NUR 2960 NCLEX-RN EXAM 2026 UPDATED
EXAM 5 BUNDLE PRACTICE QUESTIONS
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A client on the behavioral health unit is newly admitted with schizophrenia, and appears to be in a
stupor. What is the nurse's best action?
A. Position the client with others making cookies in the kitchen.
B. Place the client with two other inpatients quietly playing cards.
C. Calmly sit with the client in five-minute intervals.
D. Escort the client to a dark room to sit alone. –
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Correct Answer :C. Calmly sit with the client in five-minute intervals.
Having intermittent, but a short-term presence with the client will help establish trust while not
overwhelming the client. One-on-one interactions are best initially, then progressing to small group
activities. The client does not need to be alone in a dark place.
The nurse is conducting a small group of overeaters anonymous. What characteristics will the nurse
assess for in these clients? (Select all that apply.)
A. Binge overeating occurs without purging.
B. Eating makes the clients feel powerful.
C. Clients are unaware that eating patterns are abnormal.
D. Eating often occurs when others are around.
E. The clients report feelings of helplessness about their weight. –
Correct Answer :A. Binge overeating occurs without purging.
E. The clients report feelings of helplessness about their weight.
Overeating makes the clients feel depressed and they often overeat secretly. They are aware that their
eating patterns are abnormal, but feel helpless to do anything about their eating habits. The remaining
are true about overeaters.
Based on the premise that those with like experiences can help each other, which groups will the
nurse select for referral for clients with similar circumstances? (Select all that apply.)
A. Alcoholics anonymous
B. Codependents anonymous
C. Gamblers anonymous
D. Overeaters anonymous
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E. Debtors anonymous –
Correct Answer :A. Alcoholics anonymous
B. Codependents anonymous
C. Gamblers anonymous
D. Overeaters anonymous
E. Debtors anonymous
Clients are preparing to leave the mental health unit for an outdoor smoke break. A client on constant
observation cannot leave and becomes agitated and demands to smoke a cigarette. Which action
should the nurse take first?
A. Remind the client to wear the nicotine patch.
B. Determine if the client still needs constant observation.
C. Encourage the client to attend the smoking cessation group.
D. Explain that clients on constant observation cannot smoke. –
Correct Answer :B. Determine if the client still needs constant observation.
The nurse should continually reassess the need for constant observation so that the client can have
unit privileges such as outdoor breaks.
A client on the psychiatric unit, diagnosed with bipolar disorder, becomes loud and shouts at one of
the nurses, "You fat tub of lard, get something done around here!" What is the best initial action for
the nurse to take?
A. Have the staff escort the client to his room.
B. Tell the client that his behavior will be documented in his record.
C. Redirect the client by offering an activity such as playing card games.
D. Review the medication record for an antipsychotic drug. –
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Correct Answer :C. Redirect the client by offering an activity such as playing card games.
Distracting the client, or redirecting him toward a constructive activity, prevents further escalation of
the inappropriate behavior. Option A could result in escalating the abuse and might unnecessarily
involve another staff member in the abusive situation. Option B may be more threatening to the
client. Option D may be indicated if the behavior escalates, but at this time the best initial action is
option C.
A client on the behavioral health unit admits to the nurse that a plan for suicide has been developed.
What is the nurse's priority action?
A. Have the client describe the plan.
B. Call security.
C. Provide one-on-one supervision.
D. Remove the bedsheets from the room. –
Correct Answer :C. Provide one-on-one supervision.
The client's safety is the nurse's priority and the client must be under constant supervision. Describing
the plan, determining if the plan is feasible, and removing sources of harm are secondary to the
client's safety. Security may be necessary if the client becomes combative or makes actual attempts at
self-harm.
The nurse cares for an adolescent with a history of violence who now exhibits signs of sublimation.
Which behavior by the adolescent best represents sublimation?
A. Recently started wetting the bed
B. Joined a competitive boxing team
C. Kicks the dog after being scolded by his dad
D. Starts a student organization to ban violence - Correct Answer :B. Joined a competitive boxing
team
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