NUR 253 MENTAL HEALTH EXAM 3 (GALEN) NEWEST
2026 ACTUAL EXAM TEST BANK| NUR 253 MENTAL
HEALTH EXAM 3 REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
A nurse is assessing a client experiencing alcohol withdrawal. The client
is tremulous, diaphoretic, anxious, and reports visual hallucinations.
Which complication should the nurse anticipate?
a) Wernicke encephalopathy
b) Delirium tremens
c) Korsakoff syndrome
d) Hepatic encephalopathy - Correct Answer - b) Delirium tremens
A client with generalized anxiety disorder is prescribed lorazepam PRN.
Which finding indicates the medication is effective?
a) Improved concentration and reduced muscle tension
b) Increased social interaction and appetite
c) Decreased auditory hallucinations
d) Reduced compulsive behaviors - Correct Answer - a) Improved
concentration and reduced muscle tension
A client taking lithium carbonate reports nausea, diarrhea, and hand
tremors. Which action should the nurse take first?
a) Administer the next dose with food
b) Notify the provider immediately
pg. 1
,c) Encourage increased caffeine intake
d) Reassure the client these are harmless effects - Correct Answer - b)
Notify the provider immediately
A client prescribed clozapine develops fever and sore throat. Which
action is most important?
a) Encourage rest and fluids
b) Hold the medication and notify the provider
c) Administer acetaminophen
d) Explain this is an expected side effect - Correct Answer - b) Hold the
medication and notify the provider
A client with anorexia nervosa refuses meals and exercises excessively.
Which assessment finding requires immediate intervention?
a) Distorted body image
b) Bradycardia and electrolyte imbalance
c) Calorie counting behaviors
d) Fear of weight gain - Correct Answer - b) Bradycardia and electrolyte
imbalance
A client diagnosed with PTSD becomes visibly anxious when hearing
loud noises. Which intervention is most appropriate?
a) Encourage exposure to loud noises immediately
b) Explain the fear response is irrational
c) Assist the client with grounding techniques
pg. 2
,d) Discourage discussion of traumatic events - Correct Answer - c)
Assist the client with grounding techniques
A client receiving haloperidol develops neck stiffness, tongue
protrusion, and difficulty swallowing. Which medication should the
nurse anticipate administering?
a) Naloxone
b) Benztropine
c) Flumazenil
d) Lithium carbonate - Correct Answer - b) Benztropine
A client with depression has been withdrawn for several days but
suddenly appears cheerful and gives away belongings. Which action
should the nurse take?
a) Encourage participation in recreation therapy
b) Reduce suicide precautions
c) Assess immediately for suicidal intent
d) Praise the client for improved mood - Correct Answer - c) Assess
immediately for suicidal intent
A nurse is caring for a client with antisocial personality disorder who
repeatedly violates unit rules. Which approach is most effective?
a) Use consistent limits and consequences
b) Avoid confrontation to prevent aggression
c) Negotiate rules individually each shift
d) Frequently excuse inappropriate behavior - Correct Answer - a) Use
consistent limits and consequences
pg. 3
, A client prescribed sertraline reports taking St. John’s wort daily. Which
concern should the nurse address?
a) Increased risk of serotonin syndrome
b) Risk for hypertensive crisis
c) Severe lithium toxicity
d) Reduced risk of depression relapse - Correct Answer - a) Increased
risk of serotonin syndrome
A client admitted after opioid overdose receives naloxone. Which
assessment finding indicates the medication was effective?
a) Increased sedation
b) Respiratory rate returns to normal
c) Pupils become more constricted
d) Decreased blood pressure - Correct Answer - b) Respiratory rate
returns to normal
A nurse is teaching a client prescribed phenelzine about dietary
restrictions. Which food should the client avoid?
a) Fresh apples
b) Grilled chicken
c) Aged cheese
d) White rice - Correct Answer - c) Aged cheese
A client taking risperidone develops fever, muscle rigidity, altered
consciousness, and autonomic instability. Which complication should
the nurse suspect?
pg. 4
2026 ACTUAL EXAM TEST BANK| NUR 253 MENTAL
HEALTH EXAM 3 REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
A nurse is assessing a client experiencing alcohol withdrawal. The client
is tremulous, diaphoretic, anxious, and reports visual hallucinations.
Which complication should the nurse anticipate?
a) Wernicke encephalopathy
b) Delirium tremens
c) Korsakoff syndrome
d) Hepatic encephalopathy - Correct Answer - b) Delirium tremens
A client with generalized anxiety disorder is prescribed lorazepam PRN.
Which finding indicates the medication is effective?
a) Improved concentration and reduced muscle tension
b) Increased social interaction and appetite
c) Decreased auditory hallucinations
d) Reduced compulsive behaviors - Correct Answer - a) Improved
concentration and reduced muscle tension
A client taking lithium carbonate reports nausea, diarrhea, and hand
tremors. Which action should the nurse take first?
a) Administer the next dose with food
b) Notify the provider immediately
pg. 1
,c) Encourage increased caffeine intake
d) Reassure the client these are harmless effects - Correct Answer - b)
Notify the provider immediately
A client prescribed clozapine develops fever and sore throat. Which
action is most important?
a) Encourage rest and fluids
b) Hold the medication and notify the provider
c) Administer acetaminophen
d) Explain this is an expected side effect - Correct Answer - b) Hold the
medication and notify the provider
A client with anorexia nervosa refuses meals and exercises excessively.
Which assessment finding requires immediate intervention?
a) Distorted body image
b) Bradycardia and electrolyte imbalance
c) Calorie counting behaviors
d) Fear of weight gain - Correct Answer - b) Bradycardia and electrolyte
imbalance
A client diagnosed with PTSD becomes visibly anxious when hearing
loud noises. Which intervention is most appropriate?
a) Encourage exposure to loud noises immediately
b) Explain the fear response is irrational
c) Assist the client with grounding techniques
pg. 2
,d) Discourage discussion of traumatic events - Correct Answer - c)
Assist the client with grounding techniques
A client receiving haloperidol develops neck stiffness, tongue
protrusion, and difficulty swallowing. Which medication should the
nurse anticipate administering?
a) Naloxone
b) Benztropine
c) Flumazenil
d) Lithium carbonate - Correct Answer - b) Benztropine
A client with depression has been withdrawn for several days but
suddenly appears cheerful and gives away belongings. Which action
should the nurse take?
a) Encourage participation in recreation therapy
b) Reduce suicide precautions
c) Assess immediately for suicidal intent
d) Praise the client for improved mood - Correct Answer - c) Assess
immediately for suicidal intent
A nurse is caring for a client with antisocial personality disorder who
repeatedly violates unit rules. Which approach is most effective?
a) Use consistent limits and consequences
b) Avoid confrontation to prevent aggression
c) Negotiate rules individually each shift
d) Frequently excuse inappropriate behavior - Correct Answer - a) Use
consistent limits and consequences
pg. 3
, A client prescribed sertraline reports taking St. John’s wort daily. Which
concern should the nurse address?
a) Increased risk of serotonin syndrome
b) Risk for hypertensive crisis
c) Severe lithium toxicity
d) Reduced risk of depression relapse - Correct Answer - a) Increased
risk of serotonin syndrome
A client admitted after opioid overdose receives naloxone. Which
assessment finding indicates the medication was effective?
a) Increased sedation
b) Respiratory rate returns to normal
c) Pupils become more constricted
d) Decreased blood pressure - Correct Answer - b) Respiratory rate
returns to normal
A nurse is teaching a client prescribed phenelzine about dietary
restrictions. Which food should the client avoid?
a) Fresh apples
b) Grilled chicken
c) Aged cheese
d) White rice - Correct Answer - c) Aged cheese
A client taking risperidone develops fever, muscle rigidity, altered
consciousness, and autonomic instability. Which complication should
the nurse suspect?
pg. 4
