1. A nurse isreviewing the medication administration record of a client who has major depressive disorder
and a new prescription for selegiline. The
... [Show More] nurse should recognize that which of the following client
medications is contraindicated when taken with selegiline?
a. Wafarin
b. Fluoxetine
c. Calcium carbonate
d. Acetaminophen
2. A nurse in a long-term care facility is assessing a client who has dementia. Which of the following findings
should the nurse identify as a risk for this client?
a. Outside doors have locks
b. The bed isin the low position
c. Hallways are long distances
d. The room has an area rug
3. A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client
repeatedly checksthat the doors are locked at night. Which of the following instructionsshould the nurse
give the client when using thought stopping technique?
a. “Ask a family member to check the locksfor you at night”
b. “Keep a journal of how often you check the locks each night”
c. “Snap a rubber band on your wrist when you think about checking the locks”
d. “Focus on abdominal breathing whenever you go to check the locks”
4. A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking
haloperidol. Which of the following clinical findings is the nurse’s priority?
a. Insomnia
b. Urinary hesitancy
c. Headache
d. High fever
5. A nurse is caring for a client who has Alzheimer’s disease. Which of the following findings should the nurse
expect?
a. Failure to recognize familiar objects
b. Altered level of consciousness
c. Excessive motor activity
d. Rapid mood swings
6. A nurse in a mental health facility is interviewing a new client. Which of the following outcomes must
occur if the nurse is to establish a therapeutic nurse-client relationship?
a. The nurse is seen as an authority figure
b. A written contract is established to clarify the steps of the treatment plan
c. The nurse maintains confidentiality unlessthe client’ssafety is compromised
d. The nurse is seen as a friend
7. A nurse isteaching a client who has a new prescription for disulfiram. Which of the following statements
by the client indicates an understanding of the teaching?
a. “If I cut myself, I can clean the wound with isopropyl alcohol”
b. “I can wear my cologne on special occasions”
c. “When I bake my favorite cookies, I can use pure vanilla extract for flavoring”
d. “I can continue to eat aged cheese and chocolate”
8. A nurse is planning care for a client who has narcissistic personality disorder. Which of the following
actions is appropriate for the nurse to include in the plan of care?
a. Ask the client to sign a no-suicide contract
b. Remain neutral when communicating with the client
c. Request an antipsychotic medication from the provider
d. Provide the client with high-calorie finger foods
9. A nurse isreviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder.
Which of the following laboratory results should the nurse report to the provider?
a. Urine specific gravity 1.029
b. Platelets 90,000/mm3
c. Urine pH 5.6
d. RBC 4.7/mm3
10. A nurse is providing teaching about relapse prevention to a client who hasschizophrenia. Which of the
following statements by the client indicates an understanding of the teaching?
a. “I should avoid being around othersif I think I’m having a relapse”
b. “I should let my counselor know if I am having trouble sleeping”
c. “I shouldn’t worry about the voices because they are a part of my illness”
d. “I should increase my carbohydrate intake to maintain my energy level”
11. A nurse is assessing a client for negative manifestations ofschizophrenia. Which of the following findings
should the nurse expect?
a. Echopraxia
b. Delusions
c. Anergia
d. Tangentiality
12. A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has
major depressive disorder. Which of the following findings obtained during the initial assessment isthe
priority to report to other disciplines?
a. Poor problem-solving skills
b. Markedly neglected hygiene
c. Significant weightloss
d. Psychomotor retardation
13. A nurse is preparing to administer methylphenidate 25 mg PO to a school age child who has ADHD.
Available is methylphenidate 10mg/5mL liquid. How many mL should the nurse administer? (Round to
nearest tenth)
a. 12.5
14. A nurse is caring for a school age child who has a fractured arm. The child has other injuries that cause the
nurse to suspect abuse. Which of the following actions is appropriate for the nurse to take when assessing
the child’s situation?
a. Ask the parents directly if the child’sfracture is due to physical abuse
b. Direct the parents to the waiting room before interviewing the child
c. Interview the child with the provider and social worker present
d. Ask clarifying questions asthe child explains how the injuries occurred
15. A nurse is assisting with obtaining consentfor a client who has been declared legally incompetent. Which
of the following actions should the nurse take?
a. Ask the charge nurse to obtain informed consent
b. Contact the facility social worker to obtain consent
c. Request that the client’s guardian sign the consent
d. Explain implied consent to the clients family
16. A nurse in a mental health facility is reviewing a client’s medical record. Which of the following actions
should the nurse take first? (Click on the exhibit button for additional information about the client. There
are 3 tabs that contain separate categories of data)
a. Teach the client about nutritional needs
b. Initiate 0.9% sodium chloride with 40 mEq potassium chloride
c. Administer acetaminophen 500 mg PO
d. Encourage the client to attend group therapy sessions
17. A nurse is assessing a client who has delirium. Which of the following findingsrequires immediate
intervention by the nurse?
a. Rapid mood swings
b. Command hallucinations
c. Impaired memory
d. Inappropriate speech patterns
18. A nurse is developing a teach plan for the family of an older adult client who is to receive transcranial
magnetic stimulation. Which of the following information should the nurse include n the teaching plan?
a. The client is at risk for aspiration during treatment
b. The client will experience a seizure during treatment
c. The client will require intubation after treatment
d. The client might have a headache after treatment
19. A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for
smoking cessation. Which of the following assessment findings in the client’s history should the nurse
report to the provider?
a. Recent head injury
b. Hypothyroidism
c. Knee arthroplasty 1 month ago
d. Hepatitis B infection
20. A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the
following actions should the nurse include in the plan?
a. Provide written information aboutthe client’streatment plan
b. Monitor the client for splitting behaviors
c. Encourage countertransference when developing the nurse-clientrelationship
d. Isolate the client from social or group interactions
21. A nurse is caring for a client who receiveslamotrigine daily for bipolar disorder and reports a rash on his
arm. Which of the following actions should the nurse take?
a. Ask the client about a recent change in laundry detergent
b. Explain that the medication causes a temporary rash
c. Apply hydrocortisone cream on the client’srash
d. Withhold the next dose of the medication
22. A nurse is caring for a client who begins yelling and pacing around the room. Which of the following
actions should the nurse take? (select all that apply)
a. Stand directly in front of the client
b. Identify the client’s stressors
c. Request thatsecurity guardsrestrain the client
d. Talk to the client using short,simple sentences
e. Speak to the client in a loud voice
23. A nurse is developing a plan of care for a school-age child who has autism spectrum disorder. Which of the
following interventions should the nurse include in the plan?
a. Allow flexibility in the child’s daily schedule
b. Assign the child to a room with another child of the same age
c. Discourage the child from making eye contact with caregivers
d. Use a reward system for appropriate behavior
24. A nurse is caring for a client who has post-traumatic stress disorder. Which of the following clinical findings
is associated with this disorder?
a. Depersonalization
b. Pressured speech
c. Hypervigilance
d. Compulsive behavior
25. A nurse isteaching a client about the use of cognitive reframing for stress management. Which of the
following statements by the client indicates an understanding of the teaching?
a. “I will focus on a mental image while concentration on my breathing.”
b. “I will practice replacing negative thoughts with positive self-statements.”
c. “I will progressively relax each of my muscle groups when feeling stressed.”
d. “I will learn how to voluntarily control my blood pressure and heart rate.”
26. A nurse is caring for a client who has schizophrenia and has been taking chlorpromazine for 5 years. Which
of the following assessment tools should the nurse use to determine if the client is experiencing adverse
effects of the medication?
a. Addiction Severity Index (ASI)
b. Mood Disorder Questionnaire (MDQ)
c. Abnormal Involuntary Movement Scale (AIMS)
d. Hamilton Depression Scale
27. A nurse in a mental health facility is assessing a client for suicide risk factors using the SAD PERSONS scale.
Which of the following finding indicates a risk suicide?
a. The client is married
b. The client has diabetes mellitus
c. The client is 50 years of age
d. The client isfemale
28. A nurse is providing crisisintervention for a client who was involved in a violent mass casualty situation in
the community. Which of the following actions should the nurse take during the initial session with the
client?
a. Identify the client’s usual coping style
b. Help the client focus on a wide variety of topicsregarding the crisis
c. Tell the client that hislife will soon return to normal
d. Encourage the client to display anger toward the cause of the crisis
29. A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of
the following actions should the nurse take first?
a. Encourage the client to listen to music
b. Monitor the client for indications of anxiety
c. Ask the client what she is missing
d. Focus the client on reality-based topics
30. A nurse is planning to lead a support group for clients who have alcohol use disorder. One of the group
members is a client who speaks a different language than the nurse. The nurse should ask which of the
following individuals to assist with communication?
a. A family member of the client
b. Another client who speaksthe same language as the client
c. A translator of the same gender as the client
d. A unit secretary who speaks the same language asthe client
31. A nurse in an emergency department is assessing a client who reportsrecently using cocaine. Which of the
following clinical manifestations should the nurse expect?
a. Lethargy
b. Hypothermia
c. Hypertension
d. Bradycardia
32. A nurse is caring for a client who has severe depression and is scheduled to receive electroconvulsive
therapy. The nurse should recognize that the client will receive succinylcholine to prevent which of the
following adverse effects?
a. Muscle distress
b. Aspiration
c. Elevated blood pressure
d. Decreased heartrate
33. A nurse in an outpatient clinic is assessing a client who has anorexia nervosa. Which of the following
findings indicates the need for hospitalization?
a. Temperature 35.6 C (96.1 F)
b. Heart rate 56/min
c. Weight 10% below ideal weight
d. Potass..................................................................................CONTINUED................................................................................DOWNLOAD FOR BEST SCORES [Show Less]