NR 326 CMS Exam | Study Questions and
correct detailed Answers | 2026/27 Updates
| 100% correct
What is Nurse John likely to note in a male client being admitted for alcohol withdrawal?
A. Perceptual disorders
B. Impending coma
C. Recent alcohol intake
D. Depression with mutism - ANSWER- -Option A: Frightening visual hallucinations are
especially common in clients experiencing alcohol withdrawal
June has agreed to take amitriptyline HCL (Elavil) for 3 days, but now complains that it "doesn't
help" and refuses to take it. What should the nurse say or do?
A. Withhold the drug
B. Record the client's response
C. Encourage client to tell the physician
D. Suggest that it takes awhile before seeing the results. - ANSWER- -Option D: The client
needs a specific response; that it takes 2 to 3 weeks (a delayed effect) until the therapeutic
blood level is reached.
In preparing a female client for electroconvulsive therapy (ECT), Nurse Michelle knows that
succinylcholine (Anectine) will be administered for which therapeutic effect?
A. Short acting anesthesia
B. Decreased oral and respiratory secretions
C. Skeletal muscle paralysis
,D. Analgesia - ANSWER- -Option C: Succinylcholine (Anectine)is a depolarizing muscle
relaxant causing paralysis. It is used to reduce the intensity of muscle contractions during the
convulsive stage, thereby reducing the risk of bone fractures or dislocation
Nurse Gina is aware that the dietary implications for a client in manic phase of bipolar disorder
is:
A. Serve the client a bowl of soup
B. Increase calories, decrease fat, and decrease carbohydrates
C. Give the client pieces of cut up steak, potatoes, peas
D. Increase calories, increase carbohydrates, and increase protein - ANSWER- -Option D: This
client needs increased protein for tissue building and increased calories to replace what is
burned up (usually via carbohydrates); preferable, portable d/t acute mania sx
Potatoes- does not indicate if portable
What parental behavior toward a child during an admission procedure should cause Nurse Ron
to suspect child abuse?
A. Flat affect
B. Expressing guilt
C. Acting overly solicitous toward the child
D. Ignoring the child - ANSWER- -Option C: Acting overly solicitous (overly concerned,
mindful, anxiously concerned) toward the child
This behavior is an example of reaction formation, a coping mechanism.
Nurse Lynnette notices that a female client with obsessive-compulsive disorder washes her
hands for long periods each day. How should the nurse respond to this compulsive behavior?
A. By designating times during which the client can focus on the behavior
B. By urging the client to reduce the frequency of the behavior as rapidly as possible
C. By calling attention to, or attempting to prevent the behavior
, D. By discouraging the client from verbalizing anxieties - ANSWER- -CORRECT - Option A: The
nurse should designate times during which the client can focus on the compulsive behavior or
obsessive thoughts.
Option B: The nurse should urge the client to reduce the frequency of the compulsive behavior
gradually, not rapidly.
Option C: She shouldn't call attention to, or try to prevent the behavior. Trying to prevent the
behavior may cause pain and terror to the client.
Option D: The nurse should encourage the client to verbalize anxieties to help distract attention
from the compulsive behavior.
After seeking help at an outpatient mental health clinic, Ruby, who was raped while walking her
dog, is diagnosed with posttraumatic stress disorder (PTSD). Three months later, Ruby returns to
the clinic, complaining of fear, loss of control, and helpless feelings. Which nursing intervention
is most appropriate for Ruby?
A. Recommending a high protein, low-fat diet
B. Giving sleep medication, as prescribed, to restore a normal sleep-wake cycle
C. Allowing the client time to heal
D. Exploring the meaning of the traumatic event with the client - ANSWER- -CORRECT -
Option D: The client with PTSD needs encouragement to examine and understand the meaning
of the traumatic event and consequent losses. Otherwise, symptoms may worsen and the client
may become depressed or engage in self-destructive behavior such as substance abuse.
Option A: A special diet isn't indicated unless the client also has an eating disorder or a
nutritional problem.
Option B: The physician may prescribe antianxiety agents or antidepressants cautiously to avoid
dependence; sleep medication is rarely appropriate.
Option C: The client must explore the meaning of the event and won't heal without this, no
matter how much time passes. Behavioral techniques, such as relaxation therapy, may help
decrease the client's anxiety and induce sleep. Exposure therapy may also be indicated.
Meryl, age 19, is highly dependent on her parents and fears leaving home to go away to college.
Shortly before the semester starts, she complains that her legs are paralyzed and is rushed to
the emergency department. When physical examination rules out a physical cause for her
paralysis, the physician admits her to the psychiatric unit where she is diagnosed with
correct detailed Answers | 2026/27 Updates
| 100% correct
What is Nurse John likely to note in a male client being admitted for alcohol withdrawal?
A. Perceptual disorders
B. Impending coma
C. Recent alcohol intake
D. Depression with mutism - ANSWER- -Option A: Frightening visual hallucinations are
especially common in clients experiencing alcohol withdrawal
June has agreed to take amitriptyline HCL (Elavil) for 3 days, but now complains that it "doesn't
help" and refuses to take it. What should the nurse say or do?
A. Withhold the drug
B. Record the client's response
C. Encourage client to tell the physician
D. Suggest that it takes awhile before seeing the results. - ANSWER- -Option D: The client
needs a specific response; that it takes 2 to 3 weeks (a delayed effect) until the therapeutic
blood level is reached.
In preparing a female client for electroconvulsive therapy (ECT), Nurse Michelle knows that
succinylcholine (Anectine) will be administered for which therapeutic effect?
A. Short acting anesthesia
B. Decreased oral and respiratory secretions
C. Skeletal muscle paralysis
,D. Analgesia - ANSWER- -Option C: Succinylcholine (Anectine)is a depolarizing muscle
relaxant causing paralysis. It is used to reduce the intensity of muscle contractions during the
convulsive stage, thereby reducing the risk of bone fractures or dislocation
Nurse Gina is aware that the dietary implications for a client in manic phase of bipolar disorder
is:
A. Serve the client a bowl of soup
B. Increase calories, decrease fat, and decrease carbohydrates
C. Give the client pieces of cut up steak, potatoes, peas
D. Increase calories, increase carbohydrates, and increase protein - ANSWER- -Option D: This
client needs increased protein for tissue building and increased calories to replace what is
burned up (usually via carbohydrates); preferable, portable d/t acute mania sx
Potatoes- does not indicate if portable
What parental behavior toward a child during an admission procedure should cause Nurse Ron
to suspect child abuse?
A. Flat affect
B. Expressing guilt
C. Acting overly solicitous toward the child
D. Ignoring the child - ANSWER- -Option C: Acting overly solicitous (overly concerned,
mindful, anxiously concerned) toward the child
This behavior is an example of reaction formation, a coping mechanism.
Nurse Lynnette notices that a female client with obsessive-compulsive disorder washes her
hands for long periods each day. How should the nurse respond to this compulsive behavior?
A. By designating times during which the client can focus on the behavior
B. By urging the client to reduce the frequency of the behavior as rapidly as possible
C. By calling attention to, or attempting to prevent the behavior
, D. By discouraging the client from verbalizing anxieties - ANSWER- -CORRECT - Option A: The
nurse should designate times during which the client can focus on the compulsive behavior or
obsessive thoughts.
Option B: The nurse should urge the client to reduce the frequency of the compulsive behavior
gradually, not rapidly.
Option C: She shouldn't call attention to, or try to prevent the behavior. Trying to prevent the
behavior may cause pain and terror to the client.
Option D: The nurse should encourage the client to verbalize anxieties to help distract attention
from the compulsive behavior.
After seeking help at an outpatient mental health clinic, Ruby, who was raped while walking her
dog, is diagnosed with posttraumatic stress disorder (PTSD). Three months later, Ruby returns to
the clinic, complaining of fear, loss of control, and helpless feelings. Which nursing intervention
is most appropriate for Ruby?
A. Recommending a high protein, low-fat diet
B. Giving sleep medication, as prescribed, to restore a normal sleep-wake cycle
C. Allowing the client time to heal
D. Exploring the meaning of the traumatic event with the client - ANSWER- -CORRECT -
Option D: The client with PTSD needs encouragement to examine and understand the meaning
of the traumatic event and consequent losses. Otherwise, symptoms may worsen and the client
may become depressed or engage in self-destructive behavior such as substance abuse.
Option A: A special diet isn't indicated unless the client also has an eating disorder or a
nutritional problem.
Option B: The physician may prescribe antianxiety agents or antidepressants cautiously to avoid
dependence; sleep medication is rarely appropriate.
Option C: The client must explore the meaning of the event and won't heal without this, no
matter how much time passes. Behavioral techniques, such as relaxation therapy, may help
decrease the client's anxiety and induce sleep. Exposure therapy may also be indicated.
Meryl, age 19, is highly dependent on her parents and fears leaving home to go away to college.
Shortly before the semester starts, she complains that her legs are paralyzed and is rushed to
the emergency department. When physical examination rules out a physical cause for her
paralysis, the physician admits her to the psychiatric unit where she is diagnosed with
