NRS 211 Final Exam Questions With
Accurate Answers
The nurse infers which manifestation the client is
experiencing when the client believes everyone is out to get
him or her?
A. delusion
B. hallucination
C. idea of reference
D. loose association - ANSWER A
When doing first rounds, which client should the nurse see first?
A. A client with Bipolar I, depressed, on Lithium carbonate whose serum level
results for today was 1.0 mEq/L
B. A client with Chronic confusion on Donepezil reporting moderate nausea and
vomiting
C. A client with Depression on Phenelzine who had smoked salmon with
avocados
D. A client with PTSD who has difficulty recalling the traumatic event - ANSWER
C
Which are signs of heroin use? Select all that apply:
A. Tachycardia
B. Constricted pupils
C. Hypotension
D. Lethargy
E. Lacrimation - ANSWER B, C, D
While working in a community mental health treatment center, the nurse
overhears one of the receptionists saying that one of the clients is "really
psycho." Later in the day, the nurse talks with the receptionist about the
comment. This action by the nurse demonstrates an attempt to address which
issue?
A. Lack of knowledge B. Public stigma
,C. Label avoidance D. Self-stigma - ANSWER B
The nurse is gathering data on a client with obsessive-compulsive personality
disorder. Which finding is consistent with the client's diagnosis?
A. Compulsive hand washing B. Controlling behavior
C. Flat affect
D. Intrusive thoughts - ANSWER B
Which of these nursing actions would be most effective when interacting with a
client experiencing paranoid delusions?
A. Approach the client in a very friendly manner B. Meet for 30 minutes, two
times per shift
C. Perform self-care activities for the client
D. Use brief one thought statements - ANSWER D
The nurse is caring for a client who is being treated in the
emergency department for a panic attack. Which nursing
intervention would be most appropriate?
A. Demonstrate empathy for the client by trying to mimic the client's state of
anxiety.
B. Stay with the client, emphasizing that they are safe, and you will remain with
them.
C. Tell the client that you must leave to report their symptoms to the health care
provider.
D. Tell the client this is an acute exacerbation with a positive prognosis. -
ANSWER B
Which would the nurse include in the plan of care when teaching a client about
Buspirone?
A. Discuss the muscle relaxant properties of this anti-anxiety medication
B. Inform the client that Buspirone will require approximately 2 weeks to be
effective
C. The importance of adequate fluids when using Buspirone.
D. Teach that Buspirone must be monitored frequently as some people develop
addiction. - ANSWER B
A hospitalized client has begun taking bupropion as an antidepressant agent.
The nurse monitors this client for which adverse effect that indicates that the
client is taking an excessive amount of medication?
A. Constipation
B. Dizziness when getting upright C. Increased weight
D. Seizure activity - ANSWER D
, A nurse is caring for an adolescent client who has anorexia nervosa with recent
rapid weight loss and a current weight of 90 lbs. Which statement indicates the
client is expressing the cognitive distortion of catastrophizing?
A. "Don't pretend like you don't know how fat I am." B. "If I could be skinny, I
know I'd be popular."
C. "Life isn't worth living if I gain weight."
D. "When I look in the mirror, I see myself obese." - ANSWER C
Which are common traits of the three personality disorder clusters? Select all
that apply.
A. Copes by altering environment instead of self. B. Failure to accept the
consequences of their own behavior.
C. Lack of insight.
D. Reluctance in taking personal risks. E. Self-injurious behaviors. - ANSWER A,
B, C
A client is to receive quetiapine 50 mg po 2 x day. Quetiapine syrup contains
10mEq per 15 milliliters. If 10 mEq is equal to 50 mg, how many teaspoons (tsp)
or tablespoons (tbsp) should a nurse give the client for one dose? Use the
abbreviation's in parentheses. - ANSWER 1 tbsp
A nurse is caring for a client who is a victim of rape. The client says to the nurse,
"I feel so humiliated. I don't want anyone to know what happened to me." Which
is a therapeutic response?
A. "You should not be so hard on yourself. It was not your fault."
B. "Are you saying that you are fearful about what others will think?"
C. "This is a normal feeling after what has happened to you."
D. "The best thing for you is to do is to put this out of your mind and think
positive thoughts." - ANSWER B
A nurse is assessing a client with anorexia nervosa. The nurse should expect
that the client will display which characteristic?
A. Refuses to participate in physical exercise.
B. Preoccupied with concerns about personal health.
C. Possesses feelings of low self-worth.
D. Avoids discussion of food. - ANSWER C
Which of the following groups does the nurse refer as a self-help program for
families of alcoholics?
Accurate Answers
The nurse infers which manifestation the client is
experiencing when the client believes everyone is out to get
him or her?
A. delusion
B. hallucination
C. idea of reference
D. loose association - ANSWER A
When doing first rounds, which client should the nurse see first?
A. A client with Bipolar I, depressed, on Lithium carbonate whose serum level
results for today was 1.0 mEq/L
B. A client with Chronic confusion on Donepezil reporting moderate nausea and
vomiting
C. A client with Depression on Phenelzine who had smoked salmon with
avocados
D. A client with PTSD who has difficulty recalling the traumatic event - ANSWER
C
Which are signs of heroin use? Select all that apply:
A. Tachycardia
B. Constricted pupils
C. Hypotension
D. Lethargy
E. Lacrimation - ANSWER B, C, D
While working in a community mental health treatment center, the nurse
overhears one of the receptionists saying that one of the clients is "really
psycho." Later in the day, the nurse talks with the receptionist about the
comment. This action by the nurse demonstrates an attempt to address which
issue?
A. Lack of knowledge B. Public stigma
,C. Label avoidance D. Self-stigma - ANSWER B
The nurse is gathering data on a client with obsessive-compulsive personality
disorder. Which finding is consistent with the client's diagnosis?
A. Compulsive hand washing B. Controlling behavior
C. Flat affect
D. Intrusive thoughts - ANSWER B
Which of these nursing actions would be most effective when interacting with a
client experiencing paranoid delusions?
A. Approach the client in a very friendly manner B. Meet for 30 minutes, two
times per shift
C. Perform self-care activities for the client
D. Use brief one thought statements - ANSWER D
The nurse is caring for a client who is being treated in the
emergency department for a panic attack. Which nursing
intervention would be most appropriate?
A. Demonstrate empathy for the client by trying to mimic the client's state of
anxiety.
B. Stay with the client, emphasizing that they are safe, and you will remain with
them.
C. Tell the client that you must leave to report their symptoms to the health care
provider.
D. Tell the client this is an acute exacerbation with a positive prognosis. -
ANSWER B
Which would the nurse include in the plan of care when teaching a client about
Buspirone?
A. Discuss the muscle relaxant properties of this anti-anxiety medication
B. Inform the client that Buspirone will require approximately 2 weeks to be
effective
C. The importance of adequate fluids when using Buspirone.
D. Teach that Buspirone must be monitored frequently as some people develop
addiction. - ANSWER B
A hospitalized client has begun taking bupropion as an antidepressant agent.
The nurse monitors this client for which adverse effect that indicates that the
client is taking an excessive amount of medication?
A. Constipation
B. Dizziness when getting upright C. Increased weight
D. Seizure activity - ANSWER D
, A nurse is caring for an adolescent client who has anorexia nervosa with recent
rapid weight loss and a current weight of 90 lbs. Which statement indicates the
client is expressing the cognitive distortion of catastrophizing?
A. "Don't pretend like you don't know how fat I am." B. "If I could be skinny, I
know I'd be popular."
C. "Life isn't worth living if I gain weight."
D. "When I look in the mirror, I see myself obese." - ANSWER C
Which are common traits of the three personality disorder clusters? Select all
that apply.
A. Copes by altering environment instead of self. B. Failure to accept the
consequences of their own behavior.
C. Lack of insight.
D. Reluctance in taking personal risks. E. Self-injurious behaviors. - ANSWER A,
B, C
A client is to receive quetiapine 50 mg po 2 x day. Quetiapine syrup contains
10mEq per 15 milliliters. If 10 mEq is equal to 50 mg, how many teaspoons (tsp)
or tablespoons (tbsp) should a nurse give the client for one dose? Use the
abbreviation's in parentheses. - ANSWER 1 tbsp
A nurse is caring for a client who is a victim of rape. The client says to the nurse,
"I feel so humiliated. I don't want anyone to know what happened to me." Which
is a therapeutic response?
A. "You should not be so hard on yourself. It was not your fault."
B. "Are you saying that you are fearful about what others will think?"
C. "This is a normal feeling after what has happened to you."
D. "The best thing for you is to do is to put this out of your mind and think
positive thoughts." - ANSWER B
A nurse is assessing a client with anorexia nervosa. The nurse should expect
that the client will display which characteristic?
A. Refuses to participate in physical exercise.
B. Preoccupied with concerns about personal health.
C. Possesses feelings of low self-worth.
D. Avoids discussion of food. - ANSWER C
Which of the following groups does the nurse refer as a self-help program for
families of alcoholics?
