CHAPTERS 14 AND 15 NOT INCLUDED IN THIS REVIEW
Chapter 24: Schizophrenia
1) Which of the following are first-generation typical antipsychotic medications? Select all
that apply.
a. Aripiprazole (Abilify)
b. Haloperidol (Haldol)
c. Ziprasidone (Geodon)
d. Lurasidone (Latuda)
e. Chlorpromazine
f. Thiothixene (Navane)
2) Which of the following statements is incorrect regarding antipsychotic medications?
a. The patient will not see improvement for up to two weeks since taking the
medications
b. Adherence to the prescribed medication is the best approach to prevent relapse
c. Adherence to second-generation antipsychotics is improved from the firstgeneration antipsychotics
d. Discontinuation of medication is necessary if the patient develops
agranulocytosis
3) The student nurse would be correct in identifying what second-generation antipsychotic
most likely causing extrapyramidal symptoms?
a. Risperidone (Risperdal)
b. Clozapine (Clozaril)
c. Quetiapine (Seroquel)
d. Aripiprazole (Abilify)
4) The nurse is caring for a patient who has been prescribed clozapine (Clozaril). What
nursing assessment is priority in this patient?
a. AIMS assessment for tardive dyskinesia
b. Blood pressure
c. Complete blood count (CBP)
d. Cardiovascular insufficiency
5) A 30-year-old male presents to the emergency department complaining of abnormal
movements of the body. The ED nurse recognizes that the patient has oculogyric crisis
and torticollis. What medication should the nurse expect the provider to order? Select
all that apply.
a. Clozapine (Clozaril)
b. Ibuprofen (Tylenol)
c. Benztropine
d. Diphenhydramine (Benadryl)
6) What is the meaning of the term “akathisia”?
a. Tremors of the upper extremities
b. Slowed muscle movements
c. Neck muscles pulling head to the side
d. Restlessness and the desire to keep moving
7) The nurse is caring for an 18-year-old male who has been prescribed low-dose
risperidone (Risperdal). The nurse should recognize non-adherence to the medication
because of what side effect?
a. Orthostatic hypotension
b. Sedation
c. Gynecomastia
d. Increased risk for infections
8) Baseline electrocardiograms must be ordered before initiating therapy with which
antipsychotic drug?
a. Risperidone (Risperdal)
b. Ziprasidone (Geodon)
c. Clozapine (Clozaril)
d. Quetiapine (Seroquel)
9) Which second-generation antipsychotic places the patient at an increased risk of weight
gain and diabetes mellitus?
a. Risperidone (Risperdal)
b. Ziprasidone (Geodon)
c. Clozapine (Clozaril)
d. Quetiapine (Seroquel)
e. Aripiprazole (Abilify)
10) Alysia has been prescribed Benztropine Mesylate concurrently with an antipsychotic
medication. What potential anticholinergic side effects should she be made aware of?
Select all that apply.
a. Dry mouth
b. Photophobia
c. Constipation
d. Urinary retention
11) The nurse is interacting with a patient who is experiencing hallucinations. Which
statement should the nurse not make to the patient? Select two answers.
a. This must be so frightening for you
b. I do not hear any voices, so the hallucinations are not real
c. I hear the voices too
d. What are the voices telling you to do?
12) The presence of mood disturbances along with acute psychosis warrants what medical
diagnosis?
a. Schizoaffective disorder
b. Schizophrenia
c. Delusional disorder
d. Brief psychotic disorder
13) The presence and expression of two opposing feelings seen especially in patients with
schizophrenia is known as ______________.
a. Affective liability
b. Ambivalence
c. Apathy
d. Delusions
14) A nurse practitioner assessing a patient diagnosed with schizophrenia. The patient says,
“Someone has been playing around with my meds. They smell funny and do not work as
they used to”. What disorganized thinking is the patient presenting with?
a. Echolalia
b. Autistic thinking
c. Paranoia
d. Delusions
15) Lack of abstraction in thinking marked by inability to understand punch lines,
metaphors, and analogies, is referred to as
a. Referential thinking
b. Concrete thinking
c. Autistic thinking
d. Loose associations
16) What is the meaning of the term “echopraxia”?
a. Involuntary imitation of another person’s movements and gestures
b. Repetition of another’s words that is parrot-like and inappropriate
c. Posture held in an odd or unusual fixed position
d. Psychomotor disturbances such as stupor and mutism
17) The patient says to the nurse, “The world is going to end in five days”! What type of
delusion is the patient experiencing?
a. Grandiose
b. Persecutory
c. Somatic
d. Nihilistic
Chapter 37: Mental Health Disorders of Childhood and Adolescence (10 Questions)
1) The nursing instructor is preparing a presentation on intellectual disabilities. What
statement should she not include in her presentation?
a. The usual threshold for intellectual disability is an intelligence quotient (IQ) of 70
or less
b. A diagnosis is made only based on the patient’s academic progress
c. Adaptive behavior must be considered when making a diagnosis
d. An intellectual disability may not be lifelong
2) What are the clinical manifestations of a child with autism? Select all that apply.
a. Impaired verbal and non-verbal communication
b. Unusual interest and fascination with specific objects or historical events
c. Repetitive rocking or hand flapping
d. Engagement in self-injurious behavior
3) What antipsychotic medications are effective in controlling the symptoms of autism?
Select all that apply.
a. Haloperidol (Haldol)
b. Chlorpromazine
c. Risperidone (Risperdal)
d. Aripiprazole (Abilify)
4) The nurse is caring for the family of an infant diagnosed with autism. What teaching
points should be provided by the nurse to the family? Select three answers.
a. Maintain a consistent routine and a structured environment
b. Manage repetitive behavior only if it interferes with the infant’s functioning or
causes severe disturbances
c. Promote more verbal interactions over non-verbal interactions
d. Comorbid seizures and depression are common in patients with depression
5) What statement made by the student nurse indicates the need for further teaching?
a. Patients with ADHD typically have short stature and a low body mass index (BMI)
b. Modifications in diet can control the impulsive behavior seen in ADHD
c. Sleep disturbances are common in patients with ADHD
d. The patient, the family, and the teachers must be integrated in the plan of care
for ADHD
6) Which of the following medications are considered to be psychostimulants? Select all
that apply.
a. Atomoxetine (Strattera)
b. Methylphenidate (Ritalin)
c. Dextroamphetamine (Adderall)
d. Mixed amphetamine salts
7) What are the common side effects of psychostimulants? Select all that apply.
a. Appetite suppression
b. Insomnia
c. Dry mouth
d. Height suppression
8) The nurse is conducting a medication group for families with children who have
Tourette syndrome. Which statement should the nurse not make during the group?
a. Quetiapine (Seroquel) is the drug of choice for tic disorders
b. Aripiprazole is replacing the use of older antipsychotic medications
c. A low-dose dopamine blocker is most effective
d. The most common side effects are drowsiness, increased appetite, and weight
gain
9) Obsessions are the ritualized behaviors that must be completed to satisfy the
compulsions, which are the intrusive thoughts.
a. True
b. False
10) What disorders in children are a major public health concern in the United States?
a. Communication disorders
b. Childhood schizophrenia
c. Attention deficit hyperactivity disorder
d. Mood disorders
Chapter 12: Psychopharmacology, Dietary Supplements, and Biologic Interventions (10
Questions)
1) What is the best definition of the term “intrinsic activity”?
a. The degree of attraction between the drug and its receptor
b. The dose of the drug required to produce a therapeutic response
c. The point at which concentrations of the drug are harmful for the body
d. The ability of a drug to interact with a receptor and produce a therapeutic
response
2) Which of the following is a true statement regarding lithium? Select all that apply.
a. The drug has a very narrow therapeutic index
b. Serum levels must be maintained between 0.8 to 1.4 mEq/L
c. Diarrhea, vomiting, and altered consciousness are signs of lithium toxicity
d. Sodium and lithium are directly related to each other
3) What laboratory panels or values must be acquired prior to starting lithium therapy?
Select three answers.
a. Thyroid
b. Creatinine
c. Testosterone and estrogen
d. Complete blood count
4) The psychiatrist at an inpatient facility prescribes a patient phenelzine (Nardil), which is
a monoamine oxidase inhibitor (MAOI). The provider cautions against tyramine rich diet
citing what major adverse effect?
a. Rebound depression
b. Hypertensive crisis
c. Sexual dysfunction
d. Suicidal ideations
5) What anti-depressant resembles psychostimulants and is associated with lower
incidence of sexual dysfunction?
a. Tricyclic antidepressants
b. MAO inhibitors
c. Bupropion (Wellbutrin)
d. Venlafaxine (Effexor)
6) What is the priority nursing intervention for a patient who has serotonin syndrome?
a. Discontinue the antidepressant medication STAT
b. Lower the dose of the medication
c. Start an IV line for normal saline
d. Call code and prepare to administer epinephrine
7) The nurse is educating the family of a 15-year-old female who is prescribed fluoxetine
(Prozac). What is the priority teaching for the patient and her family?
a. Notify the provider of nausea or diarrhea
b. You may experience decreased libido
c. Monitor for signs of low self-esteem or anhedonia
d. Avoid consuming caffeine products late at night
8) What acute extrapyramidal symptom is difficult to treat with anticholinergic
medications?
a. Akathisia
b. Pseudo parkinsonism
c. Dystonia
d. Tardive dyskinesia
9) What is the classic triad of pseudo parkinsonism? Select three answers.
a. Slowed movements (akinesia)
b. Numbness and tingling
c. Muscle rigidity
d. Tremors
10) A deaconate should never be given in an IM formulation.
a. True
b. False
Chapter 8: Biological Foundations of Psychiatric Nursing (10 Questions)
1) A 5-month-old infant has a congenital deficit that has impaired his left hemisphere of
the brain. What would you expect the infant to have difficulties with as he grows older?
Select all that apply.
a. Controlling the left side of the body
b. Controlling the right side of the body
c. Facial recognition
d. Verbal communication
e. Sequencing and performing mathematic calculations
f. Facial expression of emotions
2) What are the major functions of the frontal lobe? Select three answers.
a. Understanding speech
b. Producing speech
c. Working memory
d. Executive functioning
3) Diego is coping from his break-up with his long-time girlfriend of five years. Whenever
he has thoughts about dating, he becomes emotionally unstable and begins thinking of
his ex-girlfriend. What part of the limbic system is responsible for this response?
a. Hippocampus
b. Hypothalamus
c. Thalamus
d. Amygdala
4) Damage to the thalamus will impair what capacity of the nervous system?
a. Temperature regulation
d. long-term memory
b. Sensory perception
c. Mathematical computation
5) Which of the following is an incorrect statement regarding dopamine?
a. An excitatory neurotransmitter
b. Dopamine levels are decreased in Parkinson’s and increased in schizophrenia
c. Regulates motor functioning
d. Metabolism, hunger, thirst, and sexual function are modulated
e. A type of cholinergic neurotransmitter
6) Rapid release of norepinephrine has been associated with ___________.
a. Schizophrenia
b. Fine motor tremors
c. Anxiety
d. Bradycardia
7) Select the true statements regarding serotonin.
a. Plays a role in emotions, cognitions, sensory perceptions, sleep, and appetite
b. Serotonin levels are decreased during rapid eye movement (REM) sleep
c. Low levels of serotonin cause depression and high levels cause mania
d. Melatonin is a by-product of serotonin
8) Many psychiatric medications block the effect of _______________, producing side
effects such as weight gain and sedation.
a. Gamma-aminobutyric acid
b. Glutamate
c. Histamine
d. Dopamine
9) Which of the following individuals will have an altered Zeitgeber and chronobiology?
a. A businessman who frequently travels from Georgia to California
b. A police officer who works the graveyard shift three days a week
c. The truck driver who drives his truck for 12-hours each day
d. A single mother of two who manages her work and home effectively
10) Polysomnography involves recording an electroencephalography (EEG) throughout the
night of sleep to evaluate sleep disorders.
a. True
b. False
Medication Calculation (3 Questions)
1) A provider prescribes 0.9% sodium chloride (NaCl) 10 mL/kg IV to infuse over 6 hr for a
child who weights 21 kg. At what rate should the nurse set the IV pump, in mL/hr?
(Round the answer to the nearest whole number)
35
2) A nurse is preparing to administer clindamycin 900 mg by intermittent IV bolus over 45
minutes. Available is clindamycin 900 mg in 100 mL dextrose 5% (D5W). The nurse
should set the IV pump to deliver how many mL/hr? (Round your answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)
133
3) Pam is on strict I.O. Her orders read: D5 .2 NS with 2 meq KCL/100 cc at 60 mL per hour.
She drinks ¼ pint of milk, 2 ounces of juice, and 4 tablespoons of ice cream. She also
received a blood transfusion of 200c of PRBC on your shift. What is her total intake for
your 8-hour shift?
480
Chapter 36: Mental Health Assessment of Children and Adolescents (7 Questions)
1) The pediatric nurse is interviewing a 7-year-old child during the annual physical exam.
What question is most appropriate for the nurse to ask?
a. Can you tell me a time when you were depressed?
b. Do you remember when your grandmother passed away?
c. What did you have for breakfast this morning?
d. Explain to me why we see rainbows.
2) The pediatric nurse practitioner wants to interview the pre-school aged child alone and
decides to use play therapy. Which of the following can the nurse implement to build
rapport during the interview? Select two answers.
a. The game of chess
b. Bibliotherapy such as the Charlotte’s Web
c. Artistic means like drawing
d. Playing with clay
3) Which of the following statement regarding temperament is false?
a. Easy temperament can serve as a protective factor against development of
psychopathology
b. Temperament is influenced by biological and environmental factors
c. Research has shown that temperament cannot be changed or modified
d. A person’s activity level and adaptability are part of temperament
4) The nurse is caring for a teenager who says to the nurse, “I don’t want to live anymore
because no one cares about me”. What is the priority intervention or statement the
nurse should make?
a. “I’m sure your parents care about you”
b. “Why do you feel that way?”
c. “Do you have a plan to harm yourself?”
d. “I will need to call 9-1-1 to have you assessed for thoughts of self-harm”
5) The nurse is planning to assess a 10-year-old child’s self-concept. What activities or
actions can promote the understanding of self-concept in the child? Select all that apply.
a. Ask the child what they would wish for if they had three wishes
b. Tell the child a story and ask them to make up an ending for it
c. Have the child draw a picture of a person
d. Ask the child what they want to do when they grow up
6) The nurse asks a child to hop on one foot towards the door of the room. What part of
the mental status examination is the nurse assessing?
a. Intellectual functioning
b. Cognition
c. Social interactions and play
d. Gross motor skills
7) Which of the following individuals is most likely to demonstrate egocentrism?
a. A 10-year-old child who was recently put up for adoption
b. A 5-year-old child whose parents got divorced
c. A 16-year-old high-schooler who drives very recklessly
d. A 25-year-old alcoholic with no friends
Chapter 16: Mental Health Promotion for Children and Adolescents (5 Questions)
1) Some adolescents believe that they are immune to death and engage in risky behaviors.
This phenomenon is known as ____________________.
a. Egocentrism
b. Paranoia
c. Invincibility fable
d. Concrete thinking
2) The nurse is caring for a family who recently lost their 10-year-old son to brain tumor.
What statement should the parents make to their 5-year-old daughter regarding her
brother’s death?
a. Your brother went to sleep
b. Your brother got lost in the park
c. Your brother is now in good hands with the God
d. Your brother has died and will not be coming back
3) Which of the following is a typical response of an adolescent grieving?
a. Experiment with ideas about death
b. Discuss loss openly
c. May need permission to grieve openly
d. Mourn through activities such as playing with things owned by the loved one
4) How should the parents respond to sibling rivalry?
a. Use differential treatment for each child
b. Ignore the rivalry because it is an expected and common problem
c. Help each child develop a separate identity based on unique talents
d. Reprimand the children when they begin to fight
5) The nurse should recommend a social-skills training program to which individual?
a. A 17-year-old single mother who dropped out of high-school
b. A youth who has low self-esteem and is engaged in bullying
c. A young adult who has anger issues that interfere with his occupation
d. A 45-year-old homeless man diagnosed with schizophrenia
Chapter 8: Cognitive Interventions
1) Which of the following are the components of cognition? Select three answers.
a. Intellect
b. Perception
c. Memory
d. Judgement
2) Cognitive therapy was developed and first implemented by _________________.
a. Aaron Beck
b. Albert Ellis
c. Sigmund Freud
d. Steven de Shazer
3) What type of cognitive intervention is best indicated for people with thought disorders?
a. Cognitive behavior therapy (CBT)
b. Rational emotive behavior therapy (REBT)
c. Solution focused brief therapy (SFBT)
d. Bibliotherapy
4) The nurse educator is preparing a presentation on cognitive behavior therapy (CBT).
What should the nurse include in the presentation? Select all that apply.
a. The goal of CBT is to restructure how a person perceives events
b. People are disturbed by the event, not by the perception of that event
c. CBT assumes that individuals do not have the ability to solve their own problems
d. The focus should be on the present and working towards a better future
e. A major limitation of CBT is that the therapeutic relationship is lost
5) Which of the following is not a part of cognitive triad?
a. Thought about self
b. Thought about the world
c. Thought about the future
d. Thought about philosophical ideas
6) The nurse is assessing a young female with an eating disorder. The nurse asks, “When
do you not have the urge to binge eat?”. What type of question is the nurse asking?
a. Miracle
b. Exception
c. Scaling
d. Relationship
7) Solution-focused therapy assumes that change is constant and inevitable.
a. True
b. False
8) What type of therapy is best suited to care for patients in an in-patient setting?
a. Cognitive behavior therapy
b. Solution-focused therapy
c. Rational-emotive behavior therapy
d. Psychoeducation