NBRC TMC EXAM NEWEST 2025 TEST BANK| COMPLETE 450
REAL EXAM QUESTIONS AND CORRECT ANSWERS
A. instruct the client to reduce the volume of his voice
B. administer a PRN sedative by injection
C. accompany the client to a quiet area of the unit
D. encourage the client to attend a support group - ANSWERC. accompany the client to a quiet area of
the unitA client with depression is not attentive to personal hygiene, uses television watching as a
means of escape from...inability to enjoy the things that once gave them pleasure. Which coping
strategy should the nurse include in the plan of care?
A. Relax and reduce the amount of effort to solve the
problem
B. Recall methods that were most successful in the past
C. reach out to family and friends about feelings of abandonment
D. turn to other activities to take one's mind off of the issues - ANSWERB. Recall methods that were
most successful in the pastA male college student visits the student health center for his annual physical
examination. His vital signs and blood glucose...range. His height is 6 feet and 1 inch (185.4 cm), and he
weighs 135 pounds (61.36kg). What additional information is most...obtain?
A. 24-hour nutritional history
B. body mass index
C. basal metabolic rate
D. complete blood count - ANSWERB. body mass indexA young male who was recently diagnosed with
bipolar disorder takes lithium carbonate daily. He is graduating...he tells the school nurse that wants to
live away from home for college. What information is most important for...family?
A. Despite his illness, the client should be able to live away from home
B. his serum lithium levels should be routinely evaluated
C. he should plan to participate in group or individual therapy while at college D. he should be aware of
the symptoms of his illness - ANSWERB. his serum lithium levels should be routinely evaluatedA female
client is brought to the emergency department after police officers found her disoriented, disorganized,
and confused. The RN also determines that the client is homeless and is exhibiting suspiciousness. The
client's plan of care should include what priority problem.
,A. Acute confusion
B. Ineffective community coping
C. Disturbed sensory perception
D. Self-care deficit - ANSWERA. Acute confusionThe occupational health nurse is working with a female
employee who was just notified that her child was involved in a motor vehicle accident and taken to the
hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the
RN to provide in this crisis?
A. "Tell me what you think should happen."
B. "How serious was the collision?"
C. "What do you think you should do?"
D. Call for transportation to the hospital - ANSWERD. Call for transportation to the hospitalA client tells
the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a
female movie star and thinks that his brother wants a sexual relationship with her. What is the priority
nursing problem admission to the psychiatric unit?
A. Ineffective sexual patterns
B. Impaired environmental interpretation
C. Disturbed sensory perception
D. Compromised Family Coping - ANSWERA. Ineffective sexual patternsThe RN is providing care for a
client diagnosed with borderline personality disorder who has self-inflicted lacerations on the abdomen.
Which approach should the RN use when changing this client's dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own abdomen.
D. Request another staff member assist with the dressing change. - ANSWERB. Perform the dressing
change in a non-judgmental manner.While sitting in the day room of the mental health unit, a male
adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the RN.
The two trade places, and the RN demonstrates the client's behaviors. What is the main goal of this
therapeutic technique?
a. Initiate a non-threatening conversation with the client.
b. Dialogue about the ineffectiveness of his interactions
c. Allow the client to identify the way he interacts.
,d. Discuss the client's feelings when he responds. - ANSWERc. Allow the client to identify the way he
interacts.An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in
the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to
achieve within the first three days of treatment?
A. Meet scheduled appointment with dietitian
B. Sleep at least 6 hours a night
C. Understands the purpose of the medication regimen
D. Describes the reason for hospitalization - ANSWERB. Sleep at least 6 hours a nightWhen preparing to
administer to domestic violence screening tool to a female client, which statement should the RN
provide?
A. "If your partner is abusing you, I need to ask these questions."
B. "State law mandates that I ask if you are a victim of domestic violence"
C. "The HCP provider needs to know if you are experiencing any domestic abuse"
D. "All clients are screened for domestic abuse because it is common in our society" - ANSWERD. "All
clients are screened for domestic abuse because it is common in our society"A young adult female visits
the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies
chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells
the RN that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for
the RN to provide?
A. "Unless your sister has a medical education, ignore her comments."
B. "I can hear that your sister's comments are overwhelming you."
C. "Do you think it's possible that you might be a hypochondriac?"
D. "Besides your sister's comments, what in life is troubling you?" - ANSWERD. "Besides your sister's
comments, what in life is troubling you?"The RN is leading a group on the inpatient psychiatric unit.
Which approach should the RN use during the working phase of group development?
A. Establishing a rapport with group members
B. Helping clients identify areas of problem in their lives
C. Discussing ways to use new coping skills learned
D. Clarifying the nurse's role and clients' responsibilities - ANSWERB. Helping clients identify areas of
problem in their livesA male client with schizophrenia is demonstrating echolalia, which is becoming
annoying to other clients on the unit. What intervention is best for the RN to implement?
A. Isolate the client from other clients
, B. Administer PRN sedative
C. Avoid recognizing the behavior
D. Escort the client to his room - ANSWERD. Escort the client to his roomA client is admitted for bipolar
disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will the RN
withhold the clonidine (Catapres) prescription?
A. Pulse rate 68-78 bpm
B. BP readings of 90/62 mmHg to 92/58
C. Temperature of 99.5-99.7 F
D. Respiration rate of 24 bpm - ANSWERB. BP readings of 90/62 mmHg to 92/58The RN on the evening
shift receives report that a client is scheduled for Electroconvulsive Therapy in the morning. Which
intervention should the RN implement the evening before the scheduled ECT?
A. Keep client NPO after midnight
B. Hold all bedtime meds
C. Implement elopement precautions
D. Give the client an enema at bedtime - ANSWERA. Keep client NPO after midnightA client with bulimia
and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for
uncontrolled hypertension. What dietary choices should the RN instruct the client to avoid?
A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of
excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet.
Which intervention should the RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed. - ANSWERA. Report the client's serum
lithium level to the HCP.A mental health worker is caring for a client with escalating aggressive behavior.
Which action by the MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
REAL EXAM QUESTIONS AND CORRECT ANSWERS
A. instruct the client to reduce the volume of his voice
B. administer a PRN sedative by injection
C. accompany the client to a quiet area of the unit
D. encourage the client to attend a support group - ANSWERC. accompany the client to a quiet area of
the unitA client with depression is not attentive to personal hygiene, uses television watching as a
means of escape from...inability to enjoy the things that once gave them pleasure. Which coping
strategy should the nurse include in the plan of care?
A. Relax and reduce the amount of effort to solve the
problem
B. Recall methods that were most successful in the past
C. reach out to family and friends about feelings of abandonment
D. turn to other activities to take one's mind off of the issues - ANSWERB. Recall methods that were
most successful in the pastA male college student visits the student health center for his annual physical
examination. His vital signs and blood glucose...range. His height is 6 feet and 1 inch (185.4 cm), and he
weighs 135 pounds (61.36kg). What additional information is most...obtain?
A. 24-hour nutritional history
B. body mass index
C. basal metabolic rate
D. complete blood count - ANSWERB. body mass indexA young male who was recently diagnosed with
bipolar disorder takes lithium carbonate daily. He is graduating...he tells the school nurse that wants to
live away from home for college. What information is most important for...family?
A. Despite his illness, the client should be able to live away from home
B. his serum lithium levels should be routinely evaluated
C. he should plan to participate in group or individual therapy while at college D. he should be aware of
the symptoms of his illness - ANSWERB. his serum lithium levels should be routinely evaluatedA female
client is brought to the emergency department after police officers found her disoriented, disorganized,
and confused. The RN also determines that the client is homeless and is exhibiting suspiciousness. The
client's plan of care should include what priority problem.
,A. Acute confusion
B. Ineffective community coping
C. Disturbed sensory perception
D. Self-care deficit - ANSWERA. Acute confusionThe occupational health nurse is working with a female
employee who was just notified that her child was involved in a motor vehicle accident and taken to the
hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the
RN to provide in this crisis?
A. "Tell me what you think should happen."
B. "How serious was the collision?"
C. "What do you think you should do?"
D. Call for transportation to the hospital - ANSWERD. Call for transportation to the hospitalA client tells
the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a
female movie star and thinks that his brother wants a sexual relationship with her. What is the priority
nursing problem admission to the psychiatric unit?
A. Ineffective sexual patterns
B. Impaired environmental interpretation
C. Disturbed sensory perception
D. Compromised Family Coping - ANSWERA. Ineffective sexual patternsThe RN is providing care for a
client diagnosed with borderline personality disorder who has self-inflicted lacerations on the abdomen.
Which approach should the RN use when changing this client's dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own abdomen.
D. Request another staff member assist with the dressing change. - ANSWERB. Perform the dressing
change in a non-judgmental manner.While sitting in the day room of the mental health unit, a male
adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the RN.
The two trade places, and the RN demonstrates the client's behaviors. What is the main goal of this
therapeutic technique?
a. Initiate a non-threatening conversation with the client.
b. Dialogue about the ineffectiveness of his interactions
c. Allow the client to identify the way he interacts.
,d. Discuss the client's feelings when he responds. - ANSWERc. Allow the client to identify the way he
interacts.An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in
the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to
achieve within the first three days of treatment?
A. Meet scheduled appointment with dietitian
B. Sleep at least 6 hours a night
C. Understands the purpose of the medication regimen
D. Describes the reason for hospitalization - ANSWERB. Sleep at least 6 hours a nightWhen preparing to
administer to domestic violence screening tool to a female client, which statement should the RN
provide?
A. "If your partner is abusing you, I need to ask these questions."
B. "State law mandates that I ask if you are a victim of domestic violence"
C. "The HCP provider needs to know if you are experiencing any domestic abuse"
D. "All clients are screened for domestic abuse because it is common in our society" - ANSWERD. "All
clients are screened for domestic abuse because it is common in our society"A young adult female visits
the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies
chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells
the RN that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for
the RN to provide?
A. "Unless your sister has a medical education, ignore her comments."
B. "I can hear that your sister's comments are overwhelming you."
C. "Do you think it's possible that you might be a hypochondriac?"
D. "Besides your sister's comments, what in life is troubling you?" - ANSWERD. "Besides your sister's
comments, what in life is troubling you?"The RN is leading a group on the inpatient psychiatric unit.
Which approach should the RN use during the working phase of group development?
A. Establishing a rapport with group members
B. Helping clients identify areas of problem in their lives
C. Discussing ways to use new coping skills learned
D. Clarifying the nurse's role and clients' responsibilities - ANSWERB. Helping clients identify areas of
problem in their livesA male client with schizophrenia is demonstrating echolalia, which is becoming
annoying to other clients on the unit. What intervention is best for the RN to implement?
A. Isolate the client from other clients
, B. Administer PRN sedative
C. Avoid recognizing the behavior
D. Escort the client to his room - ANSWERD. Escort the client to his roomA client is admitted for bipolar
disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will the RN
withhold the clonidine (Catapres) prescription?
A. Pulse rate 68-78 bpm
B. BP readings of 90/62 mmHg to 92/58
C. Temperature of 99.5-99.7 F
D. Respiration rate of 24 bpm - ANSWERB. BP readings of 90/62 mmHg to 92/58The RN on the evening
shift receives report that a client is scheduled for Electroconvulsive Therapy in the morning. Which
intervention should the RN implement the evening before the scheduled ECT?
A. Keep client NPO after midnight
B. Hold all bedtime meds
C. Implement elopement precautions
D. Give the client an enema at bedtime - ANSWERA. Keep client NPO after midnightA client with bulimia
and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for
uncontrolled hypertension. What dietary choices should the RN instruct the client to avoid?
A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of
excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet.
Which intervention should the RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed. - ANSWERA. Report the client's serum
lithium level to the HCP.A mental health worker is caring for a client with escalating aggressive behavior.
Which action by the MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
