NSG 2400 Exam 1 EAQ Questions with
Correct Answers Graded A+ 2026
The nurse notices that one of her clients, who has depression, is sitting by the
window crying. What is the most appropriate response by the nurse?
1
"It's okay. No need to cry or worry while you're here. We all feel down now
and then."
2
"Please don't consider suicide. It really isn't an appropriate way out of your
troubles."
3
"You seem to be experiencing a sad moment. I'll sit here with you for a while
and talk if you would like."
4
"Why don't you go into the dayroom and join the card game going on? That'll
take your mind off of your problems for a while."
3
"You seem to be experiencing a sad moment. I'll sit here with you for a while
and talk if you would like."
The nurse is acknowledging that the client is feeling especially down and
offering to be available for discussion or just to provide a presence. Telling
the client not to cry and suggesting a card game do not acknowledge the
client's feelings and appear to trivialize the situation. The response regarding
suicide is judgmental and may discourage any effort by the client to initiate a
discussion.
A 20-year-old carpenter falls from a roof and sustains fractures of the right
femur and left tibia. The client reveals a history of substance abuse. What is
the primary consideration for the nurse who is caring for this client?
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1
Confronting the client about substance abuse
2
Avoiding calling attention to the client's drug abuse
3
Determining the amount and time of last use of the substance
4
Realizing that this client will need more pain medication than a nonabuser
3
Determining the amount and time of last use of the substance
Determining the amount and last use of the substance is the priority. Nurses
should base their treatment of withdrawal symptoms on the time and amount
of last use. Confronting the client is not the nurse's responsibility at this time.
The client must be helped to recognize that a problem with drugs exists, but
this is not the priority. Because of cross-tolerance the client may need larger
doses of analgesia for pain relief than a nonabuser would, but this is not the
priority.
A nurse is planning care for a client admitted to the unit with a diagnosis of
bipolar disorder, manic phase. In which type of room should the nurse tell the
admissions clerk to place this client?
1
Private
2
Isolation
3
Semi-private
4
Negative-airflow
1
Private
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The client who is manic needs a nonstimulating environment. A person who
is bipolar is not contagious and does not require an isolation room. The
presence of another person in the room is considered stimulating and may
interfere with the rest and sleep of both clients. A client who is bipolar does
not need a negative-airflow room. This type of room is appropriate for a
client with a communicable disease, such as tuberculosis, that requires
airborne precautions.
A nurse is assigned to care for an adolescent who has been admitted to the
psychiatric hospital with a diagnosis of anorexia nervosa. What should the
nurse's initial intervention be?
1
Scheduling an endocrinology consult because of amenorrhea
2
Confronting those behaviors that reflect an inflated self-importance
3
Arranging for psychotherapy sessions to help develop a desire to
accommodate others
4
Developing a contract to achieve a weekly weight gain, with consequences
for nonachievement
4
Developing a contract to achieve a weekly weight gain, with consequences
for nonachievement
Treatment usually includes a contract for weight gain, signed by the client,
whereby privileges are revoked if the weight is not gained; the diet and the
amount of food eaten are not the focus of care. Menstruation usually ceases
because of severe malnutrition, not because of endocrine pathology. These
clients have a low self-esteem and usually do not feel important.
A client in a detoxification unit has an alcohol withdrawal seizure. Diazepam
7.5 mg intramuscularly stat is prescribed. Diazepam is available as 5 mg/mL.
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How many milliliters will the nurse administer? Record your answer using
one decimal place. ___ mL
1.5
A client with a diagnosis of schizophrenia, undifferentiated type, is being
admitted to the psychiatric unit. What clinical manifestations does the nurse
expect when assessing this client? Select all that apply.
1
Excited behaviors
2
Loose associations
3
Inappropriate affect
4
Feelings of depression
5
Hypervigilant behavior
1
Excited behaviors
2
Loose associations
3
Inappropriate affect
Excited behaviors, such as aggressive hitting or biting, often are associated
with an acute onset of undifferentiated schizophrenia. Loose association is a
characteristic related to thought disorders such as schizophrenia,
undifferentiated type. The affect usually is inappropriate, rather than flat, in
undifferentiated schizophrenia. Depression is not characteristic of
undifferentiated schizophrenia. Hypervigilant behaviors generally are
associated with paranoid schizophrenia, not undifferentiated schizophrenia.
A client who is in a manic phase of bipolar disorder threatens staff and clients
on a psychiatric acute care unit. Place these interventions in priority order,
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