Final,.Review,.NUR2520,.Practice,.Questions
1. A, . patient, . with, . bulimia, . nervosa, . has, . become, . dehydrated, . from, . self-
induced, . vomiting.,.This,.is,.most,.likely,.to,.result,.in:
A. Hyperchloremia.
B. Hypokalemia.
C. Tachycardia.
D. Parotid, . gland, . atrophy.:, . B.,.Hypokalemia
2. Your, . patient, . asks,, . "Will, . Antabuse, . really, . help, . me, . with, . my, . drinking, . problem
?",.What,.is,.your,.most,.appropriate,.response?
A. "Yes,,.if,.you,.are,.motivated."
B. "Yes,,.if,. you,.use,.it,.correctly."
C. "That,.is,.totally,.up,.to,.you."
D. "Antabuse,.works,.well,.for,.some.":,.B.,."Yes,,.if,.you,.use,.it,.correctly."
3. Jessie,.had,.a,.blood,.alcohol,.level,.(BAL),.of,.0.11%,.upon,.arrival,.at,.the,.emergency,.d
epartment,.(ED).,.She,.is,.now,.your,.patient,.in,.the,.hospital,.psychiatric,.unit,,.day
4. She,.tells,.you,,."I,.wasn't,.drunk.,.I,.just,.had,.a,.few,.beers.",.What,.is,.an,.appropriate, . r
esponse?
A. "Jessie,,.of,.course,.you,.were,.drunk.,.You,.always,.are."
B. "Jessie,,.your,.BAL,.was,.0.11%.,.That,.clearly,.indicates,.that,.you,.had,.alcohol,.int
oxication."
C. "You,.are,.in,.denial,,.and,.that,.will,.impede,.your,.recovery,.from,. alcoholism."
D. "Until, . you, . recognize, . your, . problem,, . you, . will, . never, . win, . over, . this, . addiction."
-
:, . B.,."Jessie,,.your,.BAL,.was,.0.11%.,.That,.clearly,.indicates,.that,.you,.had,.alcohol,.intoxication."
4. Jessie,.is,.attending,.AA,.meetings,.three,.times,.a,.week,.for,.the,.past,.6,.weeks.,.She,.ha
s,.been,.sober,.during,.this,.time,.and,.visits,.bi-
weekly,.the,.community,.mental,.health,.outpatient,.clinic.,.Jessie's,.nurse,.counselo
r,.wants,.to,.talk,.with,.her,.about,.the,.AA,.meetings.,.Which,.initial,.question,.or,.state
ment,.is,.most,.appropriate?
A. "I,.am,.so,.excited,.that,.you,.are,.attending,.the,.AA,.sessions!"
B. "Do,.you,.enjoy,.attending,.the,.AA,.meetings?"
, Final,.Review,.NUR2520,.Practice,.Questions
C. "Are,. the, . members,. of,. the,. group,. friendly,. and, . accepting?"
, Final,.Review,.NUR2520,.Practice,.Questions
D. "Tell,.me,.about,.the,.last,.AA,.meeting,.you,.attended.":, . D.,."Tell,.me,.about,.the,.last,.AA,.meeting,.y
ou,.attended."
5. Jessie,.has,.missed,.three,.sessions,.at,.the,.mental,.health,.center,.and,.sporadically,.a
ttends, . AA, . meetings., . She, . is, . drinking, . heavily, . this, . weekend, . and, . has, . sustaine
d,.a,.2-
inch,.gash,.in,.her,.forehead,.after,.swerving,.off,.the,.road,.into,.a,.shallow,.ditch., . She,.is,.t
aken,.by,.rescue,.to,.the,.ED.,.You,.are,.her,.nurse.,.She,.tells,.you,,."I,.hope,.I,.just,.go,.to,.sle
ep,.and,.never,.wake,.up.",.What,.is,.your,.best,.intervention?
A. Tell,.Jessie,,."You,.are,.just,.tired,.and,.have,.had,.too,.much,.alcohol,.in,.your,.s
ystem."
B. Clear,.the,.area,.of,.any,.items,.that,.Jessie,.may,.use,.to,.inflict,.self-harm.
C. Immediately, . activate, . the, . mental, . health, . protocol, . to, . have, . Jessie, . admitted, . t
o,.a,.psychiatric,.unit.
D. Stay, . with, . Jessie,, . call, . the, . supervisor,, . and, . arrange, . for, . continuous, . monito
r-ing.:,.D.,.Stay,.with,.Jessie,,.call,.the,.supervisor,,.and,.arrange,.for,.continuous,.monitoring.
6. Which,.of,.the,.following,.is,.least,.likely,.to,.contribute,.to,.building,.an,.effective,.th
erapeutic,.alliance,.between,.the,.nurse,.and,.a,.patient,.with,.anorexia?
A. Establishing, . disciplined, . eating, . through, . the, . nurse's, . authoritarian, . approach
, . with,.the,.patient
B. Avoiding, . the, . stance, . of, . a, . parental, . role, . to, . foster, . a, . sense, . of, . empowerment
C. Offering, . a, . highly, . structured, . approach, . in, . treating, . patients, . who, . are, . severel
y,.underweight
D. Contracting,.with,.the,.outpatient,.person,.about,.treatment,.terms:
7. Jon,,.an,.emergency,.department,.(ED),.nurse,,.has,.just,.worked,.an,.8-
hour,.shift,.in,.the,.ED.,.After,.a,.five-
car,.wreck,.during,.his,.midshift,,.five,.patients,.have,.been,.transported,.to,.the,.hospi
tal,.with,.multiple,.injuries,.and,.one,.fatality.,.Jon,.looks, . exhausted,,.and,.his,.hands,.
are,.tremulous.,.He,.insists,.that,.he,.is,.scheduled,.to,.work,.another,.6,.hours.,.As,.the
,.nurse,.manager, ,.what,.is,.your,.best,.action?
A. Tell,.him,. that,. he,. needs,. to,. end,.his,. shift,.right,. away.
, Final,.Review,.NUR2520,.Practice,.Questions
B. Tell,.him,.he,.needs,.to,.nap,.for,.30,.minutes,.and,.then,.return,.to,.work.
1. A, . patient, . with, . bulimia, . nervosa, . has, . become, . dehydrated, . from, . self-
induced, . vomiting.,.This,.is,.most,.likely,.to,.result,.in:
A. Hyperchloremia.
B. Hypokalemia.
C. Tachycardia.
D. Parotid, . gland, . atrophy.:, . B.,.Hypokalemia
2. Your, . patient, . asks,, . "Will, . Antabuse, . really, . help, . me, . with, . my, . drinking, . problem
?",.What,.is,.your,.most,.appropriate,.response?
A. "Yes,,.if,.you,.are,.motivated."
B. "Yes,,.if,. you,.use,.it,.correctly."
C. "That,.is,.totally,.up,.to,.you."
D. "Antabuse,.works,.well,.for,.some.":,.B.,."Yes,,.if,.you,.use,.it,.correctly."
3. Jessie,.had,.a,.blood,.alcohol,.level,.(BAL),.of,.0.11%,.upon,.arrival,.at,.the,.emergency,.d
epartment,.(ED).,.She,.is,.now,.your,.patient,.in,.the,.hospital,.psychiatric,.unit,,.day
4. She,.tells,.you,,."I,.wasn't,.drunk.,.I,.just,.had,.a,.few,.beers.",.What,.is,.an,.appropriate, . r
esponse?
A. "Jessie,,.of,.course,.you,.were,.drunk.,.You,.always,.are."
B. "Jessie,,.your,.BAL,.was,.0.11%.,.That,.clearly,.indicates,.that,.you,.had,.alcohol,.int
oxication."
C. "You,.are,.in,.denial,,.and,.that,.will,.impede,.your,.recovery,.from,. alcoholism."
D. "Until, . you, . recognize, . your, . problem,, . you, . will, . never, . win, . over, . this, . addiction."
-
:, . B.,."Jessie,,.your,.BAL,.was,.0.11%.,.That,.clearly,.indicates,.that,.you,.had,.alcohol,.intoxication."
4. Jessie,.is,.attending,.AA,.meetings,.three,.times,.a,.week,.for,.the,.past,.6,.weeks.,.She,.ha
s,.been,.sober,.during,.this,.time,.and,.visits,.bi-
weekly,.the,.community,.mental,.health,.outpatient,.clinic.,.Jessie's,.nurse,.counselo
r,.wants,.to,.talk,.with,.her,.about,.the,.AA,.meetings.,.Which,.initial,.question,.or,.state
ment,.is,.most,.appropriate?
A. "I,.am,.so,.excited,.that,.you,.are,.attending,.the,.AA,.sessions!"
B. "Do,.you,.enjoy,.attending,.the,.AA,.meetings?"
, Final,.Review,.NUR2520,.Practice,.Questions
C. "Are,. the, . members,. of,. the,. group,. friendly,. and, . accepting?"
, Final,.Review,.NUR2520,.Practice,.Questions
D. "Tell,.me,.about,.the,.last,.AA,.meeting,.you,.attended.":, . D.,."Tell,.me,.about,.the,.last,.AA,.meeting,.y
ou,.attended."
5. Jessie,.has,.missed,.three,.sessions,.at,.the,.mental,.health,.center,.and,.sporadically,.a
ttends, . AA, . meetings., . She, . is, . drinking, . heavily, . this, . weekend, . and, . has, . sustaine
d,.a,.2-
inch,.gash,.in,.her,.forehead,.after,.swerving,.off,.the,.road,.into,.a,.shallow,.ditch., . She,.is,.t
aken,.by,.rescue,.to,.the,.ED.,.You,.are,.her,.nurse.,.She,.tells,.you,,."I,.hope,.I,.just,.go,.to,.sle
ep,.and,.never,.wake,.up.",.What,.is,.your,.best,.intervention?
A. Tell,.Jessie,,."You,.are,.just,.tired,.and,.have,.had,.too,.much,.alcohol,.in,.your,.s
ystem."
B. Clear,.the,.area,.of,.any,.items,.that,.Jessie,.may,.use,.to,.inflict,.self-harm.
C. Immediately, . activate, . the, . mental, . health, . protocol, . to, . have, . Jessie, . admitted, . t
o,.a,.psychiatric,.unit.
D. Stay, . with, . Jessie,, . call, . the, . supervisor,, . and, . arrange, . for, . continuous, . monito
r-ing.:,.D.,.Stay,.with,.Jessie,,.call,.the,.supervisor,,.and,.arrange,.for,.continuous,.monitoring.
6. Which,.of,.the,.following,.is,.least,.likely,.to,.contribute,.to,.building,.an,.effective,.th
erapeutic,.alliance,.between,.the,.nurse,.and,.a,.patient,.with,.anorexia?
A. Establishing, . disciplined, . eating, . through, . the, . nurse's, . authoritarian, . approach
, . with,.the,.patient
B. Avoiding, . the, . stance, . of, . a, . parental, . role, . to, . foster, . a, . sense, . of, . empowerment
C. Offering, . a, . highly, . structured, . approach, . in, . treating, . patients, . who, . are, . severel
y,.underweight
D. Contracting,.with,.the,.outpatient,.person,.about,.treatment,.terms:
7. Jon,,.an,.emergency,.department,.(ED),.nurse,,.has,.just,.worked,.an,.8-
hour,.shift,.in,.the,.ED.,.After,.a,.five-
car,.wreck,.during,.his,.midshift,,.five,.patients,.have,.been,.transported,.to,.the,.hospi
tal,.with,.multiple,.injuries,.and,.one,.fatality.,.Jon,.looks, . exhausted,,.and,.his,.hands,.
are,.tremulous.,.He,.insists,.that,.he,.is,.scheduled,.to,.work,.another,.6,.hours.,.As,.the
,.nurse,.manager, ,.what,.is,.your,.best,.action?
A. Tell,.him,. that,. he,. needs,. to,. end,.his,. shift,.right,. away.
, Final,.Review,.NUR2520,.Practice,.Questions
B. Tell,.him,.he,.needs,.to,.nap,.for,.30,.minutes,.and,.then,.return,.to,.work.
