PREP TEST BANK 2026 UPDATED
QUESTIONS AND SOLUTIONS
◉ A nurse in an outpatient mental health clinic is caring for a client
who has an eating disorder.Which of the following findings in the
client's medical record indicates the client has bulimia nervosa?
1400:
BMI 20.1
Erosion of teeth, numerous dental caries
Client reports overeating with subsequent episodes of induced
vomiting every weekday evening following work; takes over-the-
counter laxative and diuretic medication every morning.
Reports good relationship with family and friends.
Denies substance use.
Reports doing little exercise except on weekends.
1500:
12-lead ECG
Sinus rhythm with frequent premature ventricular contractions
(PVCs), heart rate 72/min
,1600:
Potassium 3.2 mEq/L
Answer: Erosion of teeth, numerous dental caries
Client reports overeating with subsequent episodes of induced
vomiting every weekday evening following work
Takes over-the-counter laxative and diuretic medication every
morning.
Sinus rhythm with frequent premature ventricular contractions
(PVCs), heart rate 72/min
Potassium 3.2 mEq/L
BMI 20.1 is correct. Clients who have bulimia nervosa often have a
BMI within the expected reference range.
Erosion of teeth, numerous dental caries is correct. Erosion of teeth,
numerous dental caries, and parotid swelling are manifestations of
bulimia nervosa that result from frequent induced vomiting.
Overeating with subsequent episodes of induced vomiting every
weekday evening following work is correct. Clients who have
bulimia nervosa eat excessive amounts of food in a short period of
time and then perform compensatory behaviors, such as inducing
vomiting.
Taking over-the-counter laxative and diuretic medication every
morning is correct. Clients who have bulimia nervosa often misuse
laxatives and diuretics to rid the body of food and liquid.
, Frequent premature ventricular contractions (PVCs) is correct.
Clients who have bulimia nervosa frequently experience
dysrhythmias related to electrolyte imbalances.
Sinus rhythm and heart rate 72/min are incorrect. Sinus rhythm is a
desired heart rhythm and a heart rate of 72/min is within the
expected reference range.
Potassium 3.2 mEq/L is correct. Clients who have bulimia nervosa
frequently experience electrolyte imbalances, such as hypokalemia,
due to loss of potassium with frequent induced vomiting.
◉ A nurse is caring for a client who has major depressive disorder.
Which of the following findings should the nurse expect?
A dismissal of past failures
Psychomotor agitation
An increase in energy
Sleep disturbances
Answer: Sleep disturbances;
Sleep disturbances are common in clients with depression.
◉ A nurse in a mental health clinic is assessing a client who was
brought in by her adult daughter stating that her mother has not
been able to leave her home for weeks because she is afraid to be