RN MENTAL HEALTH ONLINE PRACTICE 2023 A
QUESTIONS WITH ANSWERS UPDATED 2024- 2025
A,nurse,is,collecting,data,from,a,client,who,has,bulimia,nervosa.,Which,of,the,following,findings,should,th
e,nurse,expect?
A.,Amenorrhea
B.,Dental,caries
C.,Lanugo
D.,Yellow,skin,ANS,-B.,Dental,caries
Rationale:
The,nurse,should,expect,manifestations,of,bulimia,nervosa,to,include,dental,caries,,which,can,lead,to,too
th,erosion.,Dental,caries,are,caused,by,the,increased,acid,in,the,stomach,that,is,found,in,the,vomitus,of,cl
ients,who,purge,repeatedly.
**Amenorrhea,is,a,manifestation,of,anorexia,nervosa,that,is,caused,by,a,fluid,and,electrolyte,imbalance.,
Lanugo,is,a,manifestation,of,anorexia,nervosa,that,is,caused,by,starvation.,Yellow,skin,is,a,manifestation,
of,anorexia,nervosa,that,is,caused,by,carotenemia.
A,nurse,is,reinforcing,teaching,with,a,client,who,has,generalized,anxiety,disorder,and,a,new,prescription,f
or,buspirone.,Which,of,the,following,statements,should,the,nurse,identify,as,an,indication,that,the,client,
understands,the,information?
A.,"This,medication,can,cause,dependence."
B.,"I'll,take,an,extra,dose,of,my,medication,when,I,start,to,feel,anxious."
,C.,"It's,important,to,take,my,medication,30,minutes,before,bedtime."
D.,"I,should,expect,my,symptoms,to,improve,in,about,2,to,4,weeks.",ANS,-
D.,"I,should,expect,my,symptoms,to,improve,in,about,2,to,4,weeks."
Rationale:
The,nurse,should,instruct,the,client,to,expect,some,improvement,of,manifestations,within,approximately
,1,week.,However,,it,takes,2,to,4,weeks,for,buspirone,to,reach,its,full,effect.
**A.,The,nurse,should,instruct,the,client,that,buspirone,does,not,cause,psychological,or,physical,depend
ence,when,taken,as,prescribed.,B.,The,nurse,should,instruct,the,client,to,not,take,buspirone,on,a,PRN,ba
sis,or,to,take,double,doses,in,order,to,prevent,adverse,effects,,such,as,insomnia,,sedation,,chest,pain,,or,
tachycardia.,C.,The,nurse,should,instruct,the,client,to,take,the,medication,as,prescribed,,which,is,usually,i
n,two,divided,doses,in,the,morning,and,evening.,It,is,not,necessary,for,clients,to,take,buspirone,before,b
edtime.
A,nurse,is,reinforcing,teaching,about,thought,stopping,with,a,client,who,has,a,phobia,of,riding,in,automo
biles.,Which,of,the,following,client,statements,indicates,an,understanding,of,the,instructions?
A.,"For,the,first,step,of,my,therapy,,I,will,look,at,pictures,of,cars."
B.,"I,will,snap,a,rubber,band,on,my,wrist,when,I,feel,anxious,about,riding,in,a,car."
C.,"My,therapist,will,be,with,me,while,we,ride,in,a,car,together."
D.,"I,will,ride,in,a,car,for,several,hours,at,a,time.",ANS,-
B.,"I,will,snap,a,rubber,band,on,my,wrist,when,I,feel,anxious,about,riding,in,a,car."
Rationale:
This,statement,describes,thought,stopping,,which,is,used,to,interrupt,a,client's,negative,thought,with,a,di
straction.
,**A.,This,statement,describes,systematic,desensitization,,not,thought,stopping.,C.,This,statement,describ
es,modeling,,not,thought,stopping.,D.,This,statement,describes,flooding,,not,thought,stopping.
A,nurse,is,preparing,to,administer,Haloperidol,3mg,IM,to,a,client.,Available,is,Haloperidol,solution,5mg/
mL.,How,many,mL,should,the,nurse,plan,to,administer?,(Round,the,answer,to,the,nearest,tenth.,Use,a,le
ading,zero,if,it,applies.,Do,not,use,a,trailing,zero.),ANS,-
Step,1:,What,is,the,unit,of,measurement,the,nurse,should,calculate?,mL
Step,2:,What,is,the,dose,the,nurse,should,administer?,Dose,to,administer,=,Desired,3,mg
Step,3:,What,is,the,dose,available?,Dose,available,=,Have,5,mg
Step,4:,Should,the,nurse,convert,the,units,of,measurement?,No
Step,5:,What,is,the,quantity,of,the,dose,available?,1,mL
Step,6:,Set,up,an,equation,and,solve,for,X.
___mL,=,mL/5mg,x,3mg/1,=,0.6,mL
Step,7:,Round,if,necessary.
A,nurse,is,reinforcing,teaching,with,a,client,who,has,schizophrenia,and,a,new,prescription,for,Chlorprom
azine.,Which,of,the,following,statements,should,the,nurse,include,in,the,teaching?
A.,"The,voices,you,have,been,hearing,should,decrease."
B.,"You,will,likely,have,more,energy,while,on,this,medication."
C.,"You,should,now,be,able,to,spend,more,time,in,the,sun."
D.,"Call,your,provider,immediately,if,you,develop,a,dry,mouth.",ANS,-
A.,"The,voices,you,have,been,hearing,should,decrease."
Rationale:
The,nurse,should,instruct,the,client,that,hallucinations,and,agitated,behavior,,which,are,positive,sympto
ms,of,schizophrenia,,are,targeted,by,conventional,antipsychotic,agents,,such,as,chlorpromazine.
, **B.,Chlorpromazine,causes,sedation.,Therefore,,the,client,will,not,have,more,energy,while,taking,this,m
edication.,Lack,of,energy,is,a,negative,symptom,of,schizophrenia,and,is,not,targeted,by,conventional,anti
psychotic,medications,,such,as,chlorpromazine.,C.,Photosensitivity,is,an,adverse,effect,of,chlorpromazine
.,The,medication,can,increase,sensitivity,to,sunlight,,which,can,increase,the,risk,for,sunburn,and,can,caus
e,changes,in,skin,pigmentation.,The,nurse,should,instruct,the,client,to,minimize,time,in,the,sun,and,to,us
e,sunscreen,and,protective,clothing,when,outside.,D.,The,nurse,should,reinforce,teaching,about,what,th
e,client,should,do,if,they,develop,a,dry,mouth,,such,as,rinsing,their,mouth,frequently,or,chewing,sugarles
s,gum.,Dry,mouth,is,an,anticholinergic,effect,,but,it,does,not,indicate,a,severe,adverse,effect,and,,therefo
re,,does,not,require,a,call,to,the,provider.
A,nurse,is,caring,for,a,client,who,takes,Naltrexone,for,the,treatment,of,alcohol,use,disorder.,The,nurse,sh
ould,identify,that,which,of,the,following,client,statements,indicates,the,medication,is,effective?
A.,"Naltrexone,calms,my,nerves."
B.,"I,get,flushed,when,I,drink,alcohol,while,taking,naltrexone."
C.,"Naltrexone,decreases,my,fine,hand,tremors."
D.,"I,drink,less,alcohol,in,a,day,while,taking,naltrexone.",ANS,-
D.,"I,drink,less,alcohol,in,a,day,while,taking,naltrexone."
Rationale:
Clients,who,take,naltrexone,have,a,decreased,craving,for,alcohol,and,experience,decreased,pleasurable,e
ffects,from,alcohol,consumption.,Although,the,goal,for,most,clients,who,have,alcohol,use,disorder,is,to,
maintain,abstinence,,clients,who,ingest,alcohol,while,taking,this,medication,often,drink,less,per,day.
**A.,Naltrexone,is,a,narcotic,antagonist,,not,an,antianxiety,medication.,Anxiety,is,a,potential,adverse,eff
ect,of,this,medication.,B.,A,client,can,experience,flushing,with,the,concurrent,use,of,alcohol,and,disulfira
m.,However,,flushing,is,not,an,adverse,effect,of,naltrexone.,C.,Benzodiazepine,medications,,such,as,chlor
diazepoxide,,are,prescribed,to,decrease,manifestations,of,alcohol,withdrawal,,such,as,hand,tremors.,Ben
zodiazepines,also,help,stabilize,the,client's,vital,signs,and,decrease,the,risk,for,seizures.,Naltrexone,is,not,
effective,in,treating,manifestations,of,alcohol,withdrawal.
QUESTIONS WITH ANSWERS UPDATED 2024- 2025
A,nurse,is,collecting,data,from,a,client,who,has,bulimia,nervosa.,Which,of,the,following,findings,should,th
e,nurse,expect?
A.,Amenorrhea
B.,Dental,caries
C.,Lanugo
D.,Yellow,skin,ANS,-B.,Dental,caries
Rationale:
The,nurse,should,expect,manifestations,of,bulimia,nervosa,to,include,dental,caries,,which,can,lead,to,too
th,erosion.,Dental,caries,are,caused,by,the,increased,acid,in,the,stomach,that,is,found,in,the,vomitus,of,cl
ients,who,purge,repeatedly.
**Amenorrhea,is,a,manifestation,of,anorexia,nervosa,that,is,caused,by,a,fluid,and,electrolyte,imbalance.,
Lanugo,is,a,manifestation,of,anorexia,nervosa,that,is,caused,by,starvation.,Yellow,skin,is,a,manifestation,
of,anorexia,nervosa,that,is,caused,by,carotenemia.
A,nurse,is,reinforcing,teaching,with,a,client,who,has,generalized,anxiety,disorder,and,a,new,prescription,f
or,buspirone.,Which,of,the,following,statements,should,the,nurse,identify,as,an,indication,that,the,client,
understands,the,information?
A.,"This,medication,can,cause,dependence."
B.,"I'll,take,an,extra,dose,of,my,medication,when,I,start,to,feel,anxious."
,C.,"It's,important,to,take,my,medication,30,minutes,before,bedtime."
D.,"I,should,expect,my,symptoms,to,improve,in,about,2,to,4,weeks.",ANS,-
D.,"I,should,expect,my,symptoms,to,improve,in,about,2,to,4,weeks."
Rationale:
The,nurse,should,instruct,the,client,to,expect,some,improvement,of,manifestations,within,approximately
,1,week.,However,,it,takes,2,to,4,weeks,for,buspirone,to,reach,its,full,effect.
**A.,The,nurse,should,instruct,the,client,that,buspirone,does,not,cause,psychological,or,physical,depend
ence,when,taken,as,prescribed.,B.,The,nurse,should,instruct,the,client,to,not,take,buspirone,on,a,PRN,ba
sis,or,to,take,double,doses,in,order,to,prevent,adverse,effects,,such,as,insomnia,,sedation,,chest,pain,,or,
tachycardia.,C.,The,nurse,should,instruct,the,client,to,take,the,medication,as,prescribed,,which,is,usually,i
n,two,divided,doses,in,the,morning,and,evening.,It,is,not,necessary,for,clients,to,take,buspirone,before,b
edtime.
A,nurse,is,reinforcing,teaching,about,thought,stopping,with,a,client,who,has,a,phobia,of,riding,in,automo
biles.,Which,of,the,following,client,statements,indicates,an,understanding,of,the,instructions?
A.,"For,the,first,step,of,my,therapy,,I,will,look,at,pictures,of,cars."
B.,"I,will,snap,a,rubber,band,on,my,wrist,when,I,feel,anxious,about,riding,in,a,car."
C.,"My,therapist,will,be,with,me,while,we,ride,in,a,car,together."
D.,"I,will,ride,in,a,car,for,several,hours,at,a,time.",ANS,-
B.,"I,will,snap,a,rubber,band,on,my,wrist,when,I,feel,anxious,about,riding,in,a,car."
Rationale:
This,statement,describes,thought,stopping,,which,is,used,to,interrupt,a,client's,negative,thought,with,a,di
straction.
,**A.,This,statement,describes,systematic,desensitization,,not,thought,stopping.,C.,This,statement,describ
es,modeling,,not,thought,stopping.,D.,This,statement,describes,flooding,,not,thought,stopping.
A,nurse,is,preparing,to,administer,Haloperidol,3mg,IM,to,a,client.,Available,is,Haloperidol,solution,5mg/
mL.,How,many,mL,should,the,nurse,plan,to,administer?,(Round,the,answer,to,the,nearest,tenth.,Use,a,le
ading,zero,if,it,applies.,Do,not,use,a,trailing,zero.),ANS,-
Step,1:,What,is,the,unit,of,measurement,the,nurse,should,calculate?,mL
Step,2:,What,is,the,dose,the,nurse,should,administer?,Dose,to,administer,=,Desired,3,mg
Step,3:,What,is,the,dose,available?,Dose,available,=,Have,5,mg
Step,4:,Should,the,nurse,convert,the,units,of,measurement?,No
Step,5:,What,is,the,quantity,of,the,dose,available?,1,mL
Step,6:,Set,up,an,equation,and,solve,for,X.
___mL,=,mL/5mg,x,3mg/1,=,0.6,mL
Step,7:,Round,if,necessary.
A,nurse,is,reinforcing,teaching,with,a,client,who,has,schizophrenia,and,a,new,prescription,for,Chlorprom
azine.,Which,of,the,following,statements,should,the,nurse,include,in,the,teaching?
A.,"The,voices,you,have,been,hearing,should,decrease."
B.,"You,will,likely,have,more,energy,while,on,this,medication."
C.,"You,should,now,be,able,to,spend,more,time,in,the,sun."
D.,"Call,your,provider,immediately,if,you,develop,a,dry,mouth.",ANS,-
A.,"The,voices,you,have,been,hearing,should,decrease."
Rationale:
The,nurse,should,instruct,the,client,that,hallucinations,and,agitated,behavior,,which,are,positive,sympto
ms,of,schizophrenia,,are,targeted,by,conventional,antipsychotic,agents,,such,as,chlorpromazine.
, **B.,Chlorpromazine,causes,sedation.,Therefore,,the,client,will,not,have,more,energy,while,taking,this,m
edication.,Lack,of,energy,is,a,negative,symptom,of,schizophrenia,and,is,not,targeted,by,conventional,anti
psychotic,medications,,such,as,chlorpromazine.,C.,Photosensitivity,is,an,adverse,effect,of,chlorpromazine
.,The,medication,can,increase,sensitivity,to,sunlight,,which,can,increase,the,risk,for,sunburn,and,can,caus
e,changes,in,skin,pigmentation.,The,nurse,should,instruct,the,client,to,minimize,time,in,the,sun,and,to,us
e,sunscreen,and,protective,clothing,when,outside.,D.,The,nurse,should,reinforce,teaching,about,what,th
e,client,should,do,if,they,develop,a,dry,mouth,,such,as,rinsing,their,mouth,frequently,or,chewing,sugarles
s,gum.,Dry,mouth,is,an,anticholinergic,effect,,but,it,does,not,indicate,a,severe,adverse,effect,and,,therefo
re,,does,not,require,a,call,to,the,provider.
A,nurse,is,caring,for,a,client,who,takes,Naltrexone,for,the,treatment,of,alcohol,use,disorder.,The,nurse,sh
ould,identify,that,which,of,the,following,client,statements,indicates,the,medication,is,effective?
A.,"Naltrexone,calms,my,nerves."
B.,"I,get,flushed,when,I,drink,alcohol,while,taking,naltrexone."
C.,"Naltrexone,decreases,my,fine,hand,tremors."
D.,"I,drink,less,alcohol,in,a,day,while,taking,naltrexone.",ANS,-
D.,"I,drink,less,alcohol,in,a,day,while,taking,naltrexone."
Rationale:
Clients,who,take,naltrexone,have,a,decreased,craving,for,alcohol,and,experience,decreased,pleasurable,e
ffects,from,alcohol,consumption.,Although,the,goal,for,most,clients,who,have,alcohol,use,disorder,is,to,
maintain,abstinence,,clients,who,ingest,alcohol,while,taking,this,medication,often,drink,less,per,day.
**A.,Naltrexone,is,a,narcotic,antagonist,,not,an,antianxiety,medication.,Anxiety,is,a,potential,adverse,eff
ect,of,this,medication.,B.,A,client,can,experience,flushing,with,the,concurrent,use,of,alcohol,and,disulfira
m.,However,,flushing,is,not,an,adverse,effect,of,naltrexone.,C.,Benzodiazepine,medications,,such,as,chlor
diazepoxide,,are,prescribed,to,decrease,manifestations,of,alcohol,withdrawal,,such,as,hand,tremors.,Ben
zodiazepines,also,help,stabilize,the,client's,vital,signs,and,decrease,the,risk,for,seizures.,Naltrexone,is,not,
effective,in,treating,manifestations,of,alcohol,withdrawal.
