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OMSB_OEN Exam - Topic 6 Question 39 Discussion

A client with schizophrenia is placed on chlorpromazine 50 mg PO bid, and Benztropine 2 mg PO bid PRN.Which of the following nursing assessment findings would indicate a need to administer Benztropine?
D) Client develops muscle spasm and tremors
A) Client is agitated severely
B) Client complains of a sore throat
C) Client expresses suicidal thoughts

OMSB_OEN Exam - Topic 6 Question 39 Discussion

Actual exam question for OMSB's OMSB_OEN exam
Question #: 39
Topic #: 6
[All OMSB_OEN Questions]

A client with schizophrenia is placed on chlorpromazine 50 mg PO bid, and Benztropine 2 mg PO bid PRN.

Which of the following nursing assessment findings would indicate a need to administer Benztropine?

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Suggested Answer: D

Chlorpromazine is an antipsychotic medication that can cause extrapyramidal symptoms (EPS), such as muscle spasms and tremors. Benztropine is an anticholinergic medication often prescribed to manage these side effects.

If a client on chlorpromazine develops muscle spasms and tremors, it indicates EPS, and administering Benztropine would help alleviate these symptoms. The other options, such as severe agitation, sore throat, or suicidal thoughts, are not directly related to the need for Benztropine.


Stahl, S. M. (2013). Stahl's Essential Psychopharmacology: Neuroscientific Basis and Practical Applications. Cambridge University Press.

by Lizette at Apr 09, 2026, 12:07 PM

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Leatha
2 hours ago
I think D is the right answer. Muscle spasms indicate EPS.
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Kimbery
5 days ago
I thought Benztropine was only for movement issues, not agitation.
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Anglea
10 days ago
Suicidal thoughts are serious, but not for Benztropine.
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Joesph
16 days ago
Wait, sore throat? That doesn't seem related at all.
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Fletcher
2 months ago
I agree, that's a classic sign of EPS.
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Maryln
2 months ago
Muscle spasms and tremors definitely need Benztropine.
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Lavonna
3 months ago
I recall that Benztropine is often given for acute dystonic reactions, which could be linked to muscle spasms. So, I think D is definitely the right choice here.
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Antonio
3 months ago
I practiced a similar question where we had to identify side effects of antipsychotics. I feel like option D makes the most sense, but I’m a bit unsure about the other options.
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Eun
3 months ago
I'm not entirely sure, but I remember something about Benztropine being used for movement disorders. Could it be related to option D?
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Royal
3 months ago
I think muscle spasms and tremors are signs of extrapyramidal symptoms, so I would lean towards option D for needing Benztropine.
upvoted 0 times
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