QUESTION WITH CORRECT ANSWERS 2026/2027
LATEST UPDATE
A nurse is caring for a client who is in mechanical restraints. Which of the
following statements should the nurse include in the documentation? (Select
all that apply)
A) Client ate most of his breakfast
B) Client was offered 8 oz of water every hr
C) Client shouted obscenities at assistive personnel
D) Client received chlorpromazine 15 mg by mouth at 1000
E) Client acted out after lunch - ✔✔✔ANSWER>>>>B, C, D
A nurse hears a newly licensed nurse discussing a client's hallucinations in the
hallway with another nurse. Which of the following actions should the nurse take
first?
A) Notify the nurse manager
B) Tell the nurse to stop discussing the behavior
C) Provide an in-service program about confidentiality
D) Complete an incident report - ✔✔✔ANSWER>>>>B
A nurse is caring for the parents of a child who has demonstrated changes in
behavior and mood. When the mother of the child asks the nurse for reassurance
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,about her son's condition, which of the following responses should the nurse
make?
A) I think your son is getting better. What have you noticed
B) I'm sure everything will be okay. It just takes time to heal
C) I'm not sure what's wrong. Have you asked the doctor about your concerns?
D) I understand you're concerned. Let's discuss what concerns you specifically -
✔✔✔ANSWER>>>>D
A nurse is caring for a client who smokes and has lung cancer. The client reports,
"I'm coughing because I have that cold that everyone has been getting." The nurse
should identify that the client is using which of the following defense
mechanisms? A) Reaction formation
B) Denial
C) Displacement
D) Sublimation - ✔✔✔ANSWER>>>>B
A nurse is providing preoperative teaching for a client who was just informed
that she requires emergency surgery. The client has a respiratory rate 30/min and
says, "This is difficult to comprehend. I feel shaky and nervous." The nurse
should identify that the client is experiencing which of the following levels of
anxiety?
A) Mild
B) Moderate
C) Severe
D) Panic - ✔✔✔ANSWER>>>>B
A nurse is caring for a client who is experiencing moderate anxiety. Which of the
following actions should the nurse trying to give necessary information to the
client? (Select all that apply)
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, A) Reassure the client that everything will be okay
B) Discuss prior use of coping mechanisms with the client
C) Ignore the client's anxiety so that she will not be embarrassed
D) Demonstrate a calm manner while using simple and clear directions
E) Gather information from the client using closed-ended questions - CORRECT
ANSWER>>>>B, D
A charge nurse is discussing mental status exams with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? (Select all that apply)
A) To assess cognitive ability, I should ask the client to count backward by sevens.
B) To assess affect, I should observe the client's facial expression
C) To assess language ability, I should instruct the client to write a sentence.
D) To assess remote memory, I should have the client repeat a list of objects.
E) To assess the client's abstract thinking, I should ask the client to identify our
most recent presidents. - ✔✔✔ANSWER>>>>A, B, C
A nurse is planning care for a client who has a mental health disorder. Which of
the following actions should the nurse include as a psychobiological
intervention? A) Assist the client with systematic desensitization therapy.
B) Teach the client appropriate coping mechanisms.
C) Assess the client for comorbid health conditions.
D) Monitor the client for adverse effects of the medications. - CORRECT
ANSWER>>>>D
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