NUR 214 (Mental Health - Test 4) NCLEX Style Practice Questions
with Correct Answers (Grade A+)
Question 1: The nurse is providing care to a preadolescent client who was recently diagnosed with
bulimia nervosa. The client's mother states, "I am very weight and exercise conscious, and I try to
ensure my children stay in shape and eat well so that they can succeed in life. I have no idea how my
daughter developed bulimia. She must have inherited a genetic tendency for bulimia from her birth
mother." Based on this data, which conclusion by the nurse is the most appropriate?
A) The mother's focus on diet, exercise, and achievement fostered the client's eating disorder
B) The client must have inherited a genetic predisposition for eating disorders
C) The client must have a neurotransmitter abnormality
D) The mother is setting a good example for the client with her eating and exercise habits **P-29**
Answer: A (The mother's focus on diet, exercise, and achievement fostered the client's eating disorder)
Question 2: During a routine physical examination, a preadolescent client tells the nurse, "I am too fat,
and I'm going to do whatever I can to look like the girls on the cover of fashion magazines." The nurse
should plan care for this client based on which risk factor for eating disorders?
A) A desire for a long-term profession
B) Societal influences on body weight
C) Unrealistic expectations
D) Family influences on body weight **P-29**
Answer: B (Societal influences on body weight)
Question 3: The nurse is providing care to a client who is diagnosed with bulimia. Which clinical
manifestations does the nurse anticipate when conducting the client's physical assessment? (Select all
that apply)
A) Increased urine output
B) Hoarseness when speaking
C) Poor skin turgor
D) Low body temperature
E) Elevated blood pressure **P-29**
Answer: B & C (Hoarseness when speaking) (Poor skin turgor)
Page 1
,Question 4: A client who has been admitted with an eating disorder tells the nurse, "No matter what I
do, I continue to be fat." Which of the following is the priority nursing diagnosis when planning care
for this client?
A) Ineffective Coping
B) Disturbed Body Image
C) Impaired Tissue Integrity
D) Deficient Knowledge **P-29**
Answer: B (Disturbed Body Image)
Question 5: A client tells the nurse that the thought of eating makes her anxious and nervous, so she
just avoids eating altogether. Which of the following actions would be highest priority when planning
care for this client?
A) Providing instruction on the role of nutrition in normal menstruation
B) Providing instruction on the importance of nutrition for vital signs and muscle tone
C) Undertaking interventions to address anxiety and feelings of being in control
D) Providing instruction on appropriate nutritional intake **P-29**
Answer: C (Undertaking interventions to address anxiety and feelings of being in control)
Question 6: The nurse is providing care to a client who has been diagnosed with anorexia nervosa.
Which assessment findings indicate that the client has met some of the treatment goals related to the
disease process? (Select all that apply)
A) The client is observed wearing wrinkled clothes, listening to a portable music device, and staring out the
window
B) The client states that her menstrual cycle is regular and she is learning to prepare meals
C) The client's vital signs are within normal limits
D) The client's current weight is 75% of normal after 2 years of treatment
E) The client is overheard telling her mother that she will eat dinner if her mother buys her new jeans **P-29**
Answer: B & C (The client states that her menstrual cycle is regular and she is learning to prepare meals)
(The client's vital signs are within normal limits)
Question 7: An adolescent client who currently weighs 50% of expected body weight tells the nurse, "I
get upset and can't eat because my mother is constantly forcing food on me." Which treatments are
indicated for this client? (Select all that apply)
A) Family-based psychotherapy
B) Hospitalization
C) Behavior modification
D) Medication to increase appetite
E) Placement with a foster family **P-29**
Answer: A, B, & C (Family-based psychotherapy) (Hospitalization) (Behavior modification)
Page 2
, Question 8: A nurse who works in the emergency department is assessing a client with bulimia nervosa.
Which assessment findings indicate that the client is dehydrated? (Select all that apply)
A) Dry mouth
B) Hypertension
C) Concentrated urine
D) General weakness
E) Poor skin turgor **P-29**
Answer: A, C, D, & E (Dry mouth) (Concentrated urine) (General weakness) (Poor skin turgor)
Question 9: The nurse is providing care to a client diagnosed with bulimia. The healthcare provider has
prescribed medication to help decrease the client's binging and purging behavior. Which medication
classification should the nurse include in the teaching plan for this client?
A) Mood stabilizers
B) Antidepressants
C) Antipsychotics
D) Anxiolytics **P-29**
Answer: B (Antidepressants)
Question 10: A college student tells the nurse about being "out of control" with eating. The client states,
"I am trying to keep my weight down so my mom doesn't call me fat. Usually, I make myself throw up
after eating." Based on this data, the nurse should plan on providing care for which of the following
disorders?
A) Binge-eating disorder
B) Anorexia nervosa
C) Bulimia nervosa
D) Purging disorder **P-29**
Answer: C (Bulimia nervosa)
Question 11: An experienced nurse practitioner is teaching a student nurse about feeding and eating
disorders in the pediatric population. Which of the following statements from the student nurse
indicates that more education is necessary?
A) "Avoidant/restrictive food intake disorder, or ARFID, is the most common eating disorder among children."
B) "In recent years, eating disorders have become more common in the pediatric population."
C) "Many children are picky eaters, but few of them satisfy the diagnostic criteria for ARFID."
D) "Eating disorders are overdiagnosed in children because providers often fail to distinguish picky eating from
true ARFID." **P-29**
Answer: D ("Eating disorders are overdiagnosed in children because providers often fail to distinguish
picky eating from true ARFID.")
Page 3
with Correct Answers (Grade A+)
Question 1: The nurse is providing care to a preadolescent client who was recently diagnosed with
bulimia nervosa. The client's mother states, "I am very weight and exercise conscious, and I try to
ensure my children stay in shape and eat well so that they can succeed in life. I have no idea how my
daughter developed bulimia. She must have inherited a genetic tendency for bulimia from her birth
mother." Based on this data, which conclusion by the nurse is the most appropriate?
A) The mother's focus on diet, exercise, and achievement fostered the client's eating disorder
B) The client must have inherited a genetic predisposition for eating disorders
C) The client must have a neurotransmitter abnormality
D) The mother is setting a good example for the client with her eating and exercise habits **P-29**
Answer: A (The mother's focus on diet, exercise, and achievement fostered the client's eating disorder)
Question 2: During a routine physical examination, a preadolescent client tells the nurse, "I am too fat,
and I'm going to do whatever I can to look like the girls on the cover of fashion magazines." The nurse
should plan care for this client based on which risk factor for eating disorders?
A) A desire for a long-term profession
B) Societal influences on body weight
C) Unrealistic expectations
D) Family influences on body weight **P-29**
Answer: B (Societal influences on body weight)
Question 3: The nurse is providing care to a client who is diagnosed with bulimia. Which clinical
manifestations does the nurse anticipate when conducting the client's physical assessment? (Select all
that apply)
A) Increased urine output
B) Hoarseness when speaking
C) Poor skin turgor
D) Low body temperature
E) Elevated blood pressure **P-29**
Answer: B & C (Hoarseness when speaking) (Poor skin turgor)
Page 1
,Question 4: A client who has been admitted with an eating disorder tells the nurse, "No matter what I
do, I continue to be fat." Which of the following is the priority nursing diagnosis when planning care
for this client?
A) Ineffective Coping
B) Disturbed Body Image
C) Impaired Tissue Integrity
D) Deficient Knowledge **P-29**
Answer: B (Disturbed Body Image)
Question 5: A client tells the nurse that the thought of eating makes her anxious and nervous, so she
just avoids eating altogether. Which of the following actions would be highest priority when planning
care for this client?
A) Providing instruction on the role of nutrition in normal menstruation
B) Providing instruction on the importance of nutrition for vital signs and muscle tone
C) Undertaking interventions to address anxiety and feelings of being in control
D) Providing instruction on appropriate nutritional intake **P-29**
Answer: C (Undertaking interventions to address anxiety and feelings of being in control)
Question 6: The nurse is providing care to a client who has been diagnosed with anorexia nervosa.
Which assessment findings indicate that the client has met some of the treatment goals related to the
disease process? (Select all that apply)
A) The client is observed wearing wrinkled clothes, listening to a portable music device, and staring out the
window
B) The client states that her menstrual cycle is regular and she is learning to prepare meals
C) The client's vital signs are within normal limits
D) The client's current weight is 75% of normal after 2 years of treatment
E) The client is overheard telling her mother that she will eat dinner if her mother buys her new jeans **P-29**
Answer: B & C (The client states that her menstrual cycle is regular and she is learning to prepare meals)
(The client's vital signs are within normal limits)
Question 7: An adolescent client who currently weighs 50% of expected body weight tells the nurse, "I
get upset and can't eat because my mother is constantly forcing food on me." Which treatments are
indicated for this client? (Select all that apply)
A) Family-based psychotherapy
B) Hospitalization
C) Behavior modification
D) Medication to increase appetite
E) Placement with a foster family **P-29**
Answer: A, B, & C (Family-based psychotherapy) (Hospitalization) (Behavior modification)
Page 2
, Question 8: A nurse who works in the emergency department is assessing a client with bulimia nervosa.
Which assessment findings indicate that the client is dehydrated? (Select all that apply)
A) Dry mouth
B) Hypertension
C) Concentrated urine
D) General weakness
E) Poor skin turgor **P-29**
Answer: A, C, D, & E (Dry mouth) (Concentrated urine) (General weakness) (Poor skin turgor)
Question 9: The nurse is providing care to a client diagnosed with bulimia. The healthcare provider has
prescribed medication to help decrease the client's binging and purging behavior. Which medication
classification should the nurse include in the teaching plan for this client?
A) Mood stabilizers
B) Antidepressants
C) Antipsychotics
D) Anxiolytics **P-29**
Answer: B (Antidepressants)
Question 10: A college student tells the nurse about being "out of control" with eating. The client states,
"I am trying to keep my weight down so my mom doesn't call me fat. Usually, I make myself throw up
after eating." Based on this data, the nurse should plan on providing care for which of the following
disorders?
A) Binge-eating disorder
B) Anorexia nervosa
C) Bulimia nervosa
D) Purging disorder **P-29**
Answer: C (Bulimia nervosa)
Question 11: An experienced nurse practitioner is teaching a student nurse about feeding and eating
disorders in the pediatric population. Which of the following statements from the student nurse
indicates that more education is necessary?
A) "Avoidant/restrictive food intake disorder, or ARFID, is the most common eating disorder among children."
B) "In recent years, eating disorders have become more common in the pediatric population."
C) "Many children are picky eaters, but few of them satisfy the diagnostic criteria for ARFID."
D) "Eating disorders are overdiagnosed in children because providers often fail to distinguish picky eating from
true ARFID." **P-29**
Answer: D ("Eating disorders are overdiagnosed in children because providers often fail to distinguish
picky eating from true ARFID.")
Page 3
