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    Exam Review

    1. A nurse is teaching a newly licensed nurse about the use of physical restraints. Which of the following directions should the nurse include in the teaching?
      A)
      Complete an incident report if physical restraints are needed.
      B)
      A prescription for the restraints must be renewed every 4 hr for adult clients.
      C)
      Apply physical restraints prior to administering a chemical restraint.
      D)
      A seizure disorder is a contraindication for the use of physical restraints.
    2. A nurse is providing teaching for a client who has alcohol use disorder. Which of the following statements should the nurse include in the teaching?
      A)
      "You should take disulfiram to help with withdrawal symptoms."
      B)
      "There is not a known genetic predisposition for this disorder."
      C)
      "Self-help groups are not effective for maintaining long-term sobriety."
      D)
      "An early manifestation of alcohol withdrawal is tremors."
    3. A nurse is caring for a client who reports an inability to pay for their newly prescribed medications to treat bipolar disorder. The nurse should report this information to which member of the interprofessional team?
      A)
      Occupational therapist
      B)
      Social worker
      C)
      Psychologist
      D)
      Psychiatrist
    4. A nurse is reviewing the medical record of a client who has a prescription for clozapine. Which of the following findings is an adverse effect of clozapine?
      A)
      Hypertension
      B)
      Bradycardia
      C)
      Hypocalcemia
      D)
      Neutropenia
    Page 1 of 13

    Exam Review

    1. A nurse is reviewing the medical record of a client who has a prescription for clozapine. Which of the following findings is an adverse effect of clozapine?
      A)
      Hypertension
      B)
      Bradycardia
      C)
      Hypocalcemia
      D)
      Neutropenia
    2. A nurse is caring for a group of children in a clinic. Which of the following children should the nurse identify as being at an increased risk for child maltreatment?
      A)
      A school-age child whose parent has generalized anxiety disorder
      B)
      A toddler who has cerebral palsy
      C)
      A preschooler whose parents report the child often says "no"
      D)
      An adolescent who requests contraception
    3. A nurse is caring for a client who has dementia and is experiencing anticipatory grief. Which of the following actions should the nurse take?
      A)
      Share personal stories of grief with the client.
      B)
      Provide the client with a timeline for grieving.
      C)
      Encourage the client to express their feelings.
      D)
      Show sympathy for the client when discussing their condition.
    4. A nurse is caring for a client who reports feelings of hopelessness after being diagnosed with a serious illness. Which of the following actions should the nurse take first?
      A)
      Document the client's concerns.
      B)
      Ask the client if they are having thoughts of self-harm.
      C)
      Assist the client in identifying their support system.
      D)
      Inform the client about ways to manage their feelings.
    Page 2 of 13

    Exam Review

    1. A nurse is assessing a newly admitted client who has schizophrenia and takes thioridazine. Which of the following findings should the nurse document as an adverse effect of this medication?
      A)
      Anhedonia
      B)
      Incongruent affect
      C)
      Waxy flexibility
      D)
      Contractions of the jaw
    2. A nurse is assessing a client who was brought in by a family member. The family member reports the client has had a change in behavior over the past 2 days. Which of the following findings should the nurse identify as an indication that the client has delirium?
      A)
      Agitation
      B)
      Catatonia
      C)
      Echopraxia
      D)
      Apathy
    3. A charge nurse on a mental health unit is teaching newly licensed nurses about client rights. Which of the following statements by a staff nurse indicates an understanding of the teaching?
      A)
      "I can place a client in seclusion if they will not engage in therapeutic conversation."
      B)
      "A client who is admitted into an inpatient psychiatric facility cannot sign an informed consent."
      C)
      "I can expect a provider to write an as-needed prescription for mechanical restraints."
      D)
      "A client can retract previously given consent at any time either verbally or in writing."
    4. A charge nurse is preparing to assign tasks to an assistive personnel on a mental health unit. Which of the following tasks should the charge nurse delegate?
      A)
      Assist a client who has dementia with bathing.
      B)
      Obtain vital signs for a client who has acute mania.
      C)
      Monitor a client undergoing electroconvulsive therapy.
      D)
      Reinforce education for a client who was prescribed sertraline.
    Page 3 of 13

    Exam Review

    1. A nurse is caring for an adolescent whose family has a very rigid system of rules. Which of the following characteristics should the nurse expect when observing the family?
      A)
      The family members make decisions based on compromise.
      B)
      The older children in the family take over parenting roles for younger children.
      C)
      The family members exhibit psychosomatic manifestations.
      D)
      The communication between family members is minimal.
    2. A nurse on an inpatient mental health unit is teaching an adolescent client who has anorexia nervosa about relaxation techniques. Which of the following statements should the nurse make?
      A)
      "Imagine things that make you feel good."
      B)
      "Avoid writing down your feelings when you are experiencing stress."
      C)
      "Take shallow breaths to reduce feelings of stress."
      D)
      "Continue your previous exercise routine while on the unit."
    3. A nurse is caring for a client who is experiencing manifestations of alcohol withdrawal. Which of the following medications should the nurse plan to administer?
      A)
      Methadone
      B)
      Clozapine
      C)
      Lorazepam
      D)
      Bupropion
    4. A nurse on an acute care unit is caring for a newly-admitted client who has anorexia nervosa. When the nurse prepares to obtain a morning weight, the client becomes agitated. Which of the following statements should the nurse make?
      A)
      "If you think you've gained too much weight, we can adjust your meal intake."
      B)
      "Why are you upset about us checking your weight today?"
      C)
      "You don't have to look at your current weight if you don't want to."
      D)
      "We can check your weight tomorrow when you're feeling better."
    Page 4 of 13

    Exam Review

    1. A nurse overhears two assistive personnel (AP) discussing a client who has bipolar disorder in the hallway. Which of the following actions should the nurse take?
      A)
      Submit an incident report to the provider.
      B)
      Instruct the AP to lower their voice.
      C)
      Ask the AP to stop their discussion.
      D)
      Reassign the AP to another client.
    2. A nurse is caring for a client on an inpatient mental health unit. Which of the following findings is the nurse's priority?
      A)
      The client displays flat affect in conversations with staff.
      B)
      The client is experiencing command hallucinations.
      C)
      The client states, "Everyone is out to get me."
      D)
      The client refuses to eat breakfast, stating, "The food is poisoned."
    3. A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply)
      A)
      Place the client in a reclining chair.
      B)
      Put locks at the top of doors.
      C)
      Install sensor devices on outside doors.
      D)
      Position the mattress on the floor.
      E)
      Encourage physical activity prior to bedtime.
    4. A charge nurse is orienting a newly licensed nurse and observes the newly licensed nurse imitating her behaviors. The nurse should recognize this behavior as which of the following defense mechanisms?
      A)
      Suppression
      B)
      Identification
      C)
      Compensation
      D)
      Reaction formation
    Page 5 of 13

    Exam Review

    1. A nurse in an emergency department is creating a plan of care for a client who reports experiencing intimate partner violence. Which of the following interventions should the nurse include as the priority?
      A)
      Help the client devise a safety plan.
      B)
      Refer the client to a support group.
      C)
      Follow the facility's protocol for reporting the abuse.
      D)
      Teach the client stress-reduction techniques.
    2. A nurse is caring for an older adult client. The client's family member states, "They no longer participate in social events like they used to." Which of the following actions should the nurse take first?
      A)
      Refer the client to a gerontologist for further evaluation.
      B)
      Assess the client using the Geriatric Depression Scale.
      C)
      Review activities available at the community center with the client.
      D)
      Review current prescription medications with the client.
    3. A nurse is caring for a client who has a depressive disorder. The client states, "I don't always go to bed at night, so I get in trouble for falling asleep at work." Which of the following interventions should the nurse recommend?
      A)
      Keep a sleep diary to promote a consistent sleep schedule.
      B)
      Discontinue any meditation until your sleep disruption is addressed.
      C)
      Take a 1-hour nap every day.
      D)
      Exercise late in the day, preferably before bedtime.
    4. A nurse in an inpatient mental health facility observes a client who is becoming increasingly angry. Which of the following actions should the nurse take first?
      A)
      Walk with the client to help release energy.
      B)
      Administer a tranquilizing medication to calm the client down.
      C)
      Ensure enough staff are available to assist if the client becomes violent.
      D)
      Place the client in seclusion to prevent them from harming other clients.
    Page 6 of 13