PN MENTAL HEALTH ONLINE PRACTICE 2026 A WITH NGN
NEWEST ACTUAL EXAM 2025-2026 WITH 150 QUESTIONS AND
VERIFIED ANSWERS ALREADY GRADED A
A nurse is collecting data from a client who has bulimia nervosa. Which of the
following findings should the nurse expect?
A. Amenorrhea
B. Dental caries
C. Lanugo
D. Yellow skin - ANSWER>>B. Dental caries
Rationale:
The nurse should expect manifestations of bulimia nervosa to include dental
caries, which can lead to tooth erosion. Dental caries are caused by the increased
acid in the stomach that is found in the vomitus of clients who purge repeatedly.
**Amenorrhea is a manifestation of anorexia nervosa that is caused by a fluid and
electrolyte imbalance. Lanugo is a manifestation of anorexia nervosa that is
caused by starvation. Yellow skin is a manifestation of anorexia nervosa that is
caused by carotenemia.
A nurse is reinforcing teaching with a client who has generalized anxiety disorder
and a new prescription for buspirone. Which of the following statements should
the nurse identify as an indication that the client understands the information?
A. "This medication can cause dependence."
,B. "I'll take an extra dose of my medication when I start to feel anxious."
C. "It's important to take my medication 30 minutes before bedtime."
D. "I should expect my symptoms to improve in about 2 to 4 weeks." -
ANSWER>>D. "I should expect my symptoms to improve in about 2 to 4
weeks."
Rationale:
The nurse should instruct the client to expect some improvement of
manifestations within approximately 1 week. However, it takes 2 to 4 weeks for
buspirone to reach its full effect.
**A. The nurse should instruct the client that buspirone does not cause
psychological or physical dependence when taken as prescribed. B. The nurse
should instruct the client to not take buspirone on a PRN basis or to take double
doses in order to prevent adverse effects, such as insomnia, sedation, chest pain,
or tachycardia. C. The nurse should instruct the client to take the medication as
prescribed, which is usually in two divided doses in the morning and evening. It is
not necessary for clients to take buspirone before bedtime.
A nurse is reinforcing teaching about thought stopping with a client who has a
phobia of riding in automobiles. Which of the following client statements
indicates an understanding of the instructions?
A. "For the first step of my therapy, I will look at pictures of cars."
B. "I will snap a rubber band on my wrist when I feel anxious about riding in a
car."
C. "My therapist will be with me while we ride in a car together."
,D. "I will ride in a car for several hours at a time." - ANSWER>>B. "I will snap a
rubber band on my wrist when I feel anxious about riding in a car."
Rationale:
This statement describes thought stopping, which is used to interrupt a client's
negative thought with a distraction.
**A. This statement describes systematic desensitization, not thought stopping. C.
This statement describes modeling, not thought stopping. D. This statement
describes flooding, not thought stopping.
A nurse is preparing to administer Haloperidol 3mg IM to a client. Available is
Haloperidol solution 5mg/mL. How many mL should the nurse plan to administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not
use a trailing zero.) - ANSWER>>Step 1: What is the unit of measurement the
nurse should calculate? mL
Step 2: What is the dose the nurse should administer? Dose to administer
= Desired 3 mg
Step 3: What is the dose available? Dose available = Have 5 mg
Step 4: Should the nurse convert the units of measurement? No Step
5: What is the quantity of the dose available? 1 mL Step 6: Set up an
equation and solve for X.
___mL = mL/5mg x 3mg/1 = 0.6 mL Step 7:
Round if necessary.
A nurse is reinforcing teaching with a client who has schizophrenia and a new
prescription for Chlorpromazine. Which of the following statements should the
nurse include in the teaching?
A. "The voices you have been hearing should decrease."
B. "You will likely have more energy while on this medication."
, C. "You should now be able to spend more time in the sun."
D. "Call your provider immediately if you develop a dry mouth." -
ANSWER>>A. "The voices you have been hearing should decrease."
Rationale:
The nurse should instruct the client that hallucinations and agitated behavior,
which are positive symptoms of schizophrenia, are targeted by conventional
antipsychotic agents, such as chlorpromazine.
**B. Chlorpromazine causes sedation. Therefore, the client will not have more
energy while taking this medication. Lack of energy is a negative symptom of
schizophrenia and is not targeted by conventional antipsychotic medications, such
as chlorpromazine. C. Photosensitivity is an adverse effect of chlorpromazine. The
medication can increase sensitivity to sunlight, which can increase the risk for
sunburn and can cause changes in skin pigmentation. The nurse should instruct
the client to minimize time in the sun and to use sunscreen and protective
clothing when outside. D. The nurse should reinforce teaching about what the
client should do if they develop a dry mouth, such as rinsing their mouth
frequently or chewing sugarless gum. Dry mouth is an anticholinergic effect, but it
does not indicate a severe adverse effect and, therefore, does not require a call to
the provider.
A nurse is caring for a client who takes Naltrexone for the treatment of alcohol
use disorder. The nurse should identify that which of the following client
statements indicates the medication is effective?
A. "Naltrexone calms my nerves."
B. "I get flushed when I drink alcohol while taking naltrexone."
C. "Naltrexone decreases my fine hand tremors."
NEWEST ACTUAL EXAM 2025-2026 WITH 150 QUESTIONS AND
VERIFIED ANSWERS ALREADY GRADED A
A nurse is collecting data from a client who has bulimia nervosa. Which of the
following findings should the nurse expect?
A. Amenorrhea
B. Dental caries
C. Lanugo
D. Yellow skin - ANSWER>>B. Dental caries
Rationale:
The nurse should expect manifestations of bulimia nervosa to include dental
caries, which can lead to tooth erosion. Dental caries are caused by the increased
acid in the stomach that is found in the vomitus of clients who purge repeatedly.
**Amenorrhea is a manifestation of anorexia nervosa that is caused by a fluid and
electrolyte imbalance. Lanugo is a manifestation of anorexia nervosa that is
caused by starvation. Yellow skin is a manifestation of anorexia nervosa that is
caused by carotenemia.
A nurse is reinforcing teaching with a client who has generalized anxiety disorder
and a new prescription for buspirone. Which of the following statements should
the nurse identify as an indication that the client understands the information?
A. "This medication can cause dependence."
,B. "I'll take an extra dose of my medication when I start to feel anxious."
C. "It's important to take my medication 30 minutes before bedtime."
D. "I should expect my symptoms to improve in about 2 to 4 weeks." -
ANSWER>>D. "I should expect my symptoms to improve in about 2 to 4
weeks."
Rationale:
The nurse should instruct the client to expect some improvement of
manifestations within approximately 1 week. However, it takes 2 to 4 weeks for
buspirone to reach its full effect.
**A. The nurse should instruct the client that buspirone does not cause
psychological or physical dependence when taken as prescribed. B. The nurse
should instruct the client to not take buspirone on a PRN basis or to take double
doses in order to prevent adverse effects, such as insomnia, sedation, chest pain,
or tachycardia. C. The nurse should instruct the client to take the medication as
prescribed, which is usually in two divided doses in the morning and evening. It is
not necessary for clients to take buspirone before bedtime.
A nurse is reinforcing teaching about thought stopping with a client who has a
phobia of riding in automobiles. Which of the following client statements
indicates an understanding of the instructions?
A. "For the first step of my therapy, I will look at pictures of cars."
B. "I will snap a rubber band on my wrist when I feel anxious about riding in a
car."
C. "My therapist will be with me while we ride in a car together."
,D. "I will ride in a car for several hours at a time." - ANSWER>>B. "I will snap a
rubber band on my wrist when I feel anxious about riding in a car."
Rationale:
This statement describes thought stopping, which is used to interrupt a client's
negative thought with a distraction.
**A. This statement describes systematic desensitization, not thought stopping. C.
This statement describes modeling, not thought stopping. D. This statement
describes flooding, not thought stopping.
A nurse is preparing to administer Haloperidol 3mg IM to a client. Available is
Haloperidol solution 5mg/mL. How many mL should the nurse plan to administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not
use a trailing zero.) - ANSWER>>Step 1: What is the unit of measurement the
nurse should calculate? mL
Step 2: What is the dose the nurse should administer? Dose to administer
= Desired 3 mg
Step 3: What is the dose available? Dose available = Have 5 mg
Step 4: Should the nurse convert the units of measurement? No Step
5: What is the quantity of the dose available? 1 mL Step 6: Set up an
equation and solve for X.
___mL = mL/5mg x 3mg/1 = 0.6 mL Step 7:
Round if necessary.
A nurse is reinforcing teaching with a client who has schizophrenia and a new
prescription for Chlorpromazine. Which of the following statements should the
nurse include in the teaching?
A. "The voices you have been hearing should decrease."
B. "You will likely have more energy while on this medication."
, C. "You should now be able to spend more time in the sun."
D. "Call your provider immediately if you develop a dry mouth." -
ANSWER>>A. "The voices you have been hearing should decrease."
Rationale:
The nurse should instruct the client that hallucinations and agitated behavior,
which are positive symptoms of schizophrenia, are targeted by conventional
antipsychotic agents, such as chlorpromazine.
**B. Chlorpromazine causes sedation. Therefore, the client will not have more
energy while taking this medication. Lack of energy is a negative symptom of
schizophrenia and is not targeted by conventional antipsychotic medications, such
as chlorpromazine. C. Photosensitivity is an adverse effect of chlorpromazine. The
medication can increase sensitivity to sunlight, which can increase the risk for
sunburn and can cause changes in skin pigmentation. The nurse should instruct
the client to minimize time in the sun and to use sunscreen and protective
clothing when outside. D. The nurse should reinforce teaching about what the
client should do if they develop a dry mouth, such as rinsing their mouth
frequently or chewing sugarless gum. Dry mouth is an anticholinergic effect, but it
does not indicate a severe adverse effect and, therefore, does not require a call to
the provider.
A nurse is caring for a client who takes Naltrexone for the treatment of alcohol
use disorder. The nurse should identify that which of the following client
statements indicates the medication is effective?
A. "Naltrexone calms my nerves."
B. "I get flushed when I drink alcohol while taking naltrexone."
C. "Naltrexone decreases my fine hand tremors."
