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    Exam Review

    1. In planning nursing care for patients with Bulimia, why would Cognitive Behavior Therapy (CBT) be considered the treatment of choice?
      A)Help patients manage uncontrollable behaviors.
      B)Address underlying patient anger.
      C)Allow patients to maintain control.
      D)Help patients correct distorted body image and develop accepting attitudes of self.
    2. A patient was prescribed Diazepam (Valium) 5 mg TID 6 months ago and now must take 10 mg TID to achieve the same effects. The nurse recognized which as the rationale for change?
      A)Dependence.
      B)Tolerance.
      C)Addiction.
      D)Disinhibition.
    3. A nurse is providing teaching to a patient who has alcohol use disorder and a new prescription for disulfiram (Antabuse). Which information should the nurse include in the teaching?
      A)This medication will decrease the intensity of withdrawal manifestations.
      B)Taking this medication will suppress the craving for alcohol.
      C)Taking this medication with alcohol will produce unpleasant physical effects.
      D)This medication will help prevent seizures during alcohol withdrawal.
    4. When the nurse is caring for a patient whose human immunodeficiency virus (HIV) status is unknown, which patient exposure is most likely to require postexposure prophylaxis?
      A)Needle stick injury used to administer an IM injection.
      B)Splash into the eyes when emptying a bedpan containing stool.
      C)Contamination of open skin lesions.
      D)Needle stick injury used to draw blood.
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    Exam Review

    1. When obtaining a health history from a patient with acute pancreatitis, the nurse asks the patient specifically about a history of what?
      A)Cigarette smoking.
      B)Diabetes mellitus.
      C)Alcohol use.
      D)High protein diet.
    2. A patient has not had a menstrual period for 8 months. She is 5 feet 5 inches tall and weighs 115 pounds. She does not binge, but she misuses laxatives on a daily basis. What is the priority nursing diagnosis for the patient?
      A)Ineffective denial.
      B)Imbalanced nutrition: less than body requirements.
      C)Body image disturbance.
      D)Anxiety.
    3. The nurse is preparing to administer prescribed Fluoxetine hydrochloride oral solution 30 mg PO every 6 hours PRN for anxiety. The available concentration is 20 mg per 5 mL. How many mL will be administered per dose? Record your answer to the tenth.
    4. A nurse receiving a post-operative bariatric surgery patient can expect to perform which of the following nursing actions?(SATA)
      A)Perform a physical assessment and compare findings to the baseline assessment.
      B)Position the patient upright with the head of the bed at least 45 degrees.
      C)Assess the abdominal wound for the amount and type of drainage.
      D)Give pain medications as prescribed and as needed.
      E)Teach the patient to avoid drinking liquids with a straw.
      F)Assist with obtaining the initial informed consent.
      G)Assess the baseline height and weight.
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    Exam Review

    1. A nurse assesses four newly hospitalized patients. Which patient is most important for the nurse to ask about sexual functioning?
      A)A 35-year-old woman having a laparoscopic cholecystectomy.
      B)A 48-year-old man with a diabetic foot ulcer.
      C)A 24-year-old woman having a laparoscopic appendectomy.
      D)An 8-year-old boy on chemotherapy for myelogenous leukemia.
    2. A woman consults the nurse because she has not been able to have an orgasm, despite having been sexually active for 2 years. She is very frustrated and feels it is harming the relationship with her spouse. Which nursing diagnosis would be most appropriate for this presentation?
      A)Impaired sexual arousal.
      B)Sexual dysfunction.
      C)Relational impairment.
      D)Ineffective sexuality pattern.
    3. Prescribed Phenobarbital 35 mg po BID. Available: Phenobarbital 20 mg/5 mL. How many mL will the nurse administer per dose? Record your answer to the nearest hundredth (two decimal places).
    4. A nurse is providing preoperative teaching to a client for bariatric surgery. Which patient statement indicates a need for further teaching?
      A)I should follow a liquid diet before surgery as directed.
      B)I will need to take vitamin supplements for life.
      C)I can resume normal eating habits as soon as I go home.
      D)I should stop smoking before my surgery.
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    Exam Review

    1. The nurse is caring for a patient admitted with substance use disorder who recently injected heroin. During the physical assessment, which findings are likely to be present?
      A)Drowsiness, constricted pupils, slurred speech.
      B)Anxiety, restlessness, paranoid delusions.
      C)Muscle aching, dilated pupils, tachycardia.
      D)Heightened sexuality, insomnia, euphoria.
    2. When lactulose 30 mL four times daily is ordered for a patient with advanced cirrhosis, the patient complains that it causes diarrhea. The nurse explains to the patient that it is still important to take the medication because the lactulose will result in which outcome?
      A)Prevention of gastrointestinal bleeding.
      B)Improved nervous system function.
      C)Promotion of fluid loss.
      D)Prevention of constipation.
    3. A couple married for 3 years is seeking treatment at a sex therapy clinic. The wife, who was a virgin when they married, admits that she has never really enjoyed sex and recently has developed an aversion to it. They have not had sexual intercourse for about 5 months. Sexual history reveals that the wife's family was very closed about sexual issues, with the implication that sex was sinful and dirty. What is the most appropriate nursing diagnosis for the wife?
      A)Ineffective sexuality patterns related to fear of pregnancy.
      B)Sexual dysfunction related to negative teachings about sex.
      C)Acute pain related to vaginal constriction.
      D)Low self-esteem related to an inability to please her husband sexually.
    4. During a group meeting on the substance abuse unit, a patient states, "My drug and alcohol problems have had no effect on my teen-aged children.”. What should the nurse encourage the patient to do regarding this statement?
      A)Take pride in having controlled the illness in front of the family.
      B)Continue to identify similar family strengths to build upon.
      C)Have an open discussion with the children and encourage them to express their feelings.
      D)Give the children more responsibilities at home to relieve some of the patient's burden.
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    Exam Review

    1. The nurse is performing an admission assessment on a new patient. During the interview, the patient reports becoming sexually aroused only by being handcuffed and beaten by a partner. The nurse documents this as which paraphilia?
      A)Pedophilia.
      B)Sadism.
      C)Masochism.
      D)Frotteurism.
    2. A nurse is caring for a positive HIV patient admitted with Pneumocystis jiroveci pneumonia (PCP) with a CD4 T-cell count of 120 cells/mL. Based on CDC diagnostic criteria, this represents which stage of infection?
      A)Late chronic infection.
      B)Acute retroviral syndrome.
      C)Intermediate chronic infection.
      D)Early chronic infection.
    3. A patient seeks treatment for urges involving sexual contact with children. The patient has not acted on the urges and is ashamed of them. Which outcome would indicate that the patient is making progress in treatment?
      A)Reports when visiting with children, an adult will be in the next room.
      B)Reports an active and satisfying sex life with a partner.
      C)Avoids school yards where children are present.
      D)Indicates that sexual drive and enjoyment from sex have decreased.
    4. A patient has been diagnosed with a Gender Identity disorder. The nurse understands which statement displays understanding of the disorder?
      A)Humiliation of self or partner during the sexual act.
      B)Psychophysiological changes that compromise the sexual response cycle.
      C)Discomfort with one's own biological sex.
      D)Intense sexual urge focused on an object.
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