NSG 210 Exam 4 Questions With Complete Solutions
2. Which interventions are most appropriate for caring for a
client in alcohol withdrawal? Select all that apply.
1. Monitor vital signs.
2. Provide a safe environment.
3. Address hallucinations therapeutically.
4. Provide stimulation in the environment.
5. Provide reality orientation as appropriate.
6. Maintain NPO (nothing by mouth) status. Correct Answer
1, 2, 3, 5
4. The nurse is planning care for a patient using methadone
therapy for the management of addiction. Which outcome is
most appropriate for the nurse to identify?
1. The patient will adhere to the treatment regimen for self-
administration at home.
2. The patient will develop an aversion to the use of substances
of abuse.
3. The patient will experience decreased severity of withdrawal
symptoms.
4. The patient will be free of symptoms of co-morbid depression
and anxiety. Correct Answer 3. The patient will experience
decreased severity of withdrawal symptoms.
A client has been admitted to a healthcare facility for treatment
for substance addiction. Shortly after entering the facility, the
client received a prescription for phenytoin. Based on this data,
which of the following statements is most likely true?
A) The client is addicted to opioids.
B) The client is experiencing cravings for nicotine.
,C) The client has high levels of anxiety.
D) The client is experiencing withdrawal-related seizure
activity. Correct Answer D) The client is experiencing
withdrawal-related seizure activity.
A client is admitted for the fourth time in 4 years for opioid
detoxification. When planning care for this client, the nurse
should consider which pathophysiologic aspect of substance
abuse because of its impact on care?
A) Aging can impact the body's ability to handle detoxification
from alcohol and drugs.
B) The client's withdrawal may be greater this time than during
past detoxifications.
C) The client's dependency might have been greater this time
than during past periods of abuse.
D) Increased difficulty with opioid detoxification is likely the
result of an addiction to another substance at the same time.
Correct Answer B) The client's withdrawal may be greater this
time than during past detoxifications.
A client is admitted to the emergency department after
overdosing on phencyclidine (PCP). Based on this information,
which nursing actions are appropriate? Select all that apply.
A) Obtain materials to assist with lavage.
B) Initiate an IV.
C) Initiate seizure precautions.
D) Induce vomiting.
E) Administer ammonium chloride. Correct Answer B)
Initiate an IV.
C) Initiate seizure precautions.
E) Administer ammonium chloride.
,A client is admitted to the emergency department with signs of
drug use. The client reports ingesting Percocet and is currently
experiencing respiratory depression. Based on this information,
which prescription should the nurse anticipate for this client?
A) Diazepam
B) Haldol
C) Vitamin B12
D) Naloxone Correct Answer D) Naloxone
A client is recovering from abdominal surgery and has a large
abdominal wound. The nurse would encourage the client to eat
which food item that is naturally high in vitamin C to promote
wound healing?
1. Milk
2. Oranges
3. Bananas
4. Chicken Correct Answer 2. Oranges
A client tells the nurse that the thought of eating makes her
anxious and nervous, so she just avoids eating altogether. Which
of the following actions would be highest priority when
planning care for this client?
A) Providing instruction on the role of nutrition in normal
menstruation
B) Providing instruction on the importance of nutrition for vital
signs and muscle tone
C) Undertaking interventions to address anxiety and feelings of
being in control
, D) Providing instruction on appropriate nutritional intake
Correct Answer C) Undertaking interventions to address
anxiety and feelings of being in control
A client was recently diagnosed with alcoholic liver cirrhosis.
During a regular checkup, the client tells the nurse, "This is
God's punishment for all those parties I went to when I was
younger." The nurse should recognize that this religious view
could have a negative effect on what other nursing concept?
A) Addiction
B) Legal Issues
C) Stress and Coping
D) Digestion Correct Answer C) Stress and Coping
A client who has been admitted with an eating disorder tells the
nurse, "No matter what I do, I continue to be fat." Which of the
following is the priority nursing diagnosis when planning care
for this client?
A) Ineffective Coping
B) Disturbed Body Image
C) Impaired Tissue Integrity
D) Deficient Knowledge Correct Answer B) Disturbed Body
Image
A client who is attending a Narcotics Anonymous (NA) program
asks the nurse what the most important initial goal of attending
the meetings is. How should the nurse respond?
A) "The most important initial goal is to admit that you have a
problem."
B) "The most important initial goal is to learn problem-solving
skills."
2. Which interventions are most appropriate for caring for a
client in alcohol withdrawal? Select all that apply.
1. Monitor vital signs.
2. Provide a safe environment.
3. Address hallucinations therapeutically.
4. Provide stimulation in the environment.
5. Provide reality orientation as appropriate.
6. Maintain NPO (nothing by mouth) status. Correct Answer
1, 2, 3, 5
4. The nurse is planning care for a patient using methadone
therapy for the management of addiction. Which outcome is
most appropriate for the nurse to identify?
1. The patient will adhere to the treatment regimen for self-
administration at home.
2. The patient will develop an aversion to the use of substances
of abuse.
3. The patient will experience decreased severity of withdrawal
symptoms.
4. The patient will be free of symptoms of co-morbid depression
and anxiety. Correct Answer 3. The patient will experience
decreased severity of withdrawal symptoms.
A client has been admitted to a healthcare facility for treatment
for substance addiction. Shortly after entering the facility, the
client received a prescription for phenytoin. Based on this data,
which of the following statements is most likely true?
A) The client is addicted to opioids.
B) The client is experiencing cravings for nicotine.
,C) The client has high levels of anxiety.
D) The client is experiencing withdrawal-related seizure
activity. Correct Answer D) The client is experiencing
withdrawal-related seizure activity.
A client is admitted for the fourth time in 4 years for opioid
detoxification. When planning care for this client, the nurse
should consider which pathophysiologic aspect of substance
abuse because of its impact on care?
A) Aging can impact the body's ability to handle detoxification
from alcohol and drugs.
B) The client's withdrawal may be greater this time than during
past detoxifications.
C) The client's dependency might have been greater this time
than during past periods of abuse.
D) Increased difficulty with opioid detoxification is likely the
result of an addiction to another substance at the same time.
Correct Answer B) The client's withdrawal may be greater this
time than during past detoxifications.
A client is admitted to the emergency department after
overdosing on phencyclidine (PCP). Based on this information,
which nursing actions are appropriate? Select all that apply.
A) Obtain materials to assist with lavage.
B) Initiate an IV.
C) Initiate seizure precautions.
D) Induce vomiting.
E) Administer ammonium chloride. Correct Answer B)
Initiate an IV.
C) Initiate seizure precautions.
E) Administer ammonium chloride.
,A client is admitted to the emergency department with signs of
drug use. The client reports ingesting Percocet and is currently
experiencing respiratory depression. Based on this information,
which prescription should the nurse anticipate for this client?
A) Diazepam
B) Haldol
C) Vitamin B12
D) Naloxone Correct Answer D) Naloxone
A client is recovering from abdominal surgery and has a large
abdominal wound. The nurse would encourage the client to eat
which food item that is naturally high in vitamin C to promote
wound healing?
1. Milk
2. Oranges
3. Bananas
4. Chicken Correct Answer 2. Oranges
A client tells the nurse that the thought of eating makes her
anxious and nervous, so she just avoids eating altogether. Which
of the following actions would be highest priority when
planning care for this client?
A) Providing instruction on the role of nutrition in normal
menstruation
B) Providing instruction on the importance of nutrition for vital
signs and muscle tone
C) Undertaking interventions to address anxiety and feelings of
being in control
, D) Providing instruction on appropriate nutritional intake
Correct Answer C) Undertaking interventions to address
anxiety and feelings of being in control
A client was recently diagnosed with alcoholic liver cirrhosis.
During a regular checkup, the client tells the nurse, "This is
God's punishment for all those parties I went to when I was
younger." The nurse should recognize that this religious view
could have a negative effect on what other nursing concept?
A) Addiction
B) Legal Issues
C) Stress and Coping
D) Digestion Correct Answer C) Stress and Coping
A client who has been admitted with an eating disorder tells the
nurse, "No matter what I do, I continue to be fat." Which of the
following is the priority nursing diagnosis when planning care
for this client?
A) Ineffective Coping
B) Disturbed Body Image
C) Impaired Tissue Integrity
D) Deficient Knowledge Correct Answer B) Disturbed Body
Image
A client who is attending a Narcotics Anonymous (NA) program
asks the nurse what the most important initial goal of attending
the meetings is. How should the nurse respond?
A) "The most important initial goal is to admit that you have a
problem."
B) "The most important initial goal is to learn problem-solving
skills."
