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    Exam Review

    1. The nurse cares for a client receiving total parenteral nutrition (TPN). Which items should be included in the plan of care? Select all that apply.(SATA)
      A)Use line for all IV medications.
      B)Use an infusion pump.
      C)Monitor daily weights.
      D)Monitor lab values.
      E)Provide oral care if NPO.
    2. A patient is withdrawn in the hospital room, does not speak to anyone, and does not perform any self care activities. The nurse should document this as which negative symptom of schizophrenia?
      A)Depression
      B)Waxy flexibility
      C)Avolition
      D)Auditory hallucinations
    3. A patient is having a status epilepticus seizure. The nurse will anticipate which medication will be prescribed?
      A)Gabapentin
      B)Pregabalin
      C)Lorazepam
      D)Carbamazepine
    4. A patient is experiencing a manic episode. Which symptoms would the nurse expect to find upon assessment?
      A)Flat affect and suicidal ideations
      B)Increased appetite and hypersomnia
      C)Psychomotor retardation and fatigue
      D)Flight of ideas and pressured speech
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    Exam Review

    1. A nurse assesses a patient who takes a maintenance dose of lithium carbonate for bipolar disorder. The patient complains of a hand tremor, nausea, vomiting, and diarrhea. The patient’s gait is unsteady. How does the nurse interpret these assessment findings?
      A)Consumed some foods high in tyramine.
      B)Developed early signs of lithium toxicity.
      C)Tolerance to the lithium has been developed.
      D)Has not taken the lithium as directed.
    2. A nurse intervenes with a client during a manic episode. The client was admitted for control of Bipolar Disorder. Which interventions are indicated? Select all that apply.(SATA)
      A)Use restraints as soon as client appears agitated.
      B)Wait for agitation to raise to a high level before intervening.
      C)Remove dangerous objects from the client’s surroundings.
      D)Offer physical activity during periods of agitation.
      E)Stay calm during periods of agitation.
      F)Ensure adequate staff to ensure control of client agitation.
    3. A nurse is caring for a client who has bipolar disorder. The client states, "I am very rich, and I feel I must give my money to you." Which response should the nurse make?
      A)"I can request that your case manager discuss appropriate charity options with you."
      B)"You should know that giving away your money is inappropriate."
      C)"I am here to provide care and cannot accept this from you."
      D)"Why do you think you feel the need to give money away?"
    4. During a generalized tonic-clonic seizure, what is the nurse's immediate priority?
      A)Insert an oral airway
      B)Open the patient’s airway
      C)Restrain the patient’s arms and legs
      D)Protect the patient from injury
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    Exam Review

    1. When a patient diagnosed with schizophrenia was discharged 6 months ago, haloperidol was prescribed. The patient now says, "I stopped taking those pills. They made me feel like a robot." What are common side effects the nurse should validate with the patient?
      A)Sweating, nausea, and diarrhea
      B)Sedation and muscle stiffness
      C)Headache, watery eyes, and runny nose
      D)Mild fever, sore throat, and skin rash
    2. A patient with schizophrenia began to take the first-generation antipsychotic haloperidol (Haldol) last week. The nurse now discovers the patient diaphoretic, non-verbal, sitting very stiffly and not moving. Vital signs are: BP 170/100, P 110, T 104.2°F. What is the priority nursing intervention?
      A)Hold his medication for now and consult his prescriber when he comes to the unit later today.
      B)Reassure him that although there is no treatment for his tardive dyskinesia, it will pass.
      C)Administer a medication such as benztropine IM to correct this dystonic reaction.
      D)Hold his medication and contact his prescriber.
    3. The nurse is caring for a patient who begins to experience seizure activity while in bed. Which action by the nurse would be contraindicated?
      A)Loosening restrictive clothing
      B)Removing the pillow and raising padded side rails
      C)Positioning the patient to the side if possible
      D)Restraining the patient’s limbs
    4. The patient tells the RN that she "takes a lot of Tylenol" when she experiences a "bad headache." The RN should caution the patient to take no more than _________tablets per 24 hours.
      A)4 tablets per 24 hours
      B)6 tablets per 24 hours
      C)8 tablets per 24 hours
      D)10 tablets per 24 hours
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    Exam Review

    1. A client diagnosed with chronic seizures is admitted to the emergency department. Select the nursing priorities in the emergency treatment of status epilepticus. Select all that apply.(SATA)
      A)Administer IV lorazepam
      B)Monitor for respiratory depression
      C)Establish IV access
      D)Preop for immediate surgery
      E)Maintain airway
      F)Administer oral antiseizure medications
    2. A nurse is caring for a patient on an acute mental health unit. The patient reports hearing voices that are stating, “kill your doctor." Which action should the nurse take first?
      A)Initiate one-to-one observation of the client.
      B)Encourage the client to participate in group therapy on the unit.
      C)Notify the provider of the client’s statement.
      D)Focus the client on reality.
    3. A nurse is completing an admission assessment for a patient who has schizophrenia. Which finding should the nurse document as a positive symptom?
      A)Flat affect
      B)Poverty of speech
      C)Lack of motivation
      D)Delusion of persecution
    4. The nurse cares for a client receiving total parenteral nutrition (TPN) who now has a blood glucose 172 mg/dL. What interventions should the nurse provide?
      A)Monitor for headache and shakiness.
      B)Administer sliding scale insulin per protocol.
      C)Decrease the infusion rate and notify the provider.
      D)Assess for hyperosmolar diuresis.
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    Exam Review

    1. A nurse is reviewing medications for a newly admitted patient who has bipolar disorder and is experiencing mania. Which of the following prescriptions should the nurse realize is expected to reduce the patient’s mania?
      A)Propranolol
      B)Fluvastatin
      C)Lamotrigine
      D)Lorazepam
    2. To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition(s)? Select all that apply.(SATA)
      A)Major depressive disorder
      B)Metabolic syndrome
      C)Stomach cancer
      D)Polydipsia
      E)Alcohol use disorder
    3. Which statement by a patient with newly diagnosed epilepsy indicates a need for further teaching about antiseizure medication?
      A)"I should keep a diary of when I have seizures."
      B)"I'll take my medication even if I don't feel like I need it."
      C)"If I feel good, I can stop the medication."
      D)"I need to have regular blood levels checked."
    4. A nurse is caring for a newly admitted patient experiencing mania. The nurse should recognize that which patient statement would provide the best supportive evidence of this diagnosis?
      A)"I can't stop my sexual urges. They have led me to numerous affairs."
      B)"I am the Messiah. I rule the world."
      C)"The FBI has tapped my room and are out to get me."
      D)"My wife is distraught about my overspending."
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