2026|2027 ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT
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A nurse is performing a mental status assessment on an older adult
client who has dementia. Which of the following questions should the
nurse ask to assess the client's remote memory
A. "What year did you graduate from high school?"
B. "What is your favorite childhood memory?"
C. "What did you have for supper yesterday?"
D. "What is today's date?" -ANSWERS-A
A nurse is completing an admission assessment for an adolescent client
who has depression. The nurse should identify which of the following
finding as the priority?
A. The client is confrontational with his parents.
B. The client is getting Ds in his classes because he frequently skips
school.
C. The client states he smokes half a pack of cigarettes per day.
D. The client gave his favorite possessions to friends. -ANSWERS-D
,A nurse is caring for a client who has obsessive-compulsive disorder.
Which of the following actions should the nurse take when dealing with
the client's ritualistic behaviors?
A. Plan the client's schedule to allow time to perform rituals.
B. Verbalize disapproval of ritualistic behavior.
C. Place the client in protective isolation.
D. Increase stimuli in the client's immediate surroundings. -ANSWERS-A
A nurse is providing teaching to a client who has a new prescription for
alprazolam. Which of the following is the priority information the nurse
should include in the teaching?
A. "This medication can affect your ability to drive or handle mechanical
equipment."
B. "You should avoid drinking beverages that contain caffeine with this
medication."
C. "You should avoid taking antacids within 2 hours of taking this
medication."
D. "This medication should be taken with or shortly after meals." -
ANSWERS-A
A nurse is assessing a newly admitted client who has generalized
anxiety disorder and states, "I drink alcohol to forget the pain." The
,client is exhibiting a maladaptive response to which of the following
defense mechanisms?
A. Rationalization
B. Conversion
C. Projection
D. Suppression -ANSWERS-A
A nurse is providing discharge teaching for a female client who has an
anxiety disorder and a new prescription for lorazepam. Which of the
following instructions should the nurse include in the teaching?
A. "This medication can be safely taken during pregnancy."
B. "This medication must be discontinued by gradual tapering over
time."
C. "An extra dose of the medication can be taken at bedtime if you
experience insomnia."
D. "You should monitor your blood glucose levels closely while taking
the medication." -ANSWERS-B
A nurse is caring for a client wo is taking a tricyclic antidepressant.
Which of the following adverse effects should the nurse report to the
client's provider immediately?
, A. Dry mouth
B. Constipation
C. Drowsiness
D. Urinary retention -ANSWERS-D
A nurse is assessing a client who has a psychotic disorder and a new
prescription for haloperidol. The client is pacing in the hallway and
states, "I can't seem to sit still." Which of the following extrapyramidal
side effects is the client likely experiencing?
A. Dystonia (muscle spasm)
B. Parkinsonism (shuffling gait, drooling, stooped posture)
C. Tardive dyskinesia (involuntary movements of extremities)
D. Akathisia (pacing, rocking back and forth, foot tapping) -ANSWERS-D
A nurse is providing teaching to a client who has generalized anxiety
disorder and a new prescription for buspirone. Which of the following
statements by the client indicates an understanding of the teaching?
A. "This medication can cause dependence."
B. "I should take a dose of my medication when I start to feel anxious."
C. "It's important for me to take my medication 30 minutes before
bedtime."