EXAM LATEST UPDATE
A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder.
Which of the following findings should the nurse suspect?
A) Acrocyanosis
B) Arrhythmias
C) Ascites
D) Weight gain - Answer - C) Ascites
A nurse is collecting data from a client who has binge-eating disorder. Which of the
following findings should the nurse expect?
A) Amenorrhea
B) Abdominal pain
C) Restricted caloric intake
D) Frequent use of laxatives - Answer - B) Abdominal pain
A nurse is assisting with the collection of admission data for a client who has anorexia
nervosa. The client has lost 11.4 kg (25lb.) over the past month and currently weighs
38.6 kg (85 lb.). The nurse should expect which of the following findings?
A) Flushed extremities
B) Hyperkalemia
C) Loose stools
D) Amenorrhea - Answer - D) Amenorrhea
A nurse is caring for a client who has alcohol use disorder. Following withdrawal, which
of the following medications should the nurse expect to administer to the client during
maintenance?
A) Methadone
B) Disulfiram
C) Chlordiazepoxide
D) Naloxone - Answer - B) Disulfiram
A nurse is collecting data from a client who has post-traumatic stress (PTSD) due to a
sexual assault that occurred 3 months ago. Which of the following findings should the
nurse expect?
A) Increased hours of sleep each day
B) Repeatedly talking about the assault
C) Dreams about the assault
D) Decreased responsiveness to stimuli - Answer - C) Dreams about the assault
, A nurse in an acute mental health facility is participating in a nursing staff discussion
about the legal aspects of involuntary admissions. Which of the following information
should the nurse include?
A) A client who is involuntarily admitted must take prescribed medications
B) An involuntary admission of a client is limited to 2 weeks
C) A client who is involuntarily admitted can leave the facility against medical advice
D) An involuntary admission is justified if the client is a danger to others - Answer - D)
An involuntary admission is justified if the client is a danger to others
A nurse in a mental heath unit is contributing to the plan of care for a client who is
receiving treatment for self-inflicted injuries. The nurse should identify which of the
following interventions as the priority for this client.
A) Promoting and maintaining the client safety
B) Discussing reasons for the client's behavior
C) Assisting the client to recognize feelings
D) Reinforcing teaching with the client about alternative coping strategies - Answer - A)
Promoting and maintaining the client safety
A nurse in an acute mental health facility is assisting with the plan of care for a client
who has obsessive-compulsive disorder (OCD). Which of the following actions should
the nurse recommend?
A) Encourage the client to focus on personal hygiene
B) Limit the hours the client sleeps each day
C) Instruct the client to practice thought stopping
D) Make negative statements about the client's behavior - Answer - C) Instruct the client
to practice thought stopping
A nurse is reinforcing teaching with a client who has bipolar disorder and a new
prescription for valproic acid. The nurse should explain that the provider will routinely
prescribe which of the following tests while the client is taking valproic acid?
A) Electrocardiogram
B) Chest X-ray
C) Thyroid function tests
D) Liver function levels - Answer - D) Liver function levels
A nurse in the emergency room is collecting data from a client who has heroin
intoxication. Which of the following findings should the nurse expect?
A) Seizure activity
B) Respiratory depression
C) Hypersensitivity to pain
D) Increased mental alertness - Answer - B) Respiratory depression