Mental Health Case Study Exam
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
As the nurse documents Mr. Fearon's assessment, the nurse is correct to question which
activity of a client with DM2? - CORRECT ANSWER Client's frequency for checking
blood glucose.
Quantity of Ensure taken per day.
Reason for lack of appetite.
Amount of water and other fluids taken daily.
Mr. Fearon mentions that he feels "blue" lately because his wife died one year ago, and his
children live out of state and seldom visit. The nurse knows that the greatest risk for major
depression includes which event? - CORRECT ANSWER Becoming widowed within
the past year.
The HCP prescribes 1000 mL Dextrose 5% with Normal Saline 0.9% and 20 mEq/L
Potassium Chloride (KCl) to infuse at 100 mL/hr. The nurse is correct to question which
additive to this infusion prescription? - CORRECT ANSWER Dextrose (D5).
The HCP prescribes 1000 mL Normal Saline 0.45% with 20 mEq/L KCl to infuse at 125
mL/hr. The nurse calculates that it will take how many hours for the infusion to complete? -
CORRECT ANSWER 8
Mr. Fearon is febrile with temperature of 101.5F. Based on this information, which
intervention should the nurse implement first? - CORRECT ANSWER Contact the lab
and request blood cultures be drawn.
The HCP prescribes clindamycin 900 mg in 100 mL over 30 minutes. The IV tubing drop
factor is 15 gtt/mL. The nurse should regulate the IV to deliver how many drops per minute?
- CORRECT ANSWER 50
, The nurse knows that before drawing arterial blood gases, which interventions are the most
important to be performed? - CORRECT ANSWER Perform Allen's Test
Utilize sterile technique
Check two client identifiers
When monitoring Mr. Fearon's respiratory status, which symptom provides the nurse with the
earliest indication of respiratory difficulty? - CORRECT ANSWER Hypoxia
The nurse prepares to contact the HCP with lab results, knowing that all lab information must
be collected prior to reporting. Which lab results does the nurse need to report first to the
HCP? - CORRECT ANSWER ABGs, O2 sat, and WBC
The nurse should interpret which finding as expected limits for the client with COPD? -
CORRECT ANSWER 87% O2 saturation.
The HCP orders additional diagnostic tests. Which test would the nurse anticipate the HCP
will order for Mr. Fearon? - CORRECT ANSWER CT
What are the nurse's responsibilities when preparing Mr. Fearon for the CT scan? -
CORRECT ANSWER Verify the client's identity with two types of identifiers.
Determine if the client has any known allergy to iodine or shellfish.
Ask the client when his last dose of metformin was taken.
A client care tech arrives to transport Mr. Fearon to the CT scan. The nurse knows that
communication breakdown can occur during transfer. Which statements about effective
handoff communication are true? - CORRECT ANSWER Communication and
tradition differences between people of different backgrounds can be a barrier to handoff.
An SBAR tool form must be completed prior to the client's transfer.
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
As the nurse documents Mr. Fearon's assessment, the nurse is correct to question which
activity of a client with DM2? - CORRECT ANSWER Client's frequency for checking
blood glucose.
Quantity of Ensure taken per day.
Reason for lack of appetite.
Amount of water and other fluids taken daily.
Mr. Fearon mentions that he feels "blue" lately because his wife died one year ago, and his
children live out of state and seldom visit. The nurse knows that the greatest risk for major
depression includes which event? - CORRECT ANSWER Becoming widowed within
the past year.
The HCP prescribes 1000 mL Dextrose 5% with Normal Saline 0.9% and 20 mEq/L
Potassium Chloride (KCl) to infuse at 100 mL/hr. The nurse is correct to question which
additive to this infusion prescription? - CORRECT ANSWER Dextrose (D5).
The HCP prescribes 1000 mL Normal Saline 0.45% with 20 mEq/L KCl to infuse at 125
mL/hr. The nurse calculates that it will take how many hours for the infusion to complete? -
CORRECT ANSWER 8
Mr. Fearon is febrile with temperature of 101.5F. Based on this information, which
intervention should the nurse implement first? - CORRECT ANSWER Contact the lab
and request blood cultures be drawn.
The HCP prescribes clindamycin 900 mg in 100 mL over 30 minutes. The IV tubing drop
factor is 15 gtt/mL. The nurse should regulate the IV to deliver how many drops per minute?
- CORRECT ANSWER 50
, The nurse knows that before drawing arterial blood gases, which interventions are the most
important to be performed? - CORRECT ANSWER Perform Allen's Test
Utilize sterile technique
Check two client identifiers
When monitoring Mr. Fearon's respiratory status, which symptom provides the nurse with the
earliest indication of respiratory difficulty? - CORRECT ANSWER Hypoxia
The nurse prepares to contact the HCP with lab results, knowing that all lab information must
be collected prior to reporting. Which lab results does the nurse need to report first to the
HCP? - CORRECT ANSWER ABGs, O2 sat, and WBC
The nurse should interpret which finding as expected limits for the client with COPD? -
CORRECT ANSWER 87% O2 saturation.
The HCP orders additional diagnostic tests. Which test would the nurse anticipate the HCP
will order for Mr. Fearon? - CORRECT ANSWER CT
What are the nurse's responsibilities when preparing Mr. Fearon for the CT scan? -
CORRECT ANSWER Verify the client's identity with two types of identifiers.
Determine if the client has any known allergy to iodine or shellfish.
Ask the client when his last dose of metformin was taken.
A client care tech arrives to transport Mr. Fearon to the CT scan. The nurse knows that
communication breakdown can occur during transfer. Which statements about effective
handoff communication are true? - CORRECT ANSWER Communication and
tradition differences between people of different backgrounds can be a barrier to handoff.
An SBAR tool form must be completed prior to the client's transfer.
