NUR 126 Mid term NCLEX-Style Questions with Rationales 2025
Clients maintain the right to informed consent even when involun-
Informed consent
tarily committed.
A medical emergency characterized by high fever, muscle rigidity,
Neuroleptic malignant syndrome
and confusion.
Discussing patient information in public violates HIPAA and con-
HIPAA
fidentiality.
Therapeutic communication Open-ended questions promote patient expression and trust.
Grounding techniques Grounding helps bring the patient back to present awareness
during flashbacks.
GAD often includes chronic worry, fatigue, restlessness, and mus-
Generalized Anxiety Disorder (GAD)
cle tension.
Hypokalemia (low potassium) is common and life-threatening in
Hypokalemia
bulimia due to purging.
Assess vital signs and cardiac rhythm due to the risk of bradycar-
Priority nursing action for anorexia nervosa
dia and cardiac instability.
Initially allowing limited rituals helps reduce anxiety while gradually
OCD behavior management
working toward change.
If the client is at risk of harm, a voluntary admission can be
Involuntary commitment process
converted to involuntary status.
Disulfiram effects can last up to 2 weeks after stopping; alcohol
Disulfiram effects duration
must be avoided during and 14 days after use.
Clients do not lose all decision-making rights when involuntarily
Client rights after involuntary commitment
committed.
High fever, muscle rigidity, and confusion are signs of neuroleptic
Signs of neuroleptic malignant syndrome
malignant syndrome.
Confidentiality violation Discussing a patient's condition in public violates confidentiality.
'Tell me more about how you've been feeling' demonstrates ther-
Effective therapeutic communication example
apeutic communication.
Teach grounding techniques during flashbacks for clients with
PTSD intervention priority
PTSD.
GAD symptom expectation Muscle tension is a symptom expected in a client with GAD.
A serum potassium level of 2.8 mEq/L is most concerning in a
Bulimia nervosa lab finding concern
client with bulimia nervosa.
The priority nursing action is to assess vital signs and cardiac
Anorexia nervosa meal refusal action
rhythm.
OCD checking behavior response Allow limited time for the ritual, then redirect the client.
Begin involuntary commitment process if a client shows suicidal
Suicidal ideation discharge protocol
ideation.
The statement 'I can drink wine 2 days after stopping this drug'
Disulfiram teaching need
indicates a need for further teaching.
ECT confusion intervention Reorient and reassure the client.
Carbamazepine symptoms priority action Notify provider and request CBC.
Red flag for suicide risk Giving away possessions.
Serotonin syndrome symptom Muscle clonus and hyperreflexia.
Judgmental questioning example Asking a client, 'Why did you overdose?'
Priority action for manic client Offer quiet and low-stimulation environment.
PTSD risk factor Prior trauma history.
True statement about ECT ECT is effective for treatment-resistant depression.
Non-therapeutic communication technique Giving advice.
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Clients maintain the right to informed consent even when involun-
Informed consent
tarily committed.
A medical emergency characterized by high fever, muscle rigidity,
Neuroleptic malignant syndrome
and confusion.
Discussing patient information in public violates HIPAA and con-
HIPAA
fidentiality.
Therapeutic communication Open-ended questions promote patient expression and trust.
Grounding techniques Grounding helps bring the patient back to present awareness
during flashbacks.
GAD often includes chronic worry, fatigue, restlessness, and mus-
Generalized Anxiety Disorder (GAD)
cle tension.
Hypokalemia (low potassium) is common and life-threatening in
Hypokalemia
bulimia due to purging.
Assess vital signs and cardiac rhythm due to the risk of bradycar-
Priority nursing action for anorexia nervosa
dia and cardiac instability.
Initially allowing limited rituals helps reduce anxiety while gradually
OCD behavior management
working toward change.
If the client is at risk of harm, a voluntary admission can be
Involuntary commitment process
converted to involuntary status.
Disulfiram effects can last up to 2 weeks after stopping; alcohol
Disulfiram effects duration
must be avoided during and 14 days after use.
Clients do not lose all decision-making rights when involuntarily
Client rights after involuntary commitment
committed.
High fever, muscle rigidity, and confusion are signs of neuroleptic
Signs of neuroleptic malignant syndrome
malignant syndrome.
Confidentiality violation Discussing a patient's condition in public violates confidentiality.
'Tell me more about how you've been feeling' demonstrates ther-
Effective therapeutic communication example
apeutic communication.
Teach grounding techniques during flashbacks for clients with
PTSD intervention priority
PTSD.
GAD symptom expectation Muscle tension is a symptom expected in a client with GAD.
A serum potassium level of 2.8 mEq/L is most concerning in a
Bulimia nervosa lab finding concern
client with bulimia nervosa.
The priority nursing action is to assess vital signs and cardiac
Anorexia nervosa meal refusal action
rhythm.
OCD checking behavior response Allow limited time for the ritual, then redirect the client.
Begin involuntary commitment process if a client shows suicidal
Suicidal ideation discharge protocol
ideation.
The statement 'I can drink wine 2 days after stopping this drug'
Disulfiram teaching need
indicates a need for further teaching.
ECT confusion intervention Reorient and reassure the client.
Carbamazepine symptoms priority action Notify provider and request CBC.
Red flag for suicide risk Giving away possessions.
Serotonin syndrome symptom Muscle clonus and hyperreflexia.
Judgmental questioning example Asking a client, 'Why did you overdose?'
Priority action for manic client Offer quiet and low-stimulation environment.
PTSD risk factor Prior trauma history.
True statement about ECT ECT is effective for treatment-resistant depression.
Non-therapeutic communication technique Giving advice.
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