Question: What neurotransmitter is targeted and blocked by all antipsychotic medications?
Answer Options: Dopamine Serotonin Norepinephrine GABA
Answer: Dopamine
Question: What might be an appropriate next step for managing Greg’s depression?
Answer Options: Discontinue Greg’s sertraline/Zoloft as it is clearly not effective, and start an SNRI. Start a treatment-resistant depression medication for augmentation, such as aripiprazole/Abilify. Do nothing, not enough time has passed to determine the effectiveness of the medication. Increase the sertraline/Zoloft dose to 100 mg to elicit an increased response to the medication.
Answer: Increase the sertraline/Zoloft dose to 100 mg to elicit an increased response to the medication.
Question: Which of the following is NOT considered a mood stabilizer?
Answer Options: Divalproex (Depakote) Lithium carbonate Bupropion (Wellbutrin) Carbamazepine (Tegretol)
Answer: Bupropion (Wellbutrin)
Question: Why do sexual side effects occur with many antidepressants?
Answer Options: Downstream effects (i.e., delayed onset of action) Inhibition of dopamine by serotonin in the mesolimbic pathway 5-HT3 is widely distributed throughout the body, thereby affected pleasure receptors Ratio of serotonin to norepinephrine effects are more pronounced with antidepressants versus mood stabilizers
Answer: 5-HT3 is widely distributed throughout the body, thereby affected pleasure receptors
Question: Benzodiazepines such as alprazolam (Xanax) and clonazepam (Klonopin) are not considered first-line treatment for generalized anxiety disorder (GAD).
Answer Options: True False
Answer: True
Question: Which of these antipsychotic medications is least likely to cause cardiometabolic side effects?
Answer Options: Quetiapine (Seroquel) Olanzapine (Zyprexa) Aripiprazole (Abilify) Fluphenazine (Prolixin)
Answer: Aripiprazole (Abilify)
Question: Research has shown that atypical antipsychotics should be the first-line treatment for Bipolar prophylaxis and relapse prevention.
Answer Options: True False
Answer: True
Question: Which neurotransmitter is primarily responsible for the positive symptoms seen in schizophrenia when it is in excess?
Answer Options: Dopamine Serotonin Acetylcholine Glutamate
Answer: Dopamine
Question: When palpating the child’s cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation for this is:
Answer Options: Some form of cancer must be present in the body. Local scalp infection common in children must be present. An infection or inflammation distal to the site must be present. An infection or inflammation close to the site must be present.
Answer: An infection or inflammation close to the site must be present.
Question: A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration. This suggests which respiratory condition?
Answer Options: Asthma Pneumonia Bronchiolitis Foreign body in the trachea
Answer: Asthma
Question: Pancreatic enzymes are administered to the child with cystic fibrosis. What information should be included in patient education concerning the administration of these enzymes?
Answer Options: Do not administer pancreatic enzymes if the child is receiving antibiotics. Decrease dose of pancreatic enzymes if the child is having frequent, bulky stools. Administer pancreatic enzymes between meals if at all possible. Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.
Answer: Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.
Question: In terms of cognitive development, the preschooler would be expected to engage in what behavior?
Answer Options: Use magical thinking. Think abstractly. Understand conservation of matter. Be able to comprehend another person’s perspective.
Answer: Use magical thinking.
Question: During the preschool period, what should the emphasis of injury prevention be placed on?
Answer Options: Constant vigilance and protection Punishment for unsafe behaviors Education for safety and potential hazards Limitation of physical activities
Answer: Education for safety and potential hazards
Question: A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes. The nurse should base the explanation on what information?
Answer Options: It is a less expensive method of testing. It is not as accurate as laboratory testing. Children need to learn to manage their diabetes. The parents are better able to manage the disease.
Answer: Children need to learn to manage their diabetes.
Question: The recommended children’s dosage of Keflex is 25 to 50 mg/kg/day in divided doses. The maximum daily safe dosage for a child weighing 42 lb. is:
Answer Options: 955mg 477mg 238mg 1910mg
Answer: 955mg
Question: The nurse is caring for a 4-month-old patient with multiple contusions to their arms and legs. The nurse knows these findings are:
Answer Options: Normal for the patient’s age Indicate a bleeding disorder Not anticipated in a non-mobile infant and red flag for child abuse Due to an iron deficiency
Answer: Not anticipated in a non-mobile infant and red flag for child abuse
Question: A patient with a severe traumatic brain injury is being admitted to your unit. The physician has ordered Levetiracetam (Keppra) for seizure prophylaxis. The patient weighs 70 lbs and the dose is ordered one time for 50 mg/kg IV. The correct single dose to administer to the patient is (Rounded to the nearest whole number):
Answer Options: 3500mg 1590mg 795mg 1750mg
Answer: 1590mg
Question: The nurse is assessing the pain of a 5-year-old patient after falling off the monkey bars. To do this, they should use which pain scale:
Answer Options: FLACC FACES COMFORT Numeric
Answer: FACES