NUR110.
NURSING
Nurse wiseman 2026/2027 NURS
, NUR 305 Exam questions with correct
answers 2026/2027 Edition Graded A+
A client with bipolar disorder is prescribed lithium carbonate for the
treatment of mania. During a follow-up visit, the client asks, "What do
I need to do to make sure the medication is working safely?" Which
teaching point should the nurse include?
"Watch for low urine output as an expected side effect."
"You will need regular blood tests to monitor your lithium levels."
"Take the medication on an empty stomach for better absorption."
"Reduce your fluid intake to prevent swelling or edema."
You will need regular blood tests to monitor your lithium levels."
A client who has been taking lithium for bipolar disorder is admitted to
the hospital with the following symptoms: dry mouth, nausea and
vomiting, blurred vision, dizziness, and muscle twitching. What should
the nurse suspect?
Need for an increased dose of medicationNeed for an increased dose
of medication
Common side effects of the drugCommon side effects of the drug
Lithium toxicity
A client is admitted to the inpatient unit in an acute manic episode.
The client has a history of three major depressive episodes over the
past 10 years and two previous hospitalizations for mania. Based on
this presentation, which clinical diagnosis is most consistent with the
client's symptom pattern?
Bipolar I
,Euthymic state
Bipolar II
Cyclothymic disorder
Bipolar I
A client hospitalized for acute mania is constantly active, rapidly
changing activities, refusing meals, and rejecting offers to rest. The
nurse observes the client has not slept in over 36 hours and has only
taken sips of fluid. Which action should the nurse take?
Offer high-calorie finger foods and fluids the client can consume while
moving.
A client with acute mania from bipolar disorder agrees to be
hospitalized. Which intervention(s) will the nurse emphasize in the
client's plan of care? Select all that apply.
medication management
extended length of stay
safety
psychoeducation
promotion of self care
medication management
safety
psychoeducation
promotion of self care
The client's spouse calls the health clinic stating that the client is
having a manic episode. What information should alert the nurse to
recommend that the client should go to the emergency room for
treatment?
, Correct response:
Client is avoiding eye contact and visibly shaking.
Explanation:
Clients with bipolar disorder need to be evaluated according to the
continuum of care. Not all recurrent episodes of mania/depression will
require emergency care or inpatient care. The client who is avoiding
eye contact and visibly shaking should be referred to the emergency
room for appropriate assessment to maintain safety and hydration.
The other presented client information does not require emergent
care and can be handled by going through established community
resources.
A 26-year-old client is recently diagnosed with bipolar I disorder. The
client's family reports that the client experiences periods of extreme
impulsivity, risky behavior, and elevated mood a few times each year,
followed by episodes of severe depression. Which characteristic is
required to confirm a diagnosis of bipolar I disorder?
Correct response:
An elevated mood lasting at least one week accompanied by
increased energy or activity
Explanation:
During manic episodes that characterize bipolar disorder, the
individual exhibits an abnormal, persistently elevated, or irritable
mood that lasts for at least 1 week. Failure to respond to treatment,
the presence of signs of depression without anhedonia, and the
client's admission of a mood disorder are neither diagnostic nor
typical of bipolar disorder.