NUR 326 FINAL NUR 326 MENTAL HEALTH FINAL

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NUR 326 FINAL/ NUR 326 MENTAL HEALTH FINAL

EXAM NEWEST 2025 TEST BANK| COMPLETE 400

ACTUAL EXAM QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

ALREADY GRADED A+|| BRAND NEW!!

You are caring for a patient that is being prescribed Clozapine (Clozaril) for psychotic features secondary to bipolar disorder. Which of the following lab tests must be done weekly for this medication?

• Serum drug level
• White blood cell count
• Serum sodium levels
• PT and INR - Correct Answer - B (A very dangerous adverse effect of

this medication of agranulocytosis. CBCs must be taken weekly to monitor WBC count.)

You are caring for a client who is being prescribed Risperidone for schizophrenia. Which of the following should be monitored in this patient?

• Constipation
• Thrombocytopenia
• Weight gain and blood sugar levels
• Dry mouth - Correct Answer - C (Atypical antipsychotics increase the

risk for metabolic syndrome due to weight gain and increased blood glucose levels. To minimize weight gain, advise the client to follow a healthy, low-calorie diet, engage in regular exercise and monitor weight.) 1 / 4

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pg. 2 All atypical antipsychotics are capable of what side effect?

• Postural hypotension
• Urinary retention
• Cardiac arrhythmias from widened QT interval
• Steven-Johnson's syndrome - Correct Answer - C

Your client is taking Haloperidol to treat positive symptoms related to psychosis. Upon assessment, you see that the patients muscles are extremely stiff and rigid. You notice a unilateral hand tremor and pin rolling. What is the first action you should take?

• Administer Cogentin IM.
• Call the physician.
• Increase the dose of the Haldol because this means the medication is

not working effectively.

• Put the patient on their side. - Correct Answer - A (This patient is

experiencing pseudoparkinsonism related to the medication they are taking. You can treat this adverse effect with artane, cogentin, or symmetrel (Amantadine).)

One of your patient in a mental health facility is taking Risperidone for psychosis. You watch them continuously pace back and forth for several minutes before intervening. You approach the patient and you say, "I see you are pacing back and forth. Are you experiencing some anxiety?" The patient replies, "No, I just can't stop moving. Something feels wrong." What should the nurse suspect is going on with the patient?

• Akathsia
• Tardive dyskinesia 2 / 4

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• Depression
• Acute dystonia - Correct Answer - A

Which of the following side effects would you expect to see in a patient experiencing Tardive Dyskinesia, an extrapyramidal symptom of antipsychotics?

• Muscle rigidity
• Lip smacking and tongue protrusion
• Pacing back and forth
• Contractions of the tongue, face, neck, and back - Correct Answer - B

You are caring for a client who is exhibiting aggression. Which of the following nursing diagnoses should be identified as the priority?

• Potential for violence, other directed
• Ineffective individual coping
• Anxiety
• Chronic low self-esteem - Correct Answer - A

Which of the following is a non-benzodiazepine medication used to treat anxiety?

• Aprazolam
• Buspar (Wellbutrin)
• Quetiapine
• Clonapine (Clozaril) - Correct Answer - B (Buspar and SSRIs are

non-benzodiazepines that are used to treat anxiety.) 3 / 4

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pg. 4 Which of the following medications are used to treat alcohol withdrawal? Select all that apply.

• Diazepam (Valium)
• Methadone
• Fluoxetine
• Lorazepam (Ativan)
• Chlordiazepoxide (Librium) - Correct Answer - A D E

Which of the following medications are used for opiate detox? Select all that apply.

• Naltrexone
• Methadone
• Buprenorphine (Subutex)
• Clonapin
• Clonidine - Correct Answer - B C E

You are caring for a client who is experiencing extrapyramidal symptoms from antipsychotic medication. Which of the following medications can you administer for EPS? Select all that apply.

• Buprenorphine
• Trihexyphenidyl (Artane)
• Benzatropine Mesylate (Cogentin)
• Diphenhydramine (Benadryl)
• Amantadine (Symmetrel) - Correct Answer - B C D E
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