NSG 2400 SINCLAIR COMMUNITY EXAM 2
COMPETENCY REVIEW 2026 MOCK TEST
COMPLETE KEY INSIGHTS
◉ A 20-year-old carpenter falls from a roof and sustains fractures of
the right femur and left tibia. The client reveals a history of
substance abuse. What is the primary consideration for the nurse
who is caring for this client?
1
Confronting the client about substance abuse
2
Avoiding calling attention to the client's drug abuse
3
Determining the amount and time of last use of the substance
4
Realizing that this client will need more pain medication than a
nonabuser.
Answer: 3
Determining the amount and time of last use of the substance
,Determining the amount and last use of the substance is the priority.
Nurses should base their treatment of withdrawal symptoms on the
time and amount of last use. Confronting the client is not the nurse's
responsibility at this time. The client must be helped to recognize
that a problem with drugs exists, but this is not the priority. Because
of cross-tolerance the client may need larger doses of analgesia for
pain relief than a nonabuser would, but this is not the priority.
◉ A nurse is planning care for a client admitted to the unit with a
diagnosis of bipolar disorder, manic phase. In which type of room
should the nurse tell the admissions clerk to place this client?
1
Private
2
Isolation
3
Semi-private
4
Negative-airflow.
Answer: 1
Private
The client who is manic needs a nonstimulating environment. A
person who is bipolar is not contagious and does not require an
,isolation room. The presence of another person in the room is
considered stimulating and may interfere with the rest and sleep of
both clients. A client who is bipolar does not need a negative-airflow
room. This type of room is appropriate for a client with a
communicable disease, such as tuberculosis, that requires airborne
precautions.
◉ A nurse is assigned to care for an adolescent who has been
admitted to the psychiatric hospital with a diagnosis of anorexia
nervosa. What should the nurse's initial intervention be?
1
Scheduling an endocrinology consult because of amenorrhea
2
Confronting those behaviors that reflect an inflated self-importance
3
Arranging for psychotherapy sessions to help develop a desire to
accommodate others
4
Developing a contract to achieve a weekly weight gain, with
consequences for nonachievement.
Answer: 4
Developing a contract to achieve a weekly weight gain, with
consequences for nonachievement
, Treatment usually includes a contract for weight gain, signed by the
client, whereby privileges are revoked if the weight is not gained; the
diet and the amount of food eaten are not the focus of care.
Menstruation usually ceases because of severe malnutrition, not
because of endocrine pathology. These clients have a low self-esteem
and usually do not feel important.
◉ A client in a detoxification unit has an alcohol withdrawal seizure.
Diazepam 7.5 mg intramuscularly stat is prescribed. Diazepam is
available as 5 mg/mL. How many milliliters will the nurse
administer? Record your answer using one decimal place. ___ mL.
Answer: 1.5
◉ A client with a diagnosis of schizophrenia, undifferentiated type,
is being admitted to the psychiatric unit. What clinical
manifestations does the nurse expect when assessing this client?
Select all that apply.
1
Excited behaviors
2
Loose associations
3
Inappropriate affect
4
Feelings of depression
COMPETENCY REVIEW 2026 MOCK TEST
COMPLETE KEY INSIGHTS
◉ A 20-year-old carpenter falls from a roof and sustains fractures of
the right femur and left tibia. The client reveals a history of
substance abuse. What is the primary consideration for the nurse
who is caring for this client?
1
Confronting the client about substance abuse
2
Avoiding calling attention to the client's drug abuse
3
Determining the amount and time of last use of the substance
4
Realizing that this client will need more pain medication than a
nonabuser.
Answer: 3
Determining the amount and time of last use of the substance
,Determining the amount and last use of the substance is the priority.
Nurses should base their treatment of withdrawal symptoms on the
time and amount of last use. Confronting the client is not the nurse's
responsibility at this time. The client must be helped to recognize
that a problem with drugs exists, but this is not the priority. Because
of cross-tolerance the client may need larger doses of analgesia for
pain relief than a nonabuser would, but this is not the priority.
◉ A nurse is planning care for a client admitted to the unit with a
diagnosis of bipolar disorder, manic phase. In which type of room
should the nurse tell the admissions clerk to place this client?
1
Private
2
Isolation
3
Semi-private
4
Negative-airflow.
Answer: 1
Private
The client who is manic needs a nonstimulating environment. A
person who is bipolar is not contagious and does not require an
,isolation room. The presence of another person in the room is
considered stimulating and may interfere with the rest and sleep of
both clients. A client who is bipolar does not need a negative-airflow
room. This type of room is appropriate for a client with a
communicable disease, such as tuberculosis, that requires airborne
precautions.
◉ A nurse is assigned to care for an adolescent who has been
admitted to the psychiatric hospital with a diagnosis of anorexia
nervosa. What should the nurse's initial intervention be?
1
Scheduling an endocrinology consult because of amenorrhea
2
Confronting those behaviors that reflect an inflated self-importance
3
Arranging for psychotherapy sessions to help develop a desire to
accommodate others
4
Developing a contract to achieve a weekly weight gain, with
consequences for nonachievement.
Answer: 4
Developing a contract to achieve a weekly weight gain, with
consequences for nonachievement
, Treatment usually includes a contract for weight gain, signed by the
client, whereby privileges are revoked if the weight is not gained; the
diet and the amount of food eaten are not the focus of care.
Menstruation usually ceases because of severe malnutrition, not
because of endocrine pathology. These clients have a low self-esteem
and usually do not feel important.
◉ A client in a detoxification unit has an alcohol withdrawal seizure.
Diazepam 7.5 mg intramuscularly stat is prescribed. Diazepam is
available as 5 mg/mL. How many milliliters will the nurse
administer? Record your answer using one decimal place. ___ mL.
Answer: 1.5
◉ A client with a diagnosis of schizophrenia, undifferentiated type,
is being admitted to the psychiatric unit. What clinical
manifestations does the nurse expect when assessing this client?
Select all that apply.
1
Excited behaviors
2
Loose associations
3
Inappropriate affect
4
Feelings of depression
