PN MENTAL HEALTH ONLINE PRACTICE 2020 A
WITH NGN EXAM QUESTIONS AND ANSWERS
100% CORRECT!!
,A nurse is collecting data from a client who has bulimia nervosa. Which of the following
findings should the nurse expect?
A. Amenorrhea
B. Dental caries
C. Lanugo
D. Yellow skin - ANSWER B. Dental caries
Rationale:
The nurse should expect manifestations of bulimia nervosa to include dental caries,
which can lead to tooth erosion. Dental caries are caused by the increased acid in the
stomach that is found in the vomitus of clients 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 for 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." - ANSWER 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 dependence when taken as prescribed. B. The nurse should instruct the client
to not take buspirone on a PRN basis 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 in two
divided doses in the morning and evening. It is not necessary for clients to take
buspirone before bedtime.
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 leading zero if it applies. Do not use a
trailing zero.) - ANSWER 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 Chlorpromazine. 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." - ANSWER A. "The
voices you have been hearing should decrease."
Rationale:
, The nurse should instruct the client that hallucinations and agitated behavior, which are
positive symptoms 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 medication. Lack of energy is a negative symptom of schizophrenia
and is not targeted by conventional antipsychotic 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 cause changes in
skin pigmentation. The nurse should instruct the client to minimize time in the sun and
to use sunscreen and protective clothing when outside. D. The nurse should reinforce
teaching about what the client should do if they develop a dry mouth, such as rinsing
their mouth frequently or chewing sugarless gum. Dry mouth is an anticholinergic effect,
but it does not indicate a severe adverse effect and, therefore, 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 should 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." - ANSWER 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 effects 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 effect of this medication. B. A client can experience flushing with the
concurrent use of alcohol and disulfiram. However, flushing is not an adverse effect of
naltrexone. C. Benzodiazepine medications, such as chlordiazepoxide, are prescribed
to decrease manifestations of alcohol withdrawal, such as hand tremors.
WITH NGN EXAM QUESTIONS AND ANSWERS
100% CORRECT!!
,A nurse is collecting data from a client who has bulimia nervosa. Which of the following
findings should the nurse expect?
A. Amenorrhea
B. Dental caries
C. Lanugo
D. Yellow skin - ANSWER B. Dental caries
Rationale:
The nurse should expect manifestations of bulimia nervosa to include dental caries,
which can lead to tooth erosion. Dental caries are caused by the increased acid in the
stomach that is found in the vomitus of clients 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 for 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." - ANSWER 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 dependence when taken as prescribed. B. The nurse should instruct the client
to not take buspirone on a PRN basis 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 in two
divided doses in the morning and evening. It is not necessary for clients to take
buspirone before bedtime.
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 leading zero if it applies. Do not use a
trailing zero.) - ANSWER 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 Chlorpromazine. 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." - ANSWER A. "The
voices you have been hearing should decrease."
Rationale:
, The nurse should instruct the client that hallucinations and agitated behavior, which are
positive symptoms 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 medication. Lack of energy is a negative symptom of schizophrenia
and is not targeted by conventional antipsychotic 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 cause changes in
skin pigmentation. The nurse should instruct the client to minimize time in the sun and
to use sunscreen and protective clothing when outside. D. The nurse should reinforce
teaching about what the client should do if they develop a dry mouth, such as rinsing
their mouth frequently or chewing sugarless gum. Dry mouth is an anticholinergic effect,
but it does not indicate a severe adverse effect and, therefore, 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 should 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." - ANSWER 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 effects 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 effect of this medication. B. A client can experience flushing with the
concurrent use of alcohol and disulfiram. However, flushing is not an adverse effect of
naltrexone. C. Benzodiazepine medications, such as chlordiazepoxide, are prescribed
to decrease manifestations of alcohol withdrawal, such as hand tremors.
