andAnswersfromV1-V3TestBanksandActualExams
(LatestUpdate2024)RatedA+
1.Duringadmissiontothepsychiatricunit,afemaleclientisextremelyanxious
andstatesthatsheisworriedaboutthesuncomingupthenextday.What
interventionismostimportantfortheRNtoimplementduringtheadmission
process?
A.Assisttheclientindevelopingalternativecopingskills.
B.Remaincalmanduseamatteroffactapproach.
C.Asktheclientwhysheissoanxious
D.AdministeraPRNsedativetohelprelieveheranxiety.
2.Afemaleclientisbroughttotheemergencydepartmentafterpoliceofficers
foundherdisoriented,disorganized,andconfused.TheRNalsodeterminesthat
theclientishomelessandisexhibitingsuspiciousness.Theclient’splanofcare
shouldincludewhatpriorityproblem?
A.Acuteconfusion.
B.Ineffectivecommunitycoping
C.Disturbedsensoryperception.
D.Self-caredeficit.
3.Theoccupationalhealthnurseisworkingwithafemaleemployeewhowasjust
notifiedthatherchildwasinvolvedinaMVAandtakentothehospital.The
employeestates,“Ican’tbelievethis.WhatshouldIdo?”Whichresponseisbest
fortheRNtoprovideinthiscrisis?
A.Tellmewhatyouthinkshouldhappen.
B.Howseriouswasthecollision?
C.Whatdoyouthinkyoushoulddo? D.Callfortransportationtothehospital.
4.AclienttellstheRNthathehasanIQof400+andisageniusandaninventor.
Healsoreportsthatheismarriedtoafemalemoviestarandthinksthathisbrother
wantsasexualrelationshipwithher.Whatistheprioritynursingproblemfor
admissiontothepsychiatricunit?
A.Ineffectivesexualpatterns.
B.Impairedenvironmentalinterpretation.
C.Disturbedsensoryperception.
D.Compromisedfamilycoping.
5.TheRNisprovidingcareforaclientdiagnosedwithborderlinepersonality
disorderwhohasself-inflictedlacerationsontheabdomen.Whichapproach
shouldtheRNusewhenchanging
thisclient’sdressing?
A.Providedetailedthoroughexplanationswhen
cleansingwound.B.Performthedressingchangeina
non-judgmentalmanner.
C.Askinanon-threateningmannerwhytheclientcutownabdomen.
D.Requestanotherstaffmemberassistwiththedressingchange.
6.Whilesittinginthedayroomofthementalhealthunit,amaleadolescent
avoidseyecontact,looksatthefloor,andtalkssoftlywheninteractingverbally
withtheRN.Thetwotradeplaces,andtheRNdemonstratestheclient’s
behaviors.Whatisthemaingoalofthistherapeutictechnique?
A.Initiateanon-threateningconversationwiththeclient.
B.Dialogabouttheineffectivenessofhis
interactions.C.Allowtheclienttoidentifythe
wayheinteracts.
D.Discusstheclient’sfeelingswhenheresponds. 7.Anantidepressantmedicationisprescribedforaclientwhoreportssleeping
only4hoursinthepast2daysandweightlossof9lbswithinthelastmonth.
Whichclientgoalismostimportanttoachievewithinthefirstthreedaysof
treatment?
A.Meetscheduledappointmentwith
dietitian.B.Sleepatleast6hoursa
night.
C.Understandsthepurposeofthemedicationregimen.
D.Describesthereasonsforhospitalization.
8.Whenpreparingtoadministertodomesticviolencescreeningtooltoafemale
client,whichstatementshouldtheRNprovide?
A.Ifyourpartnerisabusingyou,Ineedtoaskthesequestions.
B.StatelawmandatesthatIaskifyouareavictimofdomesticviolence.
C.TheHCPproviderneedstoknowifyouareexperiencingany
domesticabuse.D.Allclientsarescreenedfordomesticabusebecause
itiscommoninoursociety.
9.Ayoungadultfemalevisitsthementalhealthcliniccomplainingofdiarrhea,
headache,andmuscleaches.Sheisafebrile,denieschills,andalllaboratory
findingsarewithinnormallimits.Duringthephysicalassessment,theclienttells
theRNthathersisterthinkssheisneuroticandcallsherahypochondriac.Which
responseisbestfortheRNtoprovide?
A.Unlessyoursisterhasamedicaleducation,ignorehercomments.
B.Icanhearthatyoursistercommentsareover-whelmingyou.
C.Doyouthinkit’spossiblethatyoumightbeahypochondriac?
D.Besidesyoursister’scomments,whatinyourlifeistroublingyou?
10.TheRNisleadingagroupontheinpatientpsychiatricunit.Whichapproach
shouldtheRNuseduringtheworkingphaseofgroupdevelopment? A.Establishingarapportwithgroupmembers.
B.Clarifyingthenurse’sroleandclients’responsibilities.
C.Discussingwaystousenewcopingskillslearned.
D.Helpingclientsidentifyareasofproblemintheirlives.
11.Amaleclientwithschizophreniaisdemonstratingecholalia,whichis
becomingannoyingtootherclientsontheunit.Whatinterventionisbestforthe
RNtoimplement?
A.Isolatetheclientfromtheotherclients.
B.AdministerPRNsedative.
C.Avoidrecognizingthe
behavior.D.Escorttheclient
tohisroom.
12.Aclientisadmittedforbipolardisorderandalcoholwithdrawal,depressive
phase.BasedonwhichassessmentfindingwilltheRNwithholdtheclonidine
(Catapres)prescription?
A.Bloodpressurereadingsof90/62mmHgto92/58mmHg.
B.Pulserateof68-78BPM.
C.Temperatureof99.5-99.7F.
D.Respirationrateof24breathsperminute.
13.TheRNontheeveningshiftreceivesreportthataclientisscheduledfor
electroconvulsivetreatment(ECT)inthemorning.Whichinterventionshouldthe
RnimplementtheeveningbeforethescheduledECT?
A.Holdallbedtimemedications.
B.KeeptheclientNPOaftermid-night.
C.Implementelopementprecautions.
D.Givetheclientanenemaatbedtime.