EXAM 1 MEDICAL SURGICAL (CH.
1,2,6,7,8)
95+ (Fully Updated 2026) Exam Questions + Verified & Rationalized Answers
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📋 DOCUMENT OVERVIEW 96 Qs
This document covers psychiatric-mental health nursing topics, including benzodiazepine toxicity,
generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, and anxiety
management with medications such as escitalopram, buspirone, and paroxetine. The document provides a
comprehensive review of medical-surgical nursing concepts, including emergency department care, pain
management, and fall prevention protocols. With detailed explanations and rationales for each answer, this
document allows students to study, review, and understand key concepts, facilitating exam preparation
and reinforcing their knowledge of nursing practices.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
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EXAM QUESTIONS
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, QUESTION 1
A nurse working in an emergency dept. Is caring for a client who has benzodiazepine toxicity due to an
overdose. Which actions is the nurses priority?
A- administer flumazenil
B- identify the clients level of orientation
C- infuse iv fluids
D- prepare the client for gastric lavage
CORRECT ANSWER
B- identify the clients level of orientation
RATIONALE: The nurse's priority is to identify the client's level of orientation because benzodiazepine toxicity can cause
altered mental status, including confusion, disorientation, and loss of consciousness, which must be assessed and
documented to guide further care. Identifying the client's level of orientation also helps the nurse to determine the
effectiveness of any interventions, such as administering flumazenil, and to prioritize other necessary actions, such as
airway management or cardiovascular support.
QUESTION 2
A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized
anxiety disorder. Which of the following statements by the client indicates understanding of the
teaching?
A- i should take the medication on an empty stomach
B- i will follow a low-sodium diet while taking this med
C- i need to discontinue this med slowly?
D- i should not crush this med before swallowing
CORRECT ANSWER
C- i need to discontinue this med slowly?
RATIONALE: Escitalopram is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat various forms of anxiety
and depression. Discontinuing an SSRI like escitalopram suddenly can lead to withdrawal symptoms, which is why the
client's understanding of the need to taper off the medication slowly indicates a comprehension of the teaching.
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, QUESTION 3
A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which
info should the nurse include?
A- take this med on an empty stomach
B- expect optimal therapeutic effects within 24hr
C- take this med when needed for anxiety
D- this med has a low risk for dependency
CORRECT ANSWER
D- this med has a low risk for dependency
RATIONALE: Buspirone is an anxiolytic medication that is known for its low potential for dependency and abuse, making it
a safer option for patients with anxiety disorders. Including this information helps the client understand the benefits and
risks of buspirone, and can alleviate concerns about developing a dependency on the medication.
QUESTION 4
A nurse is teaching a client who obsessive compulsive disorder and has a new prescription for paroxetine
which of the following instructions should the nurse include?
A. It can take several weeks before you feel like the medication is helping
B. Take the medication just before bedtime to promote sleep
C. you should take the medication when needed for obsessive urges
D. Monitor for weight gain while taking this medication
CORRECT ANSWER
A. It can take several weeks before you feel like the medication is helping
RATIONALE: Paroxetine is a selective serotonin reuptake inhibitor (SSRI), which is a type of medication commonly used to
treat obsessive-compulsive disorder (OCD). The correct answer is because SSRIs, including paroxetine, typically take
several weeks to exert their full therapeutic effects, as they work by gradually increasing serotonin levels in the brain.
Trusted by thousands of students and professionals worldwide Page 3 of 50
, QUESTION 5
A nurse is caring for a client who takes peroxidation to treat post dramatic stress disorder he reports that
he grinds his teeth during the night the nurse should identify which of the following interventions to
manage bruxism (select all that apply)
A. Concurrent administration of buspirone
B. administration of a different SSRI
C. use of a mouth guard
D. changing to a different class of anti-depressant medication
E. increasing the dose of paroxetine
CORRECT ANSWER
A,C,D
RATIONALE: The correct answer, "A,C,D", is because buspirone can be used as an adjunct to an SSRI for treating anxiety
symptoms, a mouth guard can alleviate bruxism symptoms by preventing tooth grinding, and changing to a different class
of antidepressant medication can help address medication-induced bruxism or underlying factors contributing to bruxism,
such as anxiety or stress. The incorrect options, B and E, do not directly address the bruxism issue, and concurrent
administration of buspirone with an SSRI or increasing the dose of paroxetine may not necessarily alleviate bruxism
symptoms.
QUESTION 6
A nurse is providing instructions to a client has been experiencing insomnia and has a new prescription
for to Maza Pam the nurse should inform the client that which of the following manifestations are
adverse affects (select all apply )
A. Incoordination
B. Hypertension
C. Pruritis
D. Sleep driving
E. Amnesia
CORRECT ANSWER
A,D,E
RATIONALE: Mazapetine is a medication used to treat insomnia, and its primary function is to enhance the effects of GABA,
a neurotransmitter that promotes relaxation and sleep. Adverse effects associated with Mazapetine include increased risk of
sleepwalking, sleep driving, and other behaviors that occur during sleep, making options D sleep driving a likely adverse
effect, and the other options less likely.
Trusted by thousands of students and professionals worldwide Page 4 of 50
1,2,6,7,8)
95+ (Fully Updated 2026) Exam Questions + Verified & Rationalized Answers
| A+ Graded
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 96 Qs
This document covers psychiatric-mental health nursing topics, including benzodiazepine toxicity,
generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, and anxiety
management with medications such as escitalopram, buspirone, and paroxetine. The document provides a
comprehensive review of medical-surgical nursing concepts, including emergency department care, pain
management, and fall prevention protocols. With detailed explanations and rationales for each answer, this
document allows students to study, review, and understand key concepts, facilitating exam preparation
and reinforcing their knowledge of nursing practices.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
Trusted by thousands of students and professionals worldwide Page 1 of 50
, QUESTION 1
A nurse working in an emergency dept. Is caring for a client who has benzodiazepine toxicity due to an
overdose. Which actions is the nurses priority?
A- administer flumazenil
B- identify the clients level of orientation
C- infuse iv fluids
D- prepare the client for gastric lavage
CORRECT ANSWER
B- identify the clients level of orientation
RATIONALE: The nurse's priority is to identify the client's level of orientation because benzodiazepine toxicity can cause
altered mental status, including confusion, disorientation, and loss of consciousness, which must be assessed and
documented to guide further care. Identifying the client's level of orientation also helps the nurse to determine the
effectiveness of any interventions, such as administering flumazenil, and to prioritize other necessary actions, such as
airway management or cardiovascular support.
QUESTION 2
A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized
anxiety disorder. Which of the following statements by the client indicates understanding of the
teaching?
A- i should take the medication on an empty stomach
B- i will follow a low-sodium diet while taking this med
C- i need to discontinue this med slowly?
D- i should not crush this med before swallowing
CORRECT ANSWER
C- i need to discontinue this med slowly?
RATIONALE: Escitalopram is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat various forms of anxiety
and depression. Discontinuing an SSRI like escitalopram suddenly can lead to withdrawal symptoms, which is why the
client's understanding of the need to taper off the medication slowly indicates a comprehension of the teaching.
Trusted by thousands of students and professionals worldwide Page 2 of 50
, QUESTION 3
A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which
info should the nurse include?
A- take this med on an empty stomach
B- expect optimal therapeutic effects within 24hr
C- take this med when needed for anxiety
D- this med has a low risk for dependency
CORRECT ANSWER
D- this med has a low risk for dependency
RATIONALE: Buspirone is an anxiolytic medication that is known for its low potential for dependency and abuse, making it
a safer option for patients with anxiety disorders. Including this information helps the client understand the benefits and
risks of buspirone, and can alleviate concerns about developing a dependency on the medication.
QUESTION 4
A nurse is teaching a client who obsessive compulsive disorder and has a new prescription for paroxetine
which of the following instructions should the nurse include?
A. It can take several weeks before you feel like the medication is helping
B. Take the medication just before bedtime to promote sleep
C. you should take the medication when needed for obsessive urges
D. Monitor for weight gain while taking this medication
CORRECT ANSWER
A. It can take several weeks before you feel like the medication is helping
RATIONALE: Paroxetine is a selective serotonin reuptake inhibitor (SSRI), which is a type of medication commonly used to
treat obsessive-compulsive disorder (OCD). The correct answer is because SSRIs, including paroxetine, typically take
several weeks to exert their full therapeutic effects, as they work by gradually increasing serotonin levels in the brain.
Trusted by thousands of students and professionals worldwide Page 3 of 50
, QUESTION 5
A nurse is caring for a client who takes peroxidation to treat post dramatic stress disorder he reports that
he grinds his teeth during the night the nurse should identify which of the following interventions to
manage bruxism (select all that apply)
A. Concurrent administration of buspirone
B. administration of a different SSRI
C. use of a mouth guard
D. changing to a different class of anti-depressant medication
E. increasing the dose of paroxetine
CORRECT ANSWER
A,C,D
RATIONALE: The correct answer, "A,C,D", is because buspirone can be used as an adjunct to an SSRI for treating anxiety
symptoms, a mouth guard can alleviate bruxism symptoms by preventing tooth grinding, and changing to a different class
of antidepressant medication can help address medication-induced bruxism or underlying factors contributing to bruxism,
such as anxiety or stress. The incorrect options, B and E, do not directly address the bruxism issue, and concurrent
administration of buspirone with an SSRI or increasing the dose of paroxetine may not necessarily alleviate bruxism
symptoms.
QUESTION 6
A nurse is providing instructions to a client has been experiencing insomnia and has a new prescription
for to Maza Pam the nurse should inform the client that which of the following manifestations are
adverse affects (select all apply )
A. Incoordination
B. Hypertension
C. Pruritis
D. Sleep driving
E. Amnesia
CORRECT ANSWER
A,D,E
RATIONALE: Mazapetine is a medication used to treat insomnia, and its primary function is to enhance the effects of GABA,
a neurotransmitter that promotes relaxation and sleep. Adverse effects associated with Mazapetine include increased risk of
sleepwalking, sleep driving, and other behaviors that occur during sleep, making options D sleep driving a likely adverse
effect, and the other options less likely.
Trusted by thousands of students and professionals worldwide Page 4 of 50
