NSG 552 Exam 1 June 2026 (Wilkes University)

NSG 552 Exam 1
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With which of the following is lithium administration during pregnancy associated?
A) Ebstein’s anomaly
B) Depression in the infant
C) Neural tube defects
D) Hyperglycemia in the newborn
✅ Answer: A) Ebstein’s anomaly

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A 38-year-old woman presents in January with a depressed mood. She has also had a lack of interest in activities, hypersomnia, increased appetite, inappropriate guilt, poor concentration, and thoughts of death. She describes symptoms consistent with having one major depressive episode between the months of January and March in each of the past three years, but no significant symptoms at other times of the year. She has no history of a psychotic or anxiety disorder. She does not smoke or drink alcohol. Her current stressors include relationship problems, and she would like to avoid sexual side effects. She denies using illicit drugs. Of the following, which is the most appropriate management for this patient?
A) Venlafaxine
B) Bupropion
C) Mirtazapine
D) Fluoxetine
✅ Answer: B) Bupropion
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Which of the following is false regarding tricyclic overdose?
A) Gastric aspiration is helpful
B) Antiarrhythmia drugs should be used routinely
C) Cardiac monitoring is important
D) Desipramine is the most lethal tricyclic antidepressant
✅ Answer: B) Antiarrhythmia drugs should be used routinely
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Because of the severe problems caused by chronic extrapyramidal side effects (EPSs), patients receiving long-term use of antipsychotics must be carefully monitored for the development of EPS symptoms. One of the most used screeners is:
A) Beck’s inventory scale
B) Ham-D scale
C) Zung scale
D) AIMS scale
✅ Answer: D) AIMS scale
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How does smoking affect the metabolism of certain antipsychotic medications?
A) Smoking inhibits CYP1A2 enzymes, leading to increased levels of antipsychotic medications.
B) Smoking induces CYP1A2 enzymes, leading to increased levels of antipsychotic medications.
C) Smoking inhibits CYP1A2 enzymes, leading to decreased levels of antipsychotic medications.
D) Smoking induces CYP1A2 enzymes, leading to decreased levels of antipsychotic medications.
✅ Answer: D) Smoking induces CYP1A2 enzymes, leading to decreased levels of antipsychotic medications.………………………………purchase this entire exam at $30 only