NURSING WRITTEN EXAM QUESTION WITH ANSWER
1. A neuromuscular blocking agent is administered to a client before ECT therapy. The Nurse should carefully observe the client for?
A. Respiratory difficulties
B. Nausea and vomiting
C. Dizziness
D. Seizures
Answer: A. Respiratory difficulties
2. A 76 year old client is admitted to the hospital with the diagnosis of dementia of the Alzheimer’s type and depression. The symptom that is unrelated to depression would be?
A. Apathetic response to the environment
B. “I don’t know” answer to questions
C. Shallow of labile effect
D. Neglect of personal hygiene
Answer: C. Shallow of labile effect
3. Nurse Anish is working in a mental health facility; the nurse priority nursing intervention for a newly admitted client with bulimia nervosa would be to?
A. Teach client to measure I & O
B. Involve client in planning daily meal
C. Observe client during meals
D. Monitor client continuously
Answer: D. Monitor client continuously
4. Nurse Shiju is aware that the major health complication associated with intractable anorexia nervosa would be?
A. Cardiac dysrhythmias resulting to cardiac arrest
B. Glucose intolerance resulting in protracted hypoglycemia
C. Endocrine imbalance causing cold amenorrhea
D. Decreased metabolism causing cold intolerance
Answer: A. Cardiac dysrhythmias resulting to cardiac arrest
5. Nurse Monika can minimize agitation in a disturbed client by?
A. Increasing stimulation
B. limiting unnecessary interaction
C. increasing appropriate sensory perception
D. ensuring constant client and staff contact
Answer: B. limiting unnecessary interaction
6. A 37 year old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Sonia recognizes that the basis of O.C. disorder is often:
A. Problems with being too conscientious
B. Problems with anger and remorse
C. Feelings of guilt and inadequacy
D. Feeling of unworthiness and hopelessness
Answer: C. Feelings of guilt and inadequacy
7. Mario is complaining to other clients about not being allowed by staff to keep food in his room. Which of the following interventions would be most appropriate?
A. Allowing a snack to be kept in his room
B. Reprimanding the client
C. Ignoring the clients behavior
D. Setting limits on the behavior
Answer: D. Setting limits on the behavior
8. Nurse Tony was caring for a 43 year old female client. Which behavior by the client indicates adult cognitive development?
A. Generates new levels of awareness
B. Assumes responsibility for her actions
C. Has maximum ability to solve problems and learn new skills
D. Her perception are based on reality
Answer: A. Generates new levels of awareness
9. Prathibha with borderline personality disorder who is to be discharge soon threatens to “do something” to herself if discharged. Which of the following actions by the nurse would be most important?
A. Ask a family member to stay with the client at home temporarily
B. Discuss the meaning of the client’s statement with her
C. Request an immediate extension for the client
D. Ignore the clients statement because it’s a sign of manipulation
Answer: B. Discuss the meaning of the client’s statement with her
10. Which of the following approaches would be most appropriate to use with a client suffering from narcissistic personality disorder when discrepancies exist between what the client states and what actually exist?
A. Rationalization
B. Supportive confrontation
C. Limit setting
D. Consistency
Answer: B. Supportive confrontation
11. Mrs Parvathi is experiencing alcohol withdrawal exhibits tremors, diaphoresis and hyperactivity. Blood pressure is 190/87 mmhg and pulse is 92 bpm. Which of the medications would the nurse expect to administer?
A. Naloxone (Narcan)
B. Benzlropine (Cogentin)
C. Lorazepam (Ativan)
D. Haloperidol (Haldol)
Answer: C. Lorazepam (Ativan)
12. Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?
A. Milk
B. Orange Juice
C. Tea
D. Regular Coffee
Answer: D. Regular Coffee
13. Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?
A. Yawning & diaphoresis
B. Restlessness & Irritability
C. Constipation & steatorrhea
D. Vomiting and Diarrhea
Answer: D. Vomiting and Diarrhea
14. Joey a client with antisocial personality disorder belches loudly. A staff member asks Joey, “Do you know why people find you repulsive?” this statement most likely would elicit which of the following client reaction?
A. Defensiveness
B. Embarrassment
C. Shame
D. Remorseful
Answer: A. Defensiveness
15. To establish open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?
A. Encourage the staff to have frequent interaction with the client
B. Share an activity with the client
C. Give client feedback about behavior
D. Respect client’s need for personal space
Answer: B. Share an activity with the client
16. Nurse Trish would expect a child with a diagnosis of reactive attachment disorder to:
A. Have more positive relation with the father than the mother
B. Cling to mother & cry on separation
C. Be able to develop only superficial relation with the others
D. Have been physically abuse
Answer: C. Be able to develop only superficial relation with the others
17. Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:
A. Manipulate the environment to bring about positive changes in behavior
B. Allow the client’s freedom to determine whether or not they will be involved in activities
C. Role play life events to meet individual needs
D. Use natural remedies rather than drugs to control behavior
Answer: A. Manipulate the environment to bring about positive changes in behavior
18. A 60 year old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend.
The nurse recognizes that the client is using the defense mechanism known as?
A. Displacement
B. Projection
C. Sublimation
D. Denial
Answer: D. Denial
19. When teaching parents about childhood depression Nurse Trina should say?
A. It may appear acting out behavior
B. Does not respond to conventional treatment
C. Is short in duration & resolves easily
D. Looks almost identical to adult depression
Answer: A. It may appear acting out behavior
20. When working with a male client suffering phobia about black cats, Nurse Trish should anticipate that a problem for this client would be?
A. Anxiety when discussing phobia
B. Anger toward the feared object
C. Denying that the phobia exist
D. Distortion of reality when completing daily routines
Answer: A. Anxiety when discussing phobia
21. Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be?
A. Would you like to watch TV?
B. Would you like me to talk with you?
C. Are you feeling upset now?
D. Ignore the client
Answer: B. Would you like me to talk with you?
22. Nurse Perry is aware that language development in autistic child resembles:
A. Scanning speech
B. Speech lag
C. Shuttering
D. Echolalia
Answer: D. Echolalia
23. Nurse Penny is aware that the symptoms that distinguish post traumatic stress disorder from other anxiety disorder would be:
A. Avoidance of situation & certain activities that resemble the stress
B. Depression and a blunted affect when discussing the traumatic situation
C. Lack of interest in family & others
D. Re-experiencing the trauma in dreams or flashback
Answer: D. Re-experiencing the trauma in dreams or flashback
24. Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?
A. Flight of ideas
B. Associative looseness
C. Confabulation
D. Concretism
Answer: C. Confabulation
25. A characteristic that would suggest to Nurse Anne that an adolescent may have bulimia would be:
A. Frequent regurgitation & re-swallowing of food
B. Previous history of gastritis
C. Badly stained teeth
D. Positive body image
Answer: C. Badly stained teeth
26. Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:
A. Multiple stimuli
B. Routine Activities
C. Minimal decision making
D. Varied Activities
Answer: B. Routine Activities
27. Nurse Joey is aware that the signs & symptoms that would be most specific for diagnosis anorexia are?
A. Excessive weight loss, amenorrhea & abdominal distension
B. Slow pulse, 10% weight loss & alopecia
C. Compulsive behavior, excessive fears & nausea
D. Excessive activity, memory lapses & an increased pulse
Answer: A. Excessive weight loss, amenorrhea & abdominal distension
28. A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:
A. Low self esteem
B. Concrete thinking
C. Effective self boundaries
D. Weak ego
Answer: C. Effective self boundaries
29. To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:
A. Frustration & fear of death
B. Anger & resentment
C. Anxiety & loneliness
D. Helplessness & hopelessness
Answer: D. Helplessness & hopelessness
30. When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual:
A. Helps the client focus on the inability to deal with reality
B. Helps the client control the anxiety
C. Is under the client’s conscious control
D. Is used by the client primarily for secondary gains
Answer: B. Helps the client control the anxiety
1. A neuromuscular blocking agent is administered to a client before ECT therapy. The Nurse should carefully observe the client for?
A. Respiratory difficulties
B. Nausea and vomiting
C. Dizziness
D. Seizures
Answer: A. Respiratory difficulties
2. A 76 year old client is admitted to the hospital with the diagnosis of dementia of the Alzheimer’s type and depression. The symptom that is unrelated to depression would be?
A. Apathetic response to the environment
B. “I don’t know” answer to questions
C. Shallow of labile effect
D. Neglect of personal hygiene
Answer: C. Shallow of labile effect
3. Nurse Anish is working in a mental health facility; the nurse priority nursing intervention for a newly admitted client with bulimia nervosa would be to?
A. Teach client to measure I & O
B. Involve client in planning daily meal
C. Observe client during meals
D. Monitor client continuously
Answer: D. Monitor client continuously
4. Nurse Shiju is aware that the major health complication associated with intractable anorexia nervosa would be?
A. Cardiac dysrhythmias resulting to cardiac arrest
B. Glucose intolerance resulting in protracted hypoglycemia
C. Endocrine imbalance causing cold amenorrhea
D. Decreased metabolism causing cold intolerance
Answer: A. Cardiac dysrhythmias resulting to cardiac arrest
5. Nurse Monika can minimize agitation in a disturbed client by?
A. Increasing stimulation
B. limiting unnecessary interaction
C. increasing appropriate sensory perception
D. ensuring constant client and staff contact
Answer: B. limiting unnecessary interaction
6. A 37 year old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Sonia recognizes that the basis of O.C. disorder is often:
A. Problems with being too conscientious
B. Problems with anger and remorse
C. Feelings of guilt and inadequacy
D. Feeling of unworthiness and hopelessness
Answer: C. Feelings of guilt and inadequacy
7. Mario is complaining to other clients about not being allowed by staff to keep food in his room. Which of the following interventions would be most appropriate?
A. Allowing a snack to be kept in his room
B. Reprimanding the client
C. Ignoring the clients behavior
D. Setting limits on the behavior
Answer: D. Setting limits on the behavior
8. Nurse Tony was caring for a 43 year old female client. Which behavior by the client indicates adult cognitive development?
A. Generates new levels of awareness
B. Assumes responsibility for her actions
C. Has maximum ability to solve problems and learn new skills
D. Her perception are based on reality
Answer: A. Generates new levels of awareness
9. Prathibha with borderline personality disorder who is to be discharge soon threatens to “do something” to herself if discharged. Which of the following actions by the nurse would be most important?
A. Ask a family member to stay with the client at home temporarily
B. Discuss the meaning of the client’s statement with her
C. Request an immediate extension for the client
D. Ignore the clients statement because it’s a sign of manipulation
Answer: B. Discuss the meaning of the client’s statement with her
10. Which of the following approaches would be most appropriate to use with a client suffering from narcissistic personality disorder when discrepancies exist between what the client states and what actually exist?
A. Rationalization
B. Supportive confrontation
C. Limit setting
D. Consistency
Answer: B. Supportive confrontation
11. Mrs Parvathi is experiencing alcohol withdrawal exhibits tremors, diaphoresis and hyperactivity. Blood pressure is 190/87 mmhg and pulse is 92 bpm. Which of the medications would the nurse expect to administer?
A. Naloxone (Narcan)
B. Benzlropine (Cogentin)
C. Lorazepam (Ativan)
D. Haloperidol (Haldol)
Answer: C. Lorazepam (Ativan)
12. Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?
A. Milk
B. Orange Juice
C. Tea
D. Regular Coffee
Answer: D. Regular Coffee
13. Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?
A. Yawning & diaphoresis
B. Restlessness & Irritability
C. Constipation & steatorrhea
D. Vomiting and Diarrhea
Answer: D. Vomiting and Diarrhea
14. Joey a client with antisocial personality disorder belches loudly. A staff member asks Joey, “Do you know why people find you repulsive?” this statement most likely would elicit which of the following client reaction?
A. Defensiveness
B. Embarrassment
C. Shame
D. Remorseful
Answer: A. Defensiveness
15. To establish open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?
A. Encourage the staff to have frequent interaction with the client
B. Share an activity with the client
C. Give client feedback about behavior
D. Respect client’s need for personal space
Answer: B. Share an activity with the client
16. Nurse Trish would expect a child with a diagnosis of reactive attachment disorder to:
A. Have more positive relation with the father than the mother
B. Cling to mother & cry on separation
C. Be able to develop only superficial relation with the others
D. Have been physically abuse
Answer: C. Be able to develop only superficial relation with the others
17. Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:
A. Manipulate the environment to bring about positive changes in behavior
B. Allow the client’s freedom to determine whether or not they will be involved in activities
C. Role play life events to meet individual needs
D. Use natural remedies rather than drugs to control behavior
Answer: A. Manipulate the environment to bring about positive changes in behavior
18. A 60 year old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend.
The nurse recognizes that the client is using the defense mechanism known as?
A. Displacement
B. Projection
C. Sublimation
D. Denial
Answer: D. Denial
19. When teaching parents about childhood depression Nurse Trina should say?
A. It may appear acting out behavior
B. Does not respond to conventional treatment
C. Is short in duration & resolves easily
D. Looks almost identical to adult depression
Answer: A. It may appear acting out behavior
20. When working with a male client suffering phobia about black cats, Nurse Trish should anticipate that a problem for this client would be?
A. Anxiety when discussing phobia
B. Anger toward the feared object
C. Denying that the phobia exist
D. Distortion of reality when completing daily routines
Answer: A. Anxiety when discussing phobia
21. Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be?
A. Would you like to watch TV?
B. Would you like me to talk with you?
C. Are you feeling upset now?
D. Ignore the client
Answer: B. Would you like me to talk with you?
22. Nurse Perry is aware that language development in autistic child resembles:
A. Scanning speech
B. Speech lag
C. Shuttering
D. Echolalia
Answer: D. Echolalia
23. Nurse Penny is aware that the symptoms that distinguish post traumatic stress disorder from other anxiety disorder would be:
A. Avoidance of situation & certain activities that resemble the stress
B. Depression and a blunted affect when discussing the traumatic situation
C. Lack of interest in family & others
D. Re-experiencing the trauma in dreams or flashback
Answer: D. Re-experiencing the trauma in dreams or flashback
24. Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?
A. Flight of ideas
B. Associative looseness
C. Confabulation
D. Concretism
Answer: C. Confabulation
25. A characteristic that would suggest to Nurse Anne that an adolescent may have bulimia would be:
A. Frequent regurgitation & re-swallowing of food
B. Previous history of gastritis
C. Badly stained teeth
D. Positive body image
Answer: C. Badly stained teeth
26. Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:
A. Multiple stimuli
B. Routine Activities
C. Minimal decision making
D. Varied Activities
Answer: B. Routine Activities
27. Nurse Joey is aware that the signs & symptoms that would be most specific for diagnosis anorexia are?
A. Excessive weight loss, amenorrhea & abdominal distension
B. Slow pulse, 10% weight loss & alopecia
C. Compulsive behavior, excessive fears & nausea
D. Excessive activity, memory lapses & an increased pulse
Answer: A. Excessive weight loss, amenorrhea & abdominal distension
28. A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:
A. Low self esteem
B. Concrete thinking
C. Effective self boundaries
D. Weak ego
Answer: C. Effective self boundaries
29. To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:
A. Frustration & fear of death
B. Anger & resentment
C. Anxiety & loneliness
D. Helplessness & hopelessness
Answer: D. Helplessness & hopelessness
30. When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual:
A. Helps the client focus on the inability to deal with reality
B. Helps the client control the anxiety
C. Is under the client’s conscious control
D. Is used by the client primarily for secondary gains
Answer: B. Helps the client control the anxiety