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psychiatric medication exam questions with solutions, Exams of Psychiatry

Virginia State University (VSU)Psychiatry

psychiatric medication exam questions with solutions

Typology: Exams

2024/2025

Available from 07/02/2025

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psychiatric medication exam questions with
solutions
1. A nurse is collecting data from a client who is suspected of having
benzodi- azepine toxicity. Which of the following findings should the nurse
identify as the priority to report to the provider?
Confusion
Drowsiness
Hypotension
Ataxia:
hypotension
2. A nurse is reinforcing teaching with a client who has a new prescription
for escitalopram for treatment of generalized anxiety disorder. Which of the
fol- lowing statements by the client indicates understanding of the
information?
"I should not crush this medication before swallowing."
"I should take the medication on an empty stomach."
"I need to discontinue this medication slowly."
"I will follow a low-sodium diet while taking this medication.": "I need to
discon- tinue this medication slowly."
3. A nurse is reinforcing teaching with a client who has a new prescription
for buspirone to treat anxiety. Which of the following information should the
nurse reinforce?
"Take this medication on an empty stomach."
"This medication has a low risk for
dependency."
"Expect optimal therapeutic effects within 24 hours."
"Take this medication when needed for anxiety.": "This medication has a low
risk for dependency."
4. A nurse is reinforcing teaching with a client who has obsessive-
compulsive disorder and a new prescription for paroxetine. Which of the
following instruc- tions should the nurse include?
"You should take the medication when needed for obsessive
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psychiatric medication exam questions with

solutions

  1. A nurse is collecting data from a client who is suspected of having benzodi- azepine toxicity. Which of the following findings should the nurse identify as the priority to report to the provider? Confusion Drowsiness Hypotension Ataxia: hypotension
  2. A nurse is reinforcing teaching with a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the fol- lowing statements by the client indicates understanding of the information? "I should not crush this medication before swallowing." "I should take the medication on an empty stomach." "I need to discontinue this medication slowly." "I will follow a low-sodium diet while taking this medication.": "I need to discon- tinue this medication slowly."
  3. A nurse is reinforcing teaching with a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse reinforce? "Take this medication on an empty stomach." "This medication has a low risk for dependency." "Expect optimal therapeutic effects within 24 hours." "Take this medication when needed for anxiety.": "This medication has a low risk for dependency."
  4. A nurse is reinforcing teaching with a client who has obsessive- compulsive disorder and a new prescription for paroxetine. Which of the following instruc- tions should the nurse include? "You should take the medication when needed for obsessive

urges." "Take the medication just before bedtime to promote sleep." "It can take several weeks before you feel like the medication is helping." "Monitor for weight gain while taking this medication.": "It can take several weeks before you feel like the medication is helping."

  1. A nurse is caring for a client who takes paroxetine to treat posttraumatic stress disorder and reports that they grind their teeth during the night. The nurse should identify which of the following interventions to manage brux- ism? (select all that apply) Use of a mouth guard Increasing the dose of paroxetine Administration of a different SSRI Concurrent administration of buspirone Changing to a different class of antidepressant medication: Use of a mouth guard Concurrent administration of buspirone Changing to a different class of antidepressant medication
  2. A nurse is caring for a client who has a new prescription of phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication? Hearing loss Orthostatic hypotension Weight loss Gastrointestinal bleeding: Orthostatic hypotension
  3. A nurse is reinforcing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse reinforce in the teaching? (select all that apply) Decrease dietary fiber intake to control diarrhea. Expect therapeutic effects in 24 to 48 hours. Change positions slowly to minimize dizziness. Discontinue the medication after a week of improved mood. Chew sugarless gum to prevent dry mouth.: Change positions slowly to minimize dizziness. Chew sugarless gum to prevent dry mouth.
  4. A nurse is reinforcing discharge teaching to a client who has a new

Prepare the client for hemodialysis. Administer a loop diuretic.: Prepare the client for hemodialysis.

  1. A nurse is caring for a client who has a new prescription for lithium carbon- ate. When reinforcing teaching with the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following? Restrict intake of foods rich in sodium. Decrease fluid intake to less than 1,500 mL daily. Limit aerobic activity in hot weather. Avoid the use of acetaminophen for headaches.: Limit aerobic activity in hot weather.
  2. A nurse is collecting data from a client who takes lithium carbonate for the treatment of bipolar disorder. The nurse should identify which of the following findings is a possible indication of toxicity to this medication? Severe hypertension Constipation Coarse tremors Muscle spasms: course tremors
  3. A nurse is caring for a client who has a new prescription for valproic acid. The nurse should instruct the client to have which of the following blood laboratory tests completed periodically? (select all that apply) Glucose Potassium Thrombocyte count Liver function tests Amylase: Thrombocyte count Liver function tests Amylase
  4. A nurse is contributing to a teaching plan for a client who has bipolar disorder and a new prescription for carbamazepine. Which of the following instructions should the nurse include? (select all that apply) "You will need to have a complete blood count and carbamazepine levels drawn periodically."

"Notify your provider if you develop a rash." "Avoid driving for the first few days after starting this medication." "This medication can safely be taken during pregnancy." "Eliminate grapefruit juice from your diet.": "You will need to have a complete blood count and carbamazepine levels drawn periodically." "Notify your provider if you develop a rash." "Avoid driving for the first few days after starting this medication." "Eliminate grapefruit juice from your diet."

  1. A nurse is reinforcing teaching with a client, who has schizophrenia, about strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects? Chew sugarless gum to moisten the mouth. Take an antacid to relieve nausea. Use cooling measures to decrease fever.

Impaired social interactions Bizarre behavior: Hallucinations Disorganized speech Bizarre behavior

  1. A nurse is reinforcing teaching with the guardians of a child who has a new prescription for desipramine. The nurse should include that which of the following adverse effects is the priority to report to the provider? Constipation Dry mouth Suicidal thoughts Photophobia: suicidal thoughts
  2. A nurse is reinforcing teaching with an adolescent client who has a new prescription for clomipramine for OCD. Which of the following instructions should the nurse include to minimize an adverse effect of his medication? Wear sunglasses when outdoors. Check your temperature daily. Add extra calories to your diet. Take this medication in the morning.: Wear sunglasses when outdoors.
  3. A nurse is caring for a school-age child who has a new prescription for atomoxetine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? Adrenal insufficiency Liver damage Kidney toxicity Seizure activity: liver damage
  4. A nurse is reinforcing teaching with the caregiver of a school-age child about transdermal methylphenidate. Which of the following instructions should the nurse include? Apply one patch twice per day. Leave the patch on for 9 hours. Apply the patch to the child's waist. Use opened tray within 6 months.: Leave the patch on for 9 hours.
  5. A nurse is reinforcing teaching with the guardians of a school-age child about a new prescription for lisdexamfetamine. Which of the following infor- mation should the nurse include? (select all that apply)

This medication raises the levels of dopamine in the brain. Monitor blood pressure while taking this medication.: An adverse effect of this medication is CNS stimulation. This medication raises the levels of dopamine in the brain. Monitor blood pressure while taking this medication.

  1. A nurse is reinforcing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include? Can increase blood pressure Decreases cravings Provides a form of aversion therapy Increases the risk for seizure activity: Decreases cravings
  2. A nurse is assisting with a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the nurse include in the discussion? (select all that apply) diazepam acamprosate lorazepam disulfiram naltrexone: diazepam lorazepam
  3. A nurse is reinforcing teaching for a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? Diarrhea Dry mouth Hypertension Insomnia: Dry mouth
  4. A nurse is reinforcing teaching with a client who has tobacco use disorder about nicotine replacement therapy using nicotine gum. Which of the follow- ing statements by the client indicates understanding of the information?

"I know that nicotine gum is a safe alternative to smoking if I become preg- nant."

Increase intake of protein-rich foods. Expect muscle twitching to occur.

Expect urine to be dark in color. Anticipate relief of manifestations in 24 hours.: Expect urine to be dark in color.

  1. A nurse is preparing to administer a medication to a client who has ab- sence seizures. The nurse should expect to administer which of the following medications to the client? (select all that apply) valproic acid lamotrigine ethosuximide gabapentin carbamazepine phenytoin: valproic acid lamotrigine ethosuximide
  2. A nurse is reviewing a new prescription for oxcarbazepine with a client who has partial seizures. Which of the following instructions should the nurse include? (select all that apply) "Chew gum to increase saliva production." "Use caution if given a prescription for a diuretic medication." "Consider using an alternate form of contraception if you are using oral contraceptives." "Avoid driving until you see how the medication affects you." "Notify the doctor if you develop a skin rash.": "Use caution if given a prescription for a diuretic medication." "Consider using an alternate form of contraception if you are using oral contracep- tives." "Avoid driving until you see how the medication affects you." "Notify the doctor if you develop a skin rash."
  3. A nurse is reinforcing instructions with a client who has a new prescription for timolol how to insert eye drops. The nurse should reinforce with the client to press on which of the following areas to prevent systemic absorption of the medication? Bony orbit Nasolacrimal duct Conjunctival sac
  1. A nurse is reinforcing teaching with a client who has a new prescription for brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching? "This medication can stain your contacts." "This medication can absorb into your contacts." "This medication can slow your heart rate." "This medication can cause your pupils to constrict.": "This medication can absorb into your contacts."
  2. A nurse who is assisting in the emergency department is reviewing the medical record of a client who is being evaluated for angle-closure glaucoma. Which of the following findings is an indicative of this condition? Insidious onset of painless loss of vision Intraocular pressure 12 mmHg Gradual reduction in peripheral vision Severe pain around the eyes: Severe pain around the eyes
  3. A nurse is reinforcing teaching with a client about preventing otitis externa. Which of the following instructions should the nurse include? Clean ears with a cotton-tipped swab daily. Use a cool water irrigation solution to remove earwax. Tip head to each side to remove water from the ears after showering. Place earplugs in the ears when sleeping at night.: Tip head to each side to remove water from the ears after showering.
  4. A nurse in a provider's office is reinforcing instructions with a guardian of a toddler how to administer ear drops. Which of the following instructions should the nurse include? (select all that apply) "Tightly pack the ear canal with cotton after instillation of the ear drops." "Place the son on the unaffected side when you are ready to administer the medication." "Keep the child on their side for 5 minutes after instillation of the ear drops." "Gently shake medication that is in suspension form." "Warm the medication by gently rolling it between your hands for a few minutes.": "Place the son on the unaffected side when you are ready to administer the medication." "Keep the child on their side for 5 minutes after instillation of the ear drops."

"Gently shake medication that is in suspension form." "Warm the medication by gently rolling it between your hands for a few minutes."

  1. A nurse in the operating room is assisting with the care of a client who received a dose of succinylcholine. During the operation, the client suddenly develops rigidity and a rise in body temperature. The nurse should expect a prescription for which of the following medications? naloxone vecuronium neostigmine dantrolene: dantrolene
  2. A nurse is assisting with the care of a client who is experiencing malignant hyperthermia. Which of the following actions should the nurse take? (select all that apply) Administer oxygen at 100%. Administer potassium chloride IV. Monitor core body temperature. Place a cooling blanket on the client. Administer iced 0.9% sodium chloride.: Administer oxygen at 100%. Monitor core body temperature. Place a cooling blanket on the client. Administer iced 0.9% sodium chloride.
  3. A nurse is reinforcing teaching with a client who has a new prescription for baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching? (select all that apply) "I should take this medication on an empty stomach each morning." "I may develop a yellowing of the eyes with this medication." "I may experience difficulty with urination while taking this medication." "I should increase fiber to prevent constipation from this medication." "I won't be able to drink alcohol while I'm taking this medication.": "I may experience difficulty with urination while taking this medication." "I should increase fiber to prevent constipation from this medication." "I won't be able to drink alcohol while I'm taking this medication."

Glaucoma Sinusitis Bursitis Depression: glaucoma

  1. A nurse is collecting data from a client who has a prescription for bethane- chol to treat urinary retention. The nurse should identify that which of the following findings is a manifestation of muscarinic stimulation? Dry mouth Fecal impaction Hypertension Excessive perspiration: Excessive perspiration
  2. A nurse is reinforcing teaching with a client who has been experiencing insomnia and has a new prescription for temazepam. The nurse should include that which of the following manifestations are adverse effects of temazepam? (select all that apply) Hypertension Amnesia Pruritus Incoordination Sleep driving: Amnesia Incoordination Sleep driving
  3. A nurse is assisting in the care of a client who is receiving moderate sedation with diazepam IV. The client is oversedated. Which of the following medications should the nurse expect the provider to prescribe? naltrexone ketamine fluvoxamine flumazenil: flumazenil
  4. A nurse is reinforcing teaching with a client who has a new prescription for ramelteon. The nurse should instruct the client to avoid which of the following foods at the time of medication administration? Whole-grain bread Baked potato

Fried chicken Citrus fruits: fried chicken

  1. A nurse is caring for a client who is to undergo a surgical procedure. Which of the following pre-existing conditions can be a contraindication for the use of ketamine as an intravenous anesthetic? Breast cancer Peptic ulcer disease Diabetes mellitus Schizophrenia: Schizophrenia
  2. A nurse is reinforcing instructions to a client who has a new prescription for zolpidem. Which of the following instructions should the nurse include? "Take the medication 1 hour before you plan to go to sleep." "To increase the effectiveness of zolpidem, take it with a bedtime snack." "Notify the provider if you plan to become pregnant." "Allow at least 6 hours for sleep when taking zolpidem.": "Notify the provider if you plan to become pregnant."