MH Exam 2 – Questions With Correct Solutions
A nurse in an emergency department is assessing a client for suspected
cocaine intoxication. Which of the following findings should the nurse
expect?
A. Nystagmus
B. Dilated pupils
C. Hypersomnia
D. Depression
Mod 4 post quiz Correct Ans - B. Dilated pupils
A nurse is caring for a client who has major depressive disorder and is
scheduled for electroconvulsive therapy (ECT). The client's spouse asks the
nurse about the possible side effects of the ECT. Which of the following
responses should the nurse make?
A. "The main side effects are temporary, and may include mild confusion, a
headache, and short-term memory loss."
B. "Most clients have no adverse effects to this treatment, but muscle
cramping may result from the induced seizure."
C. "Some clients have been known to have a myocardial infarction, but we
will monitor your spouse closely to be certain this does not happen."
D. "The most common side effects are directly related to the use of
anesthesia."
Mod 4 post quiz Correct Ans - A. "The main side effects are
temporary, and may include mild confusion, a headache, and short-term
memory loss."
A nurse is caring for a client who has a history of alcohol use disorder and
has been hospitalized for detoxification. The nurse enters the room and
finds the client shouting in a terrified voice, "Get these bugs off of me!"
Which of the following responses by the nurse is appropriate?
A. "I'm sure that the bugs you see will not harm you."
B. "Tell me more about the bugs that you see in your room."
C. "I don't see any bugs, but you seem very frightened."
,D. "I do not see anything. This is part of the withdrawal process."
Mod 4 post quiz Correct Ans - C. "I don't see any bugs, but you seem
very frightened."
A nurse is teaching a community education course about the physical
complications related to substance use disorder. Which of the following
findings should the nurse include in the discussion as a health risk of
heroin use?
A. Acute pancreatitis
B. Slowed breathing
C. Nasal septum perforation
D. Permanent short-term memory loss
Mod 4 post quiz Correct Ans - B. Slowed breathing
A nurse is collecting a health history on a client who has a diagnosis of
Wernicke-Korsakoff syndrome. Which of the following is an expected
finding?
A. Family history of Alzheimer's disease.
B. Personal history of alcohol use disorder.
C. Undergoing current treatment for HIV.
D. Current rehabilitation for opiate addiction
Mod 4 post quiz Correct Ans - B. Personal history of alcohol use
disorder.
A nurse is caring for a client who is withdrawing from opioids. Which of the
following medications should the nurse prepare to administer?
A. Methadone
B. Disulfiram
C. Risperidone
D. Lithium carbonate
Mod 4 post quiz Correct Ans - A. Methadone
,A nurse is assessing a client who is experiencing acute cocaine toxicity.
Which of the following findings should the nurse expect?
A. Tremors
B. Hypothermia
C. Hypotension
D. Respiratory depression
Mod 4 post quiz Correct Ans - A. Tremors
A nurse on a long-term care unit is creating a plan of care for a client who
has Alzheimer's disease. Which of the following interventions should the
nurse include in the plan?
A. Rotate assignment of daily caregivers.
B. Provide an activity schedule that changes from day to day.
C. Limit time for the client to perform activities.
D. Talk the client through tasks one step at a time.
Mod 4 post quiz Correct Ans - D. Talk the client through tasks one
step at a time.
A community health nurse is providing teaching to the family of a client
who has primary dementia. Which of the following manifestations should
the nurse tell the family to expect?
A. Decreased auditory and visual acuity
B. Decreased display of emotions
C. Personality traits that are opposite of original traits
D. Forgetfulness gradually progressing to disorientation
Mod 4 post quiz Correct Ans - D. Forgetfulness gradually
progressing to disorientation
A nurse is performing a mental status examination (MSE) on a client who
has a new diagnosis of dementia. Which of the following components
should the nurse include? (Select all that apply.)
A. Grooming
, B. Long-term memory
C. Support systems
D. Affect
E. Presence of pain
Mod 4 post quiz Correct Ans - A. Grooming
B. Long-term memory
D. Affect
A nurse is caring for a client who has severe manifestations of
schizophrenia and is medicated PRN for agitation with haloperidol. The
nurse should assess the client for which of the following adverse effects?
A. Dysrhythmias
B. Cataracts
C. Pancreatitis
D. Bleeding
Mod 5 post quiz Correct Ans - A. Dysrhythmias
A nurse is caring for a client who was admitted with acute psychosis and is
being treated with haloperidol. The nurse should suspect that the client
may be experiencing tardive dyskinesia when the client exhibits which of
the following? (Select all that apply.)
A. Urinary retention and constipation
B. Tongue thrusting and lip smacking
C. Fine hand tremors and pill rolling
D. Facial grimacing and eye blinking
E. Involuntary pelvic rocking and hip thrusting movements
Mod 5 post quiz Correct Ans - B. Tongue thrusting and lip smacking
D. Facial grimacing and eye blinking
E. Involuntary pelvic rocking and hip thrusting movements
A nurse is caring for a client who has schizophrenia and tells the nurse,
"They lie about me all the time and they are trying to poison my food."
Which of the following statements should the nurse make?
A nurse in an emergency department is assessing a client for suspected
cocaine intoxication. Which of the following findings should the nurse
expect?
A. Nystagmus
B. Dilated pupils
C. Hypersomnia
D. Depression
Mod 4 post quiz Correct Ans - B. Dilated pupils
A nurse is caring for a client who has major depressive disorder and is
scheduled for electroconvulsive therapy (ECT). The client's spouse asks the
nurse about the possible side effects of the ECT. Which of the following
responses should the nurse make?
A. "The main side effects are temporary, and may include mild confusion, a
headache, and short-term memory loss."
B. "Most clients have no adverse effects to this treatment, but muscle
cramping may result from the induced seizure."
C. "Some clients have been known to have a myocardial infarction, but we
will monitor your spouse closely to be certain this does not happen."
D. "The most common side effects are directly related to the use of
anesthesia."
Mod 4 post quiz Correct Ans - A. "The main side effects are
temporary, and may include mild confusion, a headache, and short-term
memory loss."
A nurse is caring for a client who has a history of alcohol use disorder and
has been hospitalized for detoxification. The nurse enters the room and
finds the client shouting in a terrified voice, "Get these bugs off of me!"
Which of the following responses by the nurse is appropriate?
A. "I'm sure that the bugs you see will not harm you."
B. "Tell me more about the bugs that you see in your room."
C. "I don't see any bugs, but you seem very frightened."
,D. "I do not see anything. This is part of the withdrawal process."
Mod 4 post quiz Correct Ans - C. "I don't see any bugs, but you seem
very frightened."
A nurse is teaching a community education course about the physical
complications related to substance use disorder. Which of the following
findings should the nurse include in the discussion as a health risk of
heroin use?
A. Acute pancreatitis
B. Slowed breathing
C. Nasal septum perforation
D. Permanent short-term memory loss
Mod 4 post quiz Correct Ans - B. Slowed breathing
A nurse is collecting a health history on a client who has a diagnosis of
Wernicke-Korsakoff syndrome. Which of the following is an expected
finding?
A. Family history of Alzheimer's disease.
B. Personal history of alcohol use disorder.
C. Undergoing current treatment for HIV.
D. Current rehabilitation for opiate addiction
Mod 4 post quiz Correct Ans - B. Personal history of alcohol use
disorder.
A nurse is caring for a client who is withdrawing from opioids. Which of the
following medications should the nurse prepare to administer?
A. Methadone
B. Disulfiram
C. Risperidone
D. Lithium carbonate
Mod 4 post quiz Correct Ans - A. Methadone
,A nurse is assessing a client who is experiencing acute cocaine toxicity.
Which of the following findings should the nurse expect?
A. Tremors
B. Hypothermia
C. Hypotension
D. Respiratory depression
Mod 4 post quiz Correct Ans - A. Tremors
A nurse on a long-term care unit is creating a plan of care for a client who
has Alzheimer's disease. Which of the following interventions should the
nurse include in the plan?
A. Rotate assignment of daily caregivers.
B. Provide an activity schedule that changes from day to day.
C. Limit time for the client to perform activities.
D. Talk the client through tasks one step at a time.
Mod 4 post quiz Correct Ans - D. Talk the client through tasks one
step at a time.
A community health nurse is providing teaching to the family of a client
who has primary dementia. Which of the following manifestations should
the nurse tell the family to expect?
A. Decreased auditory and visual acuity
B. Decreased display of emotions
C. Personality traits that are opposite of original traits
D. Forgetfulness gradually progressing to disorientation
Mod 4 post quiz Correct Ans - D. Forgetfulness gradually
progressing to disorientation
A nurse is performing a mental status examination (MSE) on a client who
has a new diagnosis of dementia. Which of the following components
should the nurse include? (Select all that apply.)
A. Grooming
, B. Long-term memory
C. Support systems
D. Affect
E. Presence of pain
Mod 4 post quiz Correct Ans - A. Grooming
B. Long-term memory
D. Affect
A nurse is caring for a client who has severe manifestations of
schizophrenia and is medicated PRN for agitation with haloperidol. The
nurse should assess the client for which of the following adverse effects?
A. Dysrhythmias
B. Cataracts
C. Pancreatitis
D. Bleeding
Mod 5 post quiz Correct Ans - A. Dysrhythmias
A nurse is caring for a client who was admitted with acute psychosis and is
being treated with haloperidol. The nurse should suspect that the client
may be experiencing tardive dyskinesia when the client exhibits which of
the following? (Select all that apply.)
A. Urinary retention and constipation
B. Tongue thrusting and lip smacking
C. Fine hand tremors and pill rolling
D. Facial grimacing and eye blinking
E. Involuntary pelvic rocking and hip thrusting movements
Mod 5 post quiz Correct Ans - B. Tongue thrusting and lip smacking
D. Facial grimacing and eye blinking
E. Involuntary pelvic rocking and hip thrusting movements
A nurse is caring for a client who has schizophrenia and tells the nurse,
"They lie about me all the time and they are trying to poison my food."
Which of the following statements should the nurse make?
