180 QUESTIONS & ANSWERS
GRADED A+ FOR 2026-2027 ASSURED
EXCEL!!
1. Informed Consent for ECT - CORRECT ANSWERS-A client has the right to withdraw
consent for the treatment at any time.
2. Fraying on Electrical Cord - CORRECT ANSWERS-The nurse should first remove the
device from the room.
3. Hydromorphone Prescription - CORRECT ANSWERS-The nurse should count the current
number of unit doses available in the medication dispensing system.
4. Priority Finding Post Cast Placement - CORRECT ANSWERS-A client 2 hours post cast
placement with 2+ pitting edema and pallor has the priority finding.
5. Disulfiram Alcohol Use - CORRECT ANSWERS-A client should limit alcohol use to one
drink daily while taking disulfiram.
6. Fluoxetine and Tyramine - CORRECT ANSWERS-A client should avoid foods containing
tyramine while taking fluoxetine.
7. Sustained-Release Methylphenidate - CORRECT ANSWERS-A client should take the
sustained-release methylphenidate every morning.
8. Major Depressive Disorder Precautions - CORRECT ANSWERS-The nurse should
implement seizure precautions for the client.
,9. Narcissistic Personality Disorder Expectation - CORRECT ANSWERS-The nurse should
expect the client to be preoccupied with aging.
10. Time Management in Nursing - CORRECT ANSWERS-The nurse should first determine
goals of the day.
11. Change-of-Shift Assessment Priority - CORRECT ANSWERS-The priority finding is a client
with pneumonia, productive cough, and fever of 38.8° C (101.8° F).
12. Medication Administration Documentation - CORRECT ANSWERS-The nurse should
document administration of the medication upon removal from the medication
dispensing system.
13. Withholding Medication - CORRECT ANSWERS-The nurse should withhold
hydromorphone if the client does not appear to be in pain.
14. Client Teaching in Mental Health - CORRECT ANSWERS-Understanding is indicated when
a client states they will take their lithium on an empty stomach.
15. Seizure Precautions - CORRECT ANSWERS-Implementing seizure precautions is a priority
action for a client with major depressive disorder.
16. Client Assessment in Mental Health - CORRECT ANSWERS-Encouraging the client to
verbalize feelings is an important action but not the first priority.
17. Electrical Device Safety - CORRECT ANSWERS-Reporting the defect to the equipment
maintenance staff is necessary but should follow immediate removal of the device.
,18. Medication Dispensing System - CORRECT ANSWERS-The nurse should ensure the
device inspection sticker is current as part of routine safety checks.
19. Postoperative Care - CORRECT ANSWERS-Monitoring for pain is crucial after
administering hydromorphone.
20. EffectiverClientrTeachingr-rrCORRECTrANSWERS-
Clientsrshouldrberablertorarticulatertherimportancerofrmedicationradherence.
21. ManagingrNursingrTasksr-rrCORRECTrANSWERS-
Developingranrhourlyrtimerframerforrtasksrcanrhelprmanagertimereffectively.
22. ClientrAssessmentrFindingsr-rrCORRECTrANSWERS-
Identifyingrpriorityrfindingsrisressentialrduringrshiftrchanges.
23. UnderstandingrMedicationrEffectsr-rrCORRECTrANSWERS-
Clientsrmustrunderstandrthereffectsrandrsidereffectsrofrtheirrmedications.
24. Determinergoalsrofrtherdayr-rrCORRECTrANSWERS-
Establishrspecificrobjectivesrforrdailyractivities.
25. MagnesiumrsulfaterviarcontinuousrIVrinfusionr-rrCORRECTrANSWERS-
Artreatmentrforrpreeclampsiarrequiringrcarefulrmonitoring.
26. Restrictrtherclient'srtotalrfluidrintakertor250rmL/hrr-rrCORRECTrANSWERS-
Arguidelinerforrfluidrmanagementrinrcertainrmedicalrconditions.
27. Measurertherclient'srurineroutputreveryrhourr-rrCORRECTrANSWERS-
Arcriticalractionrtormonitorrkidneyrfunctionrandrfluidrbalance.
, 28. Givertherclientrprotaminerifrsignsrofrmagnesiumrsulfatertoxicityroccurr-
rrCORRECTrANSWERS-Anremergencyrinterventionrforrreversingrmagnesiumrtoxicity.
29. MonitorrtherFHRrviarDopplerreveryr30rminr-rrCORRECTrANSWERS-
Arprocedurertorassessrfetalrheartrraterduringrlabor.
30. Woundsrhealingrbyrprimaryrintentionr-rrCORRECTrANSWERS-
Woundsrthatrhealrwithrminimalrscarring,rtypicallyrsurgicalrincisions.
31. Approximatedrsurgicalrincisionr-rrCORRECTrANSWERS-
Artyperofrwoundrexpectedrtorhealrbyrprimaryrintention.
32. Clientrtakingrclozapinertortreatrschizophreniarandrreportsrsorerthroatr-
rrCORRECTrANSWERS-Arpriorityrclientrduertorpotentialragranulocytosisrrisk.
33. ClientrhasrOCDrandrisrupsetraboutrarchangerinrdailyrroutiner-rrCORRECTrANSWERS-
Arclientrwithrstablercondition,rlessrurgentrthanrothers.
34. Clientrhasrnarcissisticrpersonalityrdisorderrandrisrmockingrothersrduringrgrouprtherapyr-
rrCORRECTrANSWERS-Arclientrdisplayingrdisruptiverbehavior,rbutrnotrimmediatelyrlife-
threatening.
35. ClientrwhorhasrdepressiverdisorderrandrrequiresrassistancerwithrADLsr-
rrCORRECTrANSWERS-Arclientrneedingrsupportrbutrnotrinrimmediaterdanger.
36. Implantedrvenousraccessrportr-rrCORRECTrANSWERS-Ardevicerforrlong-
termrvenousraccessrinrpatients.