ACTUAL COMPLETE REAL EXAM QUESTIONS WITH
VERIFIED SOLUTIONS AND RATIONALE
/A+ SCORE ASSURED !!
rse is assessing a client who is restless and constantly mutters
to himself. Which of the following findings should lead the
nurse to suspect delirium? (p. 137)
a. The client is unable to recognize objects
b. The client's speech is slow and repetitious
c. The client has a flat effect
d. The client's manifestations developed suddenly - ANSWER -D
A nurse is assessing a client who has bulimia nervosa. Which of
the following findings should the nurse expect? (p. 166) a.
Hyponatremia
b. Amernorrhea
c. Acrocyanosis
d. Lanugo - ANSWER -A
A nurse is admitting a client who has a diagnosis of antisocial
personality disorder. Which of the following behaviors shouldthe
nurse expect to observe? a. Self-mutilation
b. Delusional behavior
c. Splitting
,d. Lack of remorse - ANSWER -D
A nurse is preparing to administer morning medications to a
client who has schizophrenia. After reviewing the client's chart,
which of the following actions should the nurse take first? (Click
on the "Exhibit" button below to view the chart. There are three
tabs that contain separate categories of data.)
a. Request a prescription for acetaminophen
b. Administer a PRN doze of diazepam
c. Give the regularly scheduled dose of chlorpromazine
d. Provide the dose of diphenhydramine - ANSWER -B
the client takes off his belt and screams, "A snake!" Which of the
following responses is appropriate?
a. "You know that is you belt and not a snake, don't you?"
b. "Your belt doesn't look like a snake."
c. "This is your belt. I understand how this is scary for you."
d. "Why do you think your belt is a snake?" - ANSWER -C
A nurse working in the emergency department is assessing a
client who has generalized anxiety disorder. Which of the
following actions should the nurse take first?
A)Move the client to a quiet area
, B)Allow the client time to express his feelings
C)Instruct the client to use guided imagery
D)Assist the client to identify his coping skills - ANSWER -A
A nurse is caring for a client who has dementia. Which of the
following is an appropriate nursing intervention?
A) Encourage the client to make choices regarding care.
B) Advise family to visit frequently as a group
C) Maintain a low-stimulation environment
D) Assign several tasks at the same time. - ANSWER -C
A nurse is counseling an adult client whose parent just died. The
client states,
"My son is 4, and I don't know how h n he finds out that his
grandpa died." The nurse should inform the client that the
preschool-age child commonly has which of the following
concepts of death? a. Death is contagious and can cause other
people he loves to die
b. Death creates an interest in the physical aspects of dying
c. Death is not permanent and the loved one may come back to
life. d. Death is a part of life that eventually happens to
everyone. - ANSWER -C
A nurse in the emergency department is admitting a client who
has a history of alcohol use disorder. The client has a blood