NUR2520 Final Review Practice 219 Questions with Verified
Answers
A patient with bulimia nervosa has become dehydrated from self-induced
vomiting. This is most likely to result in:
A. Hyperchloremia.
B. Hypokalemia.
C. Tachycardia.
D. Parotid gland atrophy. - CORRECT ANSWER B. Hypokalemia
Your patient asks, "Will Antabuse really help me with my drinking problem?"
What is your most appropriate response?
A. "Yes, if you are motivated."
B. "Yes, if you use it correctly."
C. "That is totally up to you."
D. "Antabuse works well for some." - CORRECT ANSWER B. "Yes, if you use it
correctly."
Jessie had a blood alcohol level (BAL) of 0.11% upon arrival at the emergency
department (ED). She is now your patient in the hospital psychiatric unit, day 4.
She tells you, "I wasn't drunk. I just had a few beers." What is an appropriate
response?
A. "Jessie, of course you were drunk. You always are."
B. "Jessie, your BAL was 0.11%. That clearly indicates that you had alcohol
intoxication."
C. "You are in denial, and that will impede your recovery from alcoholism."
D. "Until you recognize your problem, you will never win over this addiction." -
CORRECT ANSWER B. "Jessie, your BAL was 0.11%. That clearly indicates that you
had alcohol intoxication."
Jessie is attending AA meetings three times a week for the past 6 weeks. She has
been sober during this time and visits bi-weekly the community mental health
,outpatient clinic. Jessie's nurse counselor wants to talk with her about the AA
meetings. Which initial question or statement is most appropriate?
A. "I am so excited that you are attending the AA sessions!"
B. "Do you enjoy attending the AA meetings?"
C. "Are the members of the group friendly and accepting?"
D. "Tell me about the last AA meeting you attended." - CORRECT ANSWER D. "Tell
me about the last AA meeting you attended."
Jessie has missed three sessions at the mental health center and sporadically
attends AA meetings. She is drinking heavily this weekend and has sustained a 2-
inch gash in her forehead after swerving off the road into a shallow ditch. She is
taken by rescue to the ED. You are her nurse. She tells you, "I hope I just go to
sleep and never wake up." What is your best intervention?
A. Tell Jessie, "You are just tired and have had too much alcohol in your system."
B. Clear the area of any items that Jessie may use to inflict self-harm.
C. Immediately activate the mental health protocol to have Jessie admitted to a
psychiatric unit.
D. Stay with Jessie, call the supervisor, and arrange for continuous monitoring. -
CORRECT ANSWER D. Stay with Jessie, call the supervisor, and arrange for
continuous monitoring.
Which of the following is least likely to contribute to building an effective
therapeutic alliance between the nurse and a patient with anorexia?
A. Establishing disciplined eating through the nurse's authoritarian approach with
the patient
B. Avoiding the stance of a parental role to foster a sense of empowerment
C. Offering a highly structured approach in treating patients who are severely
underweight
D. Contracting with the outpatient person about treatment terms - CORRECT
ANSWER
Jon, an emergency department (ED) nurse, has just worked an 8-hour shift in the
ED. After a five-car wreck during his midshift, five patients have been transported
to the hospital with multiple injuries and one fatality. Jon looks exhausted, and his
,hands are tremulous. He insists that he is scheduled to work another 6 hours. As
the nurse manager, what is your best action?
A. Tell him that he needs to end his shift right away.
B. Tell him he needs to nap for 30 minutes and then return to work.
C. Tell him to go to the cafeteria, relax, and drink strong coffee.
D. Tell him to eat a high carbohydrate snack, take a 30-minute break, and then
return to work. - CORRECT ANSWER A. Tell him that he needs to end his shift right
away.
Andrew, a hospice nurse for 5 years and a member of your nursing team, is
demonstrating a blunted affect and is not completing patient care documentation
in the required time frame. As a peer, what is your best action?
A. Avoid mentioning these observations because you are only a peer.
B. Ask Andrew what he feels is causing him to fall behind in his work.
C. Immediately report your concerns to the nurse manager in charge of your
team.
D. Take Andrew to lunch and keep the conversation light and humorous. -
CORRECT ANSWER B. Ask Andrew what he feels is causing him to fall behind in his
work.
A 65-year-old woman reports periods of palpitations, sweating, and slight
shortness of breath. She feels like she's going to die. You speak with her daughter
who reports that her father recently passed away and her mother lives alone.
How would you respond?
A. Tell the daughter that her mother is likely experiencing panic attacks and will
develop depressive disorder.
B. Tell the daughter that her mother is likely experiencing depressive disorder.
C. Tell the daughter that her mother is likely experiencing panic attacks.
D. Tell the daughter that her mother is likely experiencing panic attacks and that
she should tell her primary practitioner about it so she can be treated soon. -
CORRECT ANSWER D. Tell the daughter that her mother is likely experiencing
panic attacks and that she should tell her primary practitioner about it so she can
be treated soon.
, A 36-year-old nurse who has worked in an inner city emergency department for
10 years feels burnt out. He seems to be taking more sick time than normal over
the past 2 years. What might be the underlying cause of his situation?
A. The nurse is bored after 10 years of being in an emergency department and
needs to change to a different specialty.
B. The nurse is experiencing the effects of chronic anxiety.
C. The nurse probably was exposed to a virus or bacteria and has not yet been
diagnosed.
D. The nurse is showing signs of PTSD. - CORRECT ANSWER B. The nurse is
experiencing the effects of chronic anxiety.
Each morning before going to work, a 43-year-old man spends 2 hours cleaning
the outside and inside of his car even if the car is already clean. His wife is
concerned and comes to you for help. What is your best response?
A. Your husband shows signs of complex obsessive-compulsive disorder (OCD).
You should not be overly concerned since he will experience periods of
exacerbation and remission. Consult with your primary care practitioner who
might recommend cognitive behavioral therapy.
B. Your husband shows signs of complex OCD. You should not be overly
concerned because he continues to go to work. Consult with your primary care
practitioner who might recommend cognitive behavioral therapy.
C. Your husband shows signs of simple OCD. You should not be overly concerned
because he continues to go to work. Consult with your primary care practitioner
who might recommend cognitive behavioral therapy.
D. Your husband shows - CORRECT ANSWER C. Your husband shows signs of
simple OCD. You should not be overly concerned because he continues to go to
work. Consult with your primary care practitioner who might recommend
cognitive behavioral therapy.
The patient's family reports that the patient has become irritable, is not sleeping,
and tells them he cannot relax. This has been going on for 2 days. The family says
he has not left the house in 2 weeks. A family member tells you there are empty
beer cans all over the place. He assures you that he looked everywhere and there
is no alcohol in the house, just the empty cans. What problem does the patient
exhibit?
Answers
A patient with bulimia nervosa has become dehydrated from self-induced
vomiting. This is most likely to result in:
A. Hyperchloremia.
B. Hypokalemia.
C. Tachycardia.
D. Parotid gland atrophy. - CORRECT ANSWER B. Hypokalemia
Your patient asks, "Will Antabuse really help me with my drinking problem?"
What is your most appropriate response?
A. "Yes, if you are motivated."
B. "Yes, if you use it correctly."
C. "That is totally up to you."
D. "Antabuse works well for some." - CORRECT ANSWER B. "Yes, if you use it
correctly."
Jessie had a blood alcohol level (BAL) of 0.11% upon arrival at the emergency
department (ED). She is now your patient in the hospital psychiatric unit, day 4.
She tells you, "I wasn't drunk. I just had a few beers." What is an appropriate
response?
A. "Jessie, of course you were drunk. You always are."
B. "Jessie, your BAL was 0.11%. That clearly indicates that you had alcohol
intoxication."
C. "You are in denial, and that will impede your recovery from alcoholism."
D. "Until you recognize your problem, you will never win over this addiction." -
CORRECT ANSWER B. "Jessie, your BAL was 0.11%. That clearly indicates that you
had alcohol intoxication."
Jessie is attending AA meetings three times a week for the past 6 weeks. She has
been sober during this time and visits bi-weekly the community mental health
,outpatient clinic. Jessie's nurse counselor wants to talk with her about the AA
meetings. Which initial question or statement is most appropriate?
A. "I am so excited that you are attending the AA sessions!"
B. "Do you enjoy attending the AA meetings?"
C. "Are the members of the group friendly and accepting?"
D. "Tell me about the last AA meeting you attended." - CORRECT ANSWER D. "Tell
me about the last AA meeting you attended."
Jessie has missed three sessions at the mental health center and sporadically
attends AA meetings. She is drinking heavily this weekend and has sustained a 2-
inch gash in her forehead after swerving off the road into a shallow ditch. She is
taken by rescue to the ED. You are her nurse. She tells you, "I hope I just go to
sleep and never wake up." What is your best intervention?
A. Tell Jessie, "You are just tired and have had too much alcohol in your system."
B. Clear the area of any items that Jessie may use to inflict self-harm.
C. Immediately activate the mental health protocol to have Jessie admitted to a
psychiatric unit.
D. Stay with Jessie, call the supervisor, and arrange for continuous monitoring. -
CORRECT ANSWER D. Stay with Jessie, call the supervisor, and arrange for
continuous monitoring.
Which of the following is least likely to contribute to building an effective
therapeutic alliance between the nurse and a patient with anorexia?
A. Establishing disciplined eating through the nurse's authoritarian approach with
the patient
B. Avoiding the stance of a parental role to foster a sense of empowerment
C. Offering a highly structured approach in treating patients who are severely
underweight
D. Contracting with the outpatient person about treatment terms - CORRECT
ANSWER
Jon, an emergency department (ED) nurse, has just worked an 8-hour shift in the
ED. After a five-car wreck during his midshift, five patients have been transported
to the hospital with multiple injuries and one fatality. Jon looks exhausted, and his
,hands are tremulous. He insists that he is scheduled to work another 6 hours. As
the nurse manager, what is your best action?
A. Tell him that he needs to end his shift right away.
B. Tell him he needs to nap for 30 minutes and then return to work.
C. Tell him to go to the cafeteria, relax, and drink strong coffee.
D. Tell him to eat a high carbohydrate snack, take a 30-minute break, and then
return to work. - CORRECT ANSWER A. Tell him that he needs to end his shift right
away.
Andrew, a hospice nurse for 5 years and a member of your nursing team, is
demonstrating a blunted affect and is not completing patient care documentation
in the required time frame. As a peer, what is your best action?
A. Avoid mentioning these observations because you are only a peer.
B. Ask Andrew what he feels is causing him to fall behind in his work.
C. Immediately report your concerns to the nurse manager in charge of your
team.
D. Take Andrew to lunch and keep the conversation light and humorous. -
CORRECT ANSWER B. Ask Andrew what he feels is causing him to fall behind in his
work.
A 65-year-old woman reports periods of palpitations, sweating, and slight
shortness of breath. She feels like she's going to die. You speak with her daughter
who reports that her father recently passed away and her mother lives alone.
How would you respond?
A. Tell the daughter that her mother is likely experiencing panic attacks and will
develop depressive disorder.
B. Tell the daughter that her mother is likely experiencing depressive disorder.
C. Tell the daughter that her mother is likely experiencing panic attacks.
D. Tell the daughter that her mother is likely experiencing panic attacks and that
she should tell her primary practitioner about it so she can be treated soon. -
CORRECT ANSWER D. Tell the daughter that her mother is likely experiencing
panic attacks and that she should tell her primary practitioner about it so she can
be treated soon.
, A 36-year-old nurse who has worked in an inner city emergency department for
10 years feels burnt out. He seems to be taking more sick time than normal over
the past 2 years. What might be the underlying cause of his situation?
A. The nurse is bored after 10 years of being in an emergency department and
needs to change to a different specialty.
B. The nurse is experiencing the effects of chronic anxiety.
C. The nurse probably was exposed to a virus or bacteria and has not yet been
diagnosed.
D. The nurse is showing signs of PTSD. - CORRECT ANSWER B. The nurse is
experiencing the effects of chronic anxiety.
Each morning before going to work, a 43-year-old man spends 2 hours cleaning
the outside and inside of his car even if the car is already clean. His wife is
concerned and comes to you for help. What is your best response?
A. Your husband shows signs of complex obsessive-compulsive disorder (OCD).
You should not be overly concerned since he will experience periods of
exacerbation and remission. Consult with your primary care practitioner who
might recommend cognitive behavioral therapy.
B. Your husband shows signs of complex OCD. You should not be overly
concerned because he continues to go to work. Consult with your primary care
practitioner who might recommend cognitive behavioral therapy.
C. Your husband shows signs of simple OCD. You should not be overly concerned
because he continues to go to work. Consult with your primary care practitioner
who might recommend cognitive behavioral therapy.
D. Your husband shows - CORRECT ANSWER C. Your husband shows signs of
simple OCD. You should not be overly concerned because he continues to go to
work. Consult with your primary care practitioner who might recommend
cognitive behavioral therapy.
The patient's family reports that the patient has become irritable, is not sleeping,
and tells them he cannot relax. This has been going on for 2 days. The family says
he has not left the house in 2 weeks. A family member tells you there are empty
beer cans all over the place. He assures you that he looked everywhere and there
is no alcohol in the house, just the empty cans. What problem does the patient
exhibit?
