NSG 2400 SINCLAIR COMMUNITY
COLLEGE EXAM 2 FINAL PAPER 2026
FULL QUESTIONS AND CORRECT ANSWERS
EXPERT REVIEW GRADED A+
⩥ A nurse is planning care for a client with substance-induced persisting
dementia resulting from long-term alcohol use. Which nutritional
problem, in addition to the effect of alcohol on brain tissue, has
contributed to substance-induced persisting dementia?
1
Increase in serotonin
2
Deficiency of thiamine
3
Reduction in iron intake
4
Malabsorption of riboflavin.
Answer: 2
Deficiency of thiamine
Substance-induced persistent dementia is caused by a prolonged
deficiency of vitamin B1 (thiamine) and the direct toxic effect of alcohol
on brain tissue. Increase in serotonin, reduction in iron intake, and
,malabsorption of riboflavin are problems that are unrelated to substance-
induced persisting dementia caused by alcoholism.
⩥ When talking with one of the day nurses, a client with the diagnosis of
anorexia nervosa states that the day nurses give better care and are nicer
than the night nurses. The client also asks a question that the day nurse
knows was already answered by one of the night nurses. What
conclusion should the nurse make about the client?
1
The client needs assistance in exploring and verbalizing feelings about
the night nurses.
2
The client is trying to develop a bond of trust with a staff member that
should be supported.
3
The client is trying to divide the staff, and the behavior should be
reported to the other staff members.
4
The client has negative feelings about the night nurses, and the nurses
should be informed of these feelings..
Answer: 3
The client is trying to divide the staff, and the behavior should be
reported to the other staff members.
,Clients with anorexia nervosa may use manipulation to divide the
nursing staff; sharing this knowledge will be of benefit to the other
health team members. The conclusion that the client needs assistance in
exploring and verbalizing feelings about the night nurses is
counterproductive, because it supports the client's manipulative
behavior. The client is trying to manipulate the staff; this is not how trust
is established. The conclusion that the client has negative feelings about
the night nurses and the nurses should be informed of these feelings is
counterproductive, because it supports the client's manipulative
behavior.
⩥ The serum lithium blood level of a client with a mood disorder, manic
episode, is 2.3 mEq/L (2.3 mmol/L). What does the nurse expect when
assessing this client?
1
Elevation in mood
2
Nausea, thirst, and fine hand tremor
3
Decrease in manic signs and symptoms
4
Vomiting, diarrhea, and decreased coordination.
Answer: 4
Vomiting, diarrhea, and decreased coordination
, Vomiting, diarrhea, and decreased coordination are reflective of lithium
toxicity. During the active phase of a manic episode, a lithium level of
2.3 mEq/L (2.3 mmol/L) is more than the therapeutic range of 0.8 to 1.4
mEq/L (0.8 to 1.4 mmol/L). An improvement in mood may occur when
the therapeutic level is approached early in lithium therapy. Nausea,
thirst, and fine hand tremor are common early side effects of lithium
treatment. They are not related to lithium toxicity, which is indicated by
a 2.3 mEq/L (2.3 mmol/L) lithium level. During the acute phase of
mania, the therapeutic serum level of lithium should be between 0.8 and
1.4 mEq/L (0.8 to 1.4 mmol/L). The maintenance therapeutic serum
level ranges from 0.4 to 1.0 mEq/L (0.4 to 1.0 mmol/L). A reduction in
symptoms is expected when the therapeutic level of lithium is reached.
⩥ What should be the nurse's first intervention in the care of a client
with a generalized anxiety disorder?
1
Encouraging the client to verbalize feelings of anxiety
2
Having the client list the behaviors used to reduce anxiety
3
Removing as many stimuli from the client's environment as possible
4
Administering as-needed medications prescribed by the primary
healthcare provider.
Answer: 3
Removing as many stimuli from the client's environment as possible
COLLEGE EXAM 2 FINAL PAPER 2026
FULL QUESTIONS AND CORRECT ANSWERS
EXPERT REVIEW GRADED A+
⩥ A nurse is planning care for a client with substance-induced persisting
dementia resulting from long-term alcohol use. Which nutritional
problem, in addition to the effect of alcohol on brain tissue, has
contributed to substance-induced persisting dementia?
1
Increase in serotonin
2
Deficiency of thiamine
3
Reduction in iron intake
4
Malabsorption of riboflavin.
Answer: 2
Deficiency of thiamine
Substance-induced persistent dementia is caused by a prolonged
deficiency of vitamin B1 (thiamine) and the direct toxic effect of alcohol
on brain tissue. Increase in serotonin, reduction in iron intake, and
,malabsorption of riboflavin are problems that are unrelated to substance-
induced persisting dementia caused by alcoholism.
⩥ When talking with one of the day nurses, a client with the diagnosis of
anorexia nervosa states that the day nurses give better care and are nicer
than the night nurses. The client also asks a question that the day nurse
knows was already answered by one of the night nurses. What
conclusion should the nurse make about the client?
1
The client needs assistance in exploring and verbalizing feelings about
the night nurses.
2
The client is trying to develop a bond of trust with a staff member that
should be supported.
3
The client is trying to divide the staff, and the behavior should be
reported to the other staff members.
4
The client has negative feelings about the night nurses, and the nurses
should be informed of these feelings..
Answer: 3
The client is trying to divide the staff, and the behavior should be
reported to the other staff members.
,Clients with anorexia nervosa may use manipulation to divide the
nursing staff; sharing this knowledge will be of benefit to the other
health team members. The conclusion that the client needs assistance in
exploring and verbalizing feelings about the night nurses is
counterproductive, because it supports the client's manipulative
behavior. The client is trying to manipulate the staff; this is not how trust
is established. The conclusion that the client has negative feelings about
the night nurses and the nurses should be informed of these feelings is
counterproductive, because it supports the client's manipulative
behavior.
⩥ The serum lithium blood level of a client with a mood disorder, manic
episode, is 2.3 mEq/L (2.3 mmol/L). What does the nurse expect when
assessing this client?
1
Elevation in mood
2
Nausea, thirst, and fine hand tremor
3
Decrease in manic signs and symptoms
4
Vomiting, diarrhea, and decreased coordination.
Answer: 4
Vomiting, diarrhea, and decreased coordination
, Vomiting, diarrhea, and decreased coordination are reflective of lithium
toxicity. During the active phase of a manic episode, a lithium level of
2.3 mEq/L (2.3 mmol/L) is more than the therapeutic range of 0.8 to 1.4
mEq/L (0.8 to 1.4 mmol/L). An improvement in mood may occur when
the therapeutic level is approached early in lithium therapy. Nausea,
thirst, and fine hand tremor are common early side effects of lithium
treatment. They are not related to lithium toxicity, which is indicated by
a 2.3 mEq/L (2.3 mmol/L) lithium level. During the acute phase of
mania, the therapeutic serum level of lithium should be between 0.8 and
1.4 mEq/L (0.8 to 1.4 mmol/L). The maintenance therapeutic serum
level ranges from 0.4 to 1.0 mEq/L (0.4 to 1.0 mmol/L). A reduction in
symptoms is expected when the therapeutic level of lithium is reached.
⩥ What should be the nurse's first intervention in the care of a client
with a generalized anxiety disorder?
1
Encouraging the client to verbalize feelings of anxiety
2
Having the client list the behaviors used to reduce anxiety
3
Removing as many stimuli from the client's environment as possible
4
Administering as-needed medications prescribed by the primary
healthcare provider.
Answer: 3
Removing as many stimuli from the client's environment as possible
