Psychiatric Nursing Exam 13: NLE Pre-Board (100 Items)
Situation : Mrs. Andres brought his son, Juanito, age 3 to the 8. The mother of Juanito asked the nurse, When is autism
Pediatric clinic. She noticed that her son is not speaking and tend diagnose? The nurse will respond:
to repeat everything she says. The mother also told the nurse that
Juanito prefers to be alone, will cry when someone will come A. Autism is diagnosed after 3 years old
near him and tend to rock himself from morning till he will fell B. Autism is diagnosed after 6 years old
asleep. C. At 4 years old, Autism is diagnosed
D. Autism is diagnosed before 3 years old
1. An essential clinical feature of autistic disorder is:
9. If a child with autism develops destructive behavior, The
A. Inability to concentrate in any task drug of choice that the nurse will expect that the physician
B. Easily Distracted will give to control self injury is:
C. Stereotyped motor behaviors
D. Poor motor skills A. Chlorpromazine [Thorazine]
B. Methylphenidate [Ritalin]
2. Headbanging is a common manifestation of an autistic C. Time-out
child. A relevant nursing diagnosis would be: D. Valium, Librium or other Anxiolytic
A. Activity intolerance 10. Chlorpromazine was given to the child. Which is true
B. Impaired physical mobility with regards to this medication?
C. Risk for Injury
D. Impaired skin integrity A. Expect that the child will be unusually alert and hyperactive
during the therapeutic period
3. According to freud, Juanito is at what psychosexual stage? B. The mother should decrease the fluid intake of the child as this
drug causes fluid retention
A. Anal C. That the drug is given in order to decrease the child’s
B. Oral hyperactivity
C. Phallic D. The mother should avoid overexposing the child to sunlight for
D. Latency the child might develop rashes due to photosensitivity
4. Typically, if there is a change in the environment, the child Situation : Mastery of Psychotropic medications is necessary for
will manifest which of the following? the therapeutic improvement in the health of the psychiatric
clients.
A. Clinging behavior
B. Temper tantrums 11. Lithium is only given:
C. Suicide
D. Talks incoherently A. P.O
B. IM
5. The best treatment approach for autistic children is C. IV
encouraging their desired behavior through positive D. SQ
reinforcement. This is:
12. The nurse should expect that a client who cheeks the
A. Milieu Therapy medication is a non-complaint patient. Knowing the non
B. Psychoanalysis compliance is the single most important factor for
C. Play Therapy exacerbation and rehospitalisation, the doctor ordered
D. Behavior Therapy Prolixin [Fluphenazine Decanoate]. The nurse knows that is
it given:
6. There is no definite cause identified for autism, but a
strong link has been found on: A. Orally
B. Sublingually
A. Environmental factors C. IV
B. Genetic factors D. IM
C. Upbringing
D. MMR vaccination 13. Which of the following is an antidepressant?
7. Which of the following is true about Autism? A. Serenace (Haloperidol)
B. Valium (Diazepam)
A. Autism is common among boys than girls C. Tofranil (Imipramine HCl)
B. Autism is common among girls than boys D. Trilaton (Pherpenazine)
C. MMR vaccination has been strongly linked in the development
of Autism 14. The nurse knows that the relationship
D. Autistic children usually develops normal social skills between sodium and lithium is that:
, Psychiatric Nursing Exam 13: NLE Pre-Board (100 Items)
A. When lithium increases, sodium also increases 21. Which of the following is the cause of Dementia of the
B. When sodium increases, lithium also increases Alzheimer’s type?
C. They are inversely proportional
D. They are directly proportional A. Unknown
B. Decreased Acetylcholine
15. Which of the following class of antidepressant is the least C. Increasing Age
sedating? D. Senile plaques deposition
A. SSRI 22. The initial sign of Dementia is:
B. MAOI
C. TCA A. Aphasia
D. Neuroleptics B. Forgetfulness
C. Confusion
Situation : Mang Cardo, Age 72, is a widower with moderate D. Restlessness
Alzheimer’s disease. Was brought to the home for the Aged by his
married daughter. On admission, she says to the nurse, “I never 23. Mang Cardo has been talking about how he got his
thought this would happen to us. I really feel guilty about scratch on his left arm, he told you that it was caused by a
bringing him here, I can’t bear to part with him.” shard of glass that touches his skin accidentally. The next
day, he told you that the scratch was caused by a knife he did
16. The nurse’s therapeutic response to Mang Carlos’ not see that it fell from the table towards his arms. The next
daughter is: day, he said it was bitten by an ant and he scratched it
because it was itchy. This is a symptom seen in Dementia
A. “You have indeed made a sound decision, Your father needs known as:
professional care which you cannot provide at home.”
B. “Why are you feeling guilty bringing him here?” A. Confusion
C. “I know that his has been a difficult time for you. You seemed B. Altercation
troubled about bringing him here.” C. Aphasia
D. “You have done well everything for your father, Do not be D. Confabulation
upset. We will take care of him.”
24. Tacrine was given to the client and the nurse knows that
17. Initially, the nursing diagnosis would be: which of the following enzyme is periodically checked?
A. Impaired communication A. ALT
B. Impaired social interaction B. Creatinine
C. Altered thought process C. AST
D. Altered family process D. BUN
18. To guide the nurse in planning activities for Mang Carlos, 25. A client with Alzheimer’s disease mumbles incoherently
The nurse should prioritize soliciting which information? and rambles in a confused manner. To help redirect the
client’s attention, the nurse should encourage the client to:
A. Support system from the significant others
B. Coping mechanism A. fold towels and pillowcases.
C. Routine activities at home C. play cards with another client.
D. The extent of memory impairment B. participate in a game of charades.
D. perform an aerobic exercise.
19. Cardo appears to be awake and restless throughout the
night, Which of the following is the medication you are Situation : A nurse is working with an aggressive client in the
expecting to be given? psychiatric unit.
A. Diazepam [Valium] 26. All of the following concepts are true EXCEPT:
B. Chlorpromazine [Thorazine]
C. Imipramine [Tofranil] A. Hostility is destructive
D. Lithium [Lithane] B. Frustration develops in response to unmet needs, wants and
desire
20. One morning, Mang Cardo has difficulty putting his C. Anger is always incompatible with love
pyjamas. In Alzheimer’s disease, this is known as: D. Aggression can be expressed in a constructive as well as a
destructive manner.
A. Aphasia
B. Agnosia 27. Carlo is acting out hostile and aggressive feeling by
C. Apraxia kicking the chairs in the room. the MOST effective way to
D. Anomia deal with Carlo’s behavior is initially to:
Situation : Mrs. Andres brought his son, Juanito, age 3 to the 8. The mother of Juanito asked the nurse, When is autism
Pediatric clinic. She noticed that her son is not speaking and tend diagnose? The nurse will respond:
to repeat everything she says. The mother also told the nurse that
Juanito prefers to be alone, will cry when someone will come A. Autism is diagnosed after 3 years old
near him and tend to rock himself from morning till he will fell B. Autism is diagnosed after 6 years old
asleep. C. At 4 years old, Autism is diagnosed
D. Autism is diagnosed before 3 years old
1. An essential clinical feature of autistic disorder is:
9. If a child with autism develops destructive behavior, The
A. Inability to concentrate in any task drug of choice that the nurse will expect that the physician
B. Easily Distracted will give to control self injury is:
C. Stereotyped motor behaviors
D. Poor motor skills A. Chlorpromazine [Thorazine]
B. Methylphenidate [Ritalin]
2. Headbanging is a common manifestation of an autistic C. Time-out
child. A relevant nursing diagnosis would be: D. Valium, Librium or other Anxiolytic
A. Activity intolerance 10. Chlorpromazine was given to the child. Which is true
B. Impaired physical mobility with regards to this medication?
C. Risk for Injury
D. Impaired skin integrity A. Expect that the child will be unusually alert and hyperactive
during the therapeutic period
3. According to freud, Juanito is at what psychosexual stage? B. The mother should decrease the fluid intake of the child as this
drug causes fluid retention
A. Anal C. That the drug is given in order to decrease the child’s
B. Oral hyperactivity
C. Phallic D. The mother should avoid overexposing the child to sunlight for
D. Latency the child might develop rashes due to photosensitivity
4. Typically, if there is a change in the environment, the child Situation : Mastery of Psychotropic medications is necessary for
will manifest which of the following? the therapeutic improvement in the health of the psychiatric
clients.
A. Clinging behavior
B. Temper tantrums 11. Lithium is only given:
C. Suicide
D. Talks incoherently A. P.O
B. IM
5. The best treatment approach for autistic children is C. IV
encouraging their desired behavior through positive D. SQ
reinforcement. This is:
12. The nurse should expect that a client who cheeks the
A. Milieu Therapy medication is a non-complaint patient. Knowing the non
B. Psychoanalysis compliance is the single most important factor for
C. Play Therapy exacerbation and rehospitalisation, the doctor ordered
D. Behavior Therapy Prolixin [Fluphenazine Decanoate]. The nurse knows that is
it given:
6. There is no definite cause identified for autism, but a
strong link has been found on: A. Orally
B. Sublingually
A. Environmental factors C. IV
B. Genetic factors D. IM
C. Upbringing
D. MMR vaccination 13. Which of the following is an antidepressant?
7. Which of the following is true about Autism? A. Serenace (Haloperidol)
B. Valium (Diazepam)
A. Autism is common among boys than girls C. Tofranil (Imipramine HCl)
B. Autism is common among girls than boys D. Trilaton (Pherpenazine)
C. MMR vaccination has been strongly linked in the development
of Autism 14. The nurse knows that the relationship
D. Autistic children usually develops normal social skills between sodium and lithium is that:
, Psychiatric Nursing Exam 13: NLE Pre-Board (100 Items)
A. When lithium increases, sodium also increases 21. Which of the following is the cause of Dementia of the
B. When sodium increases, lithium also increases Alzheimer’s type?
C. They are inversely proportional
D. They are directly proportional A. Unknown
B. Decreased Acetylcholine
15. Which of the following class of antidepressant is the least C. Increasing Age
sedating? D. Senile plaques deposition
A. SSRI 22. The initial sign of Dementia is:
B. MAOI
C. TCA A. Aphasia
D. Neuroleptics B. Forgetfulness
C. Confusion
Situation : Mang Cardo, Age 72, is a widower with moderate D. Restlessness
Alzheimer’s disease. Was brought to the home for the Aged by his
married daughter. On admission, she says to the nurse, “I never 23. Mang Cardo has been talking about how he got his
thought this would happen to us. I really feel guilty about scratch on his left arm, he told you that it was caused by a
bringing him here, I can’t bear to part with him.” shard of glass that touches his skin accidentally. The next
day, he told you that the scratch was caused by a knife he did
16. The nurse’s therapeutic response to Mang Carlos’ not see that it fell from the table towards his arms. The next
daughter is: day, he said it was bitten by an ant and he scratched it
because it was itchy. This is a symptom seen in Dementia
A. “You have indeed made a sound decision, Your father needs known as:
professional care which you cannot provide at home.”
B. “Why are you feeling guilty bringing him here?” A. Confusion
C. “I know that his has been a difficult time for you. You seemed B. Altercation
troubled about bringing him here.” C. Aphasia
D. “You have done well everything for your father, Do not be D. Confabulation
upset. We will take care of him.”
24. Tacrine was given to the client and the nurse knows that
17. Initially, the nursing diagnosis would be: which of the following enzyme is periodically checked?
A. Impaired communication A. ALT
B. Impaired social interaction B. Creatinine
C. Altered thought process C. AST
D. Altered family process D. BUN
18. To guide the nurse in planning activities for Mang Carlos, 25. A client with Alzheimer’s disease mumbles incoherently
The nurse should prioritize soliciting which information? and rambles in a confused manner. To help redirect the
client’s attention, the nurse should encourage the client to:
A. Support system from the significant others
B. Coping mechanism A. fold towels and pillowcases.
C. Routine activities at home C. play cards with another client.
D. The extent of memory impairment B. participate in a game of charades.
D. perform an aerobic exercise.
19. Cardo appears to be awake and restless throughout the
night, Which of the following is the medication you are Situation : A nurse is working with an aggressive client in the
expecting to be given? psychiatric unit.
A. Diazepam [Valium] 26. All of the following concepts are true EXCEPT:
B. Chlorpromazine [Thorazine]
C. Imipramine [Tofranil] A. Hostility is destructive
D. Lithium [Lithane] B. Frustration develops in response to unmet needs, wants and
desire
20. One morning, Mang Cardo has difficulty putting his C. Anger is always incompatible with love
pyjamas. In Alzheimer’s disease, this is known as: D. Aggression can be expressed in a constructive as well as a
destructive manner.
A. Aphasia
B. Agnosia 27. Carlo is acting out hostile and aggressive feeling by
C. Apraxia kicking the chairs in the room. the MOST effective way to
D. Anomia deal with Carlo’s behavior is initially to:
