NursGuru

    Exam Review

    1. A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?
      A)
      Lower than normal expected reference range of body weight
      B)
      Hyperkalemia
      C)
      Dental decay
      D)
      Amenorrhea
    2. A nurse is caring for a client who was recently diagnosed with somatic symptom disorder. The client says to the nurse, "I don't understand, they can't find anything medically wrong with me. I guess I will never feel better." Which of the following responses is the most therapeutic?
      A)
      "Although there isn't a cure for this disorder, I am sure you will feel better someday."
      B)
      "Let's focus on the physical symptoms that you have."
      C)
      "Why do you feel like you will never get better? Do you not have confidence in the medical team?"
      D)
      "We will work with you to help you develop ways to manage your symptoms that are caused by the disorder."
    3. A nurse is caring for a client who states, "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?
      A)
      Dissociative amnesia
      B)
      Factitious disorder
      C)
      Functional neurological symptom disorder
      D)
      Depersonalization/derealization disorder
    4. 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      Withdrawn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

    Exam Review

    1. A nurse is caring for a client who has an eating disorder. Which of the following actions should the nurse plan to take during the orientation phase of the nurse-client relationship?
      A)
      Reinforce teaching about the eating disorder.
      B)
      Discuss the timeline of the relationship.
      C)
      Perform self-reflection activities.
      D)
      Identify areas that are causing problems in the client's life.
    2. A nurse is caring for a client who has factitious disorder. The client states, "I am so tired of living like this. Maybe I should just end it all." Which of the following actions should the nurse take?
      A)
      Determine if the client has entered one of their alter personalities.
      B)
      Encourage the client to use relaxation techniques.
      C)
      Assess the client for suicidal ideation and thoughts of self-harm.
      D)
      Encourage the client to participate in group therapy sessions.
    3. A nurse has been confronted about stealing and taking drugs from the narcotics cart in the med room. The nurse has been reported to the board of nursing in their state. What is the likely initial outcome?
      A)
      The nurse will be fired immediately.
      B)
      The nurse will be assisted into drug treatment.
      C)
      The nurse will lose their nursing license immediately.
      D)
      The nurse will need to transfer to a different unit.
    4. A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?
      A)
      "I know I am skinny."
      B)
      "I enjoy wearing form-fitting clothes to show off my body."
      C)
      "I have so much energy."
      D)
      "I spend lots of time searching for new recipes."

    Exam Review

    1. A nurse is caring for a client who reports frequent social use of alcohol. The client tells the nurse that they have been reprimanded at work for being late several times after they had been out late drinking. Which of the following statements by the client might indicate that the client has developed a substance use disorder?
      A)
      "I have been hanging out with friends who are my support system"
      B)
      "I have lost 15 pounds! I just don't want to eat lately."
      C)
      "I am taking art lessons to relieve stress."
      D)
      "I am so focused right now. I have a lot of goals."
    2. A nurse is providing education about somatic symptom disorder to a client's 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)
      "Individuals with somatic symptom disorder experience real physical effects, but these manifestations are due to emotional causes rather than physical ones."
      C)
      "Somatic symptom disorder is characterized by suicidal ideations or thoughts of death."
      D)
      "Individuals may intentionally make up the symptoms they are experiencing."
    3. A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?
      A)
      "I have binged and purged for years without my family or friends knowing."
      B)
      "I feel a sense of power by restricting my food intake."
      C)
      "I only use the laxatives when I am feeling constipated."
      D)
      "I feel an emotional high during my binge-purge episodes."
    4. A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?
      A)
      Weigh the client each day after their evening meal.
      B)
      Invite the client to predict their weight beforehand.
      C)
      Demand that the client remove hidden objects from their clothing prior to being weighed.
      D)
      Monitor for any extra fluids the client may have consumed prior to being weighed.

    Exam Review

    1. A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?
      A)
      Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications.
      B)
      Crying, sharing personal details of relationship problems, monopolizing conversations.
      C)
      Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings
      D)
      Increased cheerfulness, increased energy, helping other nurses on the shift.
    2. A nurse is caring for a client who has been brought into an emergency department of a large hospital. The client's family state that the client "took some kind of drugs." The client is dizzy, has recently vomited, and is experiencing paranoia, yelling, "Stay away from me! You are going to kill me?" The client alternates yelling with mumbling and gesturing. Their eyes are darting back and forth as they are talking to the wall. The nurse should suspect the client has used which of the following substances?
      A)
      Opioids
      B)
      Anabolic steroids
      C)
      Stimulants
      D)
      Hallucinogens
    3. A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?
      A)
      Report the incident to the appropriate person in the chain of command right away.
      B)
      Agree to not report the incident if the coworker seeks treatment.
      C)
      Report the incident to the other RNs on the shift.
      D)
      Agree to not report the incident if the coworker promises to report themselves to the supervisor.
    4. A nurse is assisting to provide an in-service to a group of nurses on medications used to treat the progression of dementia. Which of the following medications should the nurse include in the teaching?
      A)
      Aducanumab
      B)
      Levodopa
      C)
      Tetrabenazine
      D)
      Warfarin

    Exam Review

    1. A nurse is caring for a client who has binge-eating disorder. Which of the following actions should the nurse plan to take during the termination phase of the nurse-client relationship?
      A)
      Introduce the concept of discharge planning.
      B)
      Provide personal contact information to the client for use in case of emergency.
      C)
      Gather data about the client's home situation.
      D)
      Review treatment goals that have been accomplished.
    2. A nurse is caring for a client who has anorexia nervosa. Which of the following findings should the nurse identify as an indication of refeeding syndrome?
      A)
      The client reports a sudden increased energy level.
      B)
      The client has peripheral edema of both legs.
      C)
      The client reports increased appetite at bedtime.
      D)
      The client had a weight gain of 0.91 kg (2 lb) over 1 week.
    3. A nurse is assisting with providing an educational program about eating disorders to the local community. The nurse should include that which of the following groups has an increased risk for developing an eating disorder?
      A)
      Musicians
      B)
      Chefs
      C)
      Athletes
      D)
      Movie directors
    4. A nurse is caring for a client who has anorexia nervosa. Which of the following actions should the nurse plan to take during the working phase of the nurse- client relationship?
      A)
      Gather information about the client's "fear foods."
      B)
      Summarize the goals that were met during treatment.
      C)
      Introduce coping strategies to reduce anxiety associated with eating.
      D)
      Identify treatment goals related to the client's body image.

    Exam Review

    1. A nurse is caring for a client who was admitted to the emergency department with a blood alcohol content of 0.15 mg/dL. Which of the following conclusions should the nurse make about the client's blood alcohol content?
      A)
      The client has a substance use disorder.
      B)
      The client ingested enough alcohol to cause them to experience acute cognitive impairment.
      C)
      The client needs inpatient treatment for their drinking problem.
      D)
      The client has been a heavy drinker over the past few months.
    2. A nurse is caring for a client who has anorexia nervosa. Which of the following findings should the nurse expect?
      A)
      Hyperkalemia
      B)
      Hyperglycemia
      C)
      Swollen parotid glands
      D)
      Lanugo
    3. A nurse is caring for a client who has bulimia nervosa has a new prescription for a selective serotonin reuptake inhibitor (SSRI). Which of the following medications should the nurse anticipate administering?
      A)
      Fluoxetine
      B)
      Naltrexone
      C)
      Valproate
      D)
      Olanzapine
    4. A community health nurse is preparing an educational activity on Alzheimer's disease. Which of the following risk factors should the nurse include as the greatest risk for this disease?
      A)
      Age
      B)
      Genetics
      C)
      Androgen deprivation therapy
      D)
      History of Down syndrome