COMPREHENSIVE TEST PAPER 2026 FULL
SOLUTION VERIFIED PASS
◉ The nurse is caring for a client following a physical assault. The
client states "I don't remember what happened to me." The nurse
should recognize that the client is using which of the following
defense mechanisms?
a. Repression
b. Displacement
c. Rationalization
d. Denial. Answer: a. Repression
◉ A nurse is caring for a client who has anorexia nervosa. Which of
the following findings require immediate intervention by the nurse?
a. +2 edema of the lower extremities
b. BUN 21 mg dL
c. Lanugo covering the body
d. Blood pH 7.60. Answer: d. Blood pH 7.60
,◉ A nurse is caring for a client in a mental health facility. The client
is agitated and threatens to harm herself and others. Which of the
following is the priority intervention?
a. Place the client in restraints
b. Administer an anti-anxiety medication to the client
c. Put the client in seclusion
d. Set limits on the client's behavior. Answer: d. Set limits on the
client's behavior
◉ Dosage Calculation: A nurse is preparing to administer
Haloperidol 7mg IM to a client who is severely agitated. Available is
Haloperidol injection 5mg/mL. How many mL should the nurse
administer?. Answer: 1.4 mL
◉ 18) A nurse is caring for a client who was involuntarily committed
and is scheduled to receive electroconvulsive therapy (ECT). The
client refuses the treatment and will not discuss why with the
healthcare team. Which of the following actions should the nurse
take?
a. Ask the clients family to encourage the client to receive ECT
b. Inform the client that ECT does not require a consent.
c. Document the client's refusal of the treatment in the medical
record.
, d. Tell the client he cannot refuse the treatment because he was
involuntarily committed.. Answer: c. Document the client's refusal of
the treatment in the medical record.
◉ A nurse in the emergency department is caring for a client who
reports feeling sad, worthless, and hopeless 9 months after the
death of her son. Which of the following actions should the nurse
take first?
a. Request a mental health consult for the client.
b. Ask the client if she has thought about harming herself.
c. Encourage the client to attend a grief support group.
d. Discuss the clients coping skills.. Answer: c. Encourage the client
to attend a grief support group.
◉ A nurse is caring for a client who has borderline personality
disorder and has been engaging in self- mutilation. The nurse should
encourage the client to participate in which of the following groups.
a. Dual diagnosis treatment group
b. Dialectical Behavior treatment group
c. Desensitization therapy. Answer: b. Dialectical Behavior treatment
group