1. The NURSE is working with a patient with Anorexia Nervosa. Although the patient has
been eating ALL her meals and snacks, her weight has remained unchanged for one
week. Which of the following interventions is indicated?
a.
Increase the daily caloric intake from 1500-2000 calories
b.
Request and order from the physician for fluoxetine
c.
Supervise the patient closely for 2 hours after meals and snacks
d.
Increase patient’s intake
.
a.
b.
c.
d.
1. The NURSE recognizes which of the following as common behavioral signs of Autism?
Creative imaginative play with peers
Clinging behavior towards parents
Playful only to his/her parents
Indifference to being hugged or held
Early language development
.
a.
b.
c.
d.
1. Voyeurism is defined as: SELECT ALL THAT APPLY
Sexual urges
Craving sex
Recurrent, intencely sexually arousing fantasies
Behaviors involving the act of observing an unsuspecting nude person who is dressing
This behavior usually begins before age 15
.
a.
b.
c.
d.
e.
1. The NURSE recognizes which of the following drug(s) are CNS depressants. SELECT
ALL THAT APPLY
Heroin
Meperidine (Demerol)
Phenobarbital
Diazepam (Valium)
Whiskey
Cannabis
.
a.
b.
c.
d.
1. Identify the serum lithium level for maintenance and safety
15 to 25 mEq/L
50 to 100 mEq/L
0.1 to 1 mEq/L
10 to 20 mEq/L
0.5 to 1.5 mEq/L
.
a.
b.
c.
d.
1. Which of the following would indicate an increased suicidal risk? SELECT ALL THAT
APPLY
Feeling overwhelmed by simple daily taste
Statements such as, “Everything will be better soon.”
An abrupt improvement in mood
Calling family members to make amends
Crying when discussing sadness
.
a.
b.
c.
d.
1. A NURSE except to see ALL of the following symptoms in a child with ADHD, EXCEPT
Excessive running, climbing and fidgeting
moody, sullen and pouting behavior
Interrupts others and cant take turns
Crying continuously
Easily distracted and forgetful
.
a.
b.
c.
d.
1. Which of the following is the best action for the nurse to take when assessing a child
who might be abused?
Confront the parents with the facts and ask them what happens
Call the police department
Ask the child which of his/her parents caused the injury
Say or do nothing because the nurse has only suspicions, not evidence
Consult a professional member of the health team regarding making a report
.
a.
b.
c.
d.
1. Which of the following would the nurse recognize as signs of alcohol withdrawal.
SELECT ALL THAT APPLY
Lethargy
Nausea
Blackouts
Elevated blood pressure
Diaphoresis
1.
.
a.
b.
c.
.
a.
b.
c.
d.
Patients taking THIS type of psychotropics medication will need monitoring of their
cardiac status?
Mood stabilizers
Antidepressants
Stimulants
Antipsychotics
1. All of the following are paraphilia EXCEPT:
Sexual sadism
Fetishism
Frotteurism
Pedophilia
Sexual Aversion Disorder
1. What is the rationale for a person taking lithium carbonate to have enough water and salt
in his/her diet?
.
The patient needs salt to give flavor to the diet and more water for hydration
a.
Lithium is metabolized in the liver, necessitating increase water and salt
b.
Lithium is salt which has a greater affinity for receptor sites than sodium chloride
c.
Water and salt convert into a soluble
d.
Salt and water necessary to dilute lithium avoid toxicity
1. The nurse observes a patient who is becoming increasingly upset. He is rapidly pacing,
hyperventilating, clenching his jaw, wringing his hands and trembling; his speech is highpitched and random; he seems preoccupied with his thoughts and is pounding his fist
into his other hand. The NURSE identifies his ANXIETY level as:
.
Severe
a.
Mild
b.
Moderate
c.
Panic
1. Which of the following MD orders would you, the NURSE, question for a patient who
states, “I am allergic to phenothiazines?”
.
Narvane 10 mg PO bid
a.
Risperdal 5 mg PO bid
b.
Haldol 5mg PO bid
c.
Prolixin 5 mg po bid
.
a.
b.
c.
d.
1. Examples of child maltreatment includes: SELECT ALL THAT APPLY
Withdrawing meals as a punishment for disobedience
Watching pornograohic movies in the childs presence
Calling the child stupid for clinming on a fence and getting injured
Spanking infant who won't stop crying
Failing to buy a desired toy for christmas
.
a.
b.
c.
d.
1. Which of the following is normal adolescent behavior?
Frequent hypochondrial complaints
Being critical of self and others
Open expression of feelings
Defiant, negative and depressed behavior
Unwillingness to assume greater autonomy
.
a.
1. Efficacy of a drug means the maximum therapeutic effect a drug can achieve
True
False
.
a.
b.
c.
d.
1. Which of the following typifies a speech of a person in an acute phase of mania?
Hesitant
Stupor
Flight of ideas
Mutism
Psychomotor retardation
.
a.
b.
c.
d.
2. You are the nurse caring for a patient with schizophrenia who is taking haloperidol
(Haldol). The patient complains of restlessness, can't sit still and has muscle stiffness.
Which of the following PRN medications should the nurse administer?
Fluoxetine (Prozac)
Trazodone
Propranolol
Benztropine (Cogentin)
None of the above
.
a.
1. Potency of a drug means the amount of the drug needed to achieve maximum effect
True
False
1. Black box warning means the time it takes for half life of the drug to be removed from the
bloodstream
.
True
a.
False
.
a.
b.
c.
d.
1. The nurse is speaking with a daughter who is worried her mother has Alzheimer's
disease. The nurse knows the first sign of dementia is:
Disorientation to person, place and time
Memory loss which is more than ordinary forgetfulness
Variability with different people
Inability to perform self-care tasks without assistance
Sleeping most of the day
.
a.
1. Half life of a drug means the seriousness or life threatening side effects
True
False
.
a.
b.
c.
d.
1. Females in battering relationships often remain in those relationships as a result of faulty
or incorrect beliefs. Which of the following beliefs is valid?
No one else would put up with her dependent clingy behavior
If she tries to leave, she will be at a higher risk for violence
If she would do better job of meeting his needs, the violence would stop
She often does things which provoke the violent episodes
None of the above
1. A patient says to the nurse “ you are the nicest nurse I've ever met. I want you to
remember me.” What is the nurse's most appropriate response?
.
“ I suspect you want something from me, what is it?”
a.
“Are you flirting with me?”
b.
“Thank you. I think you're special also.”
c.
“You probably say that to all the nurses.”
d.
“Are you thinking of suicide?”
.
a.
b.
c.
d.
1. When assessing a patient with delirium, the nurse will expect to see: SELECT ALL
THAT APPLY
Impaired level of conscious
Aphasia
Rapid onset of symptoms
Long term memory impairment
Confusion
.
a.
b.
c.
d.
1. All of the following are initial goals for treating the severely malnourished patient with
anorexia nervosa EXCEPT
Correction electrolyte imbalances
Nutrition restoration
Correction of body image disturbances
Weight restoration
Treat with prozac to prevent relapse