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    Exam Review

    1. A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?
      A)
      "Use systematic desensitization to help prevent relapse."
      B)
      "You should identify how you react to stressful events."
      C)
      "Your antidepressant medication will make you feel better in a few days."
      D)
      "Try snapping a rubber band on your wrist when depressive thoughts occur."
    2. A nurse at an urgent care facility is collecting data from a client and notes numerous bruises on the client's abdomen and extremities. The client reports their partner hit them. After observing the client for further injuries, which of the following actions is the nurse's priority?
      A)
      Encourage the client to seek counseling.
      B)
      Assist the client in developing a safety plan.
      C)
      Provide information regarding a support group.
      D)
      Suggest the client call a friend.
    3. A nurse is reviewing the medical record of a client who has delirium. Which of the following findings should the nurse identify as a potential cause of delirium?
      A)
      Vascular disease
      B)
      Urinary tract infection
      C)
      Human immunodeficiency virus (HIV)
    4. A nurse is caring for a client who has become aggressive and requires the placement of wrist restraints to maintain the client's safety. Which of the following actions should the nurse take?
      A)
      Observe the circulation of the client’s extremities.
      B)
      Tie the restraint to the rail of the client's bed.
      C)
      Obtain the client's vital signs every 4 hr.
      D)
      Use square knots to secure the client's restraint.
    Page 1 of 10

    Exam Review

    1. A nurse is assisting in the care of a client who reports no desire to get out of bed, is withdrawn from their surroundings, and rarely speaks. Which of the following statements should the nurse make?
      A)
      "Everything will be okay if you get out of bed."
      B)
      "I would like to sit with you for a while."
      C)
      "You should really get out of bed and start your day."
      D)
      "It is such a beautiful day outside, and you're going to miss it."
    2. A nurse is helping lead a support group for clients in a long-term care facility. Which of the following is the leader's task during the termination phase of group development?
      A)
      Reflect on progress.
      B)
      Encourage problem solving.
      C)
      Guide conflict resolution.
      D)
      Discuss ground rules.
    3. A nurse is collecting data from a client who reports cessation of nicotine use. Which of the following manifestations should the nurse expect? (Select all that apply)
      (SATA)
      A)
      Weight gain
      B)
      Restlessness
      C)
      Decreased appetite
      D)
      Difficulty concentrating
      E)
      Diarrhea
    4. 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)
      Agree to a prescription for an alcohol use deterrent.
      B)
      Form a close support network.
      C)
      Acknowledge an inability to control drinking.
      D)
      Incorporate a form of spirituality into daily life.
    Page 2 of 10

    Exam Review

    1. 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)
      "The voices told me to quit eating the food here."
      B)
      "Are you planning to kill me?"
      C)
      "Can you see these spiders crawling all over me?"
      D)
      "The aliens are going to abduct me tonight."
    2. A nurse in a mental health facility is discussing client rights with an adult client who was involuntarily committed. Which of the following statements should the nurse make?
      A)
      "If you want to leave the hospital, you need to sign a release form."
      B)
      "Your provider will need to notify your employer of your admission."
      C)
      "You have the option to refuse your medication while in the facility."
      D)
      "Once 90 days have passed, you can request a review of your admission."
    3. A nurse is reinforcing discharge teaching with the adult child of a client who has dementia. Which of the following statements by the client's child indicates an understanding of the teaching?
      A)
      "I will allow my dad to take a nap in the afternoon."
      B)
      "I will offer my dad at least three choices at mealtime."
      C)
      "I will use written signs to direct my dad to areas of the house."
      D)
      "I will dim the lights during the day to provide a quiet environment."
    4. A nurse is caring for a client who has bipolar disorder and suddenly begins yelling at staff and other clients. Which of the following actions should the nurse take first?
      A)
      Administer lorazepam IM.
      B)
      Place the client in restraints.
      C)
      Use verbal de-escalation skills.
      D)
      Seclude the client in a private room.
    Page 3 of 10

    Exam Review

    1. A nurse is caring for a young adult client who has major depressive disorder and has been found legally incompetent. The client requires informed consent for abdominal surgery. The nurse should recognize that which of the following people can consent to the surgery?
      A)
      The client
      B)
      The client's psychiatrist
      C)
      The client's appointed guardian
      D)
      The client's friend who visits daily
    2. A nurse is reinforcing discharge teaching with a client who has bipolar disorder. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
      A)
      "Weekly sessions of electroconvulsive therapy will minimize my symptoms."
      B)
      "An early sign of relapse is having trouble sleeping."
      C)
      "Attending group therapy will decrease my need for medication."
      D)
      "It is okay to have a glass of red wine with dinner a few nights a week."
    3. A nurse is reinforcing teaching about laboratory testing with a client who has a prescription for clozapine. Which of the following laboratory tests should the nurse instruct the client to undergo weekly for the first 6 months of treatment?
      A)
      Fasting blood glucose
      B)
      WBC count
      C)
      Platelet count
      D)
      Uric acid level
    4. A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse identify as an indication that the client has an impaired nutritional status?
      A)
      Polyuria
      B)
      Constipation
      C)
      Increased bowel sounds
      D)
      Hyperkalemia
    Page 4 of 10

    Exam Review

    1. A nurse is caring for a client who states, "I’m overwhelmed, and no one understands. I can’t take it anymore." Which of the following responses should the nurse make first?
      A)
      "Are you thinking of harming yourself?"
      B)
      "Do you have anyone you can talk to about your feelings?"
      C)
      "Are you saying that no one understands your concerns?"
      D)
      "Tell me more about how you are feeling."
    2. A nurse is assisting with a community health education and support service for individuals who have lost loved ones to suicide. Which of the following actions should the nurse take when caring for these individuals?
      A)
      Ask open-ended questions when talking to the individual about their grief.
      B)
      Recommend that the individual wait at least 3 months before joining a support group.
      C)
      Wait until the individual talks about their deceased loved one before mentioning their name.
      D)
      Refer to the deceased person as the client not the individual.
    3. A nurse is caring for a client who has a terminal illness. Which of the following statements should the nurse make to reinforce teaching about anticipatory grief reactions with the client's partner?
      A)
      "The anticipatory grief process won't begin until after your partner dies."
      B)
      "You might find yourself feeling detached from your partner during this time."
      C)
      "Your partner might experience a spurt of energy during this time."
      D)
      "Anticipatory grief delays the normal grief response."
    4. A nurse is collecting data from a client who has a major depressive disorder and a new prescription for bupropion. Which of the following findings should the nurse identify as a contraindication for this medication?
      A)
      The client has asthma.
      B)
      The client smokes two packs of cigarettes per day.
      C)
      The client has a seizure disorder.
      D)
      The client has an allergy to peanuts.
    Page 5 of 10

    Exam Review

    1. A nurse is caring for a client who is experiencing moderate anxiety and appears distracted and unable to focus. Which of the following actions should the nurse take?
      A)
      Encourage the client to walk around the courtyard.
      B)
      Escort the client to the dayroom to interact with others.
      C)
      Administer a dose of escitalopram to the client.
      D)
      Request an antipsychotic medication from the provider.
    2. A nurse on a mental health unit is assisting with developing an in-service for staff members about legal issues. Which of the following examples should the nurse include as an example of libel?
      A)
      Leaving a client in a wheelchair with the wheels unlocked
      B)
      Documenting false information about a client's substance use history
      C)
      Threatening to apply restraints on a client who is refusing medication
      D)
      Administering a medication without the client's consent
    3. A nurse is reinforcing teaching with a client who has a new prescription for amitriptyline. The client reports taking herbal supplements. The nurse should instruct the client that they should avoid taking which of the following supplements?
      A)
      Echinacea
      B)
      St. John's wort
      C)
      Saw palmetto
      D)
      Glucosamine
    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 10