HEALTH ACTUAL EXAM
2024/2025 / NEWEST
COMPREHENSIVE STUDY
GUIDE – EXPERT
STRATEGIES, REVIEW OF
KEY QUIZZES, AND
PRACTICE QUESTIONS FOR
GUARANTEED SUCCESS
[Document subtitle]
1. A nurse in an acute care facility is assisting with the admission of
an older adult client who has late stage Alzheimer's disease. The
, nurse notes that the client's partner appears exhausted. He states
that he is finding it more and more difficult to care for his partner.
Which of the following actions should the nurse take first?
o Correct Answer: Ask the partner to talk about his difficulties
in caring for the client. The first action the nurse should take
using the nursing process priority framework is to collect
data regarding the partner's ability to take care of the client.
2. A nurse is collecting data from a client who is taking bupropion.
Which of the following findings indicates the medication is
effective?
o Correct Answer: Decrease in urge to smoke. Bupropion is an
antidepressant that is also used for smoking cessation.
3. A nurse is evaluating the outcome for a client who has depression
following the death of his wife 3 months ago. Which of the
following client statements indicates a need for further
intervention?
o Correct Answer: "I just don't feel like eating because I never
like to eat alone." (At risk for malnutrition and injury.)
4. A nurse in a long-term care setting is caring for a client who has
Alzheimer's disease. The client states, "I just came back from a
hard day's work in my office." The nurse should identify this
statement as an example of which of the following coping
mechanisms?
o Correct Answer: Confabulation. Confabulation is the creation
of information which is untrue to fill in gaps in memory and
to protect self-esteem in clients who have dementia.
, o Answer:
5. A nurse is planning care for a new client. Which of the following
actions should the nurse plan to take in order to use the
technique of presence to establish the nurse-client relationship?
o Correct Answer: Use active listening when with the client.
The nurse should use active listening to establish presence
with the client.
6. A nurse is assessing a client in the emergency department who
drank alcohol while taking disulfiram. The client states, "The nurse
told me not to drink when taking the medication. I am just a social
drinker. I didn't realize that having just one drink with my friends
would cause such a problem." Which of the following defense
mechanisms is the client demonstrating?
Rationalization. The client is demonstrating
rationalization when he creates reasonable and
acceptable explanations for unacceptable behavior.
7. A nurse is caring for a group of older adult clients. Which of the
following client findings indicates delirium?
o Correct Answer: A client asks when family members will be
arriving after visiting 1 hr earlier. Delirium is characterized by
a change in cognition that occurs over a short period.
8. A nurse is collecting data from a client newly admitted for
anorexia nervosa. Which of the following findings should the
nurse expect?
o Correct Answer: Amenorrhea. The nurse should expect the
client to report amenorrhea due to low body weight.
9. A nurse is collecting data from a client who has bipolar disorder
with mania. Which of the following findings is the nurse's priority?