NUR 4290 LATEST 2026 EXAM QUESTIONS AND ANSWERS
RATED A+
✔✔A drug blocks the attachment of norepinephrine to α1 receptors. The patient may
experience
a. hypertensive crisis.
b. orthostatic hypotension.
c. severe appetite disturbance.
d. an increase in psychotic symptoms. - ✔✔b. orthostatic hypotension.
✔✔A nurse cares for four patients who are receiving clozapine, lithium, fluoxetine, and
venlafaxine, respectively. With which patient should the nurse be most alert for
problems associated with fluid and electrolyte imbalance? The patient receiving
a. lithium.
b. clozapine.
c. fluoxetine.
d. venlafaxine. - ✔✔a. lithium.
✔✔An obese patient has a diagnosis of schizophrenia. Medications that block which
receptors
would contribute to further weight gain?
a. H1
b. 5 HT2
c. Acetylcholine
d. GABA - ✔✔a. H1
✔✔An individual hiking in the forest encounters a large poisonous snake on the path.
Which
change in this individual's vital signs is most likely?
a. Pulse rate changes from 90 to 72.
b. Respiratory rate changes from 22 to 18.
c. Complaints of intestinal cramping begin.
d. Blood pressure changes from 114/62 to 136/78. - ✔✔d. Blood pressure changes from
114/62 to 136/78.
✔✔Consider these medications: carbamazepine, lamotrigine, gabapentin. Which
medication below
also belongs to this group?
a. Galantamine
b. Valproate
c. Buspirone
d. Tacrine - ✔✔b. Valproate
✔✔A professional football player is seen in the emergency department after losing
consciousness
,from an illegal block. Prior to discharge, the nurse assists the patient to schedule an
outpatient
computed tomography (CT) scan for the next day. Which strategy should the nurse use
to
ensure the patient remembers the appointment?
a. Write the appointment day, time, and location on a piece of paper and give it to the
player.
b. Log the appointment day, time, and location into the player's cell phone calendar
feature.
c. Ask the health care provider to admit the patient to the hospital overnight.
d. Verbally inform the patient of the appointment day, time, and location. - ✔✔b. Log the
appointment day, time, and location into the player's cell phone calendar feature.
✔✔A nurse prepares to administer a second-generation antipsychotic medication to a
patient
diagnosed with schizophrenia. Additional monitoring for adverse effects will be most
important if the patient has which co-morbid health problems? (Select all that apply.) a.
Parkinson's disease
b. Grave's disease
c. Hyperlipidemia
d. Osteoarthritis
e. Diabetes - ✔✔ANS: A, C, E
✔✔Questions the nurse could ask that would be nonjudgmental when obtaining
information about
a patient's use of complementary and herbal remedies include (Select all that apply) a.
"You
don't regularly take herbal remedies, do you?"
b. "What herbal medicines have you used to relieve your symptoms?"
c. "What over-the-counter medicines, vitamins, and nutritional supplements do you
use?"
d. "What differences in your symptoms do you notice when you take herbal
supplements?"
e. "Have you experienced problems from using herbal and prescription drugs at the
same time?" - ✔✔ANS: B, C, D, E
✔✔An individual is experiencing problems with memory. Which of these structures are
most
likely to be involved in this deficit? (Select all that apply.) a. Amygdala
b. Hippocampus
c. Occipital lobe
d. Temporal lobe
40
e. Basal ganglia - ✔✔ANS: A, B, D
, ✔✔A patient's sibling says, "My brother has a mental illness, but the doctor ordered a
functional
magnetic resonance image (fMRI) test. That test is too expensive and will just increase
the
hospital bill." Select the nurse's best responses. (Select all that apply.)
a. "Sometimes there are physical causes for psychiatric symptoms. This test will help us
understand whether that is the situation."
b. "Some mental illnesses are evident on fMRIs. This test will give information to help us
plan the best care for your brother."
c. "This test will indicate whether your brother has been taking his psychotropic
medications as prescribed."
d. "It sounds like you do not truly believe your brother had a mental illness."
e. "It would be better for you to discuss your concerns with the health care provider." -
✔✔ANS: A, B
✔✔1. A patient became severely depressed when the last of the family's six children
moved out
of the home 4 months ago. The patient repeatedly says, "No one cares about me. I'm
not
worth anything." Which response by the nurse would be the most helpful?
a. "Things will look brighter soon. Everyone feels down once in a while."
b. "Our staff members care about you and want to try to help you get better."
c. "It is difficult for others to care about you when you repeatedly say the same negative
things."
d. "I'll sit with you for 10 minutes now and 10 minutes after lunch to help you feel
that I care about you." - ✔✔d. "I'll sit with you for 10 minutes now and 10 minutes after
lunch to help you feel that I care about you."
✔✔A patient became depressed after the last of the family's six children moved out of
the home 4
months ago. Select the best initial outcome for the nursing diagnosis Situational low
self-esteem
related to feelings of abandonment. The patient will
a. verbalize realistic positive characteristics about self by (date).
b. agree to take an antidepressant medication regularly by (date).
c. initiate social interaction with another person daily by (date).
d. identify two personal behaviors that alienate others by (date). - ✔✔a. verbalize
realistic positive characteristics about self by (date).
✔✔A patient diagnosed with major depressive disorder says, "No one cares about me
anymore. I'm
not worth anything." Today the patient is wearing a new shirt and has neat, clean hair.
Which remark by the nurse supports building a positive self-esteem for this patient?
a. "You look nice this morning."
b. "You're wearing a new shirt."
RATED A+
✔✔A drug blocks the attachment of norepinephrine to α1 receptors. The patient may
experience
a. hypertensive crisis.
b. orthostatic hypotension.
c. severe appetite disturbance.
d. an increase in psychotic symptoms. - ✔✔b. orthostatic hypotension.
✔✔A nurse cares for four patients who are receiving clozapine, lithium, fluoxetine, and
venlafaxine, respectively. With which patient should the nurse be most alert for
problems associated with fluid and electrolyte imbalance? The patient receiving
a. lithium.
b. clozapine.
c. fluoxetine.
d. venlafaxine. - ✔✔a. lithium.
✔✔An obese patient has a diagnosis of schizophrenia. Medications that block which
receptors
would contribute to further weight gain?
a. H1
b. 5 HT2
c. Acetylcholine
d. GABA - ✔✔a. H1
✔✔An individual hiking in the forest encounters a large poisonous snake on the path.
Which
change in this individual's vital signs is most likely?
a. Pulse rate changes from 90 to 72.
b. Respiratory rate changes from 22 to 18.
c. Complaints of intestinal cramping begin.
d. Blood pressure changes from 114/62 to 136/78. - ✔✔d. Blood pressure changes from
114/62 to 136/78.
✔✔Consider these medications: carbamazepine, lamotrigine, gabapentin. Which
medication below
also belongs to this group?
a. Galantamine
b. Valproate
c. Buspirone
d. Tacrine - ✔✔b. Valproate
✔✔A professional football player is seen in the emergency department after losing
consciousness
,from an illegal block. Prior to discharge, the nurse assists the patient to schedule an
outpatient
computed tomography (CT) scan for the next day. Which strategy should the nurse use
to
ensure the patient remembers the appointment?
a. Write the appointment day, time, and location on a piece of paper and give it to the
player.
b. Log the appointment day, time, and location into the player's cell phone calendar
feature.
c. Ask the health care provider to admit the patient to the hospital overnight.
d. Verbally inform the patient of the appointment day, time, and location. - ✔✔b. Log the
appointment day, time, and location into the player's cell phone calendar feature.
✔✔A nurse prepares to administer a second-generation antipsychotic medication to a
patient
diagnosed with schizophrenia. Additional monitoring for adverse effects will be most
important if the patient has which co-morbid health problems? (Select all that apply.) a.
Parkinson's disease
b. Grave's disease
c. Hyperlipidemia
d. Osteoarthritis
e. Diabetes - ✔✔ANS: A, C, E
✔✔Questions the nurse could ask that would be nonjudgmental when obtaining
information about
a patient's use of complementary and herbal remedies include (Select all that apply) a.
"You
don't regularly take herbal remedies, do you?"
b. "What herbal medicines have you used to relieve your symptoms?"
c. "What over-the-counter medicines, vitamins, and nutritional supplements do you
use?"
d. "What differences in your symptoms do you notice when you take herbal
supplements?"
e. "Have you experienced problems from using herbal and prescription drugs at the
same time?" - ✔✔ANS: B, C, D, E
✔✔An individual is experiencing problems with memory. Which of these structures are
most
likely to be involved in this deficit? (Select all that apply.) a. Amygdala
b. Hippocampus
c. Occipital lobe
d. Temporal lobe
40
e. Basal ganglia - ✔✔ANS: A, B, D
, ✔✔A patient's sibling says, "My brother has a mental illness, but the doctor ordered a
functional
magnetic resonance image (fMRI) test. That test is too expensive and will just increase
the
hospital bill." Select the nurse's best responses. (Select all that apply.)
a. "Sometimes there are physical causes for psychiatric symptoms. This test will help us
understand whether that is the situation."
b. "Some mental illnesses are evident on fMRIs. This test will give information to help us
plan the best care for your brother."
c. "This test will indicate whether your brother has been taking his psychotropic
medications as prescribed."
d. "It sounds like you do not truly believe your brother had a mental illness."
e. "It would be better for you to discuss your concerns with the health care provider." -
✔✔ANS: A, B
✔✔1. A patient became severely depressed when the last of the family's six children
moved out
of the home 4 months ago. The patient repeatedly says, "No one cares about me. I'm
not
worth anything." Which response by the nurse would be the most helpful?
a. "Things will look brighter soon. Everyone feels down once in a while."
b. "Our staff members care about you and want to try to help you get better."
c. "It is difficult for others to care about you when you repeatedly say the same negative
things."
d. "I'll sit with you for 10 minutes now and 10 minutes after lunch to help you feel
that I care about you." - ✔✔d. "I'll sit with you for 10 minutes now and 10 minutes after
lunch to help you feel that I care about you."
✔✔A patient became depressed after the last of the family's six children moved out of
the home 4
months ago. Select the best initial outcome for the nursing diagnosis Situational low
self-esteem
related to feelings of abandonment. The patient will
a. verbalize realistic positive characteristics about self by (date).
b. agree to take an antidepressant medication regularly by (date).
c. initiate social interaction with another person daily by (date).
d. identify two personal behaviors that alienate others by (date). - ✔✔a. verbalize
realistic positive characteristics about self by (date).
✔✔A patient diagnosed with major depressive disorder says, "No one cares about me
anymore. I'm
not worth anything." Today the patient is wearing a new shirt and has neat, clean hair.
Which remark by the nurse supports building a positive self-esteem for this patient?
a. "You look nice this morning."
b. "You're wearing a new shirt."
