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NURS 6521 MIDTERM AND FINAL / NURS6521 ADVANCED
PHARMACOLOGY EXAM NEWEST 2025 TEST BANK|
COMPLETE 400 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+| NURS6521 EXAM PREP 2025| BRAND NEW!!
A patient who is taking a first-generation antipsychotic (FGA) drug for schizophrenia comes to the clinic for evaluation. The nurse observes that the patient has a shuffling gait and mild tremors. The nurse will ask the patient's provider about which course of action? - ANSWER - Giving an anticholinergic medication
A patient with schizophrenia has been taking an oral FGA for 1 week.The patient has been taking the drug daily in two divided doses. The individual complains of daytime drowsiness. The patient's family reports a decrease in the person's hostility and anxiety but states that the patient remains antisocial with disordered thinking. What will the nurse tell the patient and the family? - ANSWER - Some symptoms take months to improve.
A patient with schizophrenia has been taking an antipsychotic drug for several days. The nurse enters the patient's room to administer a dose of haloperidol [Haldol] and finds the patient having facial spasms. The patient's head is thrust back, and the patient is unable to speak. What will the nurse do? - ANSWER - Request an order to give diphenhydramine.
A parent reports being afraid that a child may have schizophrenia because of disorganized speech and asocial behaviors. The nurse will tell 1 / 4
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pg. 2 this parent that which of the following must also be present to make a diagnosis? Select all that apply. - ANSWER - A decrease in self-care, job, or school function A 1-month duration of active phase symptoms Continuous signs of disturbance for longer than 6 months
Which side effects are more common in second-generation antipsychotic medications than in first-generation antipsychotic medications? Select all that apply. - ANSWER - Agranulocytosis Anticholinergic effects Metabolism by CYP3A4
A nurse in a mental health hospital finds a patient with schizophrenia who takes haloperidol [Haldol] lying rigid in bed with a temperature of 41.3°C. A cardiac monitor shows cardiac dysrhythmias. What will be included in the treatment of this patient? Select all that apply. - ANSWER - Dantrolene Intravenous fluids Withdrawal of haloperidol
A patient who has been taking a monoamine oxidase inhibitor (MAOI) for depression for several months tells the provider that the medication has not helped with symptoms. The provider plans to switch the patient
to an SSRI. The nurse will teach this patient to: - ANSWER - stop taking
the MAOI 2 weeks before starting the SSRI.
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pg. 3 A young adult patient has been taking an antidepressant medication for several weeks and reports having increased thoughts of suicide. The nurse questions further and learns that the patient has attempted suicide more than once in the past. The patient identifies a concrete plan for
committing suicide. The nurse will contact the provider to discuss: -
ANSWER - hospitalizing the patient for closer monitoring.
An older adult patient who is to begin taking imipramine [Tofranil] asks the nurse when the drug should be taken. The nurse will instruct the
patient to: - ANSWER - divide the daily dose into two equal doses 12
hours apart.
A patient has been taking an SSRI antidepressant for major depression and reports having headaches and jaw pain. What will the nurse tell the patient? - ANSWER - Discuss these symptoms with a dentist.
A neonate is born to a patient who reports taking venlafaxine [Effexor
XR]. The nurse caring for the infant will observe the infant for: -
ANSWER - irritability, tremor, and respiratory distress.
A patient is brought to the emergency department after taking a handful of TCA pills. The nurse will expect to provide what when caring for this patient? Select all that apply. - ANSWER - Cardiac monitoring Cholinesterase inhibitors Gastric lavage and activated charcoal
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pg. 4 A patient is diagnosed with major depression with severe symptoms and begins taking an antidepressant medication. Three weeks after beginning therapy, the patient tells the nurse that the drug is not working. The nurse
will counsel this patient to ask the provider about: - ANSWER - using
nondrug therapies to augment the medication.
A patient is admitted to a hospital for treatment for first-time symptoms of mania and is exhibiting euphoric mania. Which medication will the provider order? - ANSWER - Lithium [Lithobid]
A patient with bipolar disorder has been taking lithium [Lithobid] for several years. The patient has developed a goiter, and serum tests reveal hypothyroidism. What will the nurse expect the provider to order for this patient? - ANSWER - Administration of levothyroxine
A nurse is preparing to administer medications to a hospitalized patient who has been taking lithium [Lithobid] for 3 days. The patient is complaining of mild nausea and abdominal bloating. The patient's lithium level is 0.8 mEq/L. What will the nurse do? - ANSWER - Administer the dose and tell the patient that the side effects are temporary.
A patient with bipolar disorder is admitted to the hospital. The patient has been taking lithium [Lithobid] for several years and has not been evaluated by a provider for over a year. Besides obtaining a lithium level, the nurse caring for this patient will anticipate orders for which laboratory tests? Select all that apply. - ANSWER - Calcium level Renal function tests
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