NUR 4290 COMPREHENSIVE EXAM 2026 QUESTIONS AND
ANSWERS RATED A+
✔✔obsessive-compulsive personality disorder - ✔✔preoccupied with rules, lists, details,
order, etc
rigid in their beliefs
perfectionist
can create tension due to attempts to control their partner
✔✔suicidal behavior - ✔✔Suicidal behavior includes three types of self-destructive acts:
completed suicide, attempted suicide, and suicide gestures. Thoughts and plans about
suicide are called suicide ideation.
✔✔self-injurious behavior - ✔✔cutting, scraping, burning, scratching, biting, skin
picking, interfering w/ wound healing
deliberate attempts to inflict shallow, yet painful injuries to the body
✔✔over suicidal statements - ✔✔I can't take it anymore
Life isn't worth living anymore
I wish I were dead
Everyone would be better off if I died
✔✔covert suicidal statements - ✔✔It's okay now. Soon everything will be fine.
I won't be a problem much longer.
Nothing feels good to me anymore & probably never will
How can I give my body to medical science?
Showing a sudden brightening of mood, especially after antidepressant therapy
Giving away belongings
Writing letters
Organizing financial affairs
✔✔bipolar depression - ✔✔depression with mania
✔✔unipolar depression - ✔✔depression without a history of mania
✔✔intravenous medications by gravity (gtt/min) - ✔✔nearest whole number
✔✔intravenous medications through IV pump (mL/hr) - ✔✔nearest tenth
✔✔enteral medications less than 1mL volume - ✔✔round to nearest hundredth
✔✔enteral medications greater than 1 mL volume - ✔✔round to nearest tenth
, ✔✔injectible medications less than 1 mL - ✔✔round to nearest hundredth
✔✔injectable medications greater than 1 mL - ✔✔round to nearest tenth
✔✔lbs to kg - ✔✔round to nearest tenth
✔✔dose calculations (g, mg, mcg) - ✔✔round to nearest tenth
✔✔ serum level teaching - ✔✔pt must take medication EVERY SINGLE Dy to achieve
therapeutic serum level
✔✔if pt presents to clinic w/ S/S demonstrating medication non-adherence, what is the
nursing intervention? - ✔✔suggest to draw a serum level of medication
✔✔discontinuation syndrome teaching - ✔✔DO NOT ABRUPTLY STOP TAKING
MEDICATIONS;
dizziness
flu-like symptoms
dosage must be tapered off
✔✔black box warning - ✔✔risk for suicidal thoughts/carrying out suicide increases
within first few weeks of SSRI therapy
✔✔black box warning teaching - ✔✔advise patient to notify provider of INCREASE IN
ENERGY (may allow pt to carry out the act of suicide)
✔✔lethality in overdose - ✔✔how "Lethal" and "plausible" is the patient's suicide plan;
do they have a plan that WILL result in death, or a high chance of a failed suicide
attempt?
✔✔what type of medication should you prescribe to a suicidal patient with a history of
overdose? - ✔✔DO NOT PRESCRIBE A TCA
prescribe an SSRI; less lethal in overdose
✔✔serotonin syndrome - ✔✔caused by an excess of serotonin in the body r/t
polypharmacy
✔✔S/S of serotonin syndrome (4) - ✔✔agitation
hypertension
muscle rigidity
tachycardia
✔✔anhedonia - ✔✔inability to experience pleasure
ANSWERS RATED A+
✔✔obsessive-compulsive personality disorder - ✔✔preoccupied with rules, lists, details,
order, etc
rigid in their beliefs
perfectionist
can create tension due to attempts to control their partner
✔✔suicidal behavior - ✔✔Suicidal behavior includes three types of self-destructive acts:
completed suicide, attempted suicide, and suicide gestures. Thoughts and plans about
suicide are called suicide ideation.
✔✔self-injurious behavior - ✔✔cutting, scraping, burning, scratching, biting, skin
picking, interfering w/ wound healing
deliberate attempts to inflict shallow, yet painful injuries to the body
✔✔over suicidal statements - ✔✔I can't take it anymore
Life isn't worth living anymore
I wish I were dead
Everyone would be better off if I died
✔✔covert suicidal statements - ✔✔It's okay now. Soon everything will be fine.
I won't be a problem much longer.
Nothing feels good to me anymore & probably never will
How can I give my body to medical science?
Showing a sudden brightening of mood, especially after antidepressant therapy
Giving away belongings
Writing letters
Organizing financial affairs
✔✔bipolar depression - ✔✔depression with mania
✔✔unipolar depression - ✔✔depression without a history of mania
✔✔intravenous medications by gravity (gtt/min) - ✔✔nearest whole number
✔✔intravenous medications through IV pump (mL/hr) - ✔✔nearest tenth
✔✔enteral medications less than 1mL volume - ✔✔round to nearest hundredth
✔✔enteral medications greater than 1 mL volume - ✔✔round to nearest tenth
, ✔✔injectible medications less than 1 mL - ✔✔round to nearest hundredth
✔✔injectable medications greater than 1 mL - ✔✔round to nearest tenth
✔✔lbs to kg - ✔✔round to nearest tenth
✔✔dose calculations (g, mg, mcg) - ✔✔round to nearest tenth
✔✔ serum level teaching - ✔✔pt must take medication EVERY SINGLE Dy to achieve
therapeutic serum level
✔✔if pt presents to clinic w/ S/S demonstrating medication non-adherence, what is the
nursing intervention? - ✔✔suggest to draw a serum level of medication
✔✔discontinuation syndrome teaching - ✔✔DO NOT ABRUPTLY STOP TAKING
MEDICATIONS;
dizziness
flu-like symptoms
dosage must be tapered off
✔✔black box warning - ✔✔risk for suicidal thoughts/carrying out suicide increases
within first few weeks of SSRI therapy
✔✔black box warning teaching - ✔✔advise patient to notify provider of INCREASE IN
ENERGY (may allow pt to carry out the act of suicide)
✔✔lethality in overdose - ✔✔how "Lethal" and "plausible" is the patient's suicide plan;
do they have a plan that WILL result in death, or a high chance of a failed suicide
attempt?
✔✔what type of medication should you prescribe to a suicidal patient with a history of
overdose? - ✔✔DO NOT PRESCRIBE A TCA
prescribe an SSRI; less lethal in overdose
✔✔serotonin syndrome - ✔✔caused by an excess of serotonin in the body r/t
polypharmacy
✔✔S/S of serotonin syndrome (4) - ✔✔agitation
hypertension
muscle rigidity
tachycardia
✔✔anhedonia - ✔✔inability to experience pleasure
