QUESTIONS AND
ANSWERS TEST BANK;
A+ RATED GUIDE (2026)
,A client is admitted to the mental health unit with a chief complaint of crying,
depressed mood, and sleeping difficulties. While talking about the death of a
friend, the client states, "I can't believe this happened." Which statement by
the nurse is most therapeutic?
A. "It sounds like you're feeling very sad."
B. "Tell me more about how you're feeling."
C. "How often do you have crying spells?"
D. "Do you want to talk about these feelings?"
(correct Answer- B
It is most therapeutic to ask an open-ended question and encourage the client to
explore his or her feelings (B). (A) is a leading response, and the client may not be
feeling sad. (C and D) are close-ended questions that do not facilitate
communication.
Which instruction should the nurse provide to a client whose vision is being
tested with a Snellen chart?
A. Stand on a line drawn 10 feet from the chart.
B. Read each sentence slowly and carefully.
C. Cover one eye while reading the chart with the other.
D. Begin by identifying the first line that is hard to read.
(correct Answer- C
Each eye should be tested separately (C) because visual acuity can vary from one
eye to the other. A Snellen chart scores vision in comparison with what a person
with normal vision can read at a distance of 20 feet (A). The Snellen chart is
comprised of letters, not sentences (B). The client should be instructed to begin at
or near the top of the chart with the line that can be easily read, moving down until
a line is reached that cannot be read (D)
The nurse assists the health care provider with an amniocentesis during the
third trimester of pregnancy. Which intervention(s) would the nurse expect to
implement after the procedure? (Select all that apply.)
,A. Monitor maternal vital signs for hemorrhage.
B. Instruct the woman to report any contractions.
C. Ensure that the woman has a full bladder prior to beginning.
D. Monitor fetal heart rate for 1 hour after the procedure.
E. Place the client in a side-lying position.
(correct Answer- ABD
These are safe measures to implement during an amniocentesis to monitor for and
prevent complications (A, B, and D). During late pregnancy the bladder should be
emptied so that it will not be punctured, but during early pregnancy the bladder
must be full to push the uterus upward (C). The woman should be placed in a
supine position with her hands across her chest (E).
Which nursing intervention(s) should be implemented when caring for a client
with bipolar disorder in the manic phase? (Select all that apply.)
A. Report lithium level of 2.0 mEq/L to the primary health care provider.
B. Encourage competitive physical activities as part of the client's therapy.
C. Provide an environment with increased stimuli to engage the client.
D. Maintain consistent salt levels in the diet when client is taking lithium.
E. Assess the client's nutritional and hydration status.
(correct Answer- ADE
A therapeutic level for serum lithium is 0.5 to 1.5 mEq/L, and the client with 2.0
mEq/L is experiencing toxicity (A). Consistent salt levels are important when
taking lithium to maintain a therapeutic level (D). Because of the client's manic
state, the client is at risk for impaired nutrition and dehydration; therefore, they
should be assessed (E). Noncompetitive physical activities should be encouraged
because of the risk for agitation (B), and decreased environmental stimuli is
therapeutic for the manic phase (C).
A child with nephrotic syndrome is receiving prednisone (Deltasone). Which
choice of breakfast foods at a fast food restaurant indicates that the mother
understands the dietary guidelines necessary for her child?
A. French toast sticks and orange juice
B. Sausage egg muffin and grape juice
, C. Canadian bacon slices and hot chocolate
D. Toasted oat cereal and low-fat milk
(correct Answer- D
A child receiving a corticosteroid for nephrotic syndrome should follow a
lowsodium, low-fat, and low-sugar diet. Based on these guidelines, the best
breakfast choice is (D). (A) is high in fat and sugar. (B and C) are high in fat and
sodium.