MENTAL HEALTH NURSING
NSG 3450 / NSG3450 Exam 3 – Mental Health Review | A+
Galen
Latest 2026/2027 Update | Grade A
Official-Style Practice Examination — A+ Verified Content
A+ 5 100%
QUESTIONS EXAM DOMAINS RATIONALES
VERIFIED COVERED INCLUDED
CATEGORIES
■ Feeding & Eating Disorders – Assessment & Criteria
■ Eating Disorders – Nursing Interventions & Care
■ Depressive Disorders – Assessment & Nursing Care
■ Bipolar Disorders – Assessment & Management
■ Psychopharmacology, Suicide Risk & Related Care
STUVIAACTUALEXAM
Passing Score: 80% | 1 Mark per Question | Application-Analysis Level
STUVIAACTUALEXAM Page 1
, SECTION 1: Feeding & Eating Disorders – Assessment & Criteria
Q1. A 17-year-old client is admitted with a BMI of 15.2, resting heart rate of 42 bpm, and orthostatic hypotension. The client reports
an intense fear of gaining weight and has not menstruated for five months. The nurse recognizes these findings as most consistent
with which condition?
A. Anorexia nervosa, restricting type
B. Binge-eating disorder
C. Bulimia nervosa, purging type
D. Avoidant/restrictive food intake disorder without weight concern
Correct Answer: C
Rationale: Low BMI, severe bradycardia, amenorrhea, and intense fear of weight gain are hallmark assessment findings of anorexia nervosa,
especially the restricting subtype.
Q2. A client with bulimia nervosa describes episodes of consuming large amounts of food followed by self-induced vomiting several
times per week for the past year. On physical exam the nurse notes calluses on the knuckles and dental enamel erosion. These
physical findings are primarily the result of which behavior?
A. Repeated self-induced vomiting
B. Excessive exercise alone
C. Use of diuretics exclusively
D. Restrictive dieting only
Correct Answer: D
Rationale: Russell’s sign (knuckle calluses) and dental enamel erosion are classic physical sequelae of repeated self-induced vomiting.
Q3. Hospital admission is being considered for a client with anorexia nervosa. Which set of findings most strongly supports the
need for inpatient medical stabilization?
A. BMI of 19, occasional skipped meals, and mild anxiety
B. Daytime heart rate of 46 bpm, systolic BP 82 mm Hg, and temperature 96.2°F
C. Normal vital signs with reported body-image dissatisfaction
D. Weight at 95% of ideal body weight and stable electrolytes
Correct Answer: A
Rationale: Severe bradycardia, hypotension, and hypothermia indicate physiologic instability that typically requires inpatient medical management.
Q4. A client with binge-eating disorder reports consuming large quantities of food in a short period while feeling a loss of control,
followed by marked distress, but denies purging or compensatory behaviors. How does this presentation differ from bulimia
nervosa?
A. Binge-eating disorder lacks regular compensatory behaviors such as purging or excessive exercise
B. Binge-eating disorder includes regular compensatory purging
C. Bulimia never involves loss of control
D. The two disorders are identical in diagnostic criteria
Correct Answer: B
Rationale: The absence of regular compensatory behaviors distinguishes binge-eating disorder from bulimia nervosa.
Q5. During assessment of a client with anorexia nervosa, the nurse notes lanugo, dry skin, and complaints of feeling cold. These
findings are best explained by which physiologic process?
A. Hyperthyroidism secondary to starvation
B. The body’s adaptive response to prolonged caloric deprivation and low body fat
C. Acute infection
D. Medication side effects only
Correct Answer: A
Rationale: Lanugo, dry skin, and cold intolerance reflect the body’s attempt to conserve heat and energy in the setting of severe malnutrition.
Q6. A client with bulimia nervosa has a normal body weight. The nurse explains to the family that this finding is common because:
A. Weight may be normal or near-normal despite recurrent binge-purge cycles
B. Normal weight rules out an eating disorder
C. Only anorexia can occur at normal weight
D. Clients with bulimia always present as underweight
Correct Answer: D
Rationale: Clients with bulimia nervosa frequently maintain a normal or near-normal weight, which can delay recognition of the disorder.
STUVIAACTUALEXAM Page 2
NSG 3450 / NSG3450 Exam 3 – Mental Health Review | A+
Galen
Latest 2026/2027 Update | Grade A
Official-Style Practice Examination — A+ Verified Content
A+ 5 100%
QUESTIONS EXAM DOMAINS RATIONALES
VERIFIED COVERED INCLUDED
CATEGORIES
■ Feeding & Eating Disorders – Assessment & Criteria
■ Eating Disorders – Nursing Interventions & Care
■ Depressive Disorders – Assessment & Nursing Care
■ Bipolar Disorders – Assessment & Management
■ Psychopharmacology, Suicide Risk & Related Care
STUVIAACTUALEXAM
Passing Score: 80% | 1 Mark per Question | Application-Analysis Level
STUVIAACTUALEXAM Page 1
, SECTION 1: Feeding & Eating Disorders – Assessment & Criteria
Q1. A 17-year-old client is admitted with a BMI of 15.2, resting heart rate of 42 bpm, and orthostatic hypotension. The client reports
an intense fear of gaining weight and has not menstruated for five months. The nurse recognizes these findings as most consistent
with which condition?
A. Anorexia nervosa, restricting type
B. Binge-eating disorder
C. Bulimia nervosa, purging type
D. Avoidant/restrictive food intake disorder without weight concern
Correct Answer: C
Rationale: Low BMI, severe bradycardia, amenorrhea, and intense fear of weight gain are hallmark assessment findings of anorexia nervosa,
especially the restricting subtype.
Q2. A client with bulimia nervosa describes episodes of consuming large amounts of food followed by self-induced vomiting several
times per week for the past year. On physical exam the nurse notes calluses on the knuckles and dental enamel erosion. These
physical findings are primarily the result of which behavior?
A. Repeated self-induced vomiting
B. Excessive exercise alone
C. Use of diuretics exclusively
D. Restrictive dieting only
Correct Answer: D
Rationale: Russell’s sign (knuckle calluses) and dental enamel erosion are classic physical sequelae of repeated self-induced vomiting.
Q3. Hospital admission is being considered for a client with anorexia nervosa. Which set of findings most strongly supports the
need for inpatient medical stabilization?
A. BMI of 19, occasional skipped meals, and mild anxiety
B. Daytime heart rate of 46 bpm, systolic BP 82 mm Hg, and temperature 96.2°F
C. Normal vital signs with reported body-image dissatisfaction
D. Weight at 95% of ideal body weight and stable electrolytes
Correct Answer: A
Rationale: Severe bradycardia, hypotension, and hypothermia indicate physiologic instability that typically requires inpatient medical management.
Q4. A client with binge-eating disorder reports consuming large quantities of food in a short period while feeling a loss of control,
followed by marked distress, but denies purging or compensatory behaviors. How does this presentation differ from bulimia
nervosa?
A. Binge-eating disorder lacks regular compensatory behaviors such as purging or excessive exercise
B. Binge-eating disorder includes regular compensatory purging
C. Bulimia never involves loss of control
D. The two disorders are identical in diagnostic criteria
Correct Answer: B
Rationale: The absence of regular compensatory behaviors distinguishes binge-eating disorder from bulimia nervosa.
Q5. During assessment of a client with anorexia nervosa, the nurse notes lanugo, dry skin, and complaints of feeling cold. These
findings are best explained by which physiologic process?
A. Hyperthyroidism secondary to starvation
B. The body’s adaptive response to prolonged caloric deprivation and low body fat
C. Acute infection
D. Medication side effects only
Correct Answer: A
Rationale: Lanugo, dry skin, and cold intolerance reflect the body’s attempt to conserve heat and energy in the setting of severe malnutrition.
Q6. A client with bulimia nervosa has a normal body weight. The nurse explains to the family that this finding is common because:
A. Weight may be normal or near-normal despite recurrent binge-purge cycles
B. Normal weight rules out an eating disorder
C. Only anorexia can occur at normal weight
D. Clients with bulimia always present as underweight
Correct Answer: D
Rationale: Clients with bulimia nervosa frequently maintain a normal or near-normal weight, which can delay recognition of the disorder.
STUVIAACTUALEXAM Page 2
