PAPER 2026 FULL SOLUTION GUIDE
GRADED A+
⩥ A nurse is collecting data from a client who received diazepam 10mg
PO 1 hr ago. Which of the following findings should the nurse identify
as an indication that the client is experiencing benzodiazepine toxicity?
Answer: Respiratory rate 10/min
⩥ A nurse is interviewing an adolescent client who reports that they
were sexually assaulted. Which of the following actions should the nurse
take? Answer: Move the client to a private examination room to perform
the interview.
⩥ A nurse is reinforcing teaching with a client who has schizophrenia
and a new prescription for fluphenazine. Which of the following adverse
effects should the nurse include in the teaching? Answer: Akathisia,
hypotension, drowsiness
⩥ A nurse is reinforcing discharge teaching with the family of a client
who has mild dementia. The family plans to care for the client in their
home. Which of the following instructions should the nurse include?
Answer: Use signs to identify different rooms in the home
, ⩥ A nurse is reinforcing teaching with a client who is preparing for a
conditional release following involuntary admission. Which of the
following statements by the client indicates an understanding of the
teaching? Answer: If I don't follow the instructions in my conditional
release, I might be readmitted
⩥ A nurse is assisting with the care of a client immediately following
electroconvulsive therapy (ECT). Which of the following findings
should the nurse document as an unexpected response to the procedure?
Answer: Irregular heart rhythm
⩥ A nurse is planning an in-service about eating disorders for a group of
staff nurses. Which of the following conditions should the nurse include
as a risk factor for anorexia nervosa? Answer: A diagnosis of obsessive-
compulsive disorder
⩥ A nurse is reinforcing discharge teaching with a client who has
alcohol use disorder. Which of the following statements by the client
indicates an understanding of relapse prevention? Answer: I'm learning
which situations I have difficulty handling
⩥ A nurse is reinforcing teaching regarding family therapy with the
parents of a client who has anorexia nervosa. The parents tell the nurse,
'We don't understand why we have to have family therapy. We are not
sick.' Which of the following responses should the nurse provide?
Answer: Family therapy explores how the family dynamic impacts your
son