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Question 1 of 50
1. Question
1 point(s)Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam (Serax). Before administering the medication, nurse Gina should be prepared for which common adverse effect?
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Question 2 of 50
2. Question
1 point(s)Nurse Tamara is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to:
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Question 3 of 50
3. Question
1 point(s)A female client who’s at high risk for suicide needs close supervision. To best ensure the client’s safety, Nurse Mary should:
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Question 4 of 50
4. Question
1 point(s)Which of the following drugs should Nurse Mary prepare to administer to a client with a toxic acetaminophen (Tylenol) level?
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Question 5 of 50
5. Question
1 point(s)A male client is admitted to the substance abuse unit for alcohol detoxification. Which of the following medications is Nurse Alice most likely to administer to reduce the symptoms of alcohol withdrawal?
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Question 6 of 50
6. Question
1 point(s)During postprandial monitoring, a female client with bulimia nervosa tells the nurse, “You can sit with me, but you’re just wasting your time. After you had sat with me yesterday, I was still able to purge. Today, my goal is to do it twice.” What is the nurse’s best response?
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Question 7 of 50
7. Question
1 point(s)A male client admitted to the psychiatric unit for treatment of substance abuse says to the nurse, “It felt so wonderful to get high.” Which of the following is the most appropriate response?
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Question 8 of 50
8. Question
1 point(s)For a female client with anorexia nervosa, Nurse Jimmy is aware that which goal takes the highest priority?
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Question 9 of 50
9. Question
1 point(s)When interviewing the parents of an injured child, which of the following is the strongest indicator that child abuse may be a problem?
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Question 10 of 50
10. Question
1 point(s)For a female client with anorexia nervosa, nurse Rose plans to include the parents in therapy sessions along with the client. What fact should the nurse remember to be typical of parents of clients with anorexia nervosa?
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Question 11 of 50
11. Question
1 point(s)In the emergency department, a client with facial lacerations states that her husband beat her with a shoe. After the health care team repairs her lacerations, she waits to be seen by the crisis intake nurse, who will evaluate the continued threat of violence. Suddenly the client’s husband arrives, shouting that he wants to “finish the job.” What is the first priority of the health care worker who witnesses this scene?
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Question 12 of 50
12. Question
1 point(s)Nurse Mary is caring for a client with bulimia. Strict management of dietary intake is necessary. Which intervention is also important?
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Question 13 of 50
13. Question
1 point(s)Nurse Mary is assigned to care for a suicidal client. Initially, which is the nurse’s highest care priority?
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Question 14 of 50
14. Question
1 point(s)A 24-year old client with anorexia nervosa tells the nurse, “When I look in the mirror, I hate what I see. I look so fat and ugly.” Which strategy should the nurse use to deal with the client’s distorted perceptions and feelings?
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Question 15 of 50
15. Question
1 point(s)Nurse Alice is caring for a client being treated for alcoholism. Before initiating therapy with disulfiram (Antabuse), the nurse teaches the client that he must read labels carefully on which of the following products?
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Question 16 of 50
16. Question
1 point(s)Nurse Harry is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan?
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Question 17 of 50
17. Question
1 point(s)Nurse Taylor is aware that the victims of domestic violence should be assessed for what important information?
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Question 18 of 50
18. Question
1 point(s)A male client is hospitalized with fractures of the right femur and right humerus sustained in a motorcycle accident. Police suspect the client was intoxicated at the time of the accident. Laboratory tests reveal a blood alcohol level of 0.2% (200 mg/dl). The client later admits to drinking heavily for years. During hospitalization, the client periodically complains of tingling and numbness in the hands and feet. Nurse Gian realizes that these symptoms probably result from:
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Question 19 of 50
19. Question
1 point(s)A parent brings a preschooler to the emergency department for treatment of a dislocated shoulder, which allegedly happened when the child fell down the stairs. Which action should make the nurse suspect that the child was abused?
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Question 20 of 50
20. Question
1 point(s)When planning care for a client who has ingested phencyclidine (PCP), nurse Wayne is aware that the following is the highest priority?
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Question 21 of 50
21. Question
1 point(s)The nurse is aware that the outcome criteria would be appropriate for a child diagnosed with oppositional defiant disorder?
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Question 22 of 50
22. Question
1 point(s)A male client is found sitting on the floor of the bathroom in the day treatment clinic with moderate lacerations on both wrists. Surrounded by broken glass, he sits staring blankly at his bleeding wrists while staff members call for an ambulance. How should Nurse Anuktakanuk approach her initially?
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Question 23 of 50
23. Question
1 point(s)A female client with anorexia nervosa describes herself as “a whale.” However, the nurse’s assessment reveals that the client is 5′ 8″ (1.7 m) tall and weighs only 90 lb (40.8 kg). Considering the client’s unrealistic body image, which intervention should nurse Angel be included in the plan of care?
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Question 24 of 50
24. Question
1 point(s)Eighteen hours after undergoing an emergency appendectomy, a client with a reported history of social drinking displays these vital signs: temperature, 101.6° F (38.7° C); heart rate, 126 beats/minute; respiratory rate, 24 breaths/minute; and blood pressure, 140/96 mm Hg. The client exhibits gross hand tremors and is screaming for someone to kill the bugs in the bed. Nurse Melinda should suspect:
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Question 25 of 50
25. Question
1 point(s)Clonidine (Catapres) can be used to treat conditions other than hypertension. Nurse Sally is aware that the following conditions might the drug be administered?
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Question 26 of 50
26. Question
1 point(s)A male client with a history of cocaine addiction is admitted to the coronary care unit for evaluation of substernal chest pain. The electrocardiogram (ECG) shows a 1-mm ST-segment elevation of the anteroseptal leads and T-wave inversion in leads V3 to V5. Considering the client’s history of drug abuse, nurse Greg expects the physician to prescribe:
CorrectIncorrect -
Question 27 of 50
27. Question
1 point(s)A 14-year-old client was brought to the clinic by her mother. Her mother expresses concern about her daughter’s weight loss and constant dieting. Nurse Kris conducts a health history interview. Which of the following comments indicates that the client may be suffering from anorexia nervosa?
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Question 28 of 50
28. Question
1 point(s)Nurse Fey is aware that the drug of choice for treating Tourette syndrome?
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Question 29 of 50
29. Question
1 point(s)A male client tells the nurse he was involved in a car accident while he was intoxicated. What would be the most therapeutic response from nurse Julia?
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Question 30 of 50
30. Question
1 point(s)A male adult client voluntarily admits himself to the substance abuse unit. He confesses that he drinks one (1) qt or more of vodka each day and uses cocaine occasionally. Later that afternoon, he begins to show signs of alcohol withdrawal. What are some early signs of this condition?
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Question 31 of 50
31. Question
1 point(s)When monitoring a female client recently admitted for treatment of cocaine addiction, nurse Aaron notes sudden increases in the arterial blood pressure and heart rate. To correct these problems, the nurse expects the physician to prescribe:
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Question 32 of 50
32. Question
1 point(s)A 25 –year old client experiencing alcohol withdrawal is upset about going through detoxification. Which of the following goals is a priority?
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Question 33 of 50
33. Question
1 point(s)A male client is admitted to a psychiatric facility by court order for evaluation for antisocial personality disorder. This client has a long history of initiating fights and abusing animals and recently was arrested for setting a neighbor’s dog on fire. When evaluating this client for the potential for violence, nurse Perry should assess for which behavioral clues?
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Question 34 of 50
34. Question
1 point(s)A male client is brought to the psychiatric clinic by family members, who tell the admitting nurse that the client repeatedly drives while intoxicated despite their pleas to stop. During an interview with the nurse Linda, which statement by the client most strongly supports a diagnosis of psychoactive substance abuse?
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Question 35 of 50
35. Question
1 point(s)A female client with borderline personality disorder is admitted to the psychiatric unit. Initial nursing assessment reveals that the client’s wrists are scratched from a recent suicide attempt. Based on this finding, the nurse Lenny should formulate a nursing diagnosis of:
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Question 36 of 50
36. Question
1 point(s)A male client recently admitted to the hospital with sharp, substernal chest pain suddenly complains of palpitations. Nurse Ryan notes a rise in the client’s arterial blood pressure and a heart rate of 144 beats/minute. On further questioning, the client admits to having used cocaine recently after previously denying use of the drug. The nurse concludes that the client is at high risk for which complication of cocaine use?
CorrectIncorrect -
Question 37 of 50
37. Question
1 point(s)A male client is being admitted to the substance abuse unit for alcohol detoxification. As part of the intake interview, the nurse asks him when he had his last alcoholic drink. He says that he had his last drink six (6) hours before admission. Based on this response, nurse Lorena should expect early withdrawal symptoms to:
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Question 38 of 50
38. Question
1 point(s)Nurse Helen is assigned to care for a client with anorexia nervosa. Initially, which nursing intervention is most appropriate for this client?
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Question 39 of 50
39. Question
1 point(s)A female client begins to experience alcoholic hallucinosis. Nurse Joy is aware that the best nursing intervention at this time?
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Question 40 of 50
40. Question
1 point(s)Nurse Bella is aware that assessment finding is most consistent with early alcohol withdrawal?
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Question 41 of 50
41. Question
1 point(s)Nurse Amy is aware that the client is at highest risk for suicide?
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Question 42 of 50
42. Question
1 point(s)Nurse Penny is aware that the following medical conditions are commonly found in clients with bulimia nervosa?
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Question 43 of 50
43. Question
1 point(s)Kellan, a high school student is referred to the school nurse for suspected substance abuse. Following the nurse’s assessment and interventions, what would be the most desirable outcome?
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Question 44 of 50
44. Question
1 point(s)A male client who reportedly consumes one (1) qt of vodka daily is admitted for alcohol detoxification. To try to prevent alcohol withdrawal symptoms, Dr. Smith is most likely to prescribe which drug?
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Question 45 of 50
45. Question
1 point(s)A male client is being treated for alcoholism. After a family meeting, the client’s spouse asks the nurse about ways to help the family deal with the effects of alcoholism. Nurse Lily should suggest that the family join which organization?
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Question 46 of 50
46. Question
1 point(s)A female client is admitted to the psychiatric clinic for treatment of anorexia nervosa. To promote the client’s physical health, nurse Tair should plan to:
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Question 47 of 50
47. Question
1 point(s)Kevin is remanded by the courts for psychiatric treatment. His police record, which dates to his early teenage years, includes delinquency, running away, auto theft, and vandalism. He dropped out of school at age 16 and has been living on his own since then. His history suggests maladaptive coping, which is associated with:
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Question 48 of 50
48. Question
1 point(s)Macoy and Helen seek emergency crisis intervention because he slapped her repeatedly the night before. The husband indicates that his childhood was marred by an abusive relationship with his father. When intervening with this couple, nurse Gerry knows they are at risk for repeated violence because the husband:
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Question 49 of 50
49. Question
1 point(s)A client whose husband just left her has a recurrence of anorexia nervosa. Nurse Vic caring for her realizes that this exacerbation of anorexia nervosa results from the client’s effort to:
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Question 50 of 50
50. Question
1 point(s)A male client has approached the nurse asking for advice on how to deal with his alcohol addiction. Nurse Sally should tell the client that the only effective treatment for alcoholism is:
CorrectIncorrect