EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!
,A nurse is caring for a client who has a history of substance use disorder and was
involuntarily admitted to a mental health facility. When the nurse attempts to administer
oral lorazepam, the client refuses to take the medication and becomes physically
aggressive. Which of the following actions should the nurse take?
A. Do not administer the lorazepam
B. Request a prescription for IV lorazepam
C. Request that another nurse attempt to administer the lorazepam
D. Place the lorazepam in the client's food -ANSWER A. Do not administer the
lorazepam.
Clients who are in a facility due to an involuntarily admission retain the right to refuse
treatment. Therefore, the nurse should hold the medication and document the client's
refusal.
A nurse is planning care for a client who has depression and has made frequent suicide
attempts. Which of the following statements indicates the client has a decreased risk for
suicide?
A. "I'm relived now that my financial affairs are in order."
B. "It is easier to talk about my feelings now."
C. "Suddenly I have enough energy to do anything I want."
D. "Thank you for always taking such good care of me." -ANSWER B. "It is easier to
talk about my feelings now."
When clients express their feelings, this indicates a positive treatment outcome.
A nurse is caring for a client whose child has a terminal illness. The client requests
information about how to deal with the upcoming loss. Which of the following statements
should the nurse make?
A. "It will be better for you to keep busy to avoid thinking about your child's death."
B. "You will complete the grieving process about a year after your child's death."
C. "The grief process will start once your child actually dies."
D. "It is not uncommon to feel angry toward yourself or others." -ANSWER D. "It is not
uncommon to feel angry toward yourself or others."
Feelings of blame and anger towards oneself or others are an expected reaction when a
client is experiencing a loss.
, A nurse is reviewing routine laboratory values for several clients who are taking lithium
carbonate. Which of the following clients should the nurse assess further for findings
indicating lithium toxicity?
A. A client who has a fasting blood glucose level of 80 mg/dL.
B. A client who has a sodium level of 128 mEq/L.
C. A client who has a BUN of 18 mg/dL.
D. A client who has a potassium level of 3.6 mEq/L. -ANSWER B. A client who has a
sodium level of 128 mEq/L.
A sodium level of 128 mEq/L should alert the nurse that the client is at risk for lithium
toxicity because renal excretion of lithium is decreased in the presence of a low sodium
level.
A nurse is establishing a therapeutic relationship with a client who has antisocial
personality disorder. Which of the following strategies should the nurse use when
communicating with this client?
A. Behave in a friendly manner toward the client.
B. Set realistic limits on the client's behavior.
C. Show respect for the client's need for isolation.
D. Act as a role model for assertiveness. -ANSWER B. Set realistic limits on the client's
behavior.
Clients who have antisocial personality disorder can seem to be in control of their
behavior, but are manipulative and impulsive and can suddenly become aggressive and
assaultive. The nurse should establish clear limits on specific aggressive and
demanding behaviors.
A nurse in a provider's office is collecting a health history from the guardian of a school-
age child who has been taking atomoxetine. Which of the following adverse effects
reported by the guardian is the priority for the nurse to report to the provider?
A. Reduced appetite
B. Fatigue
C. Dark urine
D. Sweating -ANSWER C. Dark urine
The greatest risk for the child is liver damage from atomoxetine, which can progress to
liver failure and death. Therefore, this is the nurse's priority finding.
A nurse is caring for a group of clients. For which of the following situations should the
nurse complete an incident report?