NCLEX antipsychotic side effects practice questions
Practice questions focused on the side effects of antipsychotic medications for NCLEX review, emphasizing nursing actions and patient safety.
Quiz(32 questions)
1. What is a common side effect of typical antipsychotics?
Terms in this Study Set(32)
Typical Antipsychotic Side Effects(16)
Common side effect of typical antipsychotics?
Extrapyramidal symptoms (EPS), including tremors, rigidity, and bradykinesia.
True or False: Tardive dyskinesia is reversible.
False. Tardive dyskinesia may be irreversible, often persisting even after medication discontinuation.
What could cause neuroleptic malignant syndrome?
Rapid increase in antipsychotic dosage or dehydration. Symptoms include hyperthermia, muscle rigidity.
Fill in the blank: Typical antipsychotics often lead to ____________.
Weight gain and metabolic syndrome.
Akathisia vs. Parkinsonism: Key difference?
Akathisia: restlessness, need to move. Parkinsonism: rigidity, tremors.
Common metabolic side effect?
Weight gain, leading to increased risk of diabetes.
What is the risk of prolonged QT interval?
Increased risk of arrhythmias; leads to potential cardiac issues.
Symptoms of acute dystonia include?
Muscle spasms, abnormal postures, and facial grimacing.
True or False: All patients will experience side effects.
False. Side effects vary by individual; some may experience none.
Main nursing action for EPS?
Monitor for symptoms and report immediately. Administer antiparkinsonian agents as prescribed.
A significant side effect of typical antipsychotics?
Sedation, which can affect patient safety and alertness.
What is the primary concern with agranulocytosis?
Increased risk of infection due to low white blood cell count.
What condition can be caused by long-term use?
Tardive dyskinesia, characterized by involuntary movements.
Fill in the blank: Typical antipsychotics may result in ____________ symptoms.
Anticholinergic symptoms, like dry mouth and blurred vision.
Neuroleptic malignant syndrome (NMS) symptoms?
High fever, muscle rigidity, autonomic instability, altered mental status.
Comparison: Typical vs. Atypical antipsychotics?
Typical: higher risk of EPS. Atypical: lower risk but may cause metabolic issues.
Atypical Antipsychotic Side Effects(16)
What is a common side effect of atypical antipsychotics?
Weight gain - Atypical antipsychotics are associated with significant weight gain due to metabolic changes.
True or False: Atypical antipsychotics can cause extrapyramidal symptoms.
False - Atypical antipsychotics have a lower risk of extrapyramidal symptoms compared to typical antipsychotics.
Fill in the blank: Atypical antipsychotics may lead to __________ disturbances.
metabolic disturbances - This includes changes in glucose and lipid levels.
What is the risk associated with Clozapine?
Agranulocytosis - Clozapine can lead to a serious drop in white blood cells, requiring regular monitoring.
What side effect is common with Risperidone?
Hyperprolactinemia - Increases in prolactin levels can lead to menstrual irregularities and galactorrhea.
Cause → Effect: Increased BMI from atypical antipsychotics leads to __________.
Increased risk of diabetes - This is due to insulin resistance.
Which atypical antipsychotic is least likely to cause metabolic syndrome?
Aripiprazole - It is often considered weight-neutral compared to others.
True or False: Atypical antipsychotics can cause sedation.
True - Sedation is a common side effect, affecting patient compliance.
What nursing action is essential for patients on olanzapine?
Monitor weight and glucose levels - Regular checks help identify metabolic syndrome early.
Compare side effects: Atypical vs. Typical antipsychotics.
Atypical: metabolic syndrome, sedation. Typical: extrapyramidal symptoms, tardive dyskinesia.
What is a major cardiovascular risk of atypical antipsychotics?
QT prolongation - Monitoring ECG is important for patients on these medications.
Fill in the blank: Atypical antipsychotics can cause __________ syndrome during withdrawal.
Neuroleptic Malignant Syndrome - Symptoms include fever, muscle rigidity, and autonomic instability.
What is the significance of monitoring lipid levels?
Prevent cardiovascular disease - Early detection of dyslipidemia can guide intervention.
True or False: All atypical antipsychotics carry the same risk for metabolic side effects.
False - Risks vary significantly among different atypical antipsychotics.
What should be assessed regularly in patients taking quetiapine?
Blood pressure - Orthostatic hypotension can occur, risking falls.
What nursing consideration is crucial for patient education?
Discuss lifestyle changes - Encourage diet and exercise to mitigate weight gain.
Questions in this Study Set(32)
1. What is a common side effect of typical antipsychotics?
2. What side effect is commonly associated with the use of atypical antipsychotics?
3. True or False: Tardive dyskinesia is reversible.
4. True or False: Atypical antipsychotics have a lower likelihood of causing extrapyramidal symptoms compared to typical antipsychotics.
5. Which of the following could cause neuroleptic malignant syndrome (NMS)?
6. Fill in the blank: Atypical antipsychotics can lead to __________ disturbances.
7. Fill in the blank: Typical antipsychotics often lead to ____________.
8. What serious side effect is particularly associated with Clozapine?
9. What is the key difference between akathisia and parkinsonism?
10. Which side effect is often noted with the use of Risperidone?
11. Which is a common metabolic side effect of typical antipsychotics?
12. Cause → Effect: Increased body mass index (BMI) from atypical antipsychotics leads to __________.
13. What is the primary concern associated with a prolonged QT interval?
14. Which atypical antipsychotic is least likely to result in metabolic syndrome?
15. Symptoms of acute dystonia include?
16. True or False: Sedation is a common side effect of atypical antipsychotics.
17. True or False: All patients will experience side effects from typical antipsychotics.
18. What nursing action is crucial for patients taking Olanzapine?
19. What is the main nursing action for a patient experiencing EPS?
20. What is a key difference in side effects between atypical and typical antipsychotics?
21. What is a significant side effect of typical antipsychotics that can affect patient safety?
22. What cardiovascular risk is associated with the use of atypical antipsychotics?
23. What is the primary concern with agranulocytosis?
24. Fill in the blank: Withdrawal from atypical antipsychotics can lead to __________ syndrome.
25. What condition can be caused by long-term use of typical antipsychotics?
26. Why is monitoring lipid levels important in patients taking atypical antipsychotics?
27. Fill in the blank: Typical antipsychotics may result in ____________ symptoms.
28. True or False: All atypical antipsychotics carry the same risk for metabolic side effects.
29. Which of the following are symptoms of neuroleptic malignant syndrome (NMS)?
30. What should be assessed regularly in patients taking Quetiapine?
31. Comparison: What is a key difference between typical and atypical antipsychotics?
32. What nursing consideration is crucial when educating patients prescribed atypical antipsychotics?
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