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NURSING NRSG 98 EXAM QUESTIONS AND ANSWERS

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NURSING NRSG 98 EXAM QUESTIONS AND ANSWERS

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NURSING NRSG 98 EXAM QUESTIONS AND ANSWERS
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In Text Mode: All questions and answers are given for reading and answering at your own pace.
1. Which nursing intervention would be most appropriate if a male client develops

orthostatic hypotension while taking amitriptyline (Elavil)?
A. Consulting with the physician about substituting a different type of antidepressant.

B. Advising the client to sit up for 1 minute before getting out of bed.

C. Instructing the client to double the dosage until the problem resolves.

D. Informing the client that this adverse reaction should disappear within 1 week.




2. Mr. Cruz visits the physician’s office to seek treatment for depression, feelings of
hopelessness, poor appetite, insomnia, fatigue, low self-esteem, poor concentration, and
difficulty making decisions. The client states that these symptoms began at least 2 years
ago. Based on this report, the nurse Tiffany suspects:
A. Cyclothymic disorder.

B. Atypical affective disorder.

C. Major depression.

D. Dysthymic disorder.




NURSING NRSG 98 Exam Questions and Answers
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3. After taking an overdose of phenobarbital (Barbita), Mario is admitted to the

emergency department. Dr. Trinidad prescribes activated charcoal (Charcocaps) to be
administered by mouth immediately. Before administering the dose, the nurse verifies
the dosage ordered. What is the usual minimum dose of activated charcoal?
A. 5 g mixed in 250 ml of water

B. 15 g mixed in 500 ml of water

C. 30 g mixed in 250 ml of water

D. 60 g mixed in 500 ml of water




4. What herbal medication for depression, widely used in Europe, is now being prescribed in

the United States?

A. Ginkgo biloba

B. Echinacea

C. St. John’s wort

D. Ephedra



5. Cely with manic episodes is taking lithium. Which electrolyte level should the nurse check

before administering this medication?
A. Calcium

B. Sodium

C. Chloride

NURSING NRSG 98 Exam Questions and Answers
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D. Potassium




6. Nurse Josefina is caring for a client who has been diagnosed with delirium. Which

statement about delirium is true?
A. It’s characterized by an acute onset and lasts about 1 month.

B. It’s characterized by a slowly evolving onset and lasts about 1 week.

C. It’s characterized by a slowly evolving onset and lasts about 1 month.

D. It’s characterized by an acute onset and lasts hours to a number of days.




7. Edward, a 66-year-old client with slight memory impairment and poor concentration, is
diagnosed with primary degenerative dementia of the Alzheimer’s type. Early signs of this
dementia include subtle personality changes and withdrawal from social interactions. To
assess for progression to the middle stage of Alzheimer’s disease, the nurse should observe
the client for:
A. Occasional irritable outbursts.

B. Impaired communication.

C. Lack of spontaneity.

D. Inability to perform self-care activities.




8. Isabel with a diagnosis of depression is started on imipramine (Tofranil), 75 mg by mouth


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at bedtime. The nurse should tell the client that:
A. This medication may be habit forming and will be discontinued as soon as the client feels

better.

B. This medication has no serious adverse effects.

C. The client should avoid eating such foods as aged cheeses, yogurt, and chicken livers while

taking the medication.

D. This medication may initially cause tiredness, which should become less bothersome over

time.




9. Kathleen is admitted to the psychiatric clinic for treatment of anorexia nervosa. To
promote the client’s physical health, the nurse should plan to:
A. Severely restrict the client’s physical activities.

B. Weigh the client daily, after the evening meal.

C. Monitor vital signs, serum electrolyte levels, and acid-base balance.

D. Instruct the client to keep an accurate record of food and fluid intake.




10. Celia with a history of polysubstance abuse is admitted to the facility. She complains of
nausea and vomiting 24 hours after admission. The nurse assesses the client and notes
piloerection, pupillary dilation, and lacrimation. The nurse suspects that the client is going
through which of the following withdrawals?




NURSING NRSG 98 Exam Questions and Answers
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