NUR2520
NUR2520 PRACTICE QUESTIONS AND
ANSWERS TEST 2025
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.
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."
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."
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?
NUR2520
,NUR2520
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."
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.
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
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.
NUR2520
,NUR2520
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.
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.
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.
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.
NUR2520
, NUR2520
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 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 give prescription medication.
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?
A. Alcohol abuse
B. Agoraphobia
C. Substance abuse anxiety disorder
D. Panic attack
C. Substance abuse anxiety disorder
A 58-year-old client on a mental health unit has lost control, despite having been properly
medicated, and is threatening to harm himself and others. He has been placed in four-
point restraints. Which nursing measure should be taken next?
NUR2520
NUR2520 PRACTICE QUESTIONS AND
ANSWERS TEST 2025
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.
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."
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."
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?
NUR2520
,NUR2520
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."
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.
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
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.
NUR2520
,NUR2520
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.
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.
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.
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.
NUR2520
, NUR2520
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 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 give prescription medication.
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?
A. Alcohol abuse
B. Agoraphobia
C. Substance abuse anxiety disorder
D. Panic attack
C. Substance abuse anxiety disorder
A 58-year-old client on a mental health unit has lost control, despite having been properly
medicated, and is threatening to harm himself and others. He has been placed in four-
point restraints. Which nursing measure should be taken next?
NUR2520
