NUR 104 EXAM 2 LATEST
A client diagnosed with major depression has started taking
amitriptyline hydrochloride. The nurse is reviewing the instructions
about this drug and potential adverse effects. The nurse determines
that the client has a good understanding of the drug therapy based
on which client statement?
A. "If I notice weight loss, I need to call my healthcare provider."
B. "It's not unusual for this drug to make my mouth feel a bit dry."
C. "I need to check my blood pressure daily for any increase."
D. "Heat and mild pain relievers should help with the muscle
spasms."
B. "It's not unusual for this drug to make my mouth feel a bit dry."
A client diagnosed with Alzheimer’s disease (AD) tells the nurse that
today a visitor is coming to have lunch. The nurse knows that the
visitor isn’t coming that day. Which response by the nurse would
be most appropriate for this situation?
A. “Where are you planning to have your lunch?”
B. “You’re confused and don’t know what you’re saying.”
C. “I think you need some more medication, and I’ll bring it to
you.”
D. “Today is Monday, March 8, and we’ll be eating lunch in the
dining room."
D. "Today is Monday, March 8, and we'll be eating lunch in the dining
room."
END OF
PAGE
1
, NUR 104 EXAM 2 LATEST
The health care provider has prescribed olanzapine for a client.
Which statement from the client would indicate the medication is
having the desired effect?
A. "I am feeling rested when I wake up in the morning."
B. "My appetite is getting better."
C. "I am feeling more comfortable talking with others."
D. "It is getting easier to rest at night."
C. "I am feeling more comfortable talking with others."
Which approach should be used with a client with paranoid
personality disorder who misinterprets many things the health care
team says?
A. limit interaction to activities of daily living
B. address only problems and causes of distress
C. explore anxious situations and offer reassurance
D. speak in simple messages without details
D. speak in simple messages without details
A client with dependent personality disorder is working on goals for
self-care. Which short-term goal statement would be the initial goal?
A. perform all self-care activities independently
B. write a daily schedule for each day of the week
C. omplete self-care activities in a minimal amount of time
D. determine activities that can be performed without help
D. determine activities that can be performed without help
END OF
PAGE
2
, NUR 104 EXAM 2 LATEST
A nurse is frustrated by inability to make much progress
establishing a therapeutic relationship with a client with bipolar
disorder. The nurse's most professional response would be to:
A. ask to be reassigned to another, less-challenging client.
B. keep trying to talk with the client even though the nurse is
frustrated.
C. discuss the situation with a more experienced peer.
D. ask the physician to reevaluate the client's medication.
C. discuss the situation with a more experienced peer.
A client has been diagnosed with borderline personality disorder
(BPD) and will be treated with cognitive behavior therapy (CBT).
How will the nurse best reinforce the education regarding this form
of therapy?
A. Inform the client that it will help determine self-perception and
relationships with others.
B. Inform the client that there will be some brief memory loss after
the treatment and they will be very tired.
C. Inform the client that family members should have no
involvement in the clients treatment plan.
D. Inform the client that the treatment will involve reframing
schemas.
END OF
PAGE
3
, NUR 104 EXAM 2 LATEST
A. Inform the client that it will help determine self-perception and
relationships with others.
A client sustained a partial thickness burn to the chest and neck.
Which laboratory test will the nurse monitor for elevated levels?
A. Neutrophils
B. Eosinophils
C. Lymphocytes
D. Monocytes
A. Neutrophils
The nurse reviews a client's laboratory studies and observes a
hemoglobin level of 9.6 g/dl. Which data collected by the nurse
would be significant related to this laboratory result?
A. The client has a blood pressure of 110/78 mmHg.
B. The client has a temperature of 99.6 °F.
C. The client has expiratory wheezes.
D. The client has rectal bleeding.
D. The client has rectal bleeding.
An older adult client is suspected to have impaired absorption of
vitamin B12 due to lack of intrinsic factor. Which nursing
intervention is appropriate for this client?
A. Monitor the stools for blood.
B. Monitor the client's temperature.
C. Monitor the oxygen saturation.
D. Prepare the client to receive a blood transfusion.
C. Monitor the oxygen saturation.
END OF
PAGE
4
A client diagnosed with major depression has started taking
amitriptyline hydrochloride. The nurse is reviewing the instructions
about this drug and potential adverse effects. The nurse determines
that the client has a good understanding of the drug therapy based
on which client statement?
A. "If I notice weight loss, I need to call my healthcare provider."
B. "It's not unusual for this drug to make my mouth feel a bit dry."
C. "I need to check my blood pressure daily for any increase."
D. "Heat and mild pain relievers should help with the muscle
spasms."
B. "It's not unusual for this drug to make my mouth feel a bit dry."
A client diagnosed with Alzheimer’s disease (AD) tells the nurse that
today a visitor is coming to have lunch. The nurse knows that the
visitor isn’t coming that day. Which response by the nurse would
be most appropriate for this situation?
A. “Where are you planning to have your lunch?”
B. “You’re confused and don’t know what you’re saying.”
C. “I think you need some more medication, and I’ll bring it to
you.”
D. “Today is Monday, March 8, and we’ll be eating lunch in the
dining room."
D. "Today is Monday, March 8, and we'll be eating lunch in the dining
room."
END OF
PAGE
1
, NUR 104 EXAM 2 LATEST
The health care provider has prescribed olanzapine for a client.
Which statement from the client would indicate the medication is
having the desired effect?
A. "I am feeling rested when I wake up in the morning."
B. "My appetite is getting better."
C. "I am feeling more comfortable talking with others."
D. "It is getting easier to rest at night."
C. "I am feeling more comfortable talking with others."
Which approach should be used with a client with paranoid
personality disorder who misinterprets many things the health care
team says?
A. limit interaction to activities of daily living
B. address only problems and causes of distress
C. explore anxious situations and offer reassurance
D. speak in simple messages without details
D. speak in simple messages without details
A client with dependent personality disorder is working on goals for
self-care. Which short-term goal statement would be the initial goal?
A. perform all self-care activities independently
B. write a daily schedule for each day of the week
C. omplete self-care activities in a minimal amount of time
D. determine activities that can be performed without help
D. determine activities that can be performed without help
END OF
PAGE
2
, NUR 104 EXAM 2 LATEST
A nurse is frustrated by inability to make much progress
establishing a therapeutic relationship with a client with bipolar
disorder. The nurse's most professional response would be to:
A. ask to be reassigned to another, less-challenging client.
B. keep trying to talk with the client even though the nurse is
frustrated.
C. discuss the situation with a more experienced peer.
D. ask the physician to reevaluate the client's medication.
C. discuss the situation with a more experienced peer.
A client has been diagnosed with borderline personality disorder
(BPD) and will be treated with cognitive behavior therapy (CBT).
How will the nurse best reinforce the education regarding this form
of therapy?
A. Inform the client that it will help determine self-perception and
relationships with others.
B. Inform the client that there will be some brief memory loss after
the treatment and they will be very tired.
C. Inform the client that family members should have no
involvement in the clients treatment plan.
D. Inform the client that the treatment will involve reframing
schemas.
END OF
PAGE
3
, NUR 104 EXAM 2 LATEST
A. Inform the client that it will help determine self-perception and
relationships with others.
A client sustained a partial thickness burn to the chest and neck.
Which laboratory test will the nurse monitor for elevated levels?
A. Neutrophils
B. Eosinophils
C. Lymphocytes
D. Monocytes
A. Neutrophils
The nurse reviews a client's laboratory studies and observes a
hemoglobin level of 9.6 g/dl. Which data collected by the nurse
would be significant related to this laboratory result?
A. The client has a blood pressure of 110/78 mmHg.
B. The client has a temperature of 99.6 °F.
C. The client has expiratory wheezes.
D. The client has rectal bleeding.
D. The client has rectal bleeding.
An older adult client is suspected to have impaired absorption of
vitamin B12 due to lack of intrinsic factor. Which nursing
intervention is appropriate for this client?
A. Monitor the stools for blood.
B. Monitor the client's temperature.
C. Monitor the oxygen saturation.
D. Prepare the client to receive a blood transfusion.
C. Monitor the oxygen saturation.
END OF
PAGE
4
