Professional Documents
Culture Documents
client says
~Confucius
C. Repeatedly discuss previous suicide attempts with the client
Topics D. Disregard decreased communication by the client because this is
Topics included in this NCLEX practice quiz are: common with suicidal clients
Alcohol Withdrawal
Anorexia Nervosa 4. Which of the following drugs should Nurse Mary prepare to
Disulfiram Therapy
A. Deferoxamine mesylate (Desferal)
Domestic Violence
B. Succimer (Chemet)
Personality Disorders
C. Flumazenil (Romazicon)
Physical Abuse
D. Acetylcysteine (Mucomyst)
Substance Abuse
Suicidal Tendencies
5. A male client is admitted to the substance abuse unit for
Tourette Syndrome
alcohol detoxification. Which of the following medications is
medication, nurse Gina should be prepared for which common A. Naloxone (Narcan)
C. Magnesium sulfate
A. Seizures D. Chlordiazepoxide (Librium)
B. Shivering
D. Chest pain nervosa tells the nurse, You can sit with me, but youre just
wasting your time. After you had sat with me yesterday, I was still
2. Nurse Tamara is caring for a client diagnosed with bulimia. The able to purge. Today, my goal is to do it twice. What is the
most appropriate initial goal for a client diagnosed with bulimia is nurses best response?
to:
3. A female client whos at high risk for suicide needs close 7. A male client admitted to the psychiatric unit for treatment of
supervision. To best ensure the clients safety, Nurse Mary substance abuse says to the nurse, It felt so wonderful to get
should: high. Which of the following is the most appropriate response?
A. Check the client frequently at irregular intervals throughout the night A. If you continue to talk like that, Im going to stop speaking to you.
B. Assure the client that the nurse will hold in confidence anything the B. You told me you got fired from your last job for missing too many
days after taking drugs all night. A. Remaining with the client and staying calm
C. Tell me more about how it felt to get high. B. Calling a security guard and another staff member for assistance
D. Dont you know its illegal to use drugs? C. Telling the clients husband that he must leave at once
aware that which goal takes the highest priority? 12. Nurse Mary is caring for a client with bulimia. Strict
weight A. Fill out the clients menu and make sure she eats at least half of
C. The client will identify self-perceptions about body size as unrealistic what is on her tray.
D. The client will verbalize the possible physiological consequences of B. Let the client eat her meals in private. Then engage her in social
C. Let the client choose her own food. If she eats everything she
9. When interviewing the parents of an injured child, which of the
orders, then stay with her for 1 hour after each meal
following is the strongest indicator that child abuse may be a
D. Let the client eat food brought in by the family if she chooses, but
problem?
she should keep a strict calorie count.
A. The injury isnt consistent with the history or the childs age 13. Nurse Mary is assigned to care for a suicidal client. Initially,
B. The mother and father tell different stories regarding what happened which is the nurses highest care priority?
C. The family is poor
D. The parents are argumentative and demanding with emergency A. Assessing the clients home environment and relationships outside
14. A 24-year old client with anorexia nervosa tells the nurse,
A. They tend to overprotect their children When I look in the mirror, I hate what I see. I look so fat and
B. They usually have a history of substance abuse ugly. Which strategy should the nurse use to deal with the
C. They maintain emotional distance from their children clients distorted perceptions and feelings?
D. They alternate between loving and rejecting their children
finish the job. What is the first priority of the health care worker 15. Nurse Alice is caring for a client being treated for alcoholism.
who witnesses this scene? Before initiating therapy with disulfiram (Antabuse), the nurse
teaches the client that he must read labels carefully on which of 19. A parent brings a preschooler to the emergency department
the following products? for treatment of a dislocated shoulder, which allegedly happened
when the child fell down the stairs. Which action should make the
A. Carbonated beverages nurse suspect that the child was abused?
B. Aftershave lotion
D. Cheese B. The child pulls away from contact with the physician.
plan? 20. When planning care for a client who has ingested
C. Set up a strict eating plan for the client A. Clients physical needs
D. Encourage the client to exercise, which will reduce her anxiety B. Clients safety needs
D. History of previous victimization B. Be able to verbalize own needs and assert rights.
suspect the client was intoxicated at the time of the accident. 22. A male client is found sitting on the floor of the bathroom in
Laboratory tests reveal a blood alcohol level of 0.2% (200 mg/dl). the day treatment clinic with moderate lacerations on both wrists.
The client later admits to drinking heavily for years. During Surrounded by broken glass, he sits staring blankly at his
hospitalization, the client periodically complains of tingling and bleeding wrists while staff members call for an ambulance. How
numbness in the hands and feet. Nurse Gian realizes that these should Nurse Anuktakanuk approach her initially?
A. Acetate accumulation B. Call for staff back-up before entering the room and restraining him
B. Thiamine deficiency C. Move as much glass away from him as possible and sit next to him
D. A below-normal serum potassium level D. Approach him slowly while speaking in a calm voice, calling him
name, and telling him that the nurse is here to help him
23. A female client with anorexia nervosa describes herself as a Considering the clients history of drug abuse, nurse Greg
whale. However, the nurses assessment reveals that the client is expects the physician to prescribe:
clients unrealistic body image, which intervention should nurse A. Lidocaine (Xylocaine).
A. Asking the client to compare her figure with magazine photographs D. Epinephrine.
appendectomy, a client with a reported history of social drinking B. I dont like the food my mother cooks. I eat plenty of fast food when
displays these vital signs: temperature, 101.6 F (38.7 C); heart Im out with my friends.
rate, 126 beats/minute; respiratory rate, 24 breaths/minute; and C. I just cant seem to get down to the weight I want to be. Im so fat
blood pressure, 140/96 mm Hg. The client exhibits gross hand compared to other girls.
tremors and is screaming for someone to kill the bugs in the bed. D. I do diet around my periods; otherwise, I just get so bloated.
Tourette syndrome?
A. A postoperative infection
B. Alcohol withdrawal
A. Fluoxetine (Prozac)
C. Acute sepsis.
B. Fluvoxamine (Luvox)
D. Pneumonia.
C. Haloperidol (Haldol)
25. Clonidine (Catapres) can be used to treat conditions other D. Paroxetine (Paxil)
B. Alcohol withdrawal
A. Why didnt you get someone else to drive you?
C. Opiate withdrawal
B. Tell me how you feel about the accident.
D. Cocaine withdrawal
C. You should know better than to drink and drive.
26. A male client with a history of cocaine addiction is admitted to D. I recommend that you attend an Alcoholics Anonymous meeting.
the coronary care unit for evaluation of substernal chest pain. The
30. A male adult client voluntarily admits himself to the substance
electrocardiogram (ECG) shows a 1-mm ST-segment elevation the
abuse unit. He confesses that he drinks one (1) qt or more of
anteroseptal leads and T-wave inversion in leads V3 to V5.
vodka each day and uses cocaine occasionally. Later that 34. A male client is brought to the psychiatric clinic by family
afternoon, he begins to show signs of alcohol withdrawal. What members, who tell the admitting nurse that the client repeatedly
are some early signs of this condition? drives while intoxicated despite their pleas to stop. During an
D. Diaphoresis, tremors, and nervousness A. Im not addicted to alcohol. In fact, I can drink more than I used to
A. Norepinephrine (Levophed) and Lidocaine (Xylocaine) 35. A female client with borderline personality disorder is
B. Nifedipine (Procardia) and Lidocaine. admitted to the psychiatric unit. Initial nursing assessment
C. Nitroglycerin (Nitro-Bid IV) and Esmolol (Brevibloc) reveals that the clients wrists are scratched from a recent suicide
D. Nifedipine and Esmolol attempt. Based on this finding, the nurse Lenny should formulate
C. The client will drink plenty of fluids daily 36. A male client recently admitted to the hospital with sharp,
D. The client will make a personal inventory of strength substernal chest pain suddenly complains of palpitations. Nurse
B. Bradyarrhythmias
A. A rigid posture, restlessness, and glaring
C. Neurobehavioral deficits
B. Depression and physical withdrawal
D. Panic disorder
C. Silence and noncompliance
D. Hypervigilance and talk of past violent acts 37. A male client is being admitted to the substance abuse unit for
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 41. Nurse Amy is aware that the client is at highest risk for
symptoms to:
A. One who appears depressed frequently thinks of dying and gives
B. Not occur at all because the time period for their occurrence has B. One who plans a violent death and has the means readily available
passed C. One who tells others that he or she might do something if life
C. Begin anytime within the next one (1) to two (2) days doesnt get better soon
D. Begin within two (2) to seven (7) days D. One who talks about wanting to die
38. Nurse Helen is assigned to care for a client with anorexia 42. Nurse Penny is aware that the following medical conditions is
nervosa. Initially, which nursing intervention is most appropriate commonly found in clients with bulimia nervosa?
A. Providing one-on-one supervision during meals and for one (1) hour B. Cancer
B. Letting the client eat with other clients to create a normal mealtime D. Hepatitis A
atmosphere
43. Kellan, a high school student is referred to the school nurse
C. Trying to persuade the client to eat and thus restore nutritional
for suspected substance abuse. Following the nurses
balance
assessment and interventions, what would be the most desirable
D. Giving the client as much time to eat as desired
outcome?
Nurse Joy is aware that the best nursing intervention at this time? A. The student discusses conflicts over drug use
A. Keeping the client restrained in bed C. The student agrees to inform his parents of the problem
B. Checking the clients blood pressure every 15 minutes and offering D. The student reports increased comfort with making choice
juices
44. A male client who reportedly consumes one (1) qt of vodka
C. Providing a quiet environment and administering medication as
daily is admitted for alcohol detoxification. To try to prevent
needed and prescribed
alcohol withdrawal symptoms, Dr. Smith is most likely to
D. Restraining the client and measuring blood pressure every 30
prescribe which drug?
minutes
40. Nurse Bella is aware that assessment finding is most A. Clozapine (Clozaril)
C. Lorazepam (Ativan)
suggest that the family join which organization? relationship with his father. When intervening with this couple,
nurse Gerry knows they are at risk for repeated violence because
A. Al-Anon the husband:
B. Make Today Count
health, nurse Tair should plan to: 49. A client whose husband just left her has a recurrence of
anorexia nervosa. Nurse Vic caring for her realizes that this
A. Severely restrict the clients physical activities exacerbation of anorexia nervosa results from the clients effort
B. Weigh the client daily, after the evening meal to:
C. Monitor vital signs, serum electrolyte levels, and acid-base balance
D. Instruct the client to keep an accurate record of food and fluid intake A. Manipulate her husband
out of school at age 16 and has been living on his own since then. 50. A male client has approached the nurse asking for advice on
His history suggests maladaptive coping, which is associated how to deal with his alcohol addiction. Nurse Sally should tell the
with: client that the only effective treatment for alcoholism is: