Nursing Exam Actual Exam 2026/2027 |
Fortis | Questions with Verified Answers |
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Q001: A 28-year-old client diagnosed with major
depressive disorder tells the nurse, "I don't see any
point in living anymore. My family would be better
off without me." Which therapeutic response
demonstrates the most appropriate use of the nurse's
self in this crisis situation?
A. "You shouldn't think that way. Your family loves
you and needs you." B. "Are you thinking about
hurting yourself right now?" C. "Tell me more about
why you think your family would be better off
without you." D. "Many people feel this way when
they're depressed, but things will get better."
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,ANSWER: B
Q002: The nurse is assessing a client with bipolar I
disorder who is currently experiencing mania. The
client has not slept in 72 hours, is speaking rapidly,
and is spending money impulsively. Which nursing
intervention is the highest priority for this client's
safety?
A. Encourage the client to participate in group
therapy sessions to process feelings B. Provide a
stimulating environment to match the client's energy
level C. Implement one-to-one observation and
maintain a low-stimulus environment D. Allow the
client to make independent decisions to preserve
autonomy
ANSWER: C
Q003: A client diagnosed with schizophrenia is
prescribed olanzapine 10mg daily. During a routine
medication assessment, the nurse notes the client has
gained 12 pounds in one month and has a fasting
blood glucose of 185 mg/dL. Which nursing action
is most appropriate?
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,A. Reassure the client that weight gain is temporary
and will stabilize B. Notify the prescriber
immediately and recommend switching to
aripiprazole C. Encourage the client to diet and
exercise more to manage the weight gain D.
Document the findings and continue monitoring
monthly
ANSWER: B
Q004: During a mental status examination, a client
with schizophrenia exhibits loose associations and
clang associations. The nurse recognizes these
findings as indicative of which type of thought
disorder?
A. Delusional thinking B. Tangential thinking C.
Formally disorganized thinking D. Obsessive
thinking
ANSWER: C
Q005: A client with post-traumatic stress disorder
(PTSD) experiences flashbacks whenever hearing
loud noises. Which evidence-based nursing
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, intervention is most effective for helping the client
manage these intrusive symptoms?
A. Teach the client to practice grounding techniques
using the 5-4-3-2-1 method B. Advise the client to
avoid all loud noises to prevent flashbacks C.
Encourage the client to suppress memories
associated with the trauma D. Recommend the client
focus on analyzing why the trauma occurred
ANSWER: A
Q006: The nurse is caring for a client who was
involuntarily admitted for suicidal ideation with a
plan. The client demands to be discharged
immediately, stating, "You can't keep me here
against my will." Which legal principle should guide
the nurse's response?
A. The client has the right to discharge against
medical advice at any time B. The nurse must honor
the client's request to avoid false imprisonment
charges C. The provider must obtain a court order
for continued involuntary hold beyond the initial
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