NR 326 CMS Exam with correct answers
1.What is Nurse John likely to note in a male client being admitted for
alcohol withdrawal?
A. Perceptual disorders
B. Impending coma
C. Recent alcohol intake
D. Depression with mutism: Option A: Frightening visual hallucinations
are espe- cially common in clients experiencing alcohol withdrawal
2.June has agreed to take amitriptyline HCL (Elavil) for 3 days, but now
complains that it "doesn't help" and refuses to take it. What should the
nurse say or do?
A. Withhold the drug
B. Record the client's response
C. Encourage client to tell the physician
D. Suggest that it takes awhile before seeing the results.: Option D: The
client needs a specific response; that it takes 2 to 3 weeks (a delayed
effect) until the therapeutic blood level is reached.
3.In preparing a female client for electroconvulsive therapy (ECT), Nurse
,Michelle knows that succinylcholine (Anectine) will be administered for
which therapeutic effect?
A. Short acting anesthesia
B. Decreased oral and respiratory secretions
C. Skeletal muscle paralysis
D. Analgesia: Option C: Succinylcholine (Anectine)is a depolarizing
muscle relax- ant causing paralysis. It is used to reduce the intensity of
muscle contractions during the convulsive stage, thereby reducing the
risk of bone fractures or dislocation
4.Nurse Gina is aware that the dietary implications for a client in manic
phase of bipolar disorder is:
A. Serve the client a bowl of soup
B. Increase calories, decrease fat, and decrease carbohydrates
C. Give the client pieces of cut up steak, potatoes, peas
D. Increase calories, increase carbohydrates, and increase protein: Option
D: This client needs increased protein for tissue building and increased
calories to replace what is burned up (usually via carbohydrates);
preferable, portable d/t acute mania sx
Potatoes- does not indicate if portable
,5.What parental behavior toward a child during an admission
procedure should cause Nurse Ron to suspect child abuse?
A. Flat affect
B. Expressing guilt
, C. Acting overly solicitous toward the child
D. Ignoring the child: Option C: Acting overly solicitous (overly concerned,
mindful, anxiously concerned) toward the child
This behavior is an example of reaction formation, a coping mechanism.
6.Nurse Lynnette notices that a female client with obsessive-compulsive
disorder washes her hands for long periods each day. How should the
nurse respond to this compulsive behavior?
A. By designating times during which the client can focus on the behavior
B. By urging the client to reduce the frequency of the behavior as rapidly
as possible
C. By calling attention to, or attempting to prevent the behavior
D. By discouraging the client from verbalizing anxieties: CORRECT -
Option A: The nurse should designate times during which the client
can focus on the compulsive behavior or obsessive thoughts.
Option B: The nurse should urge the client to reduce the frequency of the
compulsive behavior gradually, not rapidly.
Option C: She shouldn't call attention to, or try to prevent the behavior.
Trying to prevent the behavior may cause pain and terror to the client.
1.What is Nurse John likely to note in a male client being admitted for
alcohol withdrawal?
A. Perceptual disorders
B. Impending coma
C. Recent alcohol intake
D. Depression with mutism: Option A: Frightening visual hallucinations
are espe- cially common in clients experiencing alcohol withdrawal
2.June has agreed to take amitriptyline HCL (Elavil) for 3 days, but now
complains that it "doesn't help" and refuses to take it. What should the
nurse say or do?
A. Withhold the drug
B. Record the client's response
C. Encourage client to tell the physician
D. Suggest that it takes awhile before seeing the results.: Option D: The
client needs a specific response; that it takes 2 to 3 weeks (a delayed
effect) until the therapeutic blood level is reached.
3.In preparing a female client for electroconvulsive therapy (ECT), Nurse
,Michelle knows that succinylcholine (Anectine) will be administered for
which therapeutic effect?
A. Short acting anesthesia
B. Decreased oral and respiratory secretions
C. Skeletal muscle paralysis
D. Analgesia: Option C: Succinylcholine (Anectine)is a depolarizing
muscle relax- ant causing paralysis. It is used to reduce the intensity of
muscle contractions during the convulsive stage, thereby reducing the
risk of bone fractures or dislocation
4.Nurse Gina is aware that the dietary implications for a client in manic
phase of bipolar disorder is:
A. Serve the client a bowl of soup
B. Increase calories, decrease fat, and decrease carbohydrates
C. Give the client pieces of cut up steak, potatoes, peas
D. Increase calories, increase carbohydrates, and increase protein: Option
D: This client needs increased protein for tissue building and increased
calories to replace what is burned up (usually via carbohydrates);
preferable, portable d/t acute mania sx
Potatoes- does not indicate if portable
,5.What parental behavior toward a child during an admission
procedure should cause Nurse Ron to suspect child abuse?
A. Flat affect
B. Expressing guilt
, C. Acting overly solicitous toward the child
D. Ignoring the child: Option C: Acting overly solicitous (overly concerned,
mindful, anxiously concerned) toward the child
This behavior is an example of reaction formation, a coping mechanism.
6.Nurse Lynnette notices that a female client with obsessive-compulsive
disorder washes her hands for long periods each day. How should the
nurse respond to this compulsive behavior?
A. By designating times during which the client can focus on the behavior
B. By urging the client to reduce the frequency of the behavior as rapidly
as possible
C. By calling attention to, or attempting to prevent the behavior
D. By discouraging the client from verbalizing anxieties: CORRECT -
Option A: The nurse should designate times during which the client
can focus on the compulsive behavior or obsessive thoughts.
Option B: The nurse should urge the client to reduce the frequency of the
compulsive behavior gradually, not rapidly.
Option C: She shouldn't call attention to, or try to prevent the behavior.
Trying to prevent the behavior may cause pain and terror to the client.
