NR326 2026 ACTUAL TEST SCRIPT
QUESTIONS AND SOLUTIONS GRADED A+
◉ priority intervention for pt. w/ suicidal ideation . Answer:-Placing
the client on suicide precautions with one-to-one observation
provides a safe environment for an actively suicidal client.
•Maintaining client safety should always be a priority nursing
intervention.
◉ positive symptoms of schizophrenia . Answer:(presence of things
not normally present) hallucinations, delusions (false, fixed beliefs),
strange motor movements, speech alterations, agitation.
◉ negative symptoms of schizophrenia . Answer:(absence of things
that are normally present) 5 A's: Affect (flat affect) Alogia (decrease
thought/speech), Anergia (lack of energy), Anhedonia (lack of
pleasure), Avolition (lack of motivation for activities)
◉ Lithium toxicity . Answer:toxic >1.5: coarse tremors, confusion,
hypotension, seizures, tinnitus, coma/death
◉ patient teaching for lithium . Answer:-if going outside for activity,
need to rehydrate
, -Take the medication regularly.•Do not drive or operate dangerous
machinery.•Do not skimp on dietary sodium and maintain
appropriate diet.•Know pregnancy risks.•Carry identification noting
taking lithium.•Be aware of side effects and symptoms of
toxicity.•Notify physician if vomiting or diarrhea occur.•Have serum
lithium level checked every 1 to 2 months.
◉ nursing intervention for pt. in manic episode of bipolar disorder .
Answer:· Provide safe environment. Protect pt from poor judgement
(giving away money, sexual indiscretions)
· Decrease stimulation
· 1:1 observation, seclusion, or restraints may be necessary if pt is
risk for self or others
· Provide frequent rest periods
· Monitor sleep, fluid and food intake.
· Provide high-calorie portable snacks (finger food)
· Set limits, give concise explanations, use calm approach
· Medications: lithium, anticonvulsants, antipsychotic meds, anti-
anxiety meds, antidepressants.
◉ bipolar mania . Answer:excessively elevated mood, lasting more
than a week.
◉ MAOI's (what not to eat) . Answer:No tyramine foods
QUESTIONS AND SOLUTIONS GRADED A+
◉ priority intervention for pt. w/ suicidal ideation . Answer:-Placing
the client on suicide precautions with one-to-one observation
provides a safe environment for an actively suicidal client.
•Maintaining client safety should always be a priority nursing
intervention.
◉ positive symptoms of schizophrenia . Answer:(presence of things
not normally present) hallucinations, delusions (false, fixed beliefs),
strange motor movements, speech alterations, agitation.
◉ negative symptoms of schizophrenia . Answer:(absence of things
that are normally present) 5 A's: Affect (flat affect) Alogia (decrease
thought/speech), Anergia (lack of energy), Anhedonia (lack of
pleasure), Avolition (lack of motivation for activities)
◉ Lithium toxicity . Answer:toxic >1.5: coarse tremors, confusion,
hypotension, seizures, tinnitus, coma/death
◉ patient teaching for lithium . Answer:-if going outside for activity,
need to rehydrate
, -Take the medication regularly.•Do not drive or operate dangerous
machinery.•Do not skimp on dietary sodium and maintain
appropriate diet.•Know pregnancy risks.•Carry identification noting
taking lithium.•Be aware of side effects and symptoms of
toxicity.•Notify physician if vomiting or diarrhea occur.•Have serum
lithium level checked every 1 to 2 months.
◉ nursing intervention for pt. in manic episode of bipolar disorder .
Answer:· Provide safe environment. Protect pt from poor judgement
(giving away money, sexual indiscretions)
· Decrease stimulation
· 1:1 observation, seclusion, or restraints may be necessary if pt is
risk for self or others
· Provide frequent rest periods
· Monitor sleep, fluid and food intake.
· Provide high-calorie portable snacks (finger food)
· Set limits, give concise explanations, use calm approach
· Medications: lithium, anticonvulsants, antipsychotic meds, anti-
anxiety meds, antidepressants.
◉ bipolar mania . Answer:excessively elevated mood, lasting more
than a week.
◉ MAOI's (what not to eat) . Answer:No tyramine foods
