NURS 498 EXAM 2 QUESTIONS AND ANSWERS | NURS 498
STUDY GUIDE & PRACTICE TEST 2026/2027
An appropriate initial outcome for a patient recovering from substance abuse would be that the patient
will do which of the following?
a. Discuss the addiction with significant others
b. Contemplate a life abstaining from the substance of abuse
c. Demonstrate commitment to control the substance use
d. Substitute a less addicting drug for the present drug - correct answer ✔✔c. Demonstrate commitment
to control the substance use
Which of the following would be a focus for the acute phase of treatment for anorexia nervosa?
a. Weight restoration
b. Changing family interaction patterns
c. Learning effective coping methods
d. Improving interpersonal skills - correct answer ✔✔a. Weight restoration
Which of the following factors is the most important for the nurse to consider when planning
interventions? (Select all that apply.)
a. Readiness for change
b. Risk of relapse
c. Financial ability
d. Availability of support system - correct answer ✔✔a. Readiness for change
d. Availability of support system
A patient who has been receiving antipsychotic medication for 6 weeks tells the nurse that the
hallucinations are nearly gone and that concentration has improved. When the patient reports flulike
symptoms including a fever and a very sore throat, what is the priority nursing action?
a. Consider recommending a change of antipsychotic medication
b. Arrange for the patient to have blood drawn for a white blood cell count
c. Advise the physician that the patient should be admitted to the hospital
d. Suggest that the patient take something for her fever and get extra rest - correct answer ✔✔b.
Arrange for the patient to have blood drawn for a white blood cell count
The patient is preparing for discharge. The patient tells the nurse, "Dr. Jacobson is putting me on some
medication called naltrexone (ReVia). How will that help me?" Which response indicates that medication
teaching has been effective?
a. "It helps my mood so that I don't feel the need to do drugs."
b. "It keeps me from experiencing flashbacks."
c. "It is a sedative that will helps me sleep at night."
d. "It helps reduce my cravings." - correct answer ✔✔d. "It helps reduce my cravings."
Which of the following is the most helpful message to transmit about relapse to the patient recovering
from alcohol abuse?
a. Relapses result from lack of good situational support.
, b. Relapses are an indicator of treatment failure.
c. Relapses are caused by physiological changes.
d. Relapses can be learning situations to prolong sobriety. - correct answer ✔✔a. Relapses result from
lack of good situational support.
The purpose of the Abnormal Involuntary Movement Scale (AIMS) assessment on a persistently mentally
ill patient who has been diagnosed with schizophrenia is early detection of which of the following?
a, Cholestatic jaundice
b. Acute dystonia
c. Pseudoparkinsonism
d. Tardive dyskinesia - correct answer ✔✔d. Tardive dyskinesia
A patient diagnosed with obsessive-compulsive personality disorder takes the nurse aside and mentions,
"I've observed you interacting with that new patient. You are not approaching him properly. You should
be more forceful with him." Which of the following would be the best response for the nurse?
a. "I will be continuing to follow the care plan for the patient."
b. "I see you are trying to control that patient's therapy as well as your own."
c. "Your eye for perfection extends even to my nursing interventions."
d. "That patient's care is really of no concern to you or to other patients." - correct answer ✔✔a. "I will
be continuing to follow the care plan for the patient."
An anorexic patient is admitted to the hospital with electrocardiogram changes, hypokalemia,
hyponatremia, and dental caries. What is the nurse's priority of care?
a. Administer intravenous potassium chloride
b. Stabilize the patient's weight
c. Interrupt the cycle of binge eating and purging
d. Assess suicidal ideation - correct answer ✔✔a. Administer intravenous potassium chloride
Assessment of a patient suspected of experiencing bulimia nervosa requires the nurse to perform which
of the following?
a. A range of motion assessment
b. Inspection of body cavities
c. Inspection of the oral cavity
d. Body fat analysis - correct answer ✔✔c. Inspection of the oral cavity
Fluoxetine (prozac), paroxetine (paxil), and sertraline (zoloft) all belong to this class of medications
a. tricyclic antidepressants
b. typical antipsychotics
c. selective serotonin reuptake inhibitors
d. anxiolytic - correct answer ✔✔c. selective serotonin reuptake inhibitors
symptoms of serotonin syndrome include:
a. shortness of breath
b. agitation
c. urinary retention
d. permanent muscle movement - correct answer ✔✔b. agitation
one serious risk with the use of aprazolam (xanax) is:
STUDY GUIDE & PRACTICE TEST 2026/2027
An appropriate initial outcome for a patient recovering from substance abuse would be that the patient
will do which of the following?
a. Discuss the addiction with significant others
b. Contemplate a life abstaining from the substance of abuse
c. Demonstrate commitment to control the substance use
d. Substitute a less addicting drug for the present drug - correct answer ✔✔c. Demonstrate commitment
to control the substance use
Which of the following would be a focus for the acute phase of treatment for anorexia nervosa?
a. Weight restoration
b. Changing family interaction patterns
c. Learning effective coping methods
d. Improving interpersonal skills - correct answer ✔✔a. Weight restoration
Which of the following factors is the most important for the nurse to consider when planning
interventions? (Select all that apply.)
a. Readiness for change
b. Risk of relapse
c. Financial ability
d. Availability of support system - correct answer ✔✔a. Readiness for change
d. Availability of support system
A patient who has been receiving antipsychotic medication for 6 weeks tells the nurse that the
hallucinations are nearly gone and that concentration has improved. When the patient reports flulike
symptoms including a fever and a very sore throat, what is the priority nursing action?
a. Consider recommending a change of antipsychotic medication
b. Arrange for the patient to have blood drawn for a white blood cell count
c. Advise the physician that the patient should be admitted to the hospital
d. Suggest that the patient take something for her fever and get extra rest - correct answer ✔✔b.
Arrange for the patient to have blood drawn for a white blood cell count
The patient is preparing for discharge. The patient tells the nurse, "Dr. Jacobson is putting me on some
medication called naltrexone (ReVia). How will that help me?" Which response indicates that medication
teaching has been effective?
a. "It helps my mood so that I don't feel the need to do drugs."
b. "It keeps me from experiencing flashbacks."
c. "It is a sedative that will helps me sleep at night."
d. "It helps reduce my cravings." - correct answer ✔✔d. "It helps reduce my cravings."
Which of the following is the most helpful message to transmit about relapse to the patient recovering
from alcohol abuse?
a. Relapses result from lack of good situational support.
, b. Relapses are an indicator of treatment failure.
c. Relapses are caused by physiological changes.
d. Relapses can be learning situations to prolong sobriety. - correct answer ✔✔a. Relapses result from
lack of good situational support.
The purpose of the Abnormal Involuntary Movement Scale (AIMS) assessment on a persistently mentally
ill patient who has been diagnosed with schizophrenia is early detection of which of the following?
a, Cholestatic jaundice
b. Acute dystonia
c. Pseudoparkinsonism
d. Tardive dyskinesia - correct answer ✔✔d. Tardive dyskinesia
A patient diagnosed with obsessive-compulsive personality disorder takes the nurse aside and mentions,
"I've observed you interacting with that new patient. You are not approaching him properly. You should
be more forceful with him." Which of the following would be the best response for the nurse?
a. "I will be continuing to follow the care plan for the patient."
b. "I see you are trying to control that patient's therapy as well as your own."
c. "Your eye for perfection extends even to my nursing interventions."
d. "That patient's care is really of no concern to you or to other patients." - correct answer ✔✔a. "I will
be continuing to follow the care plan for the patient."
An anorexic patient is admitted to the hospital with electrocardiogram changes, hypokalemia,
hyponatremia, and dental caries. What is the nurse's priority of care?
a. Administer intravenous potassium chloride
b. Stabilize the patient's weight
c. Interrupt the cycle of binge eating and purging
d. Assess suicidal ideation - correct answer ✔✔a. Administer intravenous potassium chloride
Assessment of a patient suspected of experiencing bulimia nervosa requires the nurse to perform which
of the following?
a. A range of motion assessment
b. Inspection of body cavities
c. Inspection of the oral cavity
d. Body fat analysis - correct answer ✔✔c. Inspection of the oral cavity
Fluoxetine (prozac), paroxetine (paxil), and sertraline (zoloft) all belong to this class of medications
a. tricyclic antidepressants
b. typical antipsychotics
c. selective serotonin reuptake inhibitors
d. anxiolytic - correct answer ✔✔c. selective serotonin reuptake inhibitors
symptoms of serotonin syndrome include:
a. shortness of breath
b. agitation
c. urinary retention
d. permanent muscle movement - correct answer ✔✔b. agitation
one serious risk with the use of aprazolam (xanax) is:
