NR 547 Differential Diagnosis in Psychiatric-Mental Health across the Lifespan Practicum – Chamberlain College of Nursing – Academic Year 2026/2027 – Midterm Comprehensive Examination with Verified Questions and Correct Answer Rationales

PSYCHIATRIC / MENTAL HEALTH EXAM


NR 547 Differential Diagnosis in Psychiatric-
Mental Health across the Lifespan Practicum –
Chamberlain College of Nursing – Academic Year
2026/2027 – Midterm Comprehensive
Examination with Verified Questions and Correct
Answer Rationales

Multiple Choice (A–D) • Based strictly on the provided study material

Instructions: Choose the best answer. For questions marked “Select all that apply,” more
than one answer may be correct. Answer key and rationale are provided after the questions.

1. Which of the following should be included when providing client education about
medication regimens? Select all that apply.
 A) Explain how the medication targets the symptoms, specific benefits, and expected
time course.
 B) Identify potential side effects, duration of side effects, and adverse effects.
 C) Explain the instructions, dosing, and special requirements.
 D) Use teach-back methods to ensure client understanding.



2. Based on the client's ASQ score, what is the most appropriate response?
 A) No action is necessary as the client is not
 B) Provide a brief suicide safety assessment.
 C) Immediately discharge the client.
 D) Begin routine follow-up only.



3. What is the normal range for Red blood cells?
 A) 4.5-6.0 million/microliter
 B) 12-18 grams/100 mL
 C) 38%-48%
 D) 0%-1.5%

,4. What is the normal range for Hemoglobin?
 A) 4.5-6.0 million/microliter
 B) 12-18 grams/100 mL
 C) 38%-48%
 D) 0%-1.5%



5. What is the normal range for Hematocrit?
 A) 4.5-6.0 million/microliter
 B) 12-18 grams/100 mL
 C) 38%-48%
 D) 0%-1.5%



6. What is the normal range for Reticulocytes?
 A) 4.5-6.0 million/microliter
 B) 12-18 grams/100 mL
 C) 38%-48%
 D) 0%-1.5%



7. What is the normal range for White blood cells (total)?
 A) 5000-10,000/microliter
 B) 55%-70%
 C) 150,000-300,000/microliter
 D) 20%-35%



8. What is the normal range for Neutrophils?
 A) 5000-10,000/microliter
 B) 55%-70%
 C) 1%-3%
 D) 3%-8%



9. What is the normal range for Platelets?
 A) 20%-35%
 B) 3%-8%
 C) 150,000-300,000/microliter
 D) 0.5%-1%

, 10. What is the normal range for Sodium (Na+)?
 A) 136-145 mEq/L
 B) 3.5-5.0 mEq/L
 C) 95-105 mEq/L
 D) 22-28 mEq/L



11. What is the normal range for Postassium (K+)?
 A) 136-145 mEq/L
 B) 3.5-5.0 mEq/L
 C) 95-105 mEq/L
 D) 22-28 mEq/L



12. What is the normal range for Chloride (Cl-)?
 A) 136-145 mEq/L
 B) 3.5-5.0 mEq/L
 C) 95-105 mEq/L
 D) 22-28 mEq/L



13. What is the normal range for Bicarbonate (HCO3-)?
 A) 136-145 mEq/L
 B) 3.5-5.0 mEq/L
 C) 95-105 mEq/L
 D) 22-28 mEq/L



14. Toni is a 58-year-old who presents with fatigue. Her TSH is 6.3 mIU/L.
 A) Begin Treatment
 B) Refer
 C) Reassure and discharge
 D) No follow-up is needed



15. Leo is a 49-year-old who presents with fatigue. His hemoglobin is 15 g/dL and
hematocrit is 42%.
 A) Begin Treatment
 B) Refer
 C) Treat for anemia
 D) Repeat CBC immediately