat green beans on this diet." ✅a."I'm so glad I can have pizza as long as I
don't order pepperoni."
A client who has been depressed and suicidal started taking a tricyclic antidepressant 2
weeks ago and is now ready to leave the hospital to go home. Which is a concern for
the nurse as discharge plans are finalized? a.The client may need a prescription for
diphenhydramine (Benadryl) to use for side effects. b.The nurse will evaluate the risk for
suicide by overdose of the tricyclic antidepressant.
c.The nurse will need to include teaching regarding the signs of neuroleptic malignant
syndrome.
d.The client will need regular laboratory work to monitor therapeutic drug levels.
✅b.The nurse will evaluate the risk for suicide by overdose of the tricyclic
antidepressant.
The signs of lithium toxicity include which?
a.Sedation, fever, and restlessness
b.Psychomotor agitation, insomnia, and increased thirst c.Elevated WBC count,
sweating, and confusion d.Severe vomiting, diarrhea, and weakness ✅d.Severe
vomiting, diarrhea, and weakness
Which is a concern for children taking stimulants for ADHD for several years?
a.Dependence on the drug
b.Insomnia
c.Growth suppression
d.Weight gain ✅c.Growth suppression
The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol).
The client complains of restlessness, cannot sit still, and has muscle stiffness. Of the
following prn medications, which would the nurse administer?
a.Haloperidol (Haldol), 5 mg PO
b.Benztropine (Cogentin), 2 mg PO
c.Propranolol (Inderal), 20 mg PO
d.Trazodone, 50 mg PO ✅b.Benztropine (Cogentin), 2 mg PO
Client teaching for lamotrigine (Lamictal) should include which instructions?
,a.Eat a well-balanced diet to avoid weight gain. b.Report any rashes to your doctor
immediately.
c.Take each dose with food to avoid nausea.
d.This drug may cause psychological dependence. ✅b.Report any rashes to your
doctor immediately.
Which physician order would the nurse question for a client who has stated, "I'm allergic
to phenothiazines?" a.Haldol, 5 mg PO bid
b.Navane, 10 mg PO bid
c.Prolixin, 5 mg PO tid
d.Risperdal, 2 mg bid ✅c.Prolixin, 5 mg PO tid
Clients taking which type of psychotropic medications need close monitoring of their
cardiac status? a.Antidepressants
b.Antipsychotics
c.Mood stabilizers
d.Stimulants ✅b.Antipsychotics
Identify the drug classification for this medication.
_____________________ Clozapine (Clozaril) ✅Atypical antipsychotic
Identify the drug classification for this medication.
______________________ Fluoxetine (Prozac) ✅SSRI antidepressant
Identify the drug classification for this medication.
______________________ Amitriptyline (Elavil) ✅Tricyclic antidepressant
Identify the drug classification for this medication.
______________________ Benztropine (Cogentin) ✅Anticholinergic
Identify the drug classification for this medication.
______________________Methylphenidate (Ritalin) ✅Stimulant
Identify the drug classification for this medication.
______________________Carbamazepine (Tegretol) ✅Anticonvulsant used as a
mood stabilizer
Identify the drug classification for this medication.
______________________ Clonazepam (Klonopin) ✅Benzodiazepine
Identify the drug classification for this medication.
______________________ Quetiapine (Seroquel) ✅Atypical antipsychotic
Explain the rationale for tapering psychotropic medication doses before the client
discontinues the drug. ✅Abrupt cessation results in a rebound effect (return of
, symptoms), recurrence of the original symptoms, or possible withdrawal symptoms.
Tapering gradually alleviates or minimizes these problems.
Describe the teaching needed for a client who is scheduled for PET. ✅A radioactive
substance will be injected into the bloodstream. The client will be asked to perform
"thinking" tasks while the camera takes scans of the brain working. The procedure will
take 2 to 3 hours.
Explain the kindling process as it relates to the manic episodes of bipolar affective
disorder ✅Just as kindling is used to start a larger fire, mild or small manic mood
swings can eventually trigger a major, acute manic episode.
Which is an example of assertive communication?
a."I wish you would stop making me angry."
b."I feel angry when you walk away when I'm talking."
c."You never listen to me when I'm talking."
d."You make me angry when you interrupt me." ✅b."I feel angry when you walk away
when I'm talking."
Which statement about anger is true?
a.Expressing anger openly and directly usually leads to arguments.
b.Anger results from being frustrated, hurt, or afraid. c.Suppressing anger is a sign of
maturity.
d.Angry feelings are a negative response to a situation. ✅c.Suppressing anger is a
sign of maturity.
Which type of drugs requires cautious use with potentially aggressive clients?
a.Antipsychotic medications
b.Benzodiazepines
c.Mood stabilizers
d.Lithium ✅b.Benzodiazepines
A client is pacing in the hallway with clenched fists and a flushed face. She is yelling
and swearing. In which phase of the aggression cycle is she?
a.Anger
b.Triggering
c.Escalation
d.Crisis ✅a.Anger
The nurse observes a client muttering to himself and pounding his fist in his other hand
while pacing in the hallway. Which principle should guide the nurse's action?
a.Only one nurse should approach an upset client to avoid threatening the client.
b.Clients who can verbalize angry feelings are less likely to become physically
aggressive.
c.Talking to a client with delusions is not helpful, because the client has no ability to
reason.
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