NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse in a substance use disorder clinic is explaining the alcohol recovery process to a client's family.Which of the following should the nurse identify as the first step toward successful recovery from alcohol use disorder?
      A)
      Form a close support network.
      B)
      Acknowledge an inability to control drinking.
      C)
      Incorporate a form of spirituality into daily life.
      D)
      Agree to a prescription for an alcohol use deterrent.
    2. A nurse is reinforcing teaching about a new prescription for haloperidol with a client who has schizophrenia.Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I may be more sensitive to the sun while taking this medication.”.
      B)
      "The medication may cause urinary incontinence.”.
      C)
      "I may experience a metallic taste while taking this medication.”.
      D)
      "The medication may cause ringing in my ears.”.
    3. A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was voluntary.For which of the following interventions should the nurse confirm that the client has given informed consent?
      A)
      Receiving light therapy.
      B)
      Taking an experimental medication.
      C)
      Participating in a group exercise program.
      D)
      Attending a cognitive behavioral therapy class.
    4. A nurse is caring for a client who has an anxiety disorder.The client transforms their anxiety into physical manifestations.The nurse should recognize that the client is exhibiting which of the following manifestations?
      A)
      Reaction formation.
      B)
      Somatization.
      C)
      Sublimation.
      D)
      Intellectualization.
    Page 1 of 14

    Exam Review

    1. A nurse is contributing to the plan of care for a client who has acute delirium.Which of the following interventions should the nurse include in the plan of care?
      A)
      Limit the client's need to make decisions.
      B)
      Discourage visitation from the client's family.
      C)
      Keep the client's room dark at night.
      D)
      Provide a high-stimulation environment for the client.
    2. A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder.Which of the following statements by the parent indicates an understanding of the redirection technique?
      A)
      "I should use role-playing to enhance new behavioral skills.”.
      B)
      "I should move closer to my child when they are agitated.”.
      C)
      "I should ignore attention-seeking behaviors.”.
      D)
      "I should re-engage my child in an appropriate activity.”.
    3. A nurse is collecting data from a client who has schizophrenia.Which of the following client statements indicates that the client is experiencing a command hallucination?
      A)
      "Can you see these spiders crawling all over me?"
      B)
      "The aliens are going to abduct me tonight.”.
      C)
      "Are you planning to kill me?"
      D)
      "The voices told me to quit eating the food here.”.
    4. A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium.To address possible adverse effects, the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication?
      A)
      Liver enzymes.
      B)
      Sodium level.
      C)
      Uric acid.
      D)
      Erythrocyte sedimentation rate.
    Page 2 of 14

    Exam Review

    1. A nurse is caring for a client who has depression and reports only sleeping a few hours each night.Which of the following instructions should the nurse give the client to promote sleep?
      A)
      You should drink a glass of wine 1 hour before you go to bed.
      B)
      You should eat a meal just prior to bedtime.
      C)
      You should take a nap after lunch.
      D)
      You should limit yourself to two caffeinated beverages per day.
    2. A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency.The nurse should encourage the client to participate in which of the following groups?
      A)
      Codependency support.
      B)
      Psychodrama.
      C)
      Dual diagnosis treatment.
      D)
      Behavioral therapy.
    3. A nurse is collecting data from a client who has antisocial personality disorder.Which of the following findings should the nurse expect?
      A)
      Preoccupation with details.
      B)
      Manipulative behaviors.
      C)
      Impulsiveness.
      D)
      Splitting.
    4. A nurse in a mental health clinic is collecting data from a client to determine the client's risk for suicide.Which of the following findings should the nurse identify as a risk factor for suicide?
      A)
      Currently married.
      B)
      Access to guns in the home.
      C)
      Terminal liver cancer.
      D)
      Alcohol use disorder.
    Page 3 of 14

    Exam Review

    1. A nurse is collecting data from a client who has anorexia nervosa.Which of the following findings should the nurse expect?
      A)
      Cold extremities.
      B)
      Diarrhea.
      C)
      Tooth erosion.
      D)
      Lanugo.
    2. A nurse is collecting data from an older adult client who was admitted with heart failure.The nurse should report which of the following findings to the provider as an indication of delirium?
      A)
      Fluctuating level of orientation
      B)
      Consistent state of depression
      C)
      Demonstrates obsessive behaviors
      D)
      Family report of gradual memory loss
    3. A nurse is caring for an adolescent who was recently sexually assaulted. Which of the following statements by the adolescent's guardian represents the presence of a positive support system?
      A)
      I can encourage my child to think about what they did that allowed this event to happen.
      B)
      I anticipate that my child will feel some self-blame.
      C)
      I should encourage my child to focus solely on the future.
      D)
      I will have to do all I can to monitor my child's relationships.
    4. A nurse is assisting with reminiscence therapy for a group of older adult clients.Which of the following strategies should the nurse implement?
      A)
      Making a unit calendar to promote orientation.
      B)
      Discussing childhood memories during group therapy.
      C)
      Encouraging thought-stopping to block undesirable thoughts.
      D)
      Playing board games with other clients to enhance cognition.
    Page 4 of 14

    Exam Review

    1. A nurse is caring for a newly admitted client who has obsessive-compulsive disorder.Which of the following actions should the nurse take first?
      A)
      Discuss the benefits of relaxation exercises with the client.
      B)
      Explain the use of response prevention to the client.
      C)
      Administer an antianxiety medication.
      D)
      Calculate the client's score on the Hamilton Rating Scale for Anxiety.
    2. A nurse is caring for a group of clients in a pediatric clinic.Which of the following clients is at highest risk for physical abuse?
      A)
      An adolescent who is preparing to leave home for college.
      B)
      A preschooler who is reluctant to share.
      C)
      A school-age child who wants to go away to summer camp.
      D)
      A toddler who has cystic fibrosis.
    3. A nurse is caring for a client who was placed in four-point restraints by the nursing staff following an episode of violent behavior.Which of the following actions should the nurse take?
      A)
      Document the client's behavior in the medical record every 1 hr.
      B)
      Keep staff interactions with the client to a minimum.
      C)
      Request the provider renew the prescription in 24 hr.
      D)
      Provide range-of-motion exercises to all extremities every 2 hr.
    4. A nurse is caring for a client who becomes extremely agitated and asks if they can go to a separate room to be alone for an hour.The nurse should document which of the following de-escalation techniques in the client's medical record?
      A)
      Therapeutic hold.
      B)
      Restraint.
      C)
      Diversion.
      D)
      Timeout.
    Page 5 of 14

    Exam Review

    1. A nurse is reinforcing teaching with a client who started taking haloperidol decanoate 125 mg IM 1 month ago.Which of the following statements by the client should the nurse address?
      A)
      "I check my blood pressure once a week.”.
      B)
      "I chew sugar-free gum several times daily.”.
      C)
      "I haven't had a drink of alcohol since I started taking these injections.”.
      D)
      "I spend several hours a day outside gardening when it's sunny.”.
    2. A nurse is caring for a client who has dementia and is experiencing an increased number of falls.Which of the following actions should the nurse take?
      A)
      Request a consult with recreational therapy.
      B)
      Lower the window shade in the client's room.
      C)
      Place the client in a room close to the nurses' station.
      D)
      Obtain a PRN prescription for a vest restraint.
    3. A nurse is preparing to administer sertraline 50 mg PO once daily to a client who has depressive disorder. Available is sertraline oral solution 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy.The nurse should notify the provider for which of the following findings?
      A)
      Asthma.
      B)
      Crohn's disease.
      C)
      Renal colic.
      D)
      Cardiac arrhythmia.
    Page 6 of 14