Read the most frequently asked 48 top Nursing multiple choice questions and answers PDF for freshers and experienced. Nursing objective questions and answers pdf download free..
Nursing Multiple Choice Questions and Answers PDF Experienced Freshers
1. Which is the following is the most appropriate during the orientation phase?
A. patient’s perception on the reason of her hospitalization
B. identification of more effective ways of coping
C. exploration of inadequate coping skills
D. establishment of regular meeting of schedules
Ans: D
2. The nurse shows a patient advocate role when?
A. defend the patients right
B. refer patient for other services she needs
C. work with significant others
D. intercedes in behalf of the patient.
Ans: A
3. As a manager, the nurse should?
A. Initiates nursing action with co-workers.
B. Plans nursing care with the patient.
C. Speaks in behalf of the patient
D. Works together with the team
Ans: D
4. As a care provider, the nurse should do first?
A. Provide direct nursing care.
B. Participate with the team in performing nursing intervention.
C. Therapeutic use of self
D. Early recognition of the client’s needs
Ans: D
5. A Diabetic patient was amputated following an unexpected necrosis on the right leg, he sustained and undergone BKA. He then underwent therapy on how to use his new prosthetic leg. What level of prevention is this?
A. primary
B. secondary
C. tertiary
D. None of the Above
Ans: C
6. A female client undergoes yearly mammography. What level of prevention is this?
A. primary
B. secondary
C. tertiary
D. None of the Above
Ans: B
7. 60 years old post CVA (cardio vascular accident) patient is taking TPA for his disease. What level of prevention is this?
A. primary
B. secondary
C. tertiary
D. None of the Above
Ans: C
8. Preparing the client for the termination phase begins?
A. pre orientation
B. orientation
C. working
D. termination
Ans: C
9. A helping relationship is a process characterized by-
A. recovery promoting
B. mutual interaction
C. growth facilitating
D. health enhancing
Ans: C
10. During the nurse patient interaction, the nurse assesses the ff: to determine the patients coping strategy:
A. How are you feeling right now?
B. Do you have anyone to take you home?
C. What do you think will help you right now?
D. How does your problem affect your life?
Ans: D
11. As a counselor, a nurse should perform which of the ff task-
A. Encourage client to express feelings and concerns
B. Helps client to learn a dance or song to enable her to participate in activities
C. Help the client prepare in-group activities
D. Assist the client in setting limits on her behavior
Ans: A.
12. A 16-year-old child is hospitalized, according to Erik Eriksson, what is an appropriate intervention?
A. tell the friends to visit the child
B. encourage patient to help child learn lessons missed
C. call the priest to intervene
D. tells the child’s girlfriend to visit the child.
Ans: A.
13. Neuroleptic malignant syndrome (NMS) is characterized by-
A. hypertension, hyperthermia, flushed and dry skin
B. Hypotension, hypothermia, flushed and dry skin
C. Hypertension, hyperthermia, diaphoresis
D. Hypertension, hypothermia, diaphoresis
Ans: C.
14. Which of the following drugs needs a WBC level checked regularly?
A. Lithane
B. Clozaril
C. Tofranil
D. Diazepam
Ans: B.
15. Angelo, an 18 year old out of school youth was caught shoplifting in a department store. He has history of being quarrelsome and involving physical fight with his friends. He has been out of jail for the past two years.
Initially, the nurse identifies which of the ff: Nursing diagnosis:
A. self-centered disturbance
B. impaired social interaction
C. sensory perceptual alteration
D. altered thought process
Ans: B.
16. Which of the ff: is not a characteristic of PD?
A. disregard rights of others
B. loss of cognitive functioning
C. fails to conform to social norms
D. not capable of experiencing guild or remorse for their behavior
Ans: B.
17. The most effective treatment modality for persons if anti social PD is
A. hypnotherapy
B. gestalt therapy
C. behavior therapy
D. crisis intervention
Ans: C.
18. Which of the following is not an example of alteration of perception?
A. ideas of reference
B. flight of ideas
C. illusion
D. hallucination
Ans: B.
19. The type of anxiety that leads to personality disorganization is:
A. Mild
B. Moderate
C. Severe
D. Panic
Ans: D.
20. A client is admitted to the hospital. Twelve hours later the nurse observes hand tremors, hyperexicitability, tachycardia, diaphoresis, and hypertension. The nurse suspects alcohol withdrawal. The nurse should ask the client:
A. At what time was your last drink taken?
B. Why you have not told us you are a drinker?
C. Do you drink beer or hard liquor?
D. How long have you been drinking?
Ans: A.
21. Client with a history of schizophrenia has been admitted for suicidal ideation. The client states "God is telling me to kill myself right now." The nurses best response is:
A. I understand that god’s voice is real to you, but I do not hear anything. I will stay with you.
B. The voices are part of your illness; it will stop if you take medication
C. the voices are all in your imagination, think of something else and till go away
D. Do not think of anything right now, just go, and relax.
Ans: A.
22. In assessing a clients suicide potential, which statement by the client would give the nurse the highest cause for concern?
A. My thoughts of hurting my self are scary to me
B. I would like to go to sleep and not wake up
C. I have thought about taking pills and alcohol until I pass out
D. I would like to be free from all these worries
Ans: C.
23. A client with paranoid schizophrenia has persecutory delusions and auditory hallucinations and is extremely agitated. He has been given a PRN dose of Thorazine IM. Which of the following would indicate to the nurse that the medication is having the desired effect?
A. Complains of dry mouth
B. State he feels restless in his body
C. Stops pacing and sits with the nurse
D. Exhibits increase activity and speech
Ans: C.
24. A client who was wandering aimlessly around the streets acting inappropriately and appeared disheveled and admitted to a psychiatric unit and is experiencing auditory and visual hallucinations. The nurse would develop a plan of care based on:
A. borderline personality disorder
B. anxiety disorder
C. schizophrenia
D. depression
Ans: C.
25. A decision is made to discharge a client with obsessive-compulsive disorder. Of the following abilities the client has demonstrated, the one that probably most influenced the decision not to hospitalize him is his ability to:
a. Hold a job.
b. Relate to his peers.
c. Perform activities of daily living.
d. Behave in an outwardly normal
Ans: c.
26. A client is admitted to the inpatient psychiatric unit. He is unshaven, has body odor, and has spots on his shirt and pants. He moves slowly, gazes at the floor, and has a flat affect. The nurses highest priority in assessing the client on admission would be to ask him:
A. How he sleeps at night.
B. If he is thinking about hurting himself
C. About recent stresses
D. How he feels about himself
Ans: B.
27. The nurse should know that the normal therapeutic level of lithium is
A. .6 to 1.2 meq/L
B. 6 to 12 meq/L
C. .6 to .12 cc/ml
D. .6 to .12 cc3/L
Ans: A.
28. If a Patient complaints about vomiting, diarrhea, and restlessness after taking lithane, then the nurses initial intervention is:
a. Recognize that this is a sign of toxicity and withhold the next medication.
b. Notify the physician.
c. Check V/S to validate patient’s concerns
d. Recognize that this is a normal side effect of lithium and continue the drug.
Ans: a.
29. The client is taking Tofranil. The nurse should closely monitor the patient:
a. Hypertension
b. Hypothermia
c. Increase Intra Ocular Pressure
d. Increase Intra Cranial Pressure
Ans: c.
30. A client was hospitalized with major depression with suicidal ideation for 1 week. He is taking venlafaxine (Effexor), 75 mg three times a day, and is planning to return to work. The nurse asks the client if he is experiencing thoughts of self-harm. The client responds, "I hardly think about it anymore and wouldn't do anything to hurt myself." The nurse judges:
A. The client to be decompensates and in need have being readmitted to the hospital
B. The client to need an adjustment or increase in his dose of antidepressant
C. The depression to be improving and the suicidal ideation to be lessening
D. The presence of suicidal ideation to warrant a telephone call to the client's physician
Ans: C.
31. The client is taking sertraline (Zoloft), 50 mg q AM. The nurse includes which of the following in the teaching plan about Zoloft.
A. Zoloft causes erectile dysfunction in men.
B. Zoloft causes postural hypotension
C. Zoloft increases appetite and weight gain
D. It may take 3-4 weeks before client will start feeling better.
Ans: A.
32. After 3 days of taking haloperidol, the client shows an inability to sit still, is restless and fidgety, and paces around the unit. Of the following extrapyramidal adverse reactions, the client is showing signs:
a. Dystonia
b. Akathisia
c. Parkinsonism
d. Tardive dyskinesia
Ans: b.
33. When caring for a client receiving haloperidol (Haldol), the nurse would assess for which of the following-
A. Hypertensive episodes
B. Extrapyramidal symptoms
C. Hypersalivation
D. Oversedation
Ans: B.
34. A client is brought to the hospitals emergency room by a friend, who states, "I guess he had some bad junk (heroin) today." In assessing the client, the nurse would likely find which of the following symptoms-
A. Increased heart rate, dilated pupils, and fever
B. Tremulousness, impaired coordination, increased blood pressure, and ruddy complexion
C. Decreased respirations, constricted pupils, and pallor
D. Eye irritation, tinnitus, and irritation of nasal and oral mucosa
Ans: C.
35. The client has been taking the monoamine oxidase inhibitor (MAOI) phenelzine (Nardil), 10 mg bid. The physician orders a selective serotonin reuptake inhibitor (SSRI), paroxetine (Paxil), 20 mg given every morning. The nurse:
A. Gives the medication as ordered
B. Questions the physician about the order
C. Questions the dosage ordered
D. Asks the physician to order benztropine (Cogentin) for the side effects
Ans: B.
36. Which of the following client a statement about clozapine (Clozaril) indicates that the client needs additional teaching?
A. "I need to have my blood checked once every several months while I’m taking this drug."
B. "I need to sit on the side of the bed for a while when I wake up in the morning."
C. "The sleepiness I feel will decrease as my body adjusts to clozapine."
D. "I need to call my doctor whenever I notice that I have a fever or sore throat."
Ans: D.
37. A client has been taking lithium carbonate (Lithane) for hyperactivity, as prescribed by his physician. While the client is taking this drug, the nurse should ensure that he has an adequate intake of-
A. Sodium
B. Iron
C. Iodine
D. Calcium
Ans: A.
38. The client has been taking clomipramine (Anafranil) for his obsessive-compulsive disorder. He tells the nurse, "I am not really better, and I have been taking the medication faithfully for the past 3 days just like it says on this prescription bottle." Which of the following actions would the nurse do first?
A. Tell the client to continue taking the medication as prescribed because it takes 5 to 10 weeks for a full therapeutic effect.
B. Tell the client to stop taking the medication and to call the physician.
C. Encourage the client to double the dose of his medication.
D. Ask the client if he has resumed smoking cigarettes.
Ans: A.
39. The nurse judges correctly that a client is experiencing an adverse effect from amitriptyline hydrochloride (Elavil) when the client demonstrates:
A. An elevated blood glucose level
B. Insomnia
C. Hypertension
D. Urinary retention
Ans: D.
40. Which of the following health status assessments must be completed before the client starts taking imipramine (Tofranil)?
a. Electrocardiogram (ECG)
b. Urine sample for protein
c. Thyroid scan
d. Creatinine clearance test
Ans: a.
41. A client comes to the outpatient mental health clinic 2 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The nurse reviews information about clozapine with the client. Which client statement indicates an accurate understanding of the nurses teaching about this medication?
A.” I need to call my doctor in 2 weeks for a checkup."
B. "I need to keep my appointment here at the hospital this week for a blood test."
C. "I can drink alcohol with this medication."
D. "I can take over-the-counter sleeping medication if I have trouble sleeping."
Ans: B.
42. The client is taking risperidone (Risperdal) to treat the positive and negative symptoms of schizophrenia. Which of the following negative symptoms will improve?
A. Abnormal thought form
B. Hallucinations and delusions
C. Bizarre behavior
D. Asocial behavior and anergia
Ans: D.
43. The nurse would teach which food to avoid, if the client taking tranylcypromine sulfate (Parnate), because of its high tyramine content?
A. Nuts
B. Aged cheeses
C. Grain cereals
D. Reconstituted milk
Ans: B.
44. Which of the following clinical manifestations would alert the nurse to lithium toxicity?
A. Increasingly agitated behavior
B. Markedly increased food intake
C. Sudden increase in blood pressure
D. Anorexia with nausea and vomiting
Ans: D.
45. The client with depression has been hospitalized for 3 days on the psychiatric unit. This is the second hospitalization during the past year. The physician orders a different drug, tranylcypromine sulfate (Parnate), when the client does not respond positively to a tricyclic antidepressant. Which of the following reactions should the client is cautioned about if her diet includes foods containing tryaminetyramine?
A. Heart block
B. Grand mal seizure
C. Respiratory arrest
D. Hypertensive crisis
Ans: D.
46. After the nurse has taught the client who is being discharged on lithium (Eskalith) about the drug, which of the following client statements would indicate that the teaching has been successful.
A. "I need to restrict eating any foods that contain salt."
B. "If I forget a dose, I can double the dose the next time I take it."
C. "I'll call my doctor right away for any vomiting, severe hand tremors, or muscle weakness."
D. "I should increase my fluid”
Ans: C.
47. A nurse is caring for a client with Parkinsons disease who has been taking carbidopa/levodopa (Sinemet) for a year. Which of the following adverse reactions will the nurse monitor the client?
A. dykinesia
B. glaucoma
C. hypotension
D. respiratory depression
Ans: C.
48. A client is taking fluoxetine hydrochloride (Prozac) for treatment of depression. The client asks the nurse when the maximum therapeutic response occurs. The nurses best response is that the maximum therapeutic response for fluoxetine hydrochloride may occur in the:
A. 10-14 days
B. First week
C. Third week
D. Fourth week
Ans: C.
Nursing Multiple Choice Questions and Answers PDF Experienced Freshers
A. patient’s perception on the reason of her hospitalization
B. identification of more effective ways of coping
C. exploration of inadequate coping skills
D. establishment of regular meeting of schedules
Ans: D
2. The nurse shows a patient advocate role when?
A. defend the patients right
B. refer patient for other services she needs
C. work with significant others
D. intercedes in behalf of the patient.
Ans: A
3. As a manager, the nurse should?
A. Initiates nursing action with co-workers.
B. Plans nursing care with the patient.
C. Speaks in behalf of the patient
D. Works together with the team
Ans: D
4. As a care provider, the nurse should do first?
A. Provide direct nursing care.
B. Participate with the team in performing nursing intervention.
C. Therapeutic use of self
D. Early recognition of the client’s needs
Ans: D
5. A Diabetic patient was amputated following an unexpected necrosis on the right leg, he sustained and undergone BKA. He then underwent therapy on how to use his new prosthetic leg. What level of prevention is this?
A. primary
B. secondary
C. tertiary
D. None of the Above
Ans: C
6. A female client undergoes yearly mammography. What level of prevention is this?
A. primary
B. secondary
C. tertiary
D. None of the Above
Ans: B
7. 60 years old post CVA (cardio vascular accident) patient is taking TPA for his disease. What level of prevention is this?
A. primary
B. secondary
C. tertiary
D. None of the Above
Ans: C
8. Preparing the client for the termination phase begins?
A. pre orientation
B. orientation
C. working
D. termination
Ans: C
9. A helping relationship is a process characterized by-
A. recovery promoting
B. mutual interaction
C. growth facilitating
D. health enhancing
Ans: C
10. During the nurse patient interaction, the nurse assesses the ff: to determine the patients coping strategy:
A. How are you feeling right now?
B. Do you have anyone to take you home?
C. What do you think will help you right now?
D. How does your problem affect your life?
Ans: D
11. As a counselor, a nurse should perform which of the ff task-
A. Encourage client to express feelings and concerns
B. Helps client to learn a dance or song to enable her to participate in activities
C. Help the client prepare in-group activities
D. Assist the client in setting limits on her behavior
Ans: A.
12. A 16-year-old child is hospitalized, according to Erik Eriksson, what is an appropriate intervention?
A. tell the friends to visit the child
B. encourage patient to help child learn lessons missed
C. call the priest to intervene
D. tells the child’s girlfriend to visit the child.
Ans: A.
13. Neuroleptic malignant syndrome (NMS) is characterized by-
A. hypertension, hyperthermia, flushed and dry skin
B. Hypotension, hypothermia, flushed and dry skin
C. Hypertension, hyperthermia, diaphoresis
D. Hypertension, hypothermia, diaphoresis
Ans: C.
14. Which of the following drugs needs a WBC level checked regularly?
A. Lithane
B. Clozaril
C. Tofranil
D. Diazepam
Ans: B.
15. Angelo, an 18 year old out of school youth was caught shoplifting in a department store. He has history of being quarrelsome and involving physical fight with his friends. He has been out of jail for the past two years.
Initially, the nurse identifies which of the ff: Nursing diagnosis:
A. self-centered disturbance
B. impaired social interaction
C. sensory perceptual alteration
D. altered thought process
Ans: B.
16. Which of the ff: is not a characteristic of PD?
A. disregard rights of others
B. loss of cognitive functioning
C. fails to conform to social norms
D. not capable of experiencing guild or remorse for their behavior
Ans: B.
17. The most effective treatment modality for persons if anti social PD is
A. hypnotherapy
B. gestalt therapy
C. behavior therapy
D. crisis intervention
Ans: C.
18. Which of the following is not an example of alteration of perception?
A. ideas of reference
B. flight of ideas
C. illusion
D. hallucination
Ans: B.
19. The type of anxiety that leads to personality disorganization is:
A. Mild
B. Moderate
C. Severe
D. Panic
Ans: D.
20. A client is admitted to the hospital. Twelve hours later the nurse observes hand tremors, hyperexicitability, tachycardia, diaphoresis, and hypertension. The nurse suspects alcohol withdrawal. The nurse should ask the client:
A. At what time was your last drink taken?
B. Why you have not told us you are a drinker?
C. Do you drink beer or hard liquor?
D. How long have you been drinking?
Ans: A.
21. Client with a history of schizophrenia has been admitted for suicidal ideation. The client states "God is telling me to kill myself right now." The nurses best response is:
A. I understand that god’s voice is real to you, but I do not hear anything. I will stay with you.
B. The voices are part of your illness; it will stop if you take medication
C. the voices are all in your imagination, think of something else and till go away
D. Do not think of anything right now, just go, and relax.
Ans: A.
22. In assessing a clients suicide potential, which statement by the client would give the nurse the highest cause for concern?
A. My thoughts of hurting my self are scary to me
B. I would like to go to sleep and not wake up
C. I have thought about taking pills and alcohol until I pass out
D. I would like to be free from all these worries
Ans: C.
23. A client with paranoid schizophrenia has persecutory delusions and auditory hallucinations and is extremely agitated. He has been given a PRN dose of Thorazine IM. Which of the following would indicate to the nurse that the medication is having the desired effect?
A. Complains of dry mouth
B. State he feels restless in his body
C. Stops pacing and sits with the nurse
D. Exhibits increase activity and speech
Ans: C.
24. A client who was wandering aimlessly around the streets acting inappropriately and appeared disheveled and admitted to a psychiatric unit and is experiencing auditory and visual hallucinations. The nurse would develop a plan of care based on:
A. borderline personality disorder
B. anxiety disorder
C. schizophrenia
D. depression
Ans: C.
25. A decision is made to discharge a client with obsessive-compulsive disorder. Of the following abilities the client has demonstrated, the one that probably most influenced the decision not to hospitalize him is his ability to:
a. Hold a job.
b. Relate to his peers.
c. Perform activities of daily living.
d. Behave in an outwardly normal
Ans: c.
26. A client is admitted to the inpatient psychiatric unit. He is unshaven, has body odor, and has spots on his shirt and pants. He moves slowly, gazes at the floor, and has a flat affect. The nurses highest priority in assessing the client on admission would be to ask him:
A. How he sleeps at night.
B. If he is thinking about hurting himself
C. About recent stresses
D. How he feels about himself
Ans: B.
27. The nurse should know that the normal therapeutic level of lithium is
A. .6 to 1.2 meq/L
B. 6 to 12 meq/L
C. .6 to .12 cc/ml
D. .6 to .12 cc3/L
Ans: A.
28. If a Patient complaints about vomiting, diarrhea, and restlessness after taking lithane, then the nurses initial intervention is:
a. Recognize that this is a sign of toxicity and withhold the next medication.
b. Notify the physician.
c. Check V/S to validate patient’s concerns
d. Recognize that this is a normal side effect of lithium and continue the drug.
Ans: a.
29. The client is taking Tofranil. The nurse should closely monitor the patient:
a. Hypertension
b. Hypothermia
c. Increase Intra Ocular Pressure
d. Increase Intra Cranial Pressure
Ans: c.
30. A client was hospitalized with major depression with suicidal ideation for 1 week. He is taking venlafaxine (Effexor), 75 mg three times a day, and is planning to return to work. The nurse asks the client if he is experiencing thoughts of self-harm. The client responds, "I hardly think about it anymore and wouldn't do anything to hurt myself." The nurse judges:
A. The client to be decompensates and in need have being readmitted to the hospital
B. The client to need an adjustment or increase in his dose of antidepressant
C. The depression to be improving and the suicidal ideation to be lessening
D. The presence of suicidal ideation to warrant a telephone call to the client's physician
Ans: C.
31. The client is taking sertraline (Zoloft), 50 mg q AM. The nurse includes which of the following in the teaching plan about Zoloft.
A. Zoloft causes erectile dysfunction in men.
B. Zoloft causes postural hypotension
C. Zoloft increases appetite and weight gain
D. It may take 3-4 weeks before client will start feeling better.
Ans: A.
32. After 3 days of taking haloperidol, the client shows an inability to sit still, is restless and fidgety, and paces around the unit. Of the following extrapyramidal adverse reactions, the client is showing signs:
a. Dystonia
b. Akathisia
c. Parkinsonism
d. Tardive dyskinesia
Ans: b.
33. When caring for a client receiving haloperidol (Haldol), the nurse would assess for which of the following-
A. Hypertensive episodes
B. Extrapyramidal symptoms
C. Hypersalivation
D. Oversedation
Ans: B.
34. A client is brought to the hospitals emergency room by a friend, who states, "I guess he had some bad junk (heroin) today." In assessing the client, the nurse would likely find which of the following symptoms-
A. Increased heart rate, dilated pupils, and fever
B. Tremulousness, impaired coordination, increased blood pressure, and ruddy complexion
C. Decreased respirations, constricted pupils, and pallor
D. Eye irritation, tinnitus, and irritation of nasal and oral mucosa
Ans: C.
35. The client has been taking the monoamine oxidase inhibitor (MAOI) phenelzine (Nardil), 10 mg bid. The physician orders a selective serotonin reuptake inhibitor (SSRI), paroxetine (Paxil), 20 mg given every morning. The nurse:
A. Gives the medication as ordered
B. Questions the physician about the order
C. Questions the dosage ordered
D. Asks the physician to order benztropine (Cogentin) for the side effects
Ans: B.
36. Which of the following client a statement about clozapine (Clozaril) indicates that the client needs additional teaching?
A. "I need to have my blood checked once every several months while I’m taking this drug."
B. "I need to sit on the side of the bed for a while when I wake up in the morning."
C. "The sleepiness I feel will decrease as my body adjusts to clozapine."
D. "I need to call my doctor whenever I notice that I have a fever or sore throat."
Ans: D.
37. A client has been taking lithium carbonate (Lithane) for hyperactivity, as prescribed by his physician. While the client is taking this drug, the nurse should ensure that he has an adequate intake of-
A. Sodium
B. Iron
C. Iodine
D. Calcium
Ans: A.
38. The client has been taking clomipramine (Anafranil) for his obsessive-compulsive disorder. He tells the nurse, "I am not really better, and I have been taking the medication faithfully for the past 3 days just like it says on this prescription bottle." Which of the following actions would the nurse do first?
A. Tell the client to continue taking the medication as prescribed because it takes 5 to 10 weeks for a full therapeutic effect.
B. Tell the client to stop taking the medication and to call the physician.
C. Encourage the client to double the dose of his medication.
D. Ask the client if he has resumed smoking cigarettes.
Ans: A.
39. The nurse judges correctly that a client is experiencing an adverse effect from amitriptyline hydrochloride (Elavil) when the client demonstrates:
A. An elevated blood glucose level
B. Insomnia
C. Hypertension
D. Urinary retention
Ans: D.
40. Which of the following health status assessments must be completed before the client starts taking imipramine (Tofranil)?
a. Electrocardiogram (ECG)
b. Urine sample for protein
c. Thyroid scan
d. Creatinine clearance test
Ans: a.
41. A client comes to the outpatient mental health clinic 2 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The nurse reviews information about clozapine with the client. Which client statement indicates an accurate understanding of the nurses teaching about this medication?
A.” I need to call my doctor in 2 weeks for a checkup."
B. "I need to keep my appointment here at the hospital this week for a blood test."
C. "I can drink alcohol with this medication."
D. "I can take over-the-counter sleeping medication if I have trouble sleeping."
Ans: B.
42. The client is taking risperidone (Risperdal) to treat the positive and negative symptoms of schizophrenia. Which of the following negative symptoms will improve?
A. Abnormal thought form
B. Hallucinations and delusions
C. Bizarre behavior
D. Asocial behavior and anergia
Ans: D.
43. The nurse would teach which food to avoid, if the client taking tranylcypromine sulfate (Parnate), because of its high tyramine content?
A. Nuts
B. Aged cheeses
C. Grain cereals
D. Reconstituted milk
Ans: B.
44. Which of the following clinical manifestations would alert the nurse to lithium toxicity?
A. Increasingly agitated behavior
B. Markedly increased food intake
C. Sudden increase in blood pressure
D. Anorexia with nausea and vomiting
Ans: D.
45. The client with depression has been hospitalized for 3 days on the psychiatric unit. This is the second hospitalization during the past year. The physician orders a different drug, tranylcypromine sulfate (Parnate), when the client does not respond positively to a tricyclic antidepressant. Which of the following reactions should the client is cautioned about if her diet includes foods containing tryaminetyramine?
A. Heart block
B. Grand mal seizure
C. Respiratory arrest
D. Hypertensive crisis
Ans: D.
46. After the nurse has taught the client who is being discharged on lithium (Eskalith) about the drug, which of the following client statements would indicate that the teaching has been successful.
A. "I need to restrict eating any foods that contain salt."
B. "If I forget a dose, I can double the dose the next time I take it."
C. "I'll call my doctor right away for any vomiting, severe hand tremors, or muscle weakness."
D. "I should increase my fluid”
Ans: C.
47. A nurse is caring for a client with Parkinsons disease who has been taking carbidopa/levodopa (Sinemet) for a year. Which of the following adverse reactions will the nurse monitor the client?
A. dykinesia
B. glaucoma
C. hypotension
D. respiratory depression
Ans: C.
48. A client is taking fluoxetine hydrochloride (Prozac) for treatment of depression. The client asks the nurse when the maximum therapeutic response occurs. The nurses best response is that the maximum therapeutic response for fluoxetine hydrochloride may occur in the:
A. 10-14 days
B. First week
C. Third week
D. Fourth week
Ans: C.
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