2025 MILESTONE 2 FINAL EXAM QUESTIONS WITH ANSWERS
GRADED A+ 2025/2026
1. A male client with schizophrenia is admitted to the mental health unit after abruptly
stopping his prescription for ziprasidone(Geodon) one month ago. Which question is
most important for the RN to ask? - - Do you hear sounds or voices that others do not
hear
2. The schizophrenic client insists that he is returning to his apartment, although the
healthcare provider informed him he will be moving to a boarding home. What is the
most important nursing diagnosis for discharge planning? - - Ineffective denial related to
situational anxiety
3. The nurse is interviewing a client with schizophrenia. Which client behavior requires
immediate intervention? - - Muscle twitches in the back and neck
4. A 32-year-old male client is admitted with paranoid schizophrenia - - Reassure the
client that he is safe and should rest
5. ____________ is a chemical imbalance in the brain that causes disorganized
thinking. - Schizophrenia
6. A resident of a long-term care facility who has moderate dementia is having difficulty
eating in the dining room. The client becomes frustrated when dropping utensils on the
floor and then refuses to eat. What action should the nurse implement? - - Encourage
finger foods
- Distraction
- Speak therapeutically
7. 2 days after admission from alcohol withdrawal what should the nurse do? - - Monitor
Heart rate and blood pressure
8. Which action should the nurse implement 1st for a client experiencing alcohol
withdrawal? - - Prepare the environment to prevent self-injury
9. A patient won't take oral meds that is going through alcohol withdrawal. The nurse
starts giving saline lock per alcohol protocol and thiamine. What do you them that it will
help with recovery? - - Thiamine will replenish alcohol effects on the body (something to
do with iron)
10. A client comes in after being in a car accident and is experiencing alcohol
withdrawal magnesium level of 1.1 cardiac dysrhythmias. What would you give 1st. - -
Magnesium
11. Patient having to get treated for benzodiazepine and methadone overdose. What do
you use. - - Narcan
, 12. When preparing to administer a domestic violence screening tool to a female client,
which statement should the nurse provide? - - All clients are screened for domestic
abuse because it is common in our society
13. A mental healthcare worker caring for a client with escalating aggressive behavior.
What action by the mental healthcare worker wards immediate interventions? - -
Attempting to physically restrain patient
14. A 30-year-old sales manager tells the nurse "I am thinking about a job change. I
don't feel like I am living up to my potential." Which of maslows developmental stages is
the sales manager attempting to achieve? - - Self-actualization
15. A client is admitted to the mental health unit and reports taking extra anxiety
medication because "I'm so stressed out. I just want to go to sleep. The RN should plan
one-on-one observation of the client based on which statement? - - I don't want to walk.
Nothing matters anymore
16. What is the most important goal for a client diagnosed with major depression who
has been receiving an antidepressant medication for two weeks? - Not attempt to
commit suicide
17. The nurse is obtaining the medical histories of new clients at a community based
primary car clinic. Which individual has the highest risk for experiencing elder abuse? -
A 78-year-old female on a fixed income who lives with her relatives
18. Who is most prone to being abused - Females over 75 living with their families
19. While caring for an older client, the Rn observes multiple bruises in over the client's
legs, arms, back and gluteal areas. When the RN suspect's elder abuse. What action
should the RN take? - Measure & document size, shape, and color of the bruised areas
20. Non-consensual contact is considere what? - abuse
21. When checking a 3rd grader's height and weight the school nurse notes that these
measurements have not changed in the last year. The child is currently taking daily
vitamins, albuterol and methylphenidate for ADHD. Which intervention should the nurse
implement? - Refer the child to the school counselor for educational testing
22. A female client with obsessive-compulsive personality disorder is admitted to the
hospital for a cardiac catheterization. The afternoon before the procedure, the client
begins to keep detailed notes of the nursing care she is receiving, and report her
findings to the RN at bedtime. What action should the nurse implement? - Encourage
the client to express her feelings regarding the upcoming procedure.
23. How should you document objective assessment data in cases of sexual abuse and
rape? - use the client's exact words
GRADED A+ 2025/2026
1. A male client with schizophrenia is admitted to the mental health unit after abruptly
stopping his prescription for ziprasidone(Geodon) one month ago. Which question is
most important for the RN to ask? - - Do you hear sounds or voices that others do not
hear
2. The schizophrenic client insists that he is returning to his apartment, although the
healthcare provider informed him he will be moving to a boarding home. What is the
most important nursing diagnosis for discharge planning? - - Ineffective denial related to
situational anxiety
3. The nurse is interviewing a client with schizophrenia. Which client behavior requires
immediate intervention? - - Muscle twitches in the back and neck
4. A 32-year-old male client is admitted with paranoid schizophrenia - - Reassure the
client that he is safe and should rest
5. ____________ is a chemical imbalance in the brain that causes disorganized
thinking. - Schizophrenia
6. A resident of a long-term care facility who has moderate dementia is having difficulty
eating in the dining room. The client becomes frustrated when dropping utensils on the
floor and then refuses to eat. What action should the nurse implement? - - Encourage
finger foods
- Distraction
- Speak therapeutically
7. 2 days after admission from alcohol withdrawal what should the nurse do? - - Monitor
Heart rate and blood pressure
8. Which action should the nurse implement 1st for a client experiencing alcohol
withdrawal? - - Prepare the environment to prevent self-injury
9. A patient won't take oral meds that is going through alcohol withdrawal. The nurse
starts giving saline lock per alcohol protocol and thiamine. What do you them that it will
help with recovery? - - Thiamine will replenish alcohol effects on the body (something to
do with iron)
10. A client comes in after being in a car accident and is experiencing alcohol
withdrawal magnesium level of 1.1 cardiac dysrhythmias. What would you give 1st. - -
Magnesium
11. Patient having to get treated for benzodiazepine and methadone overdose. What do
you use. - - Narcan
, 12. When preparing to administer a domestic violence screening tool to a female client,
which statement should the nurse provide? - - All clients are screened for domestic
abuse because it is common in our society
13. A mental healthcare worker caring for a client with escalating aggressive behavior.
What action by the mental healthcare worker wards immediate interventions? - -
Attempting to physically restrain patient
14. A 30-year-old sales manager tells the nurse "I am thinking about a job change. I
don't feel like I am living up to my potential." Which of maslows developmental stages is
the sales manager attempting to achieve? - - Self-actualization
15. A client is admitted to the mental health unit and reports taking extra anxiety
medication because "I'm so stressed out. I just want to go to sleep. The RN should plan
one-on-one observation of the client based on which statement? - - I don't want to walk.
Nothing matters anymore
16. What is the most important goal for a client diagnosed with major depression who
has been receiving an antidepressant medication for two weeks? - Not attempt to
commit suicide
17. The nurse is obtaining the medical histories of new clients at a community based
primary car clinic. Which individual has the highest risk for experiencing elder abuse? -
A 78-year-old female on a fixed income who lives with her relatives
18. Who is most prone to being abused - Females over 75 living with their families
19. While caring for an older client, the Rn observes multiple bruises in over the client's
legs, arms, back and gluteal areas. When the RN suspect's elder abuse. What action
should the RN take? - Measure & document size, shape, and color of the bruised areas
20. Non-consensual contact is considere what? - abuse
21. When checking a 3rd grader's height and weight the school nurse notes that these
measurements have not changed in the last year. The child is currently taking daily
vitamins, albuterol and methylphenidate for ADHD. Which intervention should the nurse
implement? - Refer the child to the school counselor for educational testing
22. A female client with obsessive-compulsive personality disorder is admitted to the
hospital for a cardiac catheterization. The afternoon before the procedure, the client
begins to keep detailed notes of the nursing care she is receiving, and report her
findings to the RN at bedtime. What action should the nurse implement? - Encourage
the client to express her feelings regarding the upcoming procedure.
23. How should you document objective assessment data in cases of sexual abuse and
rape? - use the client's exact words
