NRS 3016 FINAL EXAM 2026/2027 | NURSING STUDY GUIDE, PRACTICE
QUESTIONS, ANSWERS & EXAM REVIEW
A client has been admitted to the inpatient facility with a diagnosis of PTSD after a history of violence by
the client's significant other. During the initial assessment interview, which assessment would be the
priority?
A. Nutritional status
B. Sleep patterns
C. Suicide risk
D. Hydration status - ANS ✔✔C. Suicide risk
The nurse is caring for a family in which the elderly mother has been a victim of abuse and neglect by
her son, 48 years old. Which is important for the nurse to keep in mind before interviewing the family?
A. a top nursing priority would be to legally remove the son from the home
B. The nurse must allow the older adult mother to decide whether she wants to leave the situation
C. The main focus of the nurse's actions should be on improving the elderly mother's self-esteem
D. Placement of the older adult woman in a nursing home within the community is crucial - ANS ✔✔B.
The nurse must allow the older adult mother to decide whether she wants to leave the situation
The school nurse is aware that a student has requested "Tylenol" three times during the past week
because his "back hurts." The nurse has noticed that he often wears long-sleeved sweaters and
sweatshirts, even in warm weather. The nurse suspects that the student may be the victim of physical
abuse. The nurse is preparing to ask the child about his ongoing backache. Which would the nurse
anticipate the child reporting if the child was indeed being abused?
A. Be reluctant to report abuse because of shame or fear of retaliation
B. Give the same reason the client's sister would give were she asked to explain the injuries
C. Carefully explain that the client's mother provides discipline because she loves the client
D. Explain that his father is beating him on a regular basis - ANS ✔✔A. Be reluctant to report abuse
because of shame or fear of retaliation
A client has been in a physically abusive relationship for more than a decade. Which statement best
demonstrates that the client understands of how fear can influence a reluctance to leave such a
relationship?
A. The kids love my partner and my partner has been a good parent to them.
B. I do not have a job or anyway to support myself and my kids
C. No one would believe me if I tell them how terrible life has been
D. My partner would hunt me down and kill me for sure - ANS ✔✔D. My partner would hunt me down
and kill me for sure
The nurse is caring for a hospitalized client who has schizophrenia. The client has been taking
antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed on the
ceiling. The nurse interprets this finding as which condition?
A. Retrocollis
B. Oculogyric crisis
C. Akathisia
,D. Tardive dyskinesia - ANS ✔✔B. Oculogyric crisis
A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and
treatment with antipsychotic medications. After teaching the client and family about managing the
disorder, the nurse determines that the education was effective when they state which symptom should
be reported immediately?
A. Weight gain
B. Decreased BP
C. Elevated temp
D. tremor - ANS ✔✔C. Elevated temp
Assessment of a client with schizophrenia reveals that the client is hearing voices that say people are
staring, and that the client is seeing illusions. When developing the plan of care for this client, which
nursing diagnosis would be appropriate?
A. Disturbed thought processes
B. Ineffective coping
C. Disturbed sensory perceptions
D. Risk for self-directed violence - ANS ✔✔C. Disturbed sensory perceptions
A nurse is presenting information about psychotic disorders to a client's family. The family demonstrates
a need for more discussion when they make which statement about schizophreniform disorder?
A. The majority of individuals with the disorder recover completely
B. The individual experiences hallucinations and/or delusions
C. Symptoms must be present for at least 1 month for the diagnosis
D. The duration of the illness is usually less than 6 months - ANS ✔✔A. The majority of individuals with
the disorder recover completely
The nurse is assessing a client age 78 years who lives alone in their own home. To assess the client's
instrumental activities of daily living, which question would be most appropriate to ask?
A. How many times do you change clothes during the day?
B. How often do you bathe or shower?
C. How often do you cook meals for yourself?
D. How often do you go to the store to buy groceries? - ANS ✔✔D. How often do you go to the store to
buy groceries?
A nurse is assessing a client diagnosed with Alzheimer disease. As part of the assessment, the nurse asks
the client to identify common objects. The nurse is assessing for which of the following?
A. Aphasia
B. Agnosia
C. Apraxia
D. Executive functioning - ANS ✔✔B. Agnosia
A client comes to the emergency department because he thinks he is having a heart attack. Further
assessment determines that the client is not having a heart attack but is having a panic attack. When
beginning to interview the client, which question would be most appropriate for the nurse to use?
A. Are you feeling much better now that you are lying down?
B. Do you think you will be able to drive home?
C. What do you think caused you to feel this way?
, D. What did you experience just before and during the attack? - ANS ✔✔D. What did you experience just
before and during the attack?
A client with a panic disorder has been prescribed a benzodiazepine medication. Which risk would the
nurse emphasize as being associated with using this medication?
A. Dietary restriction
B. Withdrawal symptoms
C. Fecal impaction
D. Agitation - ANS ✔✔B. Withdrawal symptoms
A nurse determines that a client who is experiencing anxiety is using relief behaviors. The nurse
determines that the client is experiencing which degree of anxiety?
A. panic
B. moderate
C. severe
D. mild - ANS ✔✔C. severe
Which statement made by a client diagnosed with PTSD leads the nurse to believe the client is
experiencing dissociative symptoms?
A. I feel guilty that I survived the attack and my friend didn't
B. I describe my feelings like I'm having an out-of-body experience
C. It's like I'm having flashbacks every time I fall asleep
D. Loud noises always make me a little jittery now - ANS ✔✔B. I describe my feelings like I'm having an
out-of-body experience
While planning care for a child who has excoriation disorder, what would the priority NANDA be?
A. Ineffective role performance
B. Dysfunctional family processes
C. Hopelessness
D. Impaired skin integrity - ANS ✔✔D. Impaired skin integrity
A nurse is reviewing the medical record of a client diagnosed with borderline personality disorder. Which
element would the nurse identify as one of the strongest risk factors for this disorder?
A. Parental alcohol abuse
B. Poverty
C. Abuse as a child
D. History of depression - ANS ✔✔C. Abuse as a child
The nurse is caring for several hospitalized clients with anorexia nervosa. The nurse would be especially
alert for which of the following if noted in the clients' histories?
A. primary insomnia
B. paranoia
C. aggression
D. depression - ANS ✔✔D. depression
When describing the characteristic similarities and differences between anorexia nervosa and bulimia
nervosa, which of the following would the nurse identify as specific to bulimia?
A. Obsessiveness
QUESTIONS, ANSWERS & EXAM REVIEW
A client has been admitted to the inpatient facility with a diagnosis of PTSD after a history of violence by
the client's significant other. During the initial assessment interview, which assessment would be the
priority?
A. Nutritional status
B. Sleep patterns
C. Suicide risk
D. Hydration status - ANS ✔✔C. Suicide risk
The nurse is caring for a family in which the elderly mother has been a victim of abuse and neglect by
her son, 48 years old. Which is important for the nurse to keep in mind before interviewing the family?
A. a top nursing priority would be to legally remove the son from the home
B. The nurse must allow the older adult mother to decide whether she wants to leave the situation
C. The main focus of the nurse's actions should be on improving the elderly mother's self-esteem
D. Placement of the older adult woman in a nursing home within the community is crucial - ANS ✔✔B.
The nurse must allow the older adult mother to decide whether she wants to leave the situation
The school nurse is aware that a student has requested "Tylenol" three times during the past week
because his "back hurts." The nurse has noticed that he often wears long-sleeved sweaters and
sweatshirts, even in warm weather. The nurse suspects that the student may be the victim of physical
abuse. The nurse is preparing to ask the child about his ongoing backache. Which would the nurse
anticipate the child reporting if the child was indeed being abused?
A. Be reluctant to report abuse because of shame or fear of retaliation
B. Give the same reason the client's sister would give were she asked to explain the injuries
C. Carefully explain that the client's mother provides discipline because she loves the client
D. Explain that his father is beating him on a regular basis - ANS ✔✔A. Be reluctant to report abuse
because of shame or fear of retaliation
A client has been in a physically abusive relationship for more than a decade. Which statement best
demonstrates that the client understands of how fear can influence a reluctance to leave such a
relationship?
A. The kids love my partner and my partner has been a good parent to them.
B. I do not have a job or anyway to support myself and my kids
C. No one would believe me if I tell them how terrible life has been
D. My partner would hunt me down and kill me for sure - ANS ✔✔D. My partner would hunt me down
and kill me for sure
The nurse is caring for a hospitalized client who has schizophrenia. The client has been taking
antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed on the
ceiling. The nurse interprets this finding as which condition?
A. Retrocollis
B. Oculogyric crisis
C. Akathisia
,D. Tardive dyskinesia - ANS ✔✔B. Oculogyric crisis
A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and
treatment with antipsychotic medications. After teaching the client and family about managing the
disorder, the nurse determines that the education was effective when they state which symptom should
be reported immediately?
A. Weight gain
B. Decreased BP
C. Elevated temp
D. tremor - ANS ✔✔C. Elevated temp
Assessment of a client with schizophrenia reveals that the client is hearing voices that say people are
staring, and that the client is seeing illusions. When developing the plan of care for this client, which
nursing diagnosis would be appropriate?
A. Disturbed thought processes
B. Ineffective coping
C. Disturbed sensory perceptions
D. Risk for self-directed violence - ANS ✔✔C. Disturbed sensory perceptions
A nurse is presenting information about psychotic disorders to a client's family. The family demonstrates
a need for more discussion when they make which statement about schizophreniform disorder?
A. The majority of individuals with the disorder recover completely
B. The individual experiences hallucinations and/or delusions
C. Symptoms must be present for at least 1 month for the diagnosis
D. The duration of the illness is usually less than 6 months - ANS ✔✔A. The majority of individuals with
the disorder recover completely
The nurse is assessing a client age 78 years who lives alone in their own home. To assess the client's
instrumental activities of daily living, which question would be most appropriate to ask?
A. How many times do you change clothes during the day?
B. How often do you bathe or shower?
C. How often do you cook meals for yourself?
D. How often do you go to the store to buy groceries? - ANS ✔✔D. How often do you go to the store to
buy groceries?
A nurse is assessing a client diagnosed with Alzheimer disease. As part of the assessment, the nurse asks
the client to identify common objects. The nurse is assessing for which of the following?
A. Aphasia
B. Agnosia
C. Apraxia
D. Executive functioning - ANS ✔✔B. Agnosia
A client comes to the emergency department because he thinks he is having a heart attack. Further
assessment determines that the client is not having a heart attack but is having a panic attack. When
beginning to interview the client, which question would be most appropriate for the nurse to use?
A. Are you feeling much better now that you are lying down?
B. Do you think you will be able to drive home?
C. What do you think caused you to feel this way?
, D. What did you experience just before and during the attack? - ANS ✔✔D. What did you experience just
before and during the attack?
A client with a panic disorder has been prescribed a benzodiazepine medication. Which risk would the
nurse emphasize as being associated with using this medication?
A. Dietary restriction
B. Withdrawal symptoms
C. Fecal impaction
D. Agitation - ANS ✔✔B. Withdrawal symptoms
A nurse determines that a client who is experiencing anxiety is using relief behaviors. The nurse
determines that the client is experiencing which degree of anxiety?
A. panic
B. moderate
C. severe
D. mild - ANS ✔✔C. severe
Which statement made by a client diagnosed with PTSD leads the nurse to believe the client is
experiencing dissociative symptoms?
A. I feel guilty that I survived the attack and my friend didn't
B. I describe my feelings like I'm having an out-of-body experience
C. It's like I'm having flashbacks every time I fall asleep
D. Loud noises always make me a little jittery now - ANS ✔✔B. I describe my feelings like I'm having an
out-of-body experience
While planning care for a child who has excoriation disorder, what would the priority NANDA be?
A. Ineffective role performance
B. Dysfunctional family processes
C. Hopelessness
D. Impaired skin integrity - ANS ✔✔D. Impaired skin integrity
A nurse is reviewing the medical record of a client diagnosed with borderline personality disorder. Which
element would the nurse identify as one of the strongest risk factors for this disorder?
A. Parental alcohol abuse
B. Poverty
C. Abuse as a child
D. History of depression - ANS ✔✔C. Abuse as a child
The nurse is caring for several hospitalized clients with anorexia nervosa. The nurse would be especially
alert for which of the following if noted in the clients' histories?
A. primary insomnia
B. paranoia
C. aggression
D. depression - ANS ✔✔D. depression
When describing the characteristic similarities and differences between anorexia nervosa and bulimia
nervosa, which of the following would the nurse identify as specific to bulimia?
A. Obsessiveness
