ARVINCAMPOS

TamarawInteractiveEducationalService(T.I.E.S.)2009189161

MockBoardOnline
Home INSTITUTEOFNURSING WEEKENDHABIT MOCKBOARD MBOLfor11/17NLETakers(newformat)
NP5(CareofClientswithPhysiologicandPsychologicAlterations)-Remedial

QUIZNAVIGATION
Startedon Sunday,1October2017,11:24AM
State Finished
ARVINCAMPOS
Completedon Sunday,1October2017,1:13PM
1 2 3 4 5 6 7 Timetaken 1hour48mins
Marks 131/150
8 9 10 11 12 13 14
Grade 87outof100
15 16 17 18 19 20 21

22 23 24 25 26 27 28 Question1 Aclientwithbipolardisorder,manicphasehasjustsatdowntowatchtelevisionin
29 30 31 32 33 34 35 Incorrect thelounge.After10daysoflithiumtherapy,theclient'slithiumlevelis1.0mEq/L
Thenurseknowsthatthisvaluesindicateswhichofthefollowing?
Mark0outof1
36 37 38 39 40 41 42
Flagquestion Selectone:
43 44 45 46 47 48 49
A.ananticipatedtherapeuticbloodlevelofthedrug
50 51 52 53 54 55 56
B.anatypicalclientresponsetothedrug
57 58 59 60 61 62 63
C.alaboratoryerror
64 65 66 67 68 69 70
D.atoxiclevel
71 72 73 74 75 76 77

78 79 80 81 82 83 84
Question2 Whichofthefollowingnursingmeasuresshouldreceivepriorityintheclientsplan
85 86 87 88 89 90 91 ofcareaftereyesurgery?
Correct

92 93 94 95 96 97 98 Mark1outof1
Selectone:
99 10 10 10 10 10 10 Flagquestion
A.Instructonhowtoperformthevalsalvamaneuver
10 10 10 10 11 11 11
B.PainManagement
11 11 11 11 11 11 11 C.Instructtheimportanceoffollow-up
12 12 12 12 12 12 12 D.PreventincreasedIOP

12 12 12 13 13 13 13

13 13 13 13 13 13 14
Question3 OnadmissiontotheER,thepatientwithacompressionfractureatC5canmove
14 14 14 14 14 14 14 Correct onlyhisheadandhasflaccidparalysisofallextremities.Thedistraughtfamilyasks
iftheparalysisispermanent.Thenursesbestresponsewouldbe:
14 14 15 Mark1outof1

Flagquestion Selectone:
Showonepageatatime
Finishreview A.Youshouldtalktoyourdoctoraboutthingsofthatnature.
B.No.Thereshouldbemarkedrecoveryoffunctioninafewdays.

C.Yes.Inalllikelihood,theparalysisisprobablypermanent.

D.Itistooearlytotell.Whenspinalshocksubsides,wewillknowmore.

Question4 Roneltalksabouthisjoyinhavingresponsibleandaccomplishedchildrenand
Correct recallshischallengingcareerasalawyer.Heisdemonstratingasenseof:

Mark1outof1
Selectone:
Flagquestion
A.Egointegrity

B.Industry

C.Autonomy

D.Generativity

Question5 A24-yearoldclientwithanorexianervosatellsthenurse,WhenIlookinthe
Correct mirror,IhatewhatIsee.Ilooksofatandugly.Whichstrategyshouldthenurse
 usetodealwiththeclientsdistortedperceptionsandfeelings?
Mark1outof1

Flagquestion Selectone:
A.Focusdiscussionsonfoodandweight

B.Avoiddiscussingtheclientsperceptionsandfeelings
C.Avoiddiscussingunrealisticculturalstandardsregardingweight

D.Provideobjectivedataandfeedbackregardingtheclientsweightand
attractiveness

Question6 ThenurseengagesCattrinaMaeintheprocessofmutualinquirytoprovidean
Incorrect opportunityfortheclientto:

Mark0outof1
Selectone:
Flagquestion
A.Faceemergingproblemsrealistically

B.Copewithherpresentproblem

C.Conceptualizeherproblem

D.Perceiveherparticipationasanexperience

Question7 Situation:Gracewasdischargedfromthehospitalandrecoveredfromamanic
Correct episodeofBipolardisorder.Gracewasreadmittedwithanentirelydifferent
behavior.Sheappearedtobeverydepressed.
Mark1outof1

Flagquestion Thedefensemechanismutilizedbymanicpatientstocoverupdepressionis:

Selectone:
A.Denial

B.Compensation
C.ReactionFormation

D.Displacement

Question8 Eighteenhoursafterundergoinganemergencyappendectomy,aclientwitha
Correct reportedhistoryofsocialdrinkingdisplaysthesevitalsigns:temperature,101.6F
(38.7C)heartrate,126beats/minuterespiratoryrate,24breaths/minuteand
Mark1outof1
bloodpressure,140/96mmHg.Theclientexhibitsgrosshandtremorsandis
Flagquestion screamingforsomeonetokillthebugsinthebed.NurseMelindashouldsuspect:

Selectone:
A.Pneumonia

B.Alcoholwithdrawal

C.Acutesepsis

D.Postoperativeinfection

Question9 Forafemaleclientwithanorexianervosa,nurseJayisawarethatwhichgoaltakes
Correct thehighestpriority?

Mark1outof1
Selectone:
Flagquestion
A.Theclientwillestablishadequatedailynutritionalintake

B.Theclientwillverbalizethepossiblephysiologicalconsequencesofself-
starvation

C.Theclientwillmakeacontractwiththenursethatsetsatargetweight
D.Theclientwillidentifyself-perceptionsaboutbodysizeasunrealistic

Question10 Whichofthefollowingdrugexamplesisconsideredasanimmunesuppressant?
Correct
Selectone:
Mark1outof1
A.Aspirin
Flagquestion
 B.Cyclosporine

C.Anti-blackwidowspidervenom

D.Tetanustoxoid

E.Choline

Question11 BlockstheactionofacetylcholineintheCNStohelpnormalizetheacetylcholine-
Correct dopamineimbalance.Itisusedforpatientsexperiencingextrapyramidalsyndrome

Mark1outof1
Selectone:
Flagquestion
A.Succinimides

B.Anticholinergics

C.Hydantoins
D.Dopaminergics

Question12 Whichnursinginterventionwouldassisttheclientexperiencingbothersome
Correct hallucinationstobemedicationcompliant?

Mark1outof1
Selectone:
Flagquestion
A.Remindingtheclientthatthemedicationaddressesthebothersome
hallucinations
B.Notifyingtheclientoftheaction,peak,anddurationofthemedication

C.UsingliquidIMinjectiontoavoidcheckingofmedications

D.Teachingtheclientaboutpotentialsideeffectsfromprescribedmedications

Question13 NurseMaryisassignedtocareforasuicidalclient.Initially,whichisthenurses
Incorrect highestcarepriority?

Mark0outof1
Selectone:
Flagquestion
A.Discussingthefuturewiththeclient

B.Assessingtheclientshomeenvironmentandrelationshipsoutsidethe
hospital

C.Exploringthenursesownfeelingsaboutsuicide

D.Referringtheclienttoaclergypersontodiscussthemoralimplicationsof
suicide

Question14 NurseJamesYounghusbandpassedtherecentlyPNLE,andiscurrentlyassigned
Correct asanapprentice(OJT)nurseinaDistricthospitalintheirprovince.Aspartofhis
orientationprogram,hewasassignedintheEENTdepartmentfor1month.He
Mark1outof1
preparedforhisdutyandreviewedtheprinciplesandconceptsrelatedtocareof
Flagquestion clientswithproblemsrelatedtotheeyeandearandthroatproblems.

Whencompletingameasurementofaclientsvisualacuity,whichofthefollowing
wouldbemostappropriate?

Selectone:
A.Ophthalmoscope
B.SnellensChart.

C.Visualfield
D.Penlight

Question15 Aclientisadmittedinvoluntarilybycourtordertoapsychiatrichospitalfor90days.
Correct Documentssentwithhercite,amongotherthings,thatshewillnoteatbecause
shefeelsherstomachismissingandherbowelshaveturnedtojelly,andthatshe
Mark1outof1
viewsthisas"justpunishmentformypastwickednessandfortheevilI'vebrought
Flagquestion onmyfamily"Tobeevaluatedasbeinglegallycommittable,whichofthefollowing
criteriadidtheclientmostlikelyhavetomeet?
 Selectone:
A.triedtoharmherselforothers
B.madethreateningremarkstofriendsorrelatives
C.presenceofpsychosis

D.unabletoaffordprivatetreatment

Question16 Mr.J.K.hasbeenconfinedforthreedays.Hiswifehelpedtakecareofhimandhe
Correct hasobservedhertobetooinvolvedinhiscare.Hecomplainedtothehead
nurseaboutthis.Whichofthefollowingwouldbethebestresponseofthenurse?
Mark1outof1

Flagquestion Selectone:
A."Yourwifecanassistyouwellinyourcareandrecovery.
B."Dontworry.Iwillcalltheattentionofyourwife.

C."Yourwifeisjusttryingtohelpbecausesheisworriedaboutyou.

D.Whatareyourthoughtsaboutyourwifesinvolvementinyourcare?

Question17 Aclientwithbipolardisorder,manicphasehasjustsatdowntowatchtelevisionin
Incorrect thelounge.Whichofthefollowingfeelingstatesisreflectedbytheclient'sbehavior
duringamanicepisode?
Mark0outof1

Flagquestion Selectone:
A.anger

B.hostility
C.mistrust

D.guilt

Question18 Whichofthefollowingdrugexamplesisconsideredasasalicylate?
Correct
Selectone:
Mark1outof1
A.Tetanustoxoid
Flagquestion
B.Aspirin
C.Blackwidowspidervenom
D.Cyclosporine

E.Choline

Question19 Whichofthenursingapproachesismostappropriateforthenursetobeginwith?
Correct
Selectone:
Mark1outof1
A.Referherforactivitytherapy
Flagquestion
B.Invitehertosocializewithotherpatients

C.Makeselfavailablewhilemaintainingdistanceuntilpatientisreadyto
interact

D.EngageSusieforatleastonehourinaone-on-oneinteractiondaily

Question20 Whichofthefollowingcharacteristicsorclienthistoriessubstantiatesadiagnosis
Incorrect ofantisocialpersonalitydisorder?

Mark0outof1
Selectone:
Flagquestion
A.Disorganizedthinking

B.Feelingsofinferiority

C.Delusionalthinking

D.Multiplecriminalcharges
Question21 Thisdrugclassificationactstoinhibitprostaglandinsynthesistherebyactingonthe
Correct inflammatoryprocess:

Mark1outof1
Selectone:
Flagquestion
A.Salicylates

B.Bacterialvaccine
C.Amninoglycosides

D.Mitoticinhibitors

Question22 IvyverbalizesPinag-uusapannilaako.Ayawnilaako.Atherapeuticresponseis:
Correct
Selectone:
Mark1outof1
A.Hayaanmosila.Angmahalagaayangpalagaymosasarilimo.
Flagquestion
B."Nalulungkotbaangpakiramdammo?

C."Huwagmongisipinyan.Hinditamayan.
D.Sinoang'nila'natinutukoymo?

Question23 Wheninterviewingtheparentsofaninjuredchild,whichofthefollowingisthe
Correct strongestindicatorthatchildabusemaybeaproblem?

Mark1outof1
Selectone:
Flagquestion
A.Theinjuryisntconsistentwiththehistoryofthechildsage
B.Theparentsareargumentativeanddemandingwithemergencydepartment
personnel

C.Themotherandfathertelldifferentstoriesregardingwhathappened
D.Thefamilyispoor

Question24 Aclientisadmittedinvoluntarilybycourtordertoapsychiatrichospitalfor90days.
Incorrect Documentssentwithhercite,amongotherthings,thatshewillnoteatbecause
shefeelsherstomachismissingandherbowelshaveturnedtojelly,andthatshe
Mark0outof1
viewsthisas"justpunishmentformypastwickednessandfortheevilI'vebrought
Flagquestion onmyfamily"Theclienthasnotbeeneating.Afterservingtheclienthertray,
whichofthefollowingactionsbythenursewouldbemostlikelytoencourageher
toeat?

Selectone:
A.leavetheclient'sroomwithoutcomment
B.sitbesidetheclientandplacetheforkinherhand

C.commentonhowgoodthefoodlooks
D.telltheclientthatshewillnotrecoverunlesssheeats

Question25 A62yearoldclientcomestotheneighborhoodhealthcenterforhisannual
Correct physicalexaminationWhileinteractingwiththenurse,theclientstatesthathefeels
tiredallofthetime,hastroublesleepingandhasaproblemwiththinking.Thebest
Mark1outof1
nursingactionisto
Flagquestion

Selectone:
A.informtheclientaboutthenormalagingprocess

B.advisetheclienttodiscontinuedaytimenapping

C.refertheclienttoaseniorcitizen'ssupportgroup
D.furtherassesstheclient'smentalstatusandhealthhistory

Question26 NurseKateassignedinthepsychiatricwardensuresthatthepatientsrightsis
Correct exercisedatalltimes.Bydoingso,sheperformswhatroleofthenurse?

Mark1outof1
Selectone:
 Flagquestion
A.Technician
B.Patientadvocate

C.WardManager
D.Patientsurrogate

Question27 Duringaneurologiccheck,thenurseasksthepatienttodorsiflexthefootagainst
Correct theresistanceofthenurseshand.Theinabilitytoperformthisactionconfirmsthat
thereiscorddamageat:
Mark1outof1

Flagquestion Selectone:
A.C4-C5.

B.S1.
C.L5.

D.L2-L4.

Question28 NurseJoyisawarethatthesigns&symptomsthatwouldbemostspecificfor
Correct diagnosisanorexiaare?

Mark1outof1
Selectone:
Flagquestion
A.Compulsivebehavior,excessivefears&nausea
B.Excessiveweightloss,amenorrhea,andabdominaldistention

C.Slowpulse,10%weightloss&alopecia

D.Excessiveactivity,memorylapses&anincreasedpulse

Question29 MostoftheCNSdrugsarecontraindicatedtopregnantandlactatingmotherdueto
Correct itsteratogeniceffect.Teratogeniceffectmeans:

Mark1outof1
Selectone:
Flagquestion
A.Dystocia

B.Prematuredelivery

C.Fetalabnormalities
D.TetralogyofFallot

Question30 Whichofthefollowingaretruestatementsaboutneurotransmitters?Selectallthat
Correct apply.

Mark1outof1
Selectoneormore:
Flagquestion
A.Neurotransmittersarenervecellsthatgenerateandtransmit
electrochemicalimpulses

B.Neurotransmittersaretargetsforthemechanismofactionofmany
psychotropicmedications

C.Neurotransmittersarelimitedtothestudyofpsychiatricdiseaseprocesses
alone

D.Neurotransmittersareresponsibleforessentialfunctionsinhumanemotion
andbehavior

Question31 DrA.prescribedanantidepressanttoherclientwhichwillensurelessadverse
Correct effectscomparedtootheranti-depressants.Asaknowledgeablenurseinthe
psychiatricward,youknowthatthedoctorwillmostlikelyprescribewhichdrug?
Mark1outof1

Flagquestion Selectone:
A.Atricyclicantidepressant(TCA)

B.Selectiveserotoninreuptakeinhibitor(SSRI)
C.Benzodiazepine

D.Monoamineoxidaseinhibitor(MAO)
Question32 Aclientwithbipolardisorder,manicphasehasjustsatdowntowatchtelevisionin
Correct thelounge.Asthenurseapproachestheloungearea,theclientstates'Thesunis
shining.Whereismyson?IloveLucy.Let'splayball'Theclientisdisplaying
Mark1outof1

Flagquestion Selectone:
A.flightofideas
B.useofneologism

C.depersonalization
D.concreteness

Question33 Thepsychodynamicsofdepressionis:
Correct
Selectone:
Mark1outof1
A.Weaksuper-ego
Flagquestion
B.Narcissisticpersonality

C.Laxsuper-ego
D.Internalizedhostilityfeelings

Question34 Aclientisbeingadmittedtothepsychiatricunit.Sherespondstosomeofthe
Correct nurse'squestionwithonewordanswers.Hereyesaredowncast,andher
movementsareveryslowLaterinthemorning,thenurseapproachestheclient
Mark1outof1
andaskshowshefeelsaboutbeinginthehospital.Theclientdoesnotrespond
Flagquestion verballyandcontinuestogazeatthefloor.Whichofthefollowingactionsshould
thenursetakefirst?

Selectone:
A.spendtimesittinginsilencewiththeclient
B.askanotherstaffmembertoincludetheclientinaninformalgroup
discussion

C.introduceanotherclienttoherandaskhimtojoinyou

D.leavetheclientaloneandtellherthatyouwillbebacklatertotalk

Question35 Duringpostprandialmonitoring,afemaleclientwithbulimianervosatellsthenurse,
Correct Youcansitwithme,butyourejustwastingyourtime.Afteryousatwithme
yesterday,Iwasstillabletopurge.Today,mygoalistodoittwice.Whatisthe
Mark1outof1
nursesbestresponse?
Flagquestion

Selectone:
A.Dontworry.Iwontallowyoutopurgetoday.
B.Howareyoupurgingandwhendoyoudoit?

C.Iknowitsimportantforyoutofeelincontrol,butIllmonitoryoufor90
minutesafteryoueat.

D.Itrustyounottopurge.

Question36 Aclientwithbipolardisorder,manicphasehasjustsatdowntowatchtelevisionin
Correct thelounge.Theclienthasbeentakinglithiumcarbonateforhyperactivityas
prescribedbyhisphysician.Whiletheclientistakingthisdrug,thenurseshould
Mark1outof1
ensurethathehasanadequateintakeof
Flagquestion

Selectone:
A.sodium

B.iron

C.calcium

D.iodine
Question37 Risperidone(Risperdal)istohallucinationsasclonazepam(Klonopin)isto:
Correct
Selectone:
Mark1outof1
a.Alcoholdependency
Flagquestion
b.Mania
c.Depression

d.Anxiety

Question38 Whichofthefollowingisatherapeutictechniqueofcommunication?
Correct
Selectone:
Mark1outof1
a.Tryingtotalktotheclientintoacceptingatherapyortreatment
Flagquestion
b.Beingdefensive
c.Usingquestionsthatareanswerablebyanexplanation
d.Challengingtheclientsbeliefs

Question39 Maryispacingthefloorandappearsextremelyanxious.Thedutynurse
Correct approachesinanattempttoalleviateLindasanxiety.Themosttherapeutic
questionbythenursewouldbe?
Mark1outof1

Flagquestion Selectone:
A.Ignoretheclient
B.Wouldyoulikemetotalkwithyou?

C.WouldyouliketowatchTV?

D.Areyoufeelingupsetnow?

Question40 NurseKeviniscaringforaclientwithdepressionwhohasnotrespondedto
Correct antidepressantmedication.Thenurseanticipatesthatwhattreatmentprocedure
maybeprescribed?
Mark1outof1

Flagquestion Selectone:
A.Electroconvulsivetherapy
B.Neurolepticmedication

C.Psychosurgery

D.Shorttermseclusion

Question41 Fortheclientwhoisexperiencingexpressiveaphasia,whichnursinginterventionis
Correct mosthelpfulinpromotingcommunication?

Mark1outof1
Selectone:
Flagquestion
A.Writingdirectionssoclientcanreadthem

B.Speakingloudly

C.Usingapictureboard.
D.Speakinginshortsentences

Question42 Theclientwithdepressionhasbeenhospitalizedfor3daysonthepsychiatricunit.
Correct ThisisthesecondhospitalizationduringthepastyearTheclientobtains
permissionfor24hourpasstogohome.Whichofthefollowingsuggestionstothe
Mark1outof1
familyinpreparingforthevisitindicatesthebestunderstandingoftheclient's
Flagquestion needs?

Selectone:
A.plantoinvolvetheclientinusualathomepursuitsoftheimmediatefamily

B.limitfriendsvisitsothattheclientcanrestduringtheday
C.scheduleadayofinterestingactivitiesfortheclientoutsidethehome
 D.plantoencouragetheclienttoseekemploymentoutsidethehome

Question43 Aclinicallysignificantbehavioralorpsychologicalsyndromeorpatternthatoccurs
Correct inanindividualandthatisassociatedwithpresentdistressordisabilityorwitha
significantlyincreasedriskofsufferingdeath,pain,disability,oranimportantloss
Mark1outof1
offreedom.
Flagquestion

Selectone:
A.Stress
B.Psychologicalincapacity
C.Mentaldisorder

D.Psychiatricinstability

Question44 NurseDetiscaringforaclientwithbulimia.Strictmanagementofdietaryintakeis
Correct necessary.Whichinterventionisalsoimportant?

Mark1outof1
Selectone:
Flagquestion
A.Lettheclienteathermealsinprivate.Thenengageherinsocialactivities
foratleast2hoursaftereachmeal

B.Fillouttheclientsmenuandmakesuresheeatsatleasthalfofwhatison
hertray.
C.Lettheclienteatfoodbroughtinbythefamilyifshechooses,butshe
shouldkeepastrictcaloriecount.

D.Lettheclientchooseherownfood.Ifsheeatseverythingsheorders,then
staywithherfor1houraftereachmeal

Question45 Clindamycinbelongstowhichofthefollowingantibioticdrugclassifications?
Correct
Selectone:
Mark1outof1
A.Tetracycline
Flagquestion
B.Sulfonamides

C.Lincosamides
D.Macrolides

E.Penicillin

Question46 Whichofthefollowingdrugexamplesisconsideredasanti-venom?
Correct
Selectone:
Mark1outof1
A.Cyclosporine
Flagquestion
B.Blackwidowspidervenom

C.Aspirin

D.Choline
E.Tetanustoxoid

Question47 Aclientwithborderlinepersonalitydisorderisadmittedtotheunitafterslashinghis
Correct wrist.Whichofthefollowinggoalsismostimportantafterpromotingsafety?

Mark1outof1
Selectone:
Flagquestion
A.Identifywhethersplittingispresentintheclientsthoughts
B.Encouragetheclienttounderstandwhyheblamesothers

C.Talkabouttheclientsactingoutandself-destructivetendencies
D.Establishatherapeuticrelationshipwiththeclient

Question48 Theclientventsoutthefollowingstatement:Iamveryupsetwithwhathappened
Correct tomywife.Sheleftmewithoutsayinganything.Iamnothingnow.Which
statementdescribesvalidatingasaresponsefromanurse?
Mark1outof1

Flagquestion Selectone:
A.Youretellingmethatyouwereverysadbecauseofyourwifeleaving,isnt
it?
B.Maybesheleftyoubecauseyouweredrinkingtoomuch.

C.Dontworry,shewillrealizehowmuchshelovedyouandwillcomeback."

D.Shewaswronginleavingyou.

Question49 WhichoftheseresponsesindicatethatCattrinaMaeneedsfurtherdiscussion
Correct regardingspecialinstructions?

Mark1outof1
Selectone:
Flagquestion
A."IknowIwillstoptakingthemedicinewhenthereisanadvicefromthe
doctortodiscontinue.

B."Iwillinformyouandthedoctorofanyuntowardreactions.
C.Iliketakingthissleepingpill.Itsolvesmyproblemofinsomnia.IwishIcan
takeitfortherestofmylife.

D."Ihavetotakethismedicinejudiciously

Question50 Thisdrugclassificationhasabactericidaleffectandkillsvariousbacteriasuchas
Correct P.aeruginosaE.coli,Proteusspecies,Klebsiella-Enterobacter-Serratiagroup,
CitrobacterandS.Aureus
Mark1outof1

Flagquestion Selectone:
A.Salicylates

B.Amninoglycosides
C.Bacterialvaccine

D.Mitoticinhibitors

Question51 TheassessmentthatensurestheERnursethatapatientsspinalcordinjuryis
Correct belowC4is:

Mark1outof1
Selectone:
Flagquestion
A.Abilitytomakeafacialgrimace.

B.Unlaboredrespiration.
C.Voluntaryeyemovement.

D.Abilitytoblinktheeyelids.

Question52 Situation:Flynn,25,recalledthathisproblembeganaroundage15or16.He
Correct wouldcountpencilsinamugoverandoverwiththethoughtthatstoppingcould
resultinsomethingbadhappening.
Mark1outof1

Flagquestion TherearemanythingsFlynnseemsshehastodotokeepherfromfeeling:

Selectone:
A.Confused

B.Suspicious
C.Anxious

D.Excited

Question53 Aclientisbeingadmittedtothepsychiatricunit.Sherespondstosomeofthe
Correct nurse'squestionwithonewordanswers.Hereyesaredowncast,andher
movementsareveryslow.Whichofthefollowingdrugsshouldthenurseexpectto
Mark1outof1
beprescribedinordertoreverseParkinson-typesymptomsinaclientreceiving
Flagquestion anti-psychoticmedication?
 Selectone:
A.Benztropine(Cogentin)
B.Dipenhydramine(Benadryl)

C.Haloperidol(Haldol)

D.Propanolol(Inderal)

Question54 Allofthesearetherapeuticinterventionsexcept:
Correct
Selectone:
Mark1outof1
A.Facilitateself-expression
Flagquestion
B.Imposelimitseverytimethebehaviorbecomesrepetitive
C.Assigntaskthatcanbedonerepetitive

D.Establisharoutineforhim

Question55 A62yearoldclientcomestotheneighborhoodhealthcenterforhisannual
Correct physicalexaminationThenursemeetswiththeclientandhiswifetodiscuss
depressionandtheclient'smedication.Whichofthefollowingcommentsbythe
Mark1outof1
wifewouldindicateacorrectunderstandingofherhusband'sillnessand
Flagquestion medication?

Selectone:
A."It'simportanttowatchforphysicaldependencyonZoloft"

B."It'simportantforhimtotakehismedicationsothatthedepressionwillnot
returnorgetworse"

C."He'sintelligentandwon'tneedtodependonapillmuchlonger"
D."Hisdepressionisalmostcured"

Question56 Jean,a43yearoldexecutive,isscheduledforcardiacbypasssurgery.While
Correct beingpreparedforsurgery,shesaystothenurseIamgoingtohavethesurgery.
Imaydiebecauseoftherisk.Whichresponsebythenurseismostappropriate?
Mark1outof1

Flagquestion Selectone:
a."Withoutthesurgeryyouwillmostlikelydiesooner.
b."Therearealwaysrisksinvolvedwithsurgery.
c."Thereisaclientintheotherroomwhohadasuccessfulsurgeryandyou
cantalktohim.

d.Thismustbeveryfrighteningforyou.Tellmehowyoufeelaboutthe
surgery.

Question57 Aclientwithbipolardisorder,manicphasehasjustsatdowntowatchtelevisionin
Correct thelounge.Thenurseevaluatestheclient'sconditiondaily.Duringtheclient's
periodofeuphoria,thenurseshouldbeespeciallyalertforwhichconditions?
Mark1outof1

Flagquestion Selectone:
A.bradycardiaandpalpitations
B.convulsionanddermatitis
C.exhaustionandinfection

D.gastritisandvertigo

Question58 Whichofthefollowingdrugexamplesisconsideredasanalkylatingagent?
Correct
Selectone:
Mark1outof1
A.Acetaminophen
Flagquestion
B.Cisplatin
C.Metronidazole
 D.Mebendazole
E.InterferonAlfa-2A

Question59 Aresourcepersonsfunctionistogivespecificanswerstospecificquestions,asa
Correct counselorsfunctionisto:

Mark1outof1
Selectone:
Flagquestion
a.Serveasasubstitutefigureforanotherperson
b.Identifyinglearningneedsandprovideinformationrequiredbytheclientto
improvehealthsituations

c.Listenasaclientreviewsfeelingsrelatedtodifficultiesexperiencedinany
aspectoflife

d.Encouragetheclienttobeanactiveparticipantindesigninganursingplan
ofcare

Question60 WhichofthefollowingdrugsshouldnurseMarlynpreparetoadministertoaclient
Correct withatoxicacetaminophen(Tylenol)level?

Mark1outof1
Selectone:
Flagquestion
a.flumazenil(Romazicon)
b.acetylcysteine(Mucomyst)

c.eferoxaminemesylate(Desferal)

d.succimer(Chemet)

Question61 Situation:Susie,26yearsold,isaloofinrelatingwithotherpatientsandmembers
Correct ofthestaff.Sheclaimsthatthemedicationsgiventoheraremeanttopoisonher.
Sheisalsosuspiciouswiththefoodbeingservedtoher.
Mark1outof1

Flagquestion Basically,Susieissuspiciousbecauseofherinabilitytodevelopasenseof:

Selectone:
A.Initiative

B.Generativity

C.Trust

D.Intimacy

Question62 Aclientisadmittedtothehospitalwithadiagnosisof'majordepression:severe
Correct singleepisode'Thenurseassessestheclientandidentifiestheclient'saltered
nutritionrelatedtopoornutritionalintakeasamajorconcern.Whatisthemost
Mark1outof1
appropriatenursinginterventionrelatedtothisdiagnosis?
Flagquestion

Selectone:
A.explainingtotheclienttheimportanceofagoodnutritionalintake

B.reportingthenutritionalconcerntothepsychiatristandobtainingnutritional
consultationsassoonaspossible

C.weighingtheclientthreetimesperweekbeforebreakfast
D.consultingwiththenutritionistofferingtheclientseveralsmall,frequent
mealsperday,andschedulingbriefnursinginteractionswiththeclientduring
thesetimes

Question63 Duringelectroconvulsivetherapy(ECT)theclientreceivesoxygenbymaskvia
Correct positivepressureventilation.Thenurseassistingwiththisprocedureknowsthat
positivepressureventilationisnecessarybecause?
Mark1outof1

Flagquestion Selectone:
A.Decreaseoxygentothebrainincreasesconfusionanddisorientation
B.Anesthesiaisadministeredduringtheprocedure
 C.Grandmalseizureactivitydepressesrespirations
D.Musclerelaxationsgiventopreventinjuryduringseizureactivitydepress
respirations

Question64 Aclientisbeingadmittedtothepsychiatricunit.Sherespondstosomeofthe
Correct nurse'squestionwithonewordanswers.Hereyesaredowncast,andher
movementsareveryslowWhichshorttermgoalthenurseincludeintheclient's
Mark1outof1
careplan?Theclientwill
Flagquestion

Selectone:
A.problemsolvewiththenursein1week
B.participateinmilieuactivitiesbytheendoftheweek

C.approachthenursetoengageinontooneinteractionbytheendofthe
week

D.verballyinteractwiththenursefor5minutesin1week

Question65 Thedoctororderedananti-psychoticdrug"Haloperidol"toblockbothdopamine
Correct andserotonininthebrainofpatientswithschizophrenia.Thedoctor'sorderreads:
"GiveHaloperidol3mgIV.Thedrugisavailableat5mg/ml."Howmanymlofthe
Mark1outof1
drugshouldbegiven?
Flagquestion

Selectone:
A.3ml
B.1.67ml

C.0.6ml

D.15ml

Question66 Inplanningcareforaclientwithborderlinepersonalitydisorder,anursemustbe
Incorrect awarethatthisclientispronetodevelopwhichofthefollowingconditions?

Mark0outof1
Selectone:
Removeflag
A.Bingeeating

B.Cultmembership

C.Memoryloss
D.Delusionalthinking

Question67 Aclientisadmittedtothepsychiatricunitaccompaniedbyherhusband.Shebrings
Correct sixsuitcasesandthreeshoppingbags.Sheordersthenursetocarryherbags.
Herhusbandstatesshehasbeenpurchasingitemsthattheycannotaffordand
Mark1outof1
hasnotsleptfor4nights.Theclientisscheduledtogototheradiology
Flagquestion department.Beforetakingtheclientforherx-rayexamination,whichofthe
followingactionsshouldthenursetake?

Selectone:
A.provideadetailedexplanationofthexrayprocedure
B.bringanotherstaffmemberalongincasesheresistsgoingtothex-ray
department
C.explainthex-rayprocedureinsimpleterms

D.saynothingbeforetakinghertothex-raydepartment

Question68 Duringtheimpeachmenttrial,Jess,a28yearoldpatientwhowascurrently
Correct diagnosedwithschizophrenia,happenedtowatchoneoftheepisodesofthe
senatehearing.Jessshouted:Theyareaskingmetotellthetruth.Theyare
Mark1outof1
lookingformenow.Thisisanexampleof:
Flagquestion

Selectone:
A.Illusion
 B.Delusion

C.Hallucination

D.Ideasofreference

Question69 Whichistheoverall,prioritygoalofin-patientpsychiatrictreatment?
Correct
Selectone:
Mark1outof1
A.Maintenanceofstabilityinthecommunity
Flagquestion
B.Medicationcompliance

C.Bettercommunicationskills

D.Stabilizationandreturntothecommunity

Question70 Primarylevelofpreventionisexemplifiedby:
Correct
Selectone:
Mark1outof1
A.Casefindingandsurveillanceinthecommunity
Flagquestion
B.Initiationofmedicationadministrationtothepatient

C.Facilitatingpsychotherapiesinapsychiatricfacility
D.Teachingtheclientstressmanagement

Question71 Aclientisadmittedinvoluntarilybycourtordertoapsychiatrichospitalfor90days.
Incorrect Documentssentwithhercite,amongotherthings,thatshewillnoteatbecause
shefeelsherstomachismissingandherbowelshaveturnedtojelly,andthatshe
Mark0outof1
viewsthisas"justpunishmentformypastwickednessandfortheevilI'vebrought
Flagquestion onmyfamily"Whentheclientexpressfeelingsofunworthiness,howwouldthe
nursebestrespond?

Selectone:
A."Asyoubegintofeelbetteryourfeelingsofunworthinesswillbeginto
disappear

B."Yourfamilylovesyouevenifyoufeelunworthy"
C."Itwouldbebesttotrytoforgettheideathatyouareunworthy"

D."Yourfeelingsofbeingunworthyarejustyourimagination"

Question72 Aclientisbeingadmittedtothepsychiatricunit.Sherespondstosomeofthe
Correct nurse'squestionwithonewordanswers.Hereyesaredowncast,andher
movementsareveryslow.Thenurseobservesthattheclienthasbathed,is
Mark1outof1
wearingacleanblouseandslacks,andhascombedherhair.Whichstatementby
Flagquestion thenursewouldbemosthelpfulfortheclient?

Selectone:
A."Youlookgoodtoday"

B."I'mgladyoucombedyourhairtoday"

C."Ilikeyourblouseandslacks"

D."I'mgladyou'refeelingbettertoday"

Question73 Thenurseisteachingthefamilyofaclientwithdysphagiaaboutdecreasingthe
Correct riskofaspirationwhileeating.Whichofthefollowingstrategiesisinappropriate?

Mark1outof1
Selectone:
Flagquestion
A.Maintaininganuprightposition.

B.Restrictingthediettoliquidsuntilswallowingimproves.

C.Keepingdistractionstoaminimum.

D.Introducingfoodsontheunaffectedsideofthemouth.
Question74 Awomaninanout-patientclinicisprescribedolanzapine(Zyprexa)10mgHS.At
Incorrect her3-monthfollow-up,theclientstates,Iknewitwasapossiblesideeffect,butI
cantbelieveIamnotgettingmyperiodanymore.Whichisapriorityteaching
Mark0outof1
need?
Flagquestion

Selectone:
A.Maybeamenorrheaisnotduetoyourmedication.Haveyourperiodsbeen
regularinthepast?

B.Althoughyourperiodhasstopped,thereisstillapotentialforyouto
becomepregnant.

C.Sometimesamenorrheaisatemporarysideeffectofmedicationsand
shouldresolveitself.

D.b.Iamsurethiswasveryscaryforyou.Howlonghaveyoubeenwithout
yourperiod?

Question75 Thenurseisawarethattheoutcomecriteriawouldbeappropriateforachild
Correct diagnosedwithoppositionaldefiantdisorder?

Mark1outof1
Selectone:
Flagquestion
A.Beabletoverbalizeownneedsandassertrights.

B.Setfirmandconsistentlimitswiththeclient

C.Acceptresponsibilityforownbehaviors

D.Allowthechildtoestablishhisownlimitsandboundaries

Question76 Whichofthefollowingassessmentfindingsisseeninaclientdiagnosedwith
Correct borderlinepersonalitydisorder?

Mark1outof1
Selectone:
Flagquestion
A.Abrasionsinvarioushealingstages

B.Intermittentepisodesofhypertension

C.Alternatingtachycardiaandbradycardia

D.Mildstateofeuphoriawithdisorientation

Question77 AllofthefollowingshouldbeavoidedwhiletakingaMAOinhibitor,exceptforone.
Correct Whichamongthefollowingisnotcontraindicatedtothispatient?

Mark1outof1
Selectone:
Flagquestion
A.Othersleep-inducingdrugs
B.Contraceptives

C.Icecream

D.Alcohol

Question78 Hehastochangeclothes20timesbeforework,cheweachbiteheeats24times
Correct andgoupanddownthestairsfourtofivetimesbeforeitfeelsright.Heis
demonstrating:
Mark1outof1

Flagquestion Selectone:
A.Rationalizationandoverreaction.

B.Ideasofreference

C.Denialandprojection

D.Obsessionandcompulsion

Question79 Aclientwithbipolardisorder,manicphasehasjustsatdowntowatchtelevisionin
Correct thelounge.Whichofthefollowingclinicalmanifestationswouldalertthenurseto
lithiumtoxicity?
Mark1outof1
 Flagquestion Selectone:
A.anorexiawithnauseaandvomiting

B.markedlyincreasedfoodintake

C.suddenincreaseinbloodpressure
D.increasinglyagitatedbehavior

Question80 NurseClarisseiscommunicatingwithamaleclientwithsubstance-induced
Correct persistingdementiatheclientcannotrememberfactsandfillsinthegapswith
imaginaryinformation.NurseBenjieisawarethatthisistypicalof?
Mark1outof1

Flagquestion Selectone:
A.Confabulation

B.Concretism

C.Flightofideas

D.Associatelooseness

Question81 NurseDavidiscaringforaclientbeingtreatedforalcoholism.Beforeinitiating
Incorrect therapywithdisulfiram(Antabuse),thenurseteachestheclientthathemustread
labelscarefullyonwhichofthefollowingproducts?
Mark0outof1

Flagquestion Selectone:
A.Carbonatedbeverages
B.Aftershavelotions

C.Cheese
D.Toothpaste

Question82 Theclientwithdepressionhasbeenhospitalizedfor3daysonthepsychiatricunit.
Incorrect ThisisthesecondhospitalizationduringthepastyearWhichclientreactionin
terminatingtherelationshipwiththenurseshouldbeconsideredthemosthealthy?
Mark0outof1

Flagquestion Selectone:
A.alackofresponse

B.anexpressionofgrief

C.anattemptathumor
D.adisplayofanger

Question83 Theclientwithdepressionhasbeenhospitalizedfor3daysonthepsychiatricunit.
Correct ThisisthesecondhospitalizationduringthepastyearThephysicianordersa
differentdrug,tranylcyprominesulfate(Parnate),whentheclientdoesnotrespond
Mark1outof1
positivelytoatricyclicantidepressant.Whichofthefollowingreactionsshouldthe
Flagquestion clientbecautionedaboutifherdietincludesfoodscontainingtyramine?

Selectone:
A.grandmalseizure

B.heartblock

C.Respiratoryarrest

D.Hypertensivecrisis

Question84 Situation:Throughthenurse-patientrelationship,thenurseinterveneutilizing
Correct effectivecommunicationtechniques.Thefollowingarevarioussituationsina
psychiatricward.
Mark1outof1

Flagquestion ThepatientverbalizesMasamaangpakiramdamko.Hindiakonakatulogkagabi.
Atherapeuticresponseofthenursewouldbe:

Selectone:
 A.Relaxlang.Huwagkamasyadongnag-iisipngmgaproblemamo.

B.Sinabimosanasanarsparanabigyankangsedativedrugmo.

C.Bakainiistorbokananamanngmgaboses.

D.Maaarimobangsabihinsaakinangmganaiisipatnararamdamanmo?

Question85 Intheemergencydepartment,aclientwithfaciallacerationsstatesthather
Correct husbandbeatherwithashoe.Afterthehealthcareteamrepairsherlacerations,
shewaitstobeseenbythecrisisintakenurse,whowillevaluatethecontinued
Mark1outof1
threatofviolence.Suddenlytheclientshusbandarrives,shoutingthathewantsto
Flagquestion finishthejob.Whatisthefirstpriorityofthehealthcareworkerwhowitnesses
thisscene?

Selectone:
A.Tellingtheclientshusbandthathemustleaveatonce

B.Remainingwiththeclientandstayingcalm

C.Callingasecurityguardandanotherstaffmemberforassistance

D.Determiningwhythehusbandfeelssoangry

Question86 Amikacinbelongstowhichofthefollowingantibioticdrugclassifications?
Correct
Selectone:
Mark1outof1
A.Cephalosphorin
Flagquestion
B.Aminoglycoside

C.Fluoroquinoles

D.Monobactam

E.Penicillinase-resistant

Question87 Afemaleclientwithanorexianervosadescribesherselfasawhale.However,the
Correct nursesassessmentrevealsthattheclientis58(1.7m)tallandweighsonly90lb
(40.8kg).Consideringtheclientsunrealisticbodyimage,whichintervention
Mark1outof1
shouldnurseAngelbeincludedintheplanofcare?
Flagquestion

Selectone:
A.Askingtheclienttocompareherfigurewithmagazinephotographsof
womenherage

B.Assigningtheclienttogrouptherapyinwhichparticipantsproviderealistic
feedbackaboutherweight

C.Tellingtheclientofthenursesconcernforherhealthanddesiretohelp
hermakedecisionstokeepherhealthy

D.Confrontingtheclientaboutheractualappearanceduringone-on-one
sessions,scheduledduringeachshift

Question88 Whenthenursecreatesanenvironmenttofacilitatehealing,thenursesactions
Correct arebasedonwhichofthefollowingassumptions?Selectallthatapply.

Mark1outof1
Selectoneormore:
Flagquestion
A.Atherapeuticrelationshipcanbeahealingexperience

B.Treatmentplanscanbeformulatedbyobservingsocialbehaviors

C.Ahealthyrelationshipcannotbetransferredtootherrelationships

D.Groupsettingscansupportegostrengths

Question89 AnotherreasonwhysherefusestotakeThorazineisbecauseshecomplainsof
Correct robotlikemovementandslurredspeech.Thenursesactionis:

Mark1outof1
Selectone:
Flagquestion
A.DecreasethedosageofThorazine
 B.Avoidgivingfoodsthatarerichintyramine

C.Withholdmedicationuntilreferralismadetothedoctor
D.ExplaintheextrapyramidalsideeffectsandadministerBenadrylasordered
bythephysician

Question90 Whichassessmentwouldindicatetheresolutionofspinalshock?
Incorrect
Selectone:
Mark0outof1
A.Spasticinvoluntarymovementsinaffectedlimbs
Flagquestion
B.Tinglingandburninginaffectedlimbs

C.Voluntarypurposefulmovementsofaffectedlimbs

D.Extensionandrigidityinaffectedlimbs

Question91 Situation:AngeliferdevelopedthisgoalforhospitalizationTogetthehandleofmy
Correct nervousness.Thenurseisgoingtocollaboratewithhertoreachhergoal.Valwas
admittedtothehospitalbecauseshecalledhertherapistthatsheplannedto
Mark1outof1
asphyxiateherselfwithexhaustfromhercarburfrightenedinstead.Sherealized
Flagquestion sheneededhelp.

ThenurserecognizedthatAngeliferhasconceptualizedherproblemandthenext
prioritygoalinthecareplanis:

Selectone:
A.Helptheclientcommunicate

B.Helptheclientfindmeaninginhisexperience

C.Helptheclienttoplanalternatives
D.Helptheclientcopewiththepresentproblem

Question92 Aclientisadmittedtothepsychiatricunitaccompaniedbyherhusband.Shebrings
Correct sixsuitcasesandthreeshoppingbags.Sheordersthenursetocarryherbags.
Herhusbandstatesshehasbeenpurchasingitemsthattheycannotaffordand
Mark1outof1
hasnotsleptfor4nights.Thehusbandapologizestothenurseforhiswife's
Flagquestion demandingbehavior.Whichofthefollowingpossiblerepliesbythenursewouldbe
best?

Selectone:
A."I'msureshe'sdoingthebestshecan"

B."Itmustbehardforyoutoseeherlikethis"

C."It'sallright.Wehavebeentreatedworse"

D."Iunderstand.Whathappenedtosetherofflikethis?"

Question93 Aclientwithbipolardisorder,manicphasehasjustsatdowntowatchtelevisionin
Correct thelounge.Theclient'sspeechpatternisrelatedprimarilyto

Mark1outof1
Selectone:
Flagquestion
A.feelingsofanxiety

B.looseegoboundaries

C.distortionsinselfconcept
D.underlyinghostilities

Question94 Itisusedforabsenceseizureswhichaltersgamma-aminobutyricacid(GABA).Itis
Correct usedforpatientswithepilepticsyndrome.

Mark1outof1
Selectone:
Flagquestion
A.Succinimides
B.Hydantoins
 C.Dopaminergics

D.Anticholinergics

Question95 Whichofthefollowingtechniquesdoesthenurseavoidwhenchangingaclients
Incorrect positioninbediftheclienthashemiparalysis?

Mark0outof1
Selectone:
Flagquestion
A.Slidingtheclienttomoveherupinbed.
B.Liftingtheclientwhenmovingherupinbed.

C.Havingtheclientliftherselfoffthebedusingatrapeze.

D.Rollingtheclientontoherside.

Question96 Whensheresiststotakehermedication,itisbestto:
Correct
Selectone:
Mark1outof1
A.Requestthedoctortogiveherthemedications
Flagquestion
B.Havethesamenurse,whosheinteractswithregularly,administerthedrug

C.Letherreadthedrugliteraturetoconvinceherthatitistherapeutic

D.Forcehertotakethedrugtomaintaintherapeuticeffectivenessofthedrug

Question97 Amaleclientisadmittedtothesubstanceabuseunitforalcoholdetoxification.
Correct WhichofthefollowingmedicationsisnurseApplemostlikelytoadministerto
reducethesymptomsofalcoholwithdrawal?
Mark1outof1

Flagquestion Selectone:
A.naloxone(Narcan)

B.magnesiumsulfate
C.haloperidol(Haldol)
D.Clhordiazepoxide(Librium)

Question98 Britneysaidtohernurseoneday,Youknowwhat,thatmedicationnursewould
Correct alwaysgivemedicinesinacup.Dontyouknowthatthecupcontainsthebloodof
asacrificedanimal?Shewantsustodrinkit.Canyouhelpmestopher?This
Mark1outof1
displaysapatientwith:
Flagquestion

Selectone:
A.Phobia

B.Delusionofreference

C.Delusionofgrandeur
D.Paranoia

Question99 A62yearoldclientcomestotheneighborhoodhealthcenterforhisannual
Correct physicalexaminationDuringthenurse'sconversationwiththeclient.Theclient
states,'Ihavenoreasontobesad.Ihaveagreatjobandawonderfulwifeand
Mark1outof1
family'Whichofthefollowingcommentswouldbethebestforthenursetomakeat
Flagquestion thistime?

Selectone:
A."Youhavemanypositivequalities"
B."Whydoyouthinkyou'redepressed?"

C."Depressioncanbecausedbyachemicalimbalanceinthebrain"
D.Thinkabouthowfortunateyouare"

Question100 WhichappliestothescopeofpracticeofthePsychiatric/MentalHealthRegistered
Incorrect Nurse?

Mark0outof1
Selectone:
Flagquestion
A.AbilitytodesignateaclientsAxisassessment
B.Crisisintervention

C.Abilitytoordermedicationsbasedonlabvalues

D.Minimumofamastersdegreeinmentalhealthnursing

Question101 Whilemakingrounds,Marynoticedoneofherclientssayingthefollowingline:I
Correct havemoney,wanttostudy.Daddywantshoney,honeyhoneybeeThisisan
exampleof?
Mark1outof1

Flagquestion Selectone:
A.Flightofideas
B.Neologism

C.Wordsalad

D.Clangassociation

Question102 Angeliferinitiatesindependenceandtakesanactivepartinherselfcarewiththe
Correct followingexcept:

Mark1outof1
Selectone:
Flagquestion
A.Agreeingtocontactthestaffwhensheisanxious

B.Writingoutthelistofbehavioursthatsheidentifiedasanxious.
C.Becomingawareoftheconsciousfeeling

D.Assessingtheneedformedicationandmedicatingherself

Question103 Therapeuticuseofselfisessentialinrelatingwithpsychiatricpatients.Thisisbest
Correct demonstratedin:

Mark1outof1
Selectone:
Flagquestion
A.EngagingGraceinproductiveactivity

B.SympathizingwitthemiserablefeelingsofGrace
C.EngagingGraceinintrospectivethinking

D.SuppressingherownfeelingstowardGrace

Question104 Acancerpatientrequires4mgofMorphineIV.Thisdrugisavailableat10mg/ml.
Correct Howmanymlshouldbegiven?

Mark1outof1
Selectone:
Flagquestion
A.4ml

B.2.5ml

C.0.4ml

D.40ml

Question105 Whichofthefollowingcharacteristicsorsituationsisindicatedwhenaclientwith
Correct borderlinepersonalitydisorderhasacrisis?

Mark1outof1
Selectone:
Flagquestion
A.Auditoryhallucinations

B.Suspiciousbehavior

C.Antisocialbehavior

D.Relationshipproblems
Question106 Whichofthefollowingsymptomsareseenwhenaclientabruptlystopstaking
Correct diazepam(Valium)?Selectallthatapply.

Mark1outof1
Selectoneormore:
Flagquestion
A.Insomnia

B.Tremor

C.Lethargy

D.Drymouth

E.Delirium

Question107 Situation:Duringthemorningendorsement,theoutgoingnurseinformedthe
Correct nursingstaffthatCattrinaMae,35yearsold,wasgivenFlurazepam(Dalmane)
15mgat10:00pmbecauseshehadtroublegoingtosleep.Beforeapproaching
Mark1outof1
CattrinaMae,thenursereadtheobservationofthenightdutynurse.
Flagquestion

CattrinaMaeisahighschoolteacher.Whichoftheinformationleast
communicatesattentionandcareforherneedsforinformationabouther
medicine?

Selectone:
A.Askherwhattimesheshouldliketowatchtheinformativevideoaboutthe
medication

B.Haveaninformativeconversationaboutthemedicationanditseffect

C.Provideadrugliterature

D.Guidedbyamedicationteachingplan,gooverthepurpose,indications
andspecialinstructionsaboutthemedicationandprovidethepatienta
checklist

Question108 Whatisaprioritynursinginterventionwhensuctioninganunconsciousclientto
Correct maintaincerebralperfusion?

Mark1outof1
Selectone:
Flagquestion
A.Hyperoxygenatebeforeandaftersuctioning.

B.Administerdiuretics

C.Administeranalgesics.

D.Provideoralhygiene

Question109 Aneurotransmitterwhichisimportantinthearousalandsleepaswellasin
Correct preventingdepressionandpromotingmotivation.

Mark1outof1
Selectone:
Flagquestion
A.Serotonin

B.Dopamine

C.GABA

D.Acetylcholine

E.Epinephrine

Question110 Amaleclientisfoundsittingonthefloorofthebathroominthedaytreatmentclinic
Correct withmoderatelacerationsonbothwrists.Surroundedbybrokenglass,shesits
staringblanklyatherbleedingwristswhilestaffmemberscallforanambulance.
Mark1outof1
HowshouldnurseGraceapproachherinitially?
Flagquestion

Selectone:
A.Approachherslowlywhilespeakinginacalmvoice,callinghername,and
tellingherthatthenurseisheretohelpher

B.Entertheroomquietlyandmovebesidehertoassessherinjuries

C.Moveasmuchglassawayfromheraspossibleandsitnexttoherquietly
 D.Callforstaffback-upbeforeenteringtheroomandrestrainingher

Question111 Whichofthefollowingisanappropriatenursinginterventiontoapatientsuffering
Correct fromdelusions?

Mark1outof1
Selectone:
Flagquestion
A.Challengethepatientinprovingthedelusion

B.Isolatethepatientasheorshemayharmotherpeople

C.Donotchallengethepatientinprovingthedelusion
D.Promisethatantipsychoticmedicationscanimprovethethoughtcontent

Question112 TheDiagnosticandStatisticalManualofMentalDisorders(DSM-IV-TR)utilizesa
Correct multiaxialclassificationsysteminvolvingassessmentonseveralaxes,allowingthe
practitionertoidentifyallthefactorsthatrelatetoapersonscondition.Reporting
Mark1outof1
mentalretardationandpersonalitydisordersaswellasprominentmaladaptive
Flagquestion personalityfeaturesanddefensemechanismsiscategorizedunder:

Selectone:
A.AxisIV

B.AxisIII

C.AxisII

D.AxisI

Question113 Theclientwithdepressionhasbeenhospitalizedfor3daysonthepsychiatricunit.
Correct ThisisthesecondhospitalizationduringthepastyearAftera2month
hospitalization,theclientispreparingfordischarge.Whichofthefollowingsubjects
Mark1outof1
wouldbemosthelpfultodiscusswhenpreparingtoterminatethenurse-client
Flagquestion relationship

Selectone:
A.theconflictstheclienthashadwithanotherstaffmember

B.theplansthattheclientshouldmaketofindajob

C.thegainsthattheclienthasmadeduringtherapy

D.theacknowledgethattheclient'sdaughterisdivorcingherhusband

Question114 NurseJamesYounghusbandpassedtherecentlyPNLE,andiscurrentlyassigned
Correct asanapprentice(OJT)nurseinaDistricthospitalintheirprovince.Aspartofhis
orientationprogram,hewasassignedintheEENTdepartmentfor1month.He
Mark1outof1
preparedforhisdutyandreviewedtheprinciplesandconceptsrelatedtocareof
Flagquestion clientswithproblemsrelatedtotheeyeandearandthroatproblems.

Whichofthefollowingshouldthenurseincludeintheassessmentoftheclients
cranialnervesandextraoculareyemuscles?

Selectone:
A.Sixcardinalfieldsofgaze

B.Macularcharacteristics

C.DiscCharacteristics

D.RedReflex

Question115 WhichofthefollowingisstatedinRA9173orthePhilippineNursingActof2002?
Correct
Selectone:
Mark1outof1
A.Propernursingdocumentationshouldbemadewhenrenderingcareto
Flagquestion
patients

B.Nursingstudentsshouldbeundersupervisionoftheheadnursewhen
handlingpatients.
 C.Nursingstudentscangiveintravenousmedicationsafterspecialtrainingon
IVmedications.
D.Intheadministrationofintradermalinjections,specialtrainingshallbe
requiredaccordingtotheprotocolestablished.

Question116 Ronisassignedinapsychiatricward.Henoticesthatoneofthepatientswould
Correct followeverymovehewouldmake.Whenhemoveshishand,thepatientswould
alsomovehishand.Thisisanexampleof:
Mark1outof1

Flagquestion Selectone: ARVINCAMPOS

C.Waxyflexibility

D.Echopraxia

Question117 Factorsinfluencingmentalhealtharethefollowing:
Incorrect 1.Individual
2.Interpersonal
Mark0outof1
3.Social/cultural
Flagquestion 4.Physiological
5.Intrapersonal

Selectone:
A.1,2,4,5

B.1,2,5

C.Allarecorrect

D.1,2,3

Question118 Thenursecollectsahistoryfromaclientsuspectedofsensorineuralhearingloss.
Correct Whichofthefollowingsupportsthediagnosisandshouldbereported?

Mark1outof1
Selectone:
Flagquestion
A.Theclientspeakssoftly

B.Ahistoryofexposuretoexcessivenoiseoveraperiodoftime.

C.Theabilitytohearhighpitchedsounds

D.Frequentearirrigationsfordryhardcerumen

Question119 Astateofemotional,psychological,andsocialwellnessevidencedbysatisfying
Correct interpersonalrelationships,effectivebehaviorandcoping,positiveself-concept,
andemotionalstability.
Mark1outof1

Flagquestion Selectone:
A.Physicalwell-being

B.Mentalstability

C.Health

D.MentalHealth

Question120 DuringsocializationMa.AngelicaGeraldinewasprovoked,becamefuriousand
Correct startedshoutingWalanghiyakayo!Akoangbidadito!Thenurseactionis:

Mark1outof1
Selectone:
Flagquestion
A.Takeherawayfromthegroupuntilshemanagestohavecontrolofherself

B.Immediatelyrestrainherandputheronisolationtoprotectotherpatients

C.RespondwithAngelica,pare-pareholangkayongmgaibangpasyente
dito.

D.PreventherfrombecomingmorefuriousbygivinganextraPRNdoseof
 sedative

Question121 Whichofthefollowingdrugexamplesisconsideredasanimmunestimulant?
Correct
Selectone:
Mark1outof1
A.Cisplatin
Flagquestion
B.Acetaminophen

C.Metronidazole

D.InterferonAlfa-2A
E.Mebendazole

Question122 NursePennyisawarethatthesymptomsthatdistinguishposttraumaticstress
Correct disorderfromotheranxietydisorderwouldbe:

Mark1outof1
Selectone:
Flagquestion
A.Avoidanceofsituation&certainactivitiesthatresemblethestress

B.Lackofinterestinfamily&others
C.Re-experiencingthetraumaindreamsorflashback

D.Depressionandabluntedaffectwhendiscussingthetraumaticsituation

Question123 WhileAngeliferisdiscussingthesignsandsymptomsofanxietywithhernurse,
Correct sherecognizedthatcompletedisruptionoftheabilitytoperceiveoccursin:

Mark1outof1
Selectone:
Flagquestion
A.Moderateanxiety

B.Panicstateofanxiety

C.Severeanxiety

D.Mildanxiety

Question124 Thenurseexplainsthatthespinalcordextendsfromthebrainstemtothelevelof
Correct whichvertebra?

Mark1outof1
Selectone:
Flagquestion
A.Secondlumbar

B.Lastthoracic

C.Coccygeal

D.Firstsacral

Question125 Paulisterminallyillofcancer.Lookingsad,heexpressesWalanayataakong
Correct pag-asangmabuhaypa.Aresponsewhichfostershopeis:

Mark1outof1
Selectone:
Flagquestion
A.Mukhangnapakabigatngdinadamdamninyo.Anditopoakoatpwede
tayongmag-usap.

B.Lakasanninyoangloobninyo.Lahatnamantayoaydoonang
patutunguhan.

C.Huwagponinyongisipinangsakitninyo.Balewalaiyon.Anditonamanako
paramakausapninyo.

D.Gagalingdinpokayo.Huwagkayongmag-alala.

Question126 Marioisadmittedtotheemergencyroomwithdrug-includedanxietyrelatedtoover
Correct ingestionofprescribedantipsychoticmedication.Themostimportantpieceof
informationthenurseinchargeshouldobtaininitiallyisthe:
Mark1outof1
 Flagquestion Selectone:
A.Nameofthenearestrelativeandtheirphonenumber

B.Nameoftheingestedmedicationandtheamountingested

C.Lengthoftimeonthemedication
D.Reasonforthesuicideattempt

Question127 WhichofthesedrugsislikelytobeindicatedforGrace?
Correct
Selectone:
Mark1outof1
A.Serenace(Haloperidol)
Flagquestion
B.Tofranil(ImipramineHCl)
C.Trilafon(Pherphenazine)

D.Valium(Diazepam)

Question128 Afterthreedaysofantidepressantmedication,Gracestillmanifestsdepression.
Correct Thenurseevaluatesthisas:

Mark1outof1
Selectone:
Flagquestion
A.Expectedbecauseittakesabouttwoweeksforthemedicationtobe
effective
B.Unusualbecauseactionoftheantidepressantdrugisimmediate
C.Unexpectedbecauseittakeswithinoneweekforthemedicationtobe
effective

D.Ineffectivebecauseperhapsthedrugsdosageisinadequate

Question129 Susieutilizesprojectionbybeingsuspicious.Thismeansthatshe:
Correct
Selectone:
Mark1outof1
A.Involuntaryexcludeswishes,impulses,memoriesandfeelingsfrom
Flagquestion
awareness

B.Involuntaryrefusestoacknowledgereality

C.Unconsciouslyrefusestoacceptafeeling,thoughtorimpulseand
attributesittosomeoneelse

D.Justifiesbehavior,attributesandfeelingswithexcuses

Question130 Whenplanningthedischargeofaclientwithchronicanxiety,NurseMichelle
Correct evaluatesachievementofthedischargemaintenancegoals.Whichgoalwouldbe
mostappropriatelyhavingbeenincludedintheplanofcarerequiringevaluation?
Mark1outof1

Flagquestion Selectone:
A.Theclienteliminatesallanxietyfromdailysituations
B.Theclientmaintainscontactwithacrisiscounsellor

C.Theclientidentifiesanxietyproducingsituations

D.Theclientignoresfeelingsofanxiety

Question131 Aclientwithbipolardisorder,manicphasehasjustsatdowntowatchtelevisionin
Correct thelounge.Whichofthefollowingresponsesbythenursewouldbethemost
therapeuticfortheclient?
Mark1outof1

Flagquestion Selectone:
A."Ican'tfollowyou.Itwouldhelpmeifyou'dspeakalittleslower"
B."You'retalkingnonsense.Trytostayononesubject"

C."Let'stalkaboutwhatyoudidtodayinstead"
D."Howdoesthesunshiningrelatetoyourson?"
Question132 Clonidine(Catapres)canbeusedtotreatconditionsotherthanhypertension.
Incorrect NurseSallyisawarethatthefollowingconditionsmightthedrugbeadministered?

Mark0outof1
Selectone:
Flagquestion
A.Alcoholwithdrawal
B.Phencyclidine(PCP)intoxication

C.Cocainewithdrawal

D.Opiatewithdrawal

Question133 Aclientisadmittedtothepsychiatricunitaccompaniedbyherhusband.Shebrings
Incorrect sixsuitcasesandthreeshoppingbags.Sheordersthenursetocarryherbags.
Herhusbandstatesshehasbeenpurchasingitemsthattheycannotaffordand
Mark0outof1
hasnotsleptfor4nights.Whichadditionalinformationwouldbeapriorityforthe
Flagquestion nursetoseekfromtheclient'shusband?

Selectone:
A.whethertheclientbecomesagitatedeasily

B.theclient'susualsleepingpattern

C.theclient'sfluidandfoodintake

D.theircurrentfinancialstatus

Question134 Thefollowingarenursingresponsibilitieswhencaringforpatientstaking
Correct Leukotrienereceptorantagonist(LRA),except:

Mark1outof1
Selectone:
Flagquestion
A.Donotstopthemedicationduringsymptom-freeperiodstoensure
therapeuticlevelsaremaintained.
B.Administertotreatacuteasthma,statusasthmaticusorbronchospasm

C.AvoidOTCdrugscontainingASPIRINwhichmayinterferewiththedrug
effectiveness.
D.Administerdrugonanemptystomach1houror2hoursaftermealsto
increasetheabsorptionofthedrug

Question135 NurseJonelisprovidinginformationtoacommunitygroupaboutviolenceinthe
Correct family.Whichstatementbyagroupmemberwouldindicateaneedtoprovide
additionalinformation?
Mark1outof1

Flagquestion Selectone:
A.AbuserAreoftenjealousorself-centered

B.Abuserusefearandintimidation
C.Abuserusuallyhavepoorself-esteem

D.Abuseoccursmoreinlow-incomefamilies

Question136 Whilegoingoneveningrounds,NurseKatesawMrs.Symeditatingandafterwards
Correct startedsingingprayerfulhymns.WhatisthebestresponseofKate?

Mark1outof1
Selectone:
Flagquestion
A.Callherattentionsoshecangotosleep.

B.Respecttheclientsactionasthisprovidesstructureandsupporttothe
client
C.Ignoretheincidence

D.Reporttheincidence

Question137 Onanin-patientpsychiatricsetting,whichactionofthenursereflectsthenurses
Correct roleasadvocate?
Mark1outof1
Selectone:
Flagquestion
A.Thenursemonitorstheclientinthemilieuforsideeffectsofpsychotropic
medications

B.Thenursefocusesonimprovingthementallyillclientsandfamilymembers
self-careknowledgeandskills

C.Thenurseensuresthatnewclientsfitcomfortablyintothetherapeutic
environment

D.Thenursespeaksonbehalfofamentallyillclienttoensureadequate
accesstoneededmentalhealthservices

Question138 Whichinterventionismosteffectiveinminimizingtheriskofseizureactivityina
Correct clientwhoisundergoingdiagnosticstudiesafterhavingexperiencedseveral
episodesofseizures?
Mark1outof1

Flagquestion Selectone:
A.Maintaintheclientonbedrest.

B.Closethedoortotheroomtominimizestimulation.

C.AdministerPhenobarbital30mgorally,threetimesperday.
D.AdministerCarbamazepine(Tegretol)200mgorally,twiceperday.

Question139 Aclientisadmittedinvoluntarilybycourtordertoapsychiatrichospitalfor90days.
Incorrect Documentssentwithhercite,amongotherthings,thatshewillnoteatbecause
shefeelsherstomachismissingandherbowelshaveturnedtojelly,andthatshe
Mark0outof1
viewsthisas"justpunishmentformypastwickednessandfortheevilI'vebrought
Flagquestion onmyfamily"Whichofthefollowingrightsdidtheclientlosebybeingadmitted
involuntarilytoapsychiatrichospital?Therightto

Selectone:
A.signoutofthehospitalagainstmedicaladvice

B.makeawillorlegallybindingcontract

C.sendandreceivemail

D.voteinanationalelection

Question140 Thenursemonitorstheclientwhoisatriskforincreasedintracranialpressure
Correct (ICP)for

Mark1outof1
Selectone:
Flagquestion
A.Decreasingsystolicbloodpressure

B.Decreasingbodytemperature

C.Tachycardia

D.Unequalpupilsize

Question141 AcharacteristicthatwouldsuggesttoNurseAnnethatanadolescentmayhave
Incorrect bulimiawouldbe:

Mark0outof1
Selectone:
Flagquestion
A.Positivebodyimage

B.Previoushistoryofgastritis

C.Frequentregurgitation&re-swallowingoffood

D.Badlystainedteeth

Question142 Whichofthefollowingstatementsisexpectedfromaclientwithborderline
Correct personalitydisorderwithahistoryofdysfunctionalrelationships?

Mark1outof1
Selectone:
Flagquestion
A.Imgoingtobeanequalpartnerinarelationship.
 B.Ivedecidedtousebettercommunicationskills.

C.Iwontgetinvolvedinanotherrelationship.

D.Imdeterminedtolookfortheperfectpartner.

Question143 Forafemaleclientwithanorexianervosa,nurseRoseplanstoincludetheparents
Correct intherapysessionsalongwiththeclient.Whatfactshouldthenurserememberto
betypicalofparentsofclientswithanorexianervosa?
Mark1outof1

Flagquestion Selectone:
A.Theytendtooverprotecttheirchildren

B.Theyalternatebetweenlovingandrejectingtheirchildren

C.Theymaintainemotionaldistancefromtheirchildren

D.Theyusuallyhaveahistoryofsubstanceabuse

Question144 NurseTimiscaringforaclientdiagnosedwithbulimia.Themostappropriateinitial
Correct goalforaclientdiagnosedwithbulimiaisto:

Mark1outof1
Selectone:
Flagquestion
A.Identifyanxiety-causingsituations
B.avoidshoppingforlargeamountsoffood

C.eatonlythreemealsperday

D.controleatingimpulses

Question145 Amaleclientadmittedtothepsychiatricunitfortreatmentofsubstanceabusesays
Correct tothenurse,Itfeltsowonderfultogethigh.Whichofthefollowingisthemost
appropriateresponse?
Mark1outof1

Flagquestion Selectone:
a.Dontyouknowitsillegaltousedrugs?

b.Tellmemoreabouthowitfelttogethigh.
c.Ifyoucontinuetotalklikethat,Imgoingtostopspeakingtoyou.

d.Youtoldmeyougotfiredfromyourlastjobformissingtoomanydaysafter
takingdrugsallnight.

Question146 Whenplanningactivitiesforthedepressedclient,especiallyduringtheearly
Correct stagesofhospitalization,whichofthefollowingplanisbest?

Mark1outof1
Selectone:
Flagquestion
A.Planningnothinguntiltheclientaskstoparticipateinthemilieu

B.Offeringtheclientamenuofdailyactivitiesandinsistingthattheclient
participateinallofthem

C.Providingastructureddailyprogramofactivitiesandencouragingtheclient
toparticipate

D.Providinganactivitythatquietandsolitaryinnaturetoavoidincreased
fatigue,suchasworkingonpuzzleorreadingabook

Question147 Aclientisadmittedinvoluntarilybycourtordertoapsychiatrichospitalfor90days.
Correct Documentssentwithhercite,amongotherthings,thatshewillnoteatbecause
shefeelsherstomachismissingandherbowelshaveturnedtojelly,andthatshe
Mark1outof1
viewsthisas"justpunishmentformypastwickednessandfortheevilI'vebrought
Flagquestion onmyfamily"Thenursenotestheclientbecomesrestlessandincoherentatnight.
Besidesadministeringaprescribedmedications,whichofthefollowingactionsby
thenursewouldbemosthelpfulfortheclientatthistime?

Selectone:
A.sitquietlywiththeclientuntilmedicationtakeseffect

B.helptheclienttakeacoolshowerbeforeretiring
 C.encouragetheclienttotalkaboutherfamily

D.readtotheclientwiththelightsturneddownlow

Question148 Aclientwithbipolardisorder,manicphasehasjustsatdowntowatchtelevisionin
Correct thelounge.Whichactivitywouldbemosttherapeuticforchannelingtheclient's
hyperactivebehavior?Allowingtheclientto
Mark1outof1

Flagquestion Selectone:
A.cleanhisroomandthedayroom

B.exerciseandmoveaboutasmuchaspossible

C.leadsomegroupactivities

D.readtopatientswhoaredepressed

Question149 ApsychiatricpatientistakingananxiolyticBenzodiazepine(Diazepam).Thisdrug
Correct inducessleeptopatients.Ifthepatientreceivestoomuchofthedose,thepatient
mightsufferfromserioussedation.Therefore,anantidoteshouldbeready.Which
Mark1outof1
ofthefollowingistheantidoteforbenzodiazepines?
Flagquestion

Selectone:
A.AtropineSulfate

B.Flumazenil

C.Phentolamine

D.Epinephrine

Question150 Whichofthefollowingconditionsislikelytocoexistinclientswithadiagnosisof
Correct borderlinepersonalitydisorder?

Mark1outof1
Selectone:
Flagquestion
A.Avoidance

B.Delirium

C.Depression

D.Disorientation

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