Finall Exam:l NRl 568l NR568l Latestl

Finall Exam:l NRl 568/l NR568l (Latestl

2026/l 2027l Update)l Advancedl Pharmacologyl forl thel Adult-Gerontologyl Primaryl Carel Nursel Practitionerl Reviewl |Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain

Q:l Cardiacl monitoringl shouldl bel donel withl TCAsl becausel of?

Answer:

Potentiall forl cardiacl toxicityl (especiallyl withl overdose) Monitorl ECGs,l orthostatics

Q:l Howl tol treatl TCAl toxicity?

Answer:

NaHCO3

Q:l Examplesl ofl MAOIs

Answer:

phenelzinel (Nardil)l Isocarboxazidl (Marplan)l Tranylcyprominel (Parnate) Selegilinel (Emsam)-transdermall MAOI

Q:l Adversel effectl ofl MAOIs 1 / 4

Answer:

hypertensivel crisis

Q:l Whichl medicationsl increasel riskl ofl HTNl withl MAOIs?

Answer:

Sympathometics TCA

SSRI/SNRI

Q:l Baselinel assessmentl beforel startingl MAOIs?l (*think:l adversel reactions)

Answer:

Baselinel BP

Q:l Examplesl ofl atypicall antidepressants

Answer:

bupropion,l mirtazapine

Q:l Adversel reactionsl ofl Bupropion

Answer:

Seizures Psychoticl effects

Q:l Signsl ofl Extrapyramidall effects

Answer:

1.l Acutel dystonial (abn.l movements) 2.l Parkinsonism 3.l Akathisial (restlessness) 2 / 4

4.l Tardivel dyskinesial (wormlikel tonguel movement)l *Latel effect

*2ndl generationl antipsychoticsl arel lessl likelyl tol causel EPS

Q:l 1stl generationl antipsychotics

Answer:

Haloperidol Chlorpromazine

Q:l 2ndl generationl antipsychotics

Answer:

clozapine,l risperidone,l olanzapine

Q:l sidel effectl ofl haldol

Answer:

QTl prolongation,l EPS

Q:l Patientsl tol avoidl givingl haldoll tol andl why

Answer:

Ptsl withl Parkinson's,l depression,l dementia Deathl canl occurl withl demential relatedl psychosis

Q:l Adversel reactionl withl 2ndl generationl antipsychoticsl (clozapine)

Answer:

Agranulocytosisl (blackl box) Newl onsetl diabetes HLD Seizures 3 / 4

Myocarditis

Q:l Monitoringl withl 2nl generationl antipsychoticsl (*thinkl sidel effects)

Answer:

-l WBCl &l neutrophilsl mustl bel WNLl priorl tol startingl andl monitoredl throughoutl beginningl ofl treatmentl -l Glucosel levels -l Lipids -l Electrolytes -l Weight -l EKG

Q:l Wouldl shouldl antidepressantsl notl bel givenl alonel withl Bipolarl Disorder?

Answer:

Canl causel manial orl hypomania

Q:l Whyl TCAsl bel avoidedl withl Bipolarl Disorder?

Answer:

Canl worsenl mania

Q:l Whyl shouldl cautionl bel takenl whenl combiningl lithiuml withl diuretics?

Answer:

Canl causel dehydrationl andl leadl tol lithiuml retention

Q:l Blackl boxl warning:l Lithium

Answer:

Lithiuml toxicity Hepatotoxicity

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