2025/2026 GRADED A+
A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder.
Which of the following findings should the nurse suspect?
A) Acrocyanosis
B) Arrhythmias
C) Ascites
D) Weight gain - correct answerC) Ascites
A nurse is collecting data from a client who has binge-eating disorder. Which of the
following findings should the nurse expect?
A) Amenorrhea
B) Abdominal pain
C) Restricted caloric intake
D) Frequent use of laxatives - correct answerB) Abdominal pain
A nurse is assisting with the collection of admission data for a client who has anorexia
nervosa. The client has lost 11.4 kg (25lb.) over the past month and currently weighs
38.6 kg (85 lb.). The nurse should expect which of the following findings?
A) Flushed extremities
B) Hyperkalemia
C) Loose stools
D) Amenorrhea - correct answerD) Amenorrhea
A nurse is caring for a client who has alcohol use disorder. Following withdrawal, which
of the following medications should the nurse expect to administer to the client during
maintenance?
A) Methadone
B) Disulfiram
C) Chlordiazepoxide
D) Naloxone - correct answerB) Disulfiram
A nurse is collecting data from a client who has post-traumatic stress (PTSD) due to a
sexual assault that occurred 3 months ago. Which of the following findings should the
nurse expect?
A) Increased hours of sleep each day
B) Repeatedly talking about the assault
C) Dreams about the assault
,D) Decreased responsiveness to stimuli - correct answerC) Dreams about the assault
A nurse in an acute mental health facility is participating in a nursing staff discussion
about the legal aspects of involuntary admissions. Which of the following information
should the nurse include?
A) A client who is involuntarily admitted must take prescribed medications
B) An involuntary admission of a client is limited to 2 weeks
C) A client who is involuntarily admitted can leave the facility against medical advice
D) An involuntary admission is justified if the client is a danger to others - correct
answerD) An involuntary admission is justified if the client is a danger to others
A nurse in a mental heath unit is contributing to the plan of care for a client who is
receiving treatment for self-inflicted injuries. The nurse should identify which of the
following interventions as the priority for this client.
A) Promoting and maintaining the client safety
B) Discussing reasons for the client's behavior
C) Assisting the client to recognize feelings
D) Reinforcing teaching with the client about alternative coping strategies - correct
answerA) Promoting and maintaining the client safety
A nurse in an acute mental health facility is assisting with the plan of care for a client
who has obsessive-compulsive disorder (OCD). Which of the following actions should
the nurse recommend?
A) Encourage the client to focus on personal hygiene
B) Limit the hours the client sleeps each day
C) Instruct the client to practice thought stopping
D) Make negative statements about the client's behavior - correct answerC) Instruct the
client to practice thought stopping
A nurse is reinforcing teaching with a client who has bipolar disorder and a new
prescription for valproic acid. The nurse should explain that the provider will routinely
prescribe which of the following tests while the client is taking valproic acid?
A) Electrocardiogram
B) Chest X-ray
C) Thyroid function tests
D) Liver function levels - correct answerD) Liver function levels
A nurse in the emergency room is collecting data from a client who has heroin
intoxication. Which of the following findings should the nurse expect?
A) Seizure activity
B) Respiratory depression
,C) Hypersensitivity to pain
D) Increased mental alertness - correct answerB) Respiratory depression
A nurse is assisting with a community presentation about Alzheimer's disease. The
nurse should conclude that a member of the group requires further reinforcement of
teaching when she identifies which of the following findings as a manifestation of
Alzheimer's disease?
A) Impaired judgment
B) Sudden confusion
C) Decreased attention span
D) Short-term memory loss - correct answerB) Sudden confusion
A nurse is collecting data from a client who has cocaine intoxication. Which of the
following findings should the nurse expect?
A) Low blood pressure
B) Increased mental alertness
C) Flat affect
D) Decreased body temp - correct answerB) Increased mental alter ness
A nurse is assisting with the admission under court order following the theft and
destruction of a car. Which of the following behaviors should the nurse expect the client
to display?
A) Relief about finally receiving care for a problem for which he was previously afraid to
ask for help
B) Anger with the nursing staff for hospitalizing him against his will
C) Withdrawal from others due to shame over his recent actions
D) Remorse for stealing and destroying the car - correct answerB) Anger with the
nursing staff for hospitalizing him against his will
A nurse is contributing to the plan of care for a client who has anorexia nervosa. The
nurse should identify that which of the following actions is contraindicated for this client.
A) Explaining that tube feedings are necessary if the client refuses oral intake
B) Weighing the client each day prior to any oral intake
C) Permitting the client to spend some quiet time alone after each meal
D) Refraining from commenting on what the client is eating during mealtime - correct
answerC) Permitting the client to spend some quiet time alone after each meal
A nurse is contributing to the plan of care for a client who has physical dependence to
alprazolam and must discontinue the medication. Which of the following actions should
the nurse recommend?
A) Taper the medication gradually over several weeks
B) Encourage participation in stimulating physical activity
, C) Monitor the client for a return of anxiety for up to 72 hours following discontinuation
of the medication
D) Implement restraints and seclusion as needed - correct answerA) Taper the
medication gradually over several weeks
A nurse is preparing to administer a benzodiazepine to a client who has generalized
anxiety disorder. The nurse should tell the client to expect which of the following
adverse effects?
A) Tinnitus
B) Bradycardia
C) Halitosis
D) Sedation - correct answerSedation
A nurse is collecting data from a client who takes an MAOI for the treatment of
depression. Which of the following findings is the priority for the nurse to report to the
provider?
A) Elevated BP
B) Weight gain
C) Muscle twitching
D) 2+ peripheral edema - correct answerElevated BP
A nurse in an acute substance disorder unit collecting data from a client who received
treatment in the emergency department for an opioid overdose. Which of the following
findings should the nurse anticipate during opioid withdrawal?
A) Calmness
B) Anxiety
C) Hypotension
D) Bradycardia - correct answerB) Anxiety
A nurse is reinforcing teach with a client who has generalized anxiety disorder and a
new prescription for buspirone. The nurse should inform the client that which of the
following manifestation is an adverse effect of this medication?
A) Oliguria
B) Tinnitus
C) Dizziness
D) Insomnia - correct answerC) Dizziness
A nurse is collecting data from a client who has moderate cognitive decline due to stage
4 Alzheimer's disease. Which of the following findings should the nurse expect?
A) Requires assistance with eating
B) Frequently gets lost due to wandering