NURS 326 FINAL EXAM 2025-2026 \NEWEST
VERSION WITH COMPLETE QUESTIONS AND
ACCURATE DETAILED ANSWERS \LATEST UPDATE
THAT CONTAINS HYPOTHERMIA MANAGEMENT &
HPERTENSION LIFESTYLES INTERVENTIONS BY
KATELYN WHITEMAN
A nurse is caring for a ACD
client who has substance-
induced psychotic disorder
and is experiencing auditory
hallucinations. The client
states, "The voices won't
leave me alone!" Which of
the following statements
should the nurse make?
(Select all that apply).
a. "When did you start hearing
the voices?"
b. "The voices are not
real, or else we would
both hear them."
c. "It must be scary to hear
voices."
d. "Are the voices telling
you to hurt yourself?"
e. "Why are the voices talking
to only you?"
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A nurse is completing an ACDE
admission assessment for
a client who has
schizophrenia. Which of
the following findings
should the nurse
document as positive
symptoms? (Select all that
apply.)
a. Auditory hallucination
b. Lack of motivation
c. Use of clang associations
d. Delusion of persecution
e. Constantly waving arms
f. Flat affect
A nurse is caring for a B
client who has
schizoaffective disorder.
Which of the following
statements indicates the
client is experiencing
depersonalization?
a. "I am a superhero and am
immortal."
b. "I am no one, and everyone
is me."
c. "I feel monsters pinching me
all over."
d. "I know that you are
stealing my thoughts."
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You are caring for a client C (This is an example of a neologism, which is when
with schizophrenia in the they make up words that have no meaning. A is an
mental health facility you example of ideas of reference. B is an example of
work at. When assessing this persecution. D is an example of somatic delusions. E
patient, which of the is an example of being controlled. F is an example of
following statements would thought broadcasting. G is an example of magical
not represent a delusion? thinking.)
a. "I know that the people at
the front desk were talking
about me when I was
brought here."
b. "The FBI is after me
because they know I'm
secretly the Prince of
Persia."
c. "I tranged and flittled."
d. "Do you like my third leg?"
e. "I know an alien in
space is trying to control
every one of my
movements."
f. "I try not to think so much
because I know everyone
can hear my thoughts."
g. "Maybe I'll show you
eventually, but if I put on
this hat right here it will
make me invisible."
You are caring for a B (A very dangerous adverse effect of this medication of
patient that is being agranulocytosis. CBCs must be taken weekly to
prescribed Clozapine monitor WBC count.)
(Clozaril) for psychotic
features secondary to
bipolar disorder. Which of
the following lab tests
must be done weekly for
this medication?
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a. Serum drug level
b. White blood cell count
c. Serum sodium levels
d. PT and INR
You are caring for a client C (Atypical antipsychotics increase the risk for
who is being prescribed metabolic syndrome due to weight gain and
Risperidone for increased blood glucose levels. To minimize weight
schizophrenia. Which of the gain, advise the client to follow a healthy, low-calorie
following should be diet, engage in regular exercise and monitor weight.)
monitored in this patient?
a. Constipation
b. Thrombocytopenia
c. Weight gain and blood sugar
levels
Dry mouth
d.
All atypical antipsychotics C
are capable of what side
effect?
a. Postural hypotension
b. Urinary retention
c. Cardiac arrhythmias from
widened QT interval
d. Steven-Johnson's syndrome
Your client is taking A (This patient is experiencing pseudoparkinsonism
Haloperidol to treat related to the medication they are taking. You can treat
positive symptoms related this adverse effect with artane, cogentin, or symmetrel
to psychosis. Upon (Amantadine).)
assessment, you see that the
patients muscles are
extremely stiff and rigid.
You notice a unilateral
hand tremor and pin
rolling. What is the first
action you should take?
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