RN Final Exam latest update 100% Questions
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1. During admission to the psychiatric unit, a female client is
extremely anxious and states that she is worried about the sun
coming up the next day. What intervention is most important for the
RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.
2. A 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.
3. The occupational health nurse is working with a female employee
who was just notified that her child was involved in a MVA 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.
4. A 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 for admission to the psychiatric unit?
, A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping.
5. The 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.
6. 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. Dialog 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.
7. 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