NSG 526 Exam Complete 4 Question Bank
with Verified Answers | 2025/26| Review &
Next Gen Practice Questions with Answers,
Detailed Rationales
Which action should the nurse implement first for a client experiencing alcohol withdrawal?
A. Apply vest or extremity restraints.
B. Give an alpha-adrenergic blocker.
C. Provide a diet high in protein and calories.
A+ TEST BANK 1
, NSG 526 Exam 09/22/2026
D. Prepare the environment to prevent self-injury. –
Correct Answer :ANS: D. Prepare the environment to prevent self-injury.
During alcohol withdrawal, self-destructive or violent behavior can occur due to agitation and hallucinations and
cause a potentially immediate and life-threatening risk to the client and others. The nurse should first provide a
safe environment by removing any potential objects that could inflict self-injury. Secondary prevention
strategies, administration of medications, and nutrition needs are then indicated.
The nurse is assessing a client with a history of borderline personality disorder. Which question should the nurse
include in the assessment?
A. At what age did you begin to exhibit symptoms?
B. Do you have a family history of borderline disorder?
C. How often do you drink alcoholic beverages?
D. Do you frequently have temper tantrums? –
Correct Answer :ANS: D. Do you frequently have temper tantrums?
A client with borderline personality disorder often has a history of intense outbursts of anger. The other
questions may provide worthwhile information, but do not provide specific information about the client's
symptomatology of borderline personality disorder.
A nurse is teaching about women's health with a female client who is in a homosexual relationship. Which topic
is the most important for the nurse to address?
A. Sexually transmitted diseases.
B. Annual gynecologic examination.
A+ TEST BANK 2
, NSG 526 Exam 09/22/2026
C. Monthly breast self-examination.
D. Domestic violence interventions. –
Correct Answer :ANS: D. Domestic violence interventions.
Since all women, regardless of sexual orientation, are at risk for domestic violence that can be potentially lethal,
this is the most important topic for the nurse to address and is a policy that should be included in the nursing
interview. The other topics should be included, but determining the presence of domestic violence is a life
threatening priority.
An adult female who is married and works full-time in a factory has been absent from work for three days at a
time on several occasions. Each time she returns to work, she wears dark glasses to cover facial bruising. Her
supervisor refers her to the occupational health nurse. What assessment question should the nurse use?
A. Do you drink excessively?
B. Did your husband beat you?
C. How did this happen to you?
D. What did you do to deserve this? - Correct Answer :ANS: C. How did this happen to you?
Domestic violence can present in several forms, including sexual, physical, mental, and neglect. The victim of
spousal abuse is often frightened or may feel at fault about the abuse, so a therapeutic relationship should be
established with the client using nonjudgmental, open-ended questions so that the client is comfortable to
disclose details about the injury, if abuse is suspected. The other questions are close-ended questions that can
be answered with "yes" or "no" answers and are not therapeutic.
What action should the nurse take when a client who is psychotic proposes goals that are both unrealistic and
undesirable?
A+ TEST BANK 3
, NSG 526 Exam 09/22/2026
A. Do nothing and remember the client's rights.
B. Express doubt that the goal can be achieved.
C. Tell the client that the goal is unrealistic.
D. Reflect the client's behavior and its consequences. - Correct Answer :ANS: D. Reflect the client's behavior
and its consequences.
A client who is psychotic is unable to visualizing the consequences of proposed goals. The use of reflection
about the client's behavior and its consequences is a therapeutic response. The other responses halt therapeutic
communication.
A client who is intoxicated is admitted for alcohol and multiple substance detoxification. The nurse determines
that the client is becoming increasingly anxious, agitated, and diaphoretic. The client is also experiencing sensory
perceptual disturbances and a clouded sensorium. What is the priority nursing intervention for this client at this
time?
A. Check on the client every 15 minutes.
B. Begin one-on-one supervision immediately.
C. Keep the room dimly lit and turn on the radio.
D. Push fluids and provide calorie-rich nutritional supplements. - Correct Answer :ANS: B. Begin one-on-one
supervision immediately.
One-on-one supervision ensures the client's physical safety until the client is sedated adequately to reduce
feelings of terror and tactile and visual hallucinations. Although the other actions may be indicated, they do not
provide immediate assessment of the client's ongoing safety.
A+ TEST BANK 4