Georgette Review PMHNP Exam 1
MENTAL HEALTH Georgette Review
PMHNP Exam 4 COMPLETE VERIFIED
QUESTIONS AND CORRECT
ANSWERS WITH DETAILED
RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR
EXAM
The nurse is assessing several clients prior to surgery. Which factor in a client's history poses
the greatest threat for complications to occur during surgery?
A.
Taking birth control pills for the past 2 years
B.
Taking anticoagulants for the past year
March 4, 2026
, Georgette Review PMHNP Exam 2
C.
Recently completing antibiotic therapy
D.
Having taken laxatives PRN for the last 6 months
B
Rationale:
Anticoagulants increase the risk for bleeding during surgery, which can pose a threat for the
development of surgical complications. The health care provider should be informed that the
client is taking these drugs. Although clients who take birth control pills may be more
susceptible to the development of thrombi, such problems usually occur postoperatively. A
client with option C or D is at less of a surgical risk than with option B.
The nurse is performing an intake interview for a newly admitted client to the rehabilitation
unit. Which questions will the nurse include in the interview? (Select all that apply.)
A.
"When do you usually go to bed? And, when do you usually wake up?"
B.
"Do you usually bathe/shower in the morning or in the evening?"
C.
"Do you have any intolerance to food that we need to know about?"
D.
"How long do you think you will be here on the rehabilitation unit?"
E.
"Do you urinate every hour, on the hour, when you are awake?"
A, B, C, D
Rationale:
The goal of the intake interview is to understand the client's daily routines so those routines
can be observed and upheld while residing on the rehabilitation unit. Asking about how long
the client will be on the rehabilitation unit helps the nurse to understand the client's
expectations of the duration of the stay. Urinary and bowel patterns are important to
understand, but the issue with this assessment is the frequency of urination. The better
question is, "How often do you urinate when you are awake?"
March 4, 2026
, Georgette Review PMHNP Exam 3
The nurse is providing care to a client immediately after a total right mastectomy. What steps
will the nurse include when positioning the client? (Select all that apply.)
A.
Raise the head of the bed 30 to 45 degrees.
B.
Roll the client to her right side and place a pillow behind her back.
C.
Elevate her right arm under two pillows.
D.
Require the client to stay in bed for 72 hours post procedure.
E.
Place a sandbag on the incision.
A, C
Rationale:
The client must stay on her back or on the unaffected side, not on the operative side. Mobility
as tolerated; there is no need to remain immobile. A sandbag is used when there is risk of
bleeding from the wound. There is no mention of that risk in the stem. Sitting up and elevating
the arm will help lymph drainage.
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing
the risk of a heart attack or stroke. Which health promotion brochure is most important for the
nurse to provide to this client?
A.
"Monitoring Your Blood Pressure at Home"
B.
"Smoking Cessation as a Lifelong Commitment"
C.
"Decreasing Cholesterol Levels Through Diet"
D.
"Stress Management for a Healthier You"
C
Rational
March 4, 2026
, Georgette Review PMHNP Exam 4
e: A health promotion brochure about decreasing cholesterol is most important to provide this
client, because the most significant risk factor contributing to development of arteriosclerosis is
excess dietary fat, particularly saturated fat and cholesterol. Option A does not address the
underlying causes of arteriosclerosis. Options B and D are also important factors for reversing
arteriosclerosis but are not as important as lowering cholesterol.
The nurse is preparing the room for a client after a laparotomy with a 5 inch midline abdominal
incision. The nurse plans on teaching the client how to splint the wound when coughing or
deep breathing. What extra item will the nurse place in the client's room?
A.
Pillow case
B.
Pillow
C.
Sheet
D.
Blue absorbent pad
B
Rationale:
The purpose of splinting an incision is to offer additional support to the wound. The client can
hold a pillow or rolled up blanket against the abdominal incision. The remaining items do not
offer the level of support necessary to splint the wound.
The nurse is instructing a client in the proper use of a metered-dose inhaler. Which instruction
should the nurse provide the client to ensure the optimal benefits from the drug?
A.
"Fill your lungs with air through your mouth and then compress the inhaler."
B.
"Compress the inhaler while slowly breathing in through your mouth."
C.
"Compress the inhaler while inhaling quickly through your nose."
D.
"Exhale completely after compressing the inhaler and then inhale."
March 4, 2026
MENTAL HEALTH Georgette Review
PMHNP Exam 4 COMPLETE VERIFIED
QUESTIONS AND CORRECT
ANSWERS WITH DETAILED
RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR
EXAM
The nurse is assessing several clients prior to surgery. Which factor in a client's history poses
the greatest threat for complications to occur during surgery?
A.
Taking birth control pills for the past 2 years
B.
Taking anticoagulants for the past year
March 4, 2026
, Georgette Review PMHNP Exam 2
C.
Recently completing antibiotic therapy
D.
Having taken laxatives PRN for the last 6 months
B
Rationale:
Anticoagulants increase the risk for bleeding during surgery, which can pose a threat for the
development of surgical complications. The health care provider should be informed that the
client is taking these drugs. Although clients who take birth control pills may be more
susceptible to the development of thrombi, such problems usually occur postoperatively. A
client with option C or D is at less of a surgical risk than with option B.
The nurse is performing an intake interview for a newly admitted client to the rehabilitation
unit. Which questions will the nurse include in the interview? (Select all that apply.)
A.
"When do you usually go to bed? And, when do you usually wake up?"
B.
"Do you usually bathe/shower in the morning or in the evening?"
C.
"Do you have any intolerance to food that we need to know about?"
D.
"How long do you think you will be here on the rehabilitation unit?"
E.
"Do you urinate every hour, on the hour, when you are awake?"
A, B, C, D
Rationale:
The goal of the intake interview is to understand the client's daily routines so those routines
can be observed and upheld while residing on the rehabilitation unit. Asking about how long
the client will be on the rehabilitation unit helps the nurse to understand the client's
expectations of the duration of the stay. Urinary and bowel patterns are important to
understand, but the issue with this assessment is the frequency of urination. The better
question is, "How often do you urinate when you are awake?"
March 4, 2026
, Georgette Review PMHNP Exam 3
The nurse is providing care to a client immediately after a total right mastectomy. What steps
will the nurse include when positioning the client? (Select all that apply.)
A.
Raise the head of the bed 30 to 45 degrees.
B.
Roll the client to her right side and place a pillow behind her back.
C.
Elevate her right arm under two pillows.
D.
Require the client to stay in bed for 72 hours post procedure.
E.
Place a sandbag on the incision.
A, C
Rationale:
The client must stay on her back or on the unaffected side, not on the operative side. Mobility
as tolerated; there is no need to remain immobile. A sandbag is used when there is risk of
bleeding from the wound. There is no mention of that risk in the stem. Sitting up and elevating
the arm will help lymph drainage.
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing
the risk of a heart attack or stroke. Which health promotion brochure is most important for the
nurse to provide to this client?
A.
"Monitoring Your Blood Pressure at Home"
B.
"Smoking Cessation as a Lifelong Commitment"
C.
"Decreasing Cholesterol Levels Through Diet"
D.
"Stress Management for a Healthier You"
C
Rational
March 4, 2026
, Georgette Review PMHNP Exam 4
e: A health promotion brochure about decreasing cholesterol is most important to provide this
client, because the most significant risk factor contributing to development of arteriosclerosis is
excess dietary fat, particularly saturated fat and cholesterol. Option A does not address the
underlying causes of arteriosclerosis. Options B and D are also important factors for reversing
arteriosclerosis but are not as important as lowering cholesterol.
The nurse is preparing the room for a client after a laparotomy with a 5 inch midline abdominal
incision. The nurse plans on teaching the client how to splint the wound when coughing or
deep breathing. What extra item will the nurse place in the client's room?
A.
Pillow case
B.
Pillow
C.
Sheet
D.
Blue absorbent pad
B
Rationale:
The purpose of splinting an incision is to offer additional support to the wound. The client can
hold a pillow or rolled up blanket against the abdominal incision. The remaining items do not
offer the level of support necessary to splint the wound.
The nurse is instructing a client in the proper use of a metered-dose inhaler. Which instruction
should the nurse provide the client to ensure the optimal benefits from the drug?
A.
"Fill your lungs with air through your mouth and then compress the inhaler."
B.
"Compress the inhaler while slowly breathing in through your mouth."
C.
"Compress the inhaler while inhaling quickly through your nose."
D.
"Exhale completely after compressing the inhaler and then inhale."
March 4, 2026
