Nursing Practice Test V part I with answer

Nursing Practice Test V part I with answer

Situation: The nurse is interviewing a handsome man. He

is intelligent and very charming. When asked about his

family, he states he has been married four times. He says

three of those marriages were "shotgun" weddings. He

states he never really loved any of his wives. He doesn't

know much about his three children. "I've lost track," he

states.          

1. If a patient is very resistant in taking responsibility of

his action and asks, "Can you just give me some

medication?" the best response is:

a. "The medication has too many side effects."

b. You don't want to take medication, do you?"

c. Medication is given only as a East resort."

d. "There is no medication specific for your condition."

2. The patient asks the nurse, "What is this therapy for

anyway. I just don't understand it." the best reply is:

a. "It keeps you from being put on medications."

b. "It helps you to change others in the family."

c. "The purpose of therapy is to help you change."

d. "No one but professionals can really understand

3. For patient in group therapy, the goal is:

a. Exchanging information and ideas

b. Developing insight by relating to others

c. Learning that everyone has problems

d. All of the above

4. In planning care for the patient with a personality

disorder, the nurse realizes that this patient will most

likely:

a. Not need long-term therapy

b. Not require medication

c. Require anti-anxiety medication

d. Resist any change in behavior

5. The person with an antisocial personality is

participating in therapy while a patient at a psychiatric

hospital. The nurse’s expectations are that he will:

a. Make a complete recovery

b. Make significant changes

c. Begin the slow process of change

d. Make few changes, if any

6. One of the reasons that persons with antisocial

personalities may marry repeatedly or get into trouble

with legal authorities is:

a. They usually just don't care

b. They are borderline mentally retarded

c. They are too psychotic to see what’s going on

d. They do not learn from past mistakes

7. The nurse recognizes that these are traits of:

a. Bipolar disorder

b. Alcoholic personality

c. Antisocial personality

d. Borderline personality

Situation: The patient with bipolar disorder is pacing

continuously and is skipping meals.

8. Blood levels are drawn on the patient who has been

taking Lithium for about six months. The present level

is 2.1 meq/L. The nurse evaluates this level as:

a. Therapeutic

b. Below therapeutic

c. Potentially dangerous

d. Fatally toxic

9. The priority in working with patient a thought

disorder is:

a. Get him to understand what you're saying

b. Get him to do his ADLs

c. Reorient him to reality

d. Administer antipsychotic medications        

10. The most recent Lithium level on bipolar patient

indicates a drop non-therapeutic level. What associated

behavior does the nurse assess?

a. Ataxia

b. Confusion

c. Hyperactivity

d. Lethargy

11. Adequate fluid intake for a patient on Lithium is:

a. 1,000 ml per day

b. 1,500 ml per day

c. 2,000 ml per day

d. 3,600 ml per day

12. The physician orders Lithium carbonate for the

bipolar patient. The nurse is aware that:

a. The patient should be put on a special diet

b. The medication should be given only at night

c. A salt-free should be provided for the patient

d. The drug level should be monitored regularly

13. The nursing plan should emphasize:

a. Offering him finger foods

b. Telling him he must sit down and eat

c. Serving food in his room and staying with him

d. Telling him to order fast food of he wants to eat

Situation: Anna, 25 years old was raped six months ago

states, "I just can't seem to get over this. My husband

and I don't even have sex anymore. What can I do?"

14. Supportive therapy to the rape victim is directed at

overwhelming feeling that the victim experiences just

after the rape has occurred?

a. Guilt

b. Rage

c. Damaged

d. Despair

15. Anna asks, "Why do I need to have pelvic exam?"

The nurse explains:

a. "To make sure you're not pregnant."

b. "To see if you got an infection."

c. "To make sure you were really raped."

d. "To gather legal evidence that is required."

16. In providing support therapy, the nurse explains

that rape has nothing to do with sexual desires or

heeds. The two most common elements in rape are:

a. Guilt and shame

b. Shame and jealousy

c. Embarrassment and envy

d. Power and anger

17. The rape victim will not talk, is withdrawn and

depressed. The defensive mechanism being used is:

a. Rationalization

b. Denial

c. Repression

d. Regression

18. The composite picture of rape victim reveals that

most victimized women are:

a. Secretaries

b. Elderly

c. Students

d. Professionals

19. The best intervention is:

a. Tell her it just takes a long time

b. Ask her if her husband is angry

c. Refer her and her husband to sex therapy

d. Tell her she is suffering PTSD

Situation: Obsessions are recurring thoughts that

become prevalent in the consciousness and may be

considered as senseless or repulsive white compulsion

are the repetitive acts that follow obsessive thoughts.

20. To understand the meaning of the cleaning rituals,

the nurse must realize:

a. The patient cannot help herself

b. The patient cannot change

c. Rituals relieve intense anxiety

d. Medications cannot help

21. Upon admission to the hospital the patient

increases the ritual behavior at bedtime. She cannot

sleep. The treatment plan should include:

a. Recommending a sedative medication

b. Modifying the routine to diminish her bedtime anxiety

c. Reminding her to perform rituals early in the evening

d. Limit the amount of time she spends washing her

hands

22. A patient has been diagnosed with a personality

disorder with .compulsive traits. Of the following

behavior's, which one would you expect the patient to

exhibit?

a. Inability to make decisions

b. Spontaneous playfulness

c. Inability to alter plans

d. Insistence that things be done his way

23. The patient will not be able to stop her compulsive

washing routines until she:

a. Acquires more superego

b. Recognizes the behavior is unrealistic

c. No longer needs them to manage her feelings of

anxiety

d. Regains contact with reality

24. A 48-year-old female patient is brought to the

hospital by her husband because her behavior is

blocking her ability to meet her family's needs. She has

uncontrollable and constant desire to scrub her hands,

the walls, floors and sofa. She keeps repeating,"

Everything is dirty." This is an example of:

a. Compulsion

b. Obsession

c. Delusion

d. Hallucination

25. The female patient is preoccupied with rules and

regulations. She becomes upset if others do not follow

her lead and adhere to the rules exactly. This is a

characteristic of which of the following personality?

a. Compulsive

b. Borderline

c. Antisocial

d. Schizoid

26. In planning care focused on decreasing the patient's

anxiety, what plan should the nurse have in regards to

the rituals?

a. Encourage the routines

b. Ignore rituals

c. Work with her to develop limits of behavior

d. Restrain her from the rituals

27. After the patient entered the hospital she began to

increase her ritualistic hand washing at bedtime and

could; not sleep. The nurse plans care around the fact

that this patient needs:

a. A substitute activity to relieve anxiety

b. Medication for sleeping

c. Anti-anxiety medication such as Xanax

d. More scheduled activities during the day

28. The patient states, "I know all this scrubbing is silly

but I can’t help it:'', this statement indicates that the

patient does not recognize:

a. What she is doing

b. Why she is cleaning

c. Her level of anxiety

d. Need for medication

Situation: Substance, abuse is a common, growing health

problem in this country.

29. The nurse is monitoring a drug abuser who states

he was given cocaine and heroine that war cut with

cornstarch or some other kind of powder. He states, "It

was really bad stuff." Which complication is most

threatening to this patient?

a. Endocarditis

b. Gangrene

c. Pulmonary abscess

d. Pulmonary embolism

30. The chronic drug abuser is suffering lymphedema in

all extremities, but particularly in the arm where the

drug was obviously injected. There is severe

obstruction of veins and lymphatics. The nurse suspects

the patient used:

a. A dull, contaminated needle

b. A needle contaminated with AIDS

c. Contaminated drugs

d. Cocaine mixed with uncut heroin

31. The nurse is assessing a heroin user who injected

the drug into an artery instead of a vein. Which

complication is the nurse most likely to expect?

a. Infection

b. Cardiac dysrhythmias

c. Gangrene

d. Thrombophlebitis

32. The nurse is assessing a 16-year-old patient for drug

abuse. The patient is incoherent. Because she notes

irritation of eyes, nose and mouth, she suspects

inhalants. Which sign is most indicative of inhalant

abuse?

a. Vomiting

b. Bad breath

c. Bad trip

d. Sudden fear

33. An impaired nurse has been admitted for treatment

of Demerol addiction. She asks, "When will the

withdrawal begin?" the best response is:

a. "It varies, with each individual."

b. "There is no way to tell."

c. "Withdrawal begins soon after the last dose."

d. "It depends upon how well the Demerol works."

34. The patient has a blood pressure of 180/100, heart

rate of 120, associated with extreme restlessness. He is

very suspicious of the hospital environment and actions

of healthcare workers. The nurse should confront this

patient on abuse of;

a. Marijuana

b. Cocaine

c. Barbiturates

d. Tranquilizers

35. The nursing interventions most effective in working

with substance dependent patients are:

a. Firm and directive

b. Instillation of values

c. Helpful and advisory

d Subjective and non-judgmental

36. An adolescent patient has bloodshot eyes, a

voracious appetite (especially for junk foods), and a dry

mouth. Which drug of abuse would the nurse most

likely suspect?

a. Marijuana

b. Amphetamines

c. Barbiturates

d. Anxiolytics

Situation: Defense mechanisms are unconscious

intrapsychic process implemented to cope with anxiety.

The use of some of these mechanisms is healthy, while

she use of others is unhealthy.             

37. A patient cries and curls in a fetal position refusing

to move or talk. This is an example of:

a. Regression

b. Suppression

c. Conversion

d. Sublimation           

38. A person who expands sexual energy in a

nonsexual, socially accepted way is using the coping

mechanism of.

a. Projection

b. Conversion

c. Sublimation

d. Compensation

39. "The reason I did not do well on the exam is that I

was tired." This is an example of:

a. Rationalization

b. Projection

c. Compensation

d. Substitution

40. An unattractive girl becomes a very good student.

This is an example of:

a. displacement

b. Regression

c. Compensation

d. Projection

41. A patient has been sharing a painful experience of

sexual abuse during his childhood. Suddenly he stops

and says, “l can't remember any more." The nurse

assesses his behavior as:

a. Stubbornness

b. Forgetfulness

c. Blocking

d. Transference

42. The patient has a phobia about walking down in

dark halls. The nurse recognizes that the coping

mechanism usually associated with phobia is:

a. Compensation

b. Denial

c. Conversion

d. Displacement

43. The patient is denying that he is an alcoholic He

states that his wife is an alcoholic. The defense

mechanism he is utilizing is: v

a. Sublimation

b. Projection

c. Suppression

d. Displacement

Situation: Ms. Dwane, 17 years old, is admitted with

anorexia nervosa. You have been assigned to sit with her

while she eats her dinner. Ms. Dwane says "My primary

nurse trusts me. I don't see why you don't."

44. Which observation of the client with anorexia

nervosa indicates the client is improving?

a. The client eats meats in the dining room

b. The client gains one pound per week

c. The client attends group therapy sessions

d. The client has a more realistic self-concept

45. The nurse is caring for a client with anorexia

nervosa who is to be placed on behavioral

modification. Which is appropriate to include in (he

nursing care plan?

a. Remind the client frequently to eat all the food served

on the tray

b. Increased phone calls allowed for client by one per day

for each pound gained

c. Include the family of the client in therapy sessions two

times per week

d. Weigh the client each day at 6:00 am in hospital gown

and slippers after she voids

46. A nursing intervention based on the behavior

modification model of treatment for anorexia nervosa

would be:

a. Role playing the client's interaction with her parents

b. Encouraging the client to vent her feelings through

exercise

c. Providing a high-calorie, high protein diet with

between meals snacks

d. Restricting the client's privileges until she gains three

pounds

47. While admitting Ms. Dwane, the nurse discovers a

bottle of pills that Ms. Dwane calls antacids. She takes

them because her stomach hurts. The nurse's best

initial response is:

a. Tell me more about your stomach pain

b. These do not look like antacids. I need to get an order

for you to have them

c. Tell me more about you drug use

d. Some girls take pills to help them lose weight

48. The primary objective in the treatment of the

hospitalized anorexic client is to:

a. Decrease the client's anxiety

b. Increase the insight into the disorder

c. Help the mother to gain control

d. Get the client to ea and gain weight

49. Your best response for Ms. Dwane is:

a. I do trust you, but I was assigned to be with you

b. It sounds as if you are manipulating me

c. Ok, when I return, you should have eaten everything

d. Who is your primary nurse?

Situation: The nurse suspects a client is denying his

feelings of anxiety

50. The nurse is monitoring a patient who is

experiencing increasing anxiety related to recent

accident. She notes an increase in vital signs from

130/70 to 160/30, pulse rate of 120, respiration 36. He

is having difficulty communicating. His level of anxiety

is:

a. Mild

b. Moderate

c. Severe

d. Panic