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    Exam Review

    1. A nurse is reviewing the medical record of a client who reports severe pain in their head and abdomen. The client's blood toxicology test reveals ingestion of a common insect poison. The client states, "I like to feel like I am the center of a TV show medical drama. That is why I took the poison." The client denies suicidal intent or ideation. Which of the following disorders best describes the clients condition?
      A)
      Functional neurological symptom disorder
      B)
      Somatic symptom disorder
      C)
      Illness anxiety disorder
      D)
      Factitious disorder
    2. A nurse is caring for a client who has somatic symptom disorder. The client says to the nurse, "If I can't get the medical help I need, I might as well just end it all." Which of the following actions should the nurse take?
      A)
      Encourage the client to practice grounding techniques.
      B)
      Instruct the client to verbalize what medical help they think they need.
      C)
      Determine if the client has a suicide plan.
      D)
      Encourage the client to seek care from other providers.
    3. Which is true about clients with illness anxiety disorder?
      A)
      They may interpret normal body sensations as signs of disease.
      B)
      They often exaggerate or fabricate physical symptoms for attention.
      C)
      They do not show signs of distress about their physical symptoms.
      D)
      All of the above.
    4. A parent expresses concern to the nurse that the child's regularly scheduled vaccines may not be safe. The parent states hearing reports that they cause autism. Which is the most appropriate response by the nurse?
      A)
      "It is recommended that you wait until the child is older to vaccinate."
      B)
      "There has been no research to establish a relationship between vaccines and autism."
      C)
      "There are safer alternative immunizations available now."
      D)
      "The risks do not outweigh the benefits of immunization against childhood diseases."
    Page 1 of 8

    Exam Review

    1. A nurse is providing education about somatic symptom disorder to a clients family. Which of the following pieces of information should the nurse include in the education?
      A)
      "There are limited effective treatment options for this disorder."
      B)
      "Somatic symptom disorder is characterized by suicidal ideations or thoughts of death."
      C)
      "Individuals may intentionally make up the symptoms they are experiencing."
      D)
      "Individuals with somatic symptom disorder experience real physical effects, but these manifestations are due to emotional causes rather than physical ones."
    2. A nurse is collecting data from an adolescent. The nurse is reviewing the assessment findings. Which findings are unexpected and should be reported to the provider? Select the 2 findings that are unexpected and should be reported to the provider.
      (SATA)
      A)
      Weight gain
      B)
      Rapid blinking
      C)
      Menstrual cycles
      D)
      Clearing throat
      E)
      Blood pressure
    3. The nurse is working with a client with dementia who has hallucinations and delusions. The client tells the nurse that the client cannot take a shower because the client is waiting for the client's spouse to take the client home. Which response by the nurse is best in this situation?
      A)
      "Why are you thinking you're going home?"
      B)
      "It would be best if you just took your shower now."
      C)
      "You have plenty of time to shower before it's time to go home."
      D)
      "You seem anxious and upset."
    4. A nurse is collecting data from an adolescent. The nurse is reviewing the assessment findings. Select the 2 findings that are unexpected and should be reported to the provider.
      (SATA)
      A)
      Weight gain
      B)
      Rapid blinking
      C)
      Menstrual cycles
      D)
      Clearing throat
      E)
      Blood pressure
    Page 2 of 8

    Exam Review

    1. The nurse is working with a client with dementia who has hallucinations and delusions. The client tells the nurse that the client cannot take a shower because the client is waiting for the client's spouse to take the client home. Which response by the nurse is best in this situation?
      A)
      "Why are you thinking you're going home?"
      B)
      "It would be best if you just took your shower now."
      C)
      "You have plenty of time to shower before it's time to go home."
      D)
      "You seem anxious and upset."
    2. A nurse is caring for a school-age client in an outpatient clinic. The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)
      (SATA)
      A)
      Withdrawn
      B)
      Multiple hospitalizations
      C)
      Unexplained abdominal pain
      D)
      Excessive thinking about health
      E)
      Recent trauma
    3. A nurse is caring for a client who has Alzheimer's disease and is having difficulty with multitasking. Which of the following cognitive deficits is the client experiencing?
      A)
      Perceptual-motor
      B)
      Learning and memory
      C)
      Executive function
      D)
      Complex attention
    4. A nurse is reviewing the medical record of a client who has functional neurological symptom disorder (conversion disorder). Which of the following findings should the nurse identify as placing the client at risk for functional neurological symptom disorder?
      A)
      Recent weight loss of 30 lb
      B)
      History of migraine headaches
      C)
      Death of a child 2 months ago
      D)
      Retirement 1 year ago
    Page 3 of 8

    Exam Review

    1. A nurse is discussing the plan of care with the guardians of a child recently diagnosed with a neurodevelopmental disorder. The guardians tell the nurse that they are opposed to any medication intervention. Which of the following actions should the nurse take?
      A)
      Tell the guardians that medication intervention will be necessary to proceed with the child's care.
      B)
      Suggest that the guardians find a new health care provider that will comply with their wishes for treatment.
      C)
      Educate the guardians about the possible effects and tolerability of medication intervention for their child.
      D)
      Recommend the use of nonpharmacological interventions to the child's provider.
    2. A client with late moderate-stage dementia has been admitted to a long-term care facility. Which nursing action will help the client maintain optimal cognitive function?
      A)
      Discuss pictures of children and grandchildren with the client
      B)
      Do word games or crossword puzzles with the client
      C)
      Provide the client with a written list of daily activities.
      D)
      Watch and discuss the evening news with the client.
    3. A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder?
      A)
      Benzodiazepines
      B)
      Amphetamines
      C)
      Antihistamines
      D)
      Sertraline
    4. A nurse is discussing the risk factors for somatic symptom disorder with a newly licensed nurse. Which of the following is a risk factor the nurse should include?
      A)
      Childhood trauma
      B)
      Age older than 65 years
      C)
      Coronary artery disease
      D)
      Obesity
    Page 4 of 8

    Exam Review

    1. A nurse is reviewing the medical record of a client who has somatic symptom disorder. Which of the following would be a likely comorbidity of somatic symptom disorder?
      A)
      Major depressive disorder
      B)
      Schizophrenia
      C)
      Bipolar disorder
      D)
      Borderline personality disorder
    2. The guardians of a school-aged child state that they run in circles in the classroom, interrupt others’ conversations at home, and cannot focus when doing homework. The nurse should recognize that these behaviors can be indicative of which of the following disorders?
      A)
      Dysgraphia
      B)
      Autism spectrum disorder (ASD)
      C)
      Stereotypic movement disorder
      D)
      Attention-deficit/hyperactivity disorder (ADHD)
    3. A middle-aged client goes to the physician reporting hip pain. The friend that brought the client to the office tells the nurse that the client's intention is to fake chronic hip pain to apply for disability benefits from the government. Which best reflects the client's potential diagnosis?
      A)
      Factitious disorder imposed on another
      B)
      Illness anxiety disorder
      C)
      Factitious disorder
      D)
      Malingering
    4. Which action for clients with dementia is NOT indicated?
      A)
      Finding activities that engage the clients' attention.
      B)
      Asking the clients about the places where they were born.
      C)
      Correcting any misperceptions or delusions.
      D)
      Providing unrelated distractions when clients are agitated.
    Page 5 of 8

    Exam Review

    1. A nurse is interacting with a client. The client repeatedly shrugs and yells out random words. The nurse recognizes that this finding is associated with which of the following disorders?
      A)
      Autism spectrum disorder (ASD)
      B)
      Attention-deficit/hyperactivity disorder (ADHD)
      C)
      Expressive language disorder
      D)
      Tourette syndrome
    2. A nurse is admitting a client to the hospital unit. Which one of the following elements of the client's history and physical assessment increases the risk for the development of delirium?
      A)
      History of lymphoma
      B)
      Female sex
      C)
      Lack of medical insurance
      D)
      History of drug and alcohol use
    3. A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?
      A)
      A client requests extra blankets when the thermostat in the room indicates 80° F.
      B)
      A client asks when family members will be arriving after visiting 1 hr earlier.
      C)
      A client expresses dislike of orange juice after reporting earlier that it was a favorite juice.
      D)
      A client wants to know what type of poison the nurse placed in her medication.
    4. A nurse is assessing a 10-year-old child who has an autism spectrum disorder. Which of the following findings are expected?
      A)
      Difficulties in mastering the rules of spelling
      B)
      Continuous rocking of the body
      C)
      Difficulties in remembering facts and numbers
      D)
      Difficulty reading instructions for a game.
    Page 6 of 8