NSG 212 EXAM 3 PRACTICE QUESTIONS 2026/2027 – STUDY GUIDE,
NCLEX-STYLE QUESTIONS & EXAM REVIEW
A patient smiles broadly at the nurse and says, "Look at my clean teeth. I brushed them with scouring
power because the label said, 'It brightens and whitens everything.'" Which term should the nurse
include when documenting this encounter?
a. Circumstantiality
b. Concrete thinking
c. Poverty of speech
d. Associative looseness - correct answer ✔✔Concrete thinking
A patient diagnosed with schizophrenia says, "I hear the voices every day. They always say bad things
about me." Which action by the nurse has the highest priority?
a. Assess the patient for suicidal thinking and plans
b. Review the patient's medication regimen and adherence
c. Educate the patient about symptoms associated with schizophrenia
d. Suggest distracters for the patient to use when auditory hallucinations occur - correct answer
✔✔Assess the patient for suicidal thinking and plans
Three days after beginning a new regime of Haldol, the nurse observes that a hospitalized patient is
drooling, has stiff extended extremities, and has skin that is damp and hot to the touch. The patient has
difficulty responding verbally to the nurse. What are the nurse's correct analysis and action in this
situation?
a. A seizure is occuring; place the patient in lateral recumbent position and monitor
b. serotonin syndrome has developed; place and IV line and rapidly infuse D5 0.5 NS
c. Neuroleptic malignant syndrome has developed; prepare the patient for immediate transfer to a
medical unit
d. an acute dystonic reaction is occuring; promptly administer an IM injection of Benadryl - correct
answer ✔✔Neuroleptic malignant syndrome has developed; prepare the patient for immediate transfer
to a medical unit
A patient diagnosed with schizophrenia complains to the nurse about persistent feelings of restlessness
and says, "I feel like I need to move all the time." What is the nurse's next action?
a. Add an activity group to the patient's plan of care
b. Assess the patient for other EPS symptoms
c. Perform a full mental status evaluation of the patient
d. Educate the patient about the psychomotor agitation associated with schizophrenia - correct answer
✔✔Assess the patient for other EPS symptoms
A nurse begins a therapeutic relationship with a patient diagnosed with schizophrenia. The patient has
severe paranoia. Which comment by the nurse is most appropriate?
a. lets begin talking about the goals you have for yourself
b. I understand that you have problems with fear and suspiciousness of others
c. As you get to know me better, I hope you will feel comfortable talking to me
d. I am part of your treatment team. Our goal is to help stabilize your symptoms. - correct answer ✔✔As
you get to know me better, I hope you will feel comfortable talking to me
NCLEX-STYLE QUESTIONS & EXAM REVIEW
A patient smiles broadly at the nurse and says, "Look at my clean teeth. I brushed them with scouring
power because the label said, 'It brightens and whitens everything.'" Which term should the nurse
include when documenting this encounter?
a. Circumstantiality
b. Concrete thinking
c. Poverty of speech
d. Associative looseness - correct answer ✔✔Concrete thinking
A patient diagnosed with schizophrenia says, "I hear the voices every day. They always say bad things
about me." Which action by the nurse has the highest priority?
a. Assess the patient for suicidal thinking and plans
b. Review the patient's medication regimen and adherence
c. Educate the patient about symptoms associated with schizophrenia
d. Suggest distracters for the patient to use when auditory hallucinations occur - correct answer
✔✔Assess the patient for suicidal thinking and plans
Three days after beginning a new regime of Haldol, the nurse observes that a hospitalized patient is
drooling, has stiff extended extremities, and has skin that is damp and hot to the touch. The patient has
difficulty responding verbally to the nurse. What are the nurse's correct analysis and action in this
situation?
a. A seizure is occuring; place the patient in lateral recumbent position and monitor
b. serotonin syndrome has developed; place and IV line and rapidly infuse D5 0.5 NS
c. Neuroleptic malignant syndrome has developed; prepare the patient for immediate transfer to a
medical unit
d. an acute dystonic reaction is occuring; promptly administer an IM injection of Benadryl - correct
answer ✔✔Neuroleptic malignant syndrome has developed; prepare the patient for immediate transfer
to a medical unit
A patient diagnosed with schizophrenia complains to the nurse about persistent feelings of restlessness
and says, "I feel like I need to move all the time." What is the nurse's next action?
a. Add an activity group to the patient's plan of care
b. Assess the patient for other EPS symptoms
c. Perform a full mental status evaluation of the patient
d. Educate the patient about the psychomotor agitation associated with schizophrenia - correct answer
✔✔Assess the patient for other EPS symptoms
A nurse begins a therapeutic relationship with a patient diagnosed with schizophrenia. The patient has
severe paranoia. Which comment by the nurse is most appropriate?
a. lets begin talking about the goals you have for yourself
b. I understand that you have problems with fear and suspiciousness of others
c. As you get to know me better, I hope you will feel comfortable talking to me
d. I am part of your treatment team. Our goal is to help stabilize your symptoms. - correct answer ✔✔As
you get to know me better, I hope you will feel comfortable talking to me
