Pharm Module 10 Practice Questions

15. A nurse is planning to administer olanzapine 10 mg IM to a patient diagnosed with schizophrenia. Which of the following actions should the nurse take following administration? a. Instruct the client to expect difficulty sleeping. b. Administer the medication into the deltoid muscle. c. Withhold the medication if the client reports hallucinations. d. Monitor the client for at least 3 hr after the injection.

D

21. The nurse is discussing effects of benzodiazepines with a patient. Which of the following is not an effect of benzodiazepines? a. Sedation b. Sleep-inducement c. Muscle relaxation d. Boost in energy

D

3. A patient is taking chlorpromazine for schizophrenia. The patient ask the nurse what the doctor meant when he stated to report "Tardive Dyskinesia"? The nurse states: a. Restlessness or desire to keep moving. b. Muscle spasms, twitching, weakness in arms c. Shuffling gait, pill rolling movement of hands. d. Trouble speaking and chewing and observes slow, wormlike movements of the tongue.

D

19. The nurse is providing teaching to a patient taking lithium for bipolar disorder. Which statement(s) would be included in teaching: (Select All That Apply) a. Nonsteroid anti-inflammatory drugs (NSAIDs) can increase lithium levels. b. Increase fluid intake while taking this medication. c. Do not use antihistamines while taking this medication. d. Report any muscle weakness while taking this medication.

ABD

14. An ER nurse has just administered olanzapine to a patient experiencing a psychotic episode. The nurse should evaluate for what, after administration? (Select All That Apply) a. Decrease in symptoms of psychosis. b. Return in ability to urinate. c. Ensure the patient has not "cheeked or hoarded" the medication. d. Return of the patient's appetite

AC

12. A nurse has provided teaching to a patient regarding her new medication - clozapine. The nurse is aware that further teaching is necessary when the patient makes the following statements? (Select All That Apply) a. "This medication will assist in preventing seizures." b. "This medication can be taken by mouth." c. "This medication may cause ringing my ears." d. "I need to get up slowly from a lying position to prevent passing out while taking this medication."

AC

6. When teaching a client who has schizophrenia and a new prescription for fluphenazine. Which of the following information should be nurse provided? (Select All That Apply) a. "A low-grade fever is expected with first doses." b. "Sleepiness should subside within a week." c. "You may notice a change in color change in your urine" d. Report an increase in blood pressure as soon as possible.

ABC

24. Which drug would you use to reverse the action of benzodiazepines? a. Disulfiram b. Flumazenil c. Narcan d. Hydroxyzine

B

18. A nurse is providing teaching to a patient with a new medication quetiapine (Seroquil) for schizophrenia. The nurse provides the following teaching: (Select All That Apply) a. Report any increase in eating, urinating and fluid intake after starting this medication. b. This will not interfere with your medication for seizures. c. Report any increase in suicide ideation. d. You should not notice any weight gain while taking this medication.

AC

7. A nurse is administers PRN haloperidol to a client who has severe manifestations of schizophrenia and agitation. What are the possible adverse effects should be assessed? (Select All That Apply.) a. Dysrhythmias b. Cataracts c. Hepatitis d. Bleeding

AC

1. A nurse administers benzodiazepine to a young teen who was brought to the ER having an "anxiety attack". The teens mom ask why the teen appears better in such a short time after administration. The nurse explains: a. This drug causes sedation in most people. b. This is a Benzodiazepine, they work quickly because they have a rapid onset of action. c. Physical dependence is not a risk when taking benzodiazepines, therefore it is the safest. d. Benzodiazepines are known to cure generalized anxiety.

B

11. A nurse comes on shift and is reviewing lab values for her assigned patients diagnosed with schizophrenia. She is aware of the need to withhold the clozapine and notify the provider immediately with the request to discontinue the medication when she notices which of the following lab values? a. hematocrit of 55% b WBC of 2,900 cells/mm3 c. serum potassium of 3.3 mEq/L d. BUN of 22 mg/dL

B

16. A nurse is administering medication to patients. She is preparing the lamotrigine (Lamictal) for a patient diagnosed with bipolar disorder. She observes which of the following and knows to hold the medication and notify the prescriber for further assessment? a. Dizziness as the patient stands." b. Observes a rash on chest and back. c. Notation in the chart that patient reports multiple headaches throughout the week. d. Notation in the chart that patient reports difficulty sleeping and bad dreams.

B

5. A nurse knows to monitor for the presence of which extrapyramidal side effects (EPS) in a client who is taking chlorpromazine? (Select All That Apply.) a. Blurred vision b. Fidgeting behavior c. Muscle spasms of the neck d. Tremors of the hands e. Sexual dysfunction

BCD

10. A nurse has administered haloperidol to a patient who just demonstrated an acute psychosis event. What adverse effect should the nurse monitor for? a. Excess salivation b. Increased agitation c. Dystonia d. Diarrhea

C

13. A nurse is administering medication to a patient with bipolar disorder with multiple manic episodes. The patient ask why two medications are now being given for her bipolar disorder. The nurse responds that the new medication, Risperidone, was added by the doctor because: a. Risperidone elevates moods in bipolar patients during a depressive episode. b. Risperidone controls tremors in bipolar patients. c. Risperidone assist in controlling symptoms in bipolar patients during manic episodes. d. Risperidone prevents episodes of mania.

C

17. A patient has a new prescription for methylphenidate. The nurse is aware of the need for further teaching when the patient states: a. "It is ok to drink my usual 4 cups of coffee each day." b. "I should take this medication at bedtime." c. "I can drive home after taking my first dose of this medication." d. "I need to decrease my caloric intake while taking this medication to avoid weight gain."

C

2. An ER nurse receives a patient reporting dizziness and shortness of breath after taking her new medication, fluphenazine. What is the nurse's initial action? a. Insert a Foley catheter b. Obtain the patient's history. c. Obtain an ECG d. Tell the patient to stop taking the medication.

C

20. The nurse is providing teaching to the family of a patient taking chlorpromazine. When discussing sudden withdrawal of medication with the family, what should be included in teaching? a. Sudden withdrawal may cause Tardive dyskinesia. b. Sudden withdrawal may cause difficulty with urination c. Sudden withdrawal may cause difficulty sleeping. d. Sudden withdrawal may cause dizziness.

C

22. Which chemical class do most anti-anxiety drugs belong to? a. Xanax. b. Valium. c. benzodiazepines. d. oxazepam.

C

23. Which of the following benzodiazepines acts as to help anxiety through the neurotransmitter, serotonin? a. Cocaine b. Triazolam c. Buspirone d. Heroin

C

25. Which of the following pairings of disorder and treatment is correct? a. lithium: specific phobia disorder b. cingulotomy: bipolar disorder c. Xanax: anxiety disorder d. Prozac: schizophrenia

C

4. A patient's family tells the nurse they are noticing their son has been having constant movement of his tongue and face since he has been taking chlorpromazine for several months. The nurse responds that this should be reported to his doctor and may be an adverse effect of his medication called: a. Onset of Early Parkinsonism b. Dystonia c. Tardive dyskinesia d. Akathisia

C

8. A patient's family discusses outcome of a the newly prescribed medication risperidone with the nurse. They report seeing fewer episodes of hostility and anxiety since starting the medication a week ago, however the patient remains antisocial and has issues with disturbed thinking. What is the nurses best response? a. A change in dosage may help decrease his other symptoms. b. The doctor may change to another medication to decrease his other symptoms. c. Some symptoms take months to improve. d. There may never be a decrease in all of his symptoms.

C

9. As a nurse is preparing to administer a monthly injection of haloperidol decanoate to a client diagnosed with schizophrenia, she is aware she should: a. Assess the client for a sudden relapse of manifestations. b. Monitor the client for bradycardia following the injection. c. Have the client lie down for 30 min after the medication is injected. d. Administer the medication using a tuberculin syringe.

C