Psychiatric Medications NCLEX Practice Quiz (20 items)

Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol). Today, the nurse notices that the client is holding his head to one side and complaining of neck and jaw spasms. What should the nurse do? -Assume that the client is posturing. -Tell the client to lie down and relax. -Evaluate the client for adverse reactions to haloperidol. -Put the client on the list for the physician to see tomorrow

-Evaluate the client for adverse reactions to haloperidol

A client with schizophrenia has been started on medication therapy with clozapine (Clozaril). A nurse assesses the results of which laboratory study to monitor for adverse effect related to this medication? -White blood cell. -Platelet count. -Liver function studies. -Random blood sugar.

White blood cell.

A client with depression is taking phenelzine (Nardil). The nurse advises the client to avoid consuming which foods while taking the medication -Crackers. -Vegetable salad. -Oatmeal. -Yogurt.

Yogurt.

A client is prescribed with sertraline (Zoloft). To guarantee a safe administration of the medication, a nurse would administer the dse: -As needed only for depressions. -Early in the morning. -Take on an empty stomach. -At bedtime.

-At bedtime.

Patients taking MAOIs have the tendency to experience hypertensive crisis especially during an interaction with other drugs such as epinephrine. Which of the following is a sign of hypertensive crisis? -Orthostatic hypotension. -Diplopia. -Delay in ejaculation. -Hair loss

-Diplopia.

During a hypertensive crisis, the nurse make sure which of this medicine is readily available? -Lithium citrate. -Diazepam. -Phentolamine. -Phenobarbital sodium.

-Phentolamine.

A client with schizophrenia who receives fluphenazine (Prolixin) develops pseudoparkinsonism and akinesia. What drug would the nurse administer to minimize extrapyramidal symptoms? -benztropine (Cogentin) -dantrolene (Dantrium) -clonazepam (Klonopin) -diazepam (Valium)

-benztropine (Cogentin)

Which of the following is one of the advantages of the newer antipsychotic medication risperidone (Risperdal)? -The absence of anticholinergic effects -A lower incidence of extrapyramidal effects -Photosensitivity and sedation -No incidence of neuroleptic malignant syndrome

-A lower incidence of extrapyramidal effects

Drug therapy with thioridazine (Mellaril) shouldn't exceed a daily dose of 800 mg to prevent which adverse reaction? -Hypertension -Respiratory arrest -Tourette syndrome -Retinal pigmentation

-Retinal pigmentation

A client arrives in the emergency room with a tricyclic antidepressant overdose. Which of the following measures should the nurse do, except? -Maintain a patent airway. -Administration of sodium bicarbonate. -Gastric lavage with activated charcoal. -Obtain an electrocardiogram. -Administration of an antipyretic.

-Administration of an antipyretic.

Which of the following medications that treat Alzheimer's disease causes slowing of the heart rate and fainting episodes? -Tacrine (Cognex). -Galantamine (Razadyne). -Donepezil (Aricept). -All of the above.

-All of the above.

Which of the following symptoms is classified as a mild lithium toxicity: -Confusion and ataxia. -Muscle fasciculations and oliguria. -Tinnitus and blurred vision. -Apathy and Lethargy.

-Apathy and Lethargy.

A client is about to be discharged with a prescription for the antipsychotic agent haloperidol (Haldol), 10 mg by mouth twice per day. During a discharge teaching session, the nurse should provide which instruction to the client? -Take the medication 1 hour before a meal. -Decrease the dosage if signs of illness decrease. -Apply a sunscreen before being exposed to the sun. -Increase the dosage up to 50 mg twice per day if signs of illness don't decrease.

-Apply a sunscreen before being exposed to the sun

A nurse is giving instructions to a client receiving lithium citrate. The nurse tells the client to do which of the following to prevent lithium toxicity: -Avoid becoming dehydrated during exercise. -Instruct the client to change positions slowly. -Restrict salt intake in the diet. -Limit fluid intake.

-Avoid becoming dehydrated during exercise

A nurse is giving discharge instructions to a client who will be taking phenobarbital (Luminal). The nurse would educate the client in which of the following that directly correlates with the safety of the client? -Take the medication at the same time each day. -Take the medication with meals only. -Avoid using sleep aids while taking the medication. -Decrease the dosage once with symptoms of dizziness and lightheadedness.

-Avoid using sleep aids while taking the medication.

A nurse is giving instructions to a client taking risperidone (Risperdal). The nurse advise the client to which of the following? -Take it on an empty stomach. -Change position slowly. -Get a daily source of sunlight. -Discontinue medication once the symptoms went away.

-Change position slowly

A nurse is giving discharge instructions to a client who is prescribed with isocarboxazid (Marplan). The nurse will tell the client to anticipate which of the following side effects of this medication? -Weight loss. -Dry skin. -Dizziness. -Fever.

-Dizziness.

A nurse provides instructions to a client taking fluoxetine (Prozac) a selective serotonin reuptake inhibitors (SSRI) antidepressant. The nurse tells the client to take the medication: -Early in the morning. -During lunch time. -At snack time. -At bedtime.

-Early in the morning.

A client who has been taking buspirone (BuSpar) for two months returns to the clinic for a follow-up. The nurse determines that the medication is effective if there is an absent display of? -Feelings of panic, fear, and uneasiness. -Thought broadcasting or delusions. -Paranoid and suicidal thought process. -Alcohol withdrawal symptoms.

-Feelings of panic, fear, and uneasiness.

Methylphenidate (Ritalin) is prescribed to an 8-year-old child for the treatment of attention deficit hyperactivity disorder (ADHD). The nurse will most likely monitor which of the following during the medication therapy? -Deep tendon reflex. -Intake and output. -Temperature and breath sound. -Height and weight.

-Height and weight.

The risk of experiencing serotonin syndrome when SSRI's are given with monoamine oxidase inhibitors such as phenelzine (Nardil). Serotonin syndrome is best characterized in which of the following? -Hypotension and urinary retention. -Muscle rigidity and high fever. -A productive cough and vomiting. -Tea-colored urine and constipation.

-Muscle rigidity and high fever.

A newly admit client has started taking bupropion (Wellbutrin). The nurse monitors in which of the following side effects that would indicate an overdosage of the medication? -Headache. -Dizziness. -Constipation. -Seizure.

-Seizure.

A client with depression who has been taking amitriptyline for three months returns to the clinic for a follow-up. The nurse observes the client in which of the following symptoms? -Suicidal thoughts. -Lack of energy. -Loss of interest in personal appearance. -Neglect of responsibilities.

-Suicidal thoughts.

A client with persistent, severe schizophrenia has been treated with phenothiazines for the past 17 years. Now the client's speech is garbled as a result of drug-induced rhythmic tongue protrusion. What is another name for this extrapyramidal symptom? -Dystonia -Akathisia -Pseudoparkinsonism -Tardive dyskinesia

-Tardive dyskinesia

A nurse notes that a client with schizophrenia and receiving an antipsychotic medication is having uncontrolled movement of the lips and tongue. The nurse determines that the client is experiencing? -Hypertensive crisis. -Parkinsonism. -Tardive dyskinesia. -Neuroleptic malignant syndrome.

-Tardive dyskinesia.

The nurse is caring for a client with schizophrenia. Which of the following outcomes is the least desirable? -The client spends more time by himself. -The client doesn't engage in delusional thinking. -The client doesn't harm himself or others. -The client demonstrates the ability to meet his own self-care needs

-The client spends more time by himself

A client taking lithium carbonate (Lithobid) started complaining of nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, blurred vision and ringing in the ears. The lithium level is 2 mEq/L. The nurse interprets this value as: -Normal level. -Toxic level. -Below normal level. -Above normal level.

-Toxic level.

A client with schizophrenia is receiving antipsychotic medication. Which nursing diagnosis may be appropriate for this client? -Ineffective protection related to blood dyscrasias -Urinary frequency related to adverse effects of antipsychotic medication -Risk for injury related to a severely decreased level of consciousness -Risk for injury related to electrolyte disturbances

-ineffective protection related to blood dyscrasias

Important teaching for a client receiving risperidone (Risperdal) would include advising the client to: -double the dose if missed to maintain a therapeutic level. -be sure to take the drug with a meal because it's very irritating to the stomach. -discontinue the drug if the client reports weight gain. -notify the physician if the client notices an increase in bruising.

-notify the physician if the client notices an increase in bruising