LEADING SAFE CERTIFICATION
PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ alzheimer's disease agitated and combative when approached for nursing
care - appropriate action?.
Answer: remain calm and talk quietly to the client
◍ Reason: Why approach patient with open-ended questions?.
Answer: This technique facilitates spontaneous responses and interactive
discussion.
◍ Reason: What is the purpose for using Clarifying techniques? What are the
different types of techniques?.
Answer: This is used in determining if the statement made was accurate : 1.
restating- uses the clients exact words 2. reflecting-directs the focus back to
the client in order for the client to examine his feelings. 3.
paraphrasing-restates the clients feelings and thoughts for the client to
confirm that this is what they are really feeling. 4. Exploring- allows the
nurse to gather more information regarding important topics mentioned by
the client.
◍ typical characteristic of clients w anorexia?.
Answer: relentless exercise
◍ Defense Mechanism: Alturism.
Answer: Dealing with anxiety by reaching out to others
◍ Defense Mechanism: Sublimation.
Answer: Dealing with unacceptable feelings or impulses by unconsciously
, substituting acceptable forms of expression.
◍ eldery w alzheimer's has begun to strike out - awake and restless most of the
night - contact provider for med order. anticipated med?.
Answer: lorazepam as needed
◍ question a benzo for tx of?.
Answer: chronic pain syndrome
◍ Defense Mechanism: Suppression.
Answer: Voluntarily denying unpleasant thoughts and feelings
◍ Defense Mechanism: Repression.
Answer: Putting unacceptable ideas , thoughts and emotions out of
conscious awareness.
◍ Defense Mechanism: Reaction Formation.
Answer: Overcompensating or demonstrating the opposite behavior of what
is felt
◍ male client admitted to psych hospital under court order w dx of antisocial
personality disorder - stealing a car and pushing it over a cliff - which
behaviors should the nurse expect?.
Answer: little responsibility or concern for his current situation
◍ Defense Mechanism: Somatization.
Answer: Developing a physical symptom in place of anxiety.
◍ Defense Mechanism: Undoing.
Answer: Performing an act to make up for prior behavior
◍ Defense Mechanism: Rationalization.
Answer: Creating reasonable and acceptable explanations for unacceptable
behavior.
◍ Defense Mechanism: Passive Aggressive.
Answer: Indirectly behaving aggressively but appearing to be compliant.
◍ er following rape - may manifest PTSD - can be described as?.
, Answer: re-experiencing the fear and hopelessness of the original trauma
◍ counseling for GAD and buspirone to control extreme restlessness and
irritability - most common SE?.
Answer: drowsiness
◍ Defense Mechanism: Acting-out behaviors.
Answer: Managing emotional conflicts through actions rather than self
reflection.
◍ caring for client admitted w ETOH detox - commonly used to manage?.
Answer: antianxiety agents
◍ client dx w Wernicke Korsakoff syndrome - expect to exhibit?.
Answer: short-term memory loss and disorientation
◍ client tells nurse TV is a two way radio and states "voices are coming from
the tv...." - appropriate response?.
Answer: "That must be very frightening"
◍ Defense Mechanism: Dissociation.
Answer: Temporarily blocking memories and perceptions form
consciousness.
◍ caring for client hospitalized w acute manic episode - priority nursing
intervention?.
Answer: protect the client from impulsive behavior
◍ providing a teaching to a client who is taking disulfiram - avoid?.
Answer: vanilla extract
◍ Defense Mechanism: Devaluation.
Answer: Expressing negative thoughts of self or others.
◍ teaching about donepezil for alzheimer's - accurate statement?.
Answer: "Aricept prolongs the time and functioning of the earlier stages of
the disease"
◍ depressed client tells "I am too tired and depressed to attend group therapy
PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ alzheimer's disease agitated and combative when approached for nursing
care - appropriate action?.
Answer: remain calm and talk quietly to the client
◍ Reason: Why approach patient with open-ended questions?.
Answer: This technique facilitates spontaneous responses and interactive
discussion.
◍ Reason: What is the purpose for using Clarifying techniques? What are the
different types of techniques?.
Answer: This is used in determining if the statement made was accurate : 1.
restating- uses the clients exact words 2. reflecting-directs the focus back to
the client in order for the client to examine his feelings. 3.
paraphrasing-restates the clients feelings and thoughts for the client to
confirm that this is what they are really feeling. 4. Exploring- allows the
nurse to gather more information regarding important topics mentioned by
the client.
◍ typical characteristic of clients w anorexia?.
Answer: relentless exercise
◍ Defense Mechanism: Alturism.
Answer: Dealing with anxiety by reaching out to others
◍ Defense Mechanism: Sublimation.
Answer: Dealing with unacceptable feelings or impulses by unconsciously
, substituting acceptable forms of expression.
◍ eldery w alzheimer's has begun to strike out - awake and restless most of the
night - contact provider for med order. anticipated med?.
Answer: lorazepam as needed
◍ question a benzo for tx of?.
Answer: chronic pain syndrome
◍ Defense Mechanism: Suppression.
Answer: Voluntarily denying unpleasant thoughts and feelings
◍ Defense Mechanism: Repression.
Answer: Putting unacceptable ideas , thoughts and emotions out of
conscious awareness.
◍ Defense Mechanism: Reaction Formation.
Answer: Overcompensating or demonstrating the opposite behavior of what
is felt
◍ male client admitted to psych hospital under court order w dx of antisocial
personality disorder - stealing a car and pushing it over a cliff - which
behaviors should the nurse expect?.
Answer: little responsibility or concern for his current situation
◍ Defense Mechanism: Somatization.
Answer: Developing a physical symptom in place of anxiety.
◍ Defense Mechanism: Undoing.
Answer: Performing an act to make up for prior behavior
◍ Defense Mechanism: Rationalization.
Answer: Creating reasonable and acceptable explanations for unacceptable
behavior.
◍ Defense Mechanism: Passive Aggressive.
Answer: Indirectly behaving aggressively but appearing to be compliant.
◍ er following rape - may manifest PTSD - can be described as?.
, Answer: re-experiencing the fear and hopelessness of the original trauma
◍ counseling for GAD and buspirone to control extreme restlessness and
irritability - most common SE?.
Answer: drowsiness
◍ Defense Mechanism: Acting-out behaviors.
Answer: Managing emotional conflicts through actions rather than self
reflection.
◍ caring for client admitted w ETOH detox - commonly used to manage?.
Answer: antianxiety agents
◍ client dx w Wernicke Korsakoff syndrome - expect to exhibit?.
Answer: short-term memory loss and disorientation
◍ client tells nurse TV is a two way radio and states "voices are coming from
the tv...." - appropriate response?.
Answer: "That must be very frightening"
◍ Defense Mechanism: Dissociation.
Answer: Temporarily blocking memories and perceptions form
consciousness.
◍ caring for client hospitalized w acute manic episode - priority nursing
intervention?.
Answer: protect the client from impulsive behavior
◍ providing a teaching to a client who is taking disulfiram - avoid?.
Answer: vanilla extract
◍ Defense Mechanism: Devaluation.
Answer: Expressing negative thoughts of self or others.
◍ teaching about donepezil for alzheimer's - accurate statement?.
Answer: "Aricept prolongs the time and functioning of the earlier stages of
the disease"
◍ depressed client tells "I am too tired and depressed to attend group therapy
