SIMULATION COURSE (S7) PRACTICE
EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ The nurse completes an emergency admission of a male client with
schizophrenia who has not been taking his antipsychotic medications. The
client is pacing, is extremely irritable, and has a blood pressure of 146/96.
What is the priority nursing action?.
Answer: Reevaluate the client's blood pressure in an hour.
◍ The nurse observes that a client with bipolar disorder is pacing in the hall,
talking loudly and rapidly, and using elaborate hand gestures. The nurse
concludes that the client is demonstrating which?a. Aggressionb. Angerc.
Anxietyd. Psychomotor agitation.
Answer: d. Psychomotor agitation
◍ A client with bipolar disorder begins taking lithium carbonate (lithium)
300mg four times a day. After 3 days of therapy, the client says, "My hands
are shaking." Which is the best response by the nurse?a. "Fine motor
tremors are an early effect of lithium therapy that usually subsides in a few
weeks."b. "It is nothing to worry about unless it continues for the next
month."c. "Tremors can be an early sign of toxicity, but we'll keep
monitoring your lithium level to make sure you're O
K. "d. "You can expect tremors with lithium. You seem very concerned
about such a small tremor.".
Answer: a. "Fine motor tremors are an early effect of lithium therapy that
usually subsides in a few weeks."
◍ A young adult female client with panic disorder arrives in the Emergency
Center with a 4-day history of chest pain that began when her boyfriend left
her. Initial assessment reveals normal cardiopulmonary findings. Which
, information is most important for the nurse to obtain?.
Answer: Drugs taken in last 7 days.
◍ What are the most common types of side effects from SSRIs?a. Dizziness,
drowsiness, and dry mouthb. Convulsions and respiratory difficultiesc.
Diarrhea and weight gaind. Jaundice and agranulocytosis.
Answer: a. Dizziness, drowsiness, and dry mouth
◍ A female client comes to an outpatient therapy appointment intoxicated. The
spouse tells the nurse, "There wasn't anything I could do to stop her drinking
this morning." What intervention should the nurse take at this time?.
Answer: Tell the client that therapy cannot take place while she is
intoxicated.
◍ The nurse observes that a client with depression sat at a table with two other
clients during lunch. Which is the best feedback the nurse could give the
client?a. "Do you feel better after talking with others during lunch?"b. "I'm
so happy to see you interacting with other clients."c. "I see you were sitting
with others at lunch today."d. "You must feel much better than you were a
few days ago.".
Answer: c. "I see you were sitting with others at lunch today."
◍ The nurse is planning care for a client with major depression who is
admitted to the unit after a recent suicide attempt. Which intervention has
the highest priority for inclusion in this client's plan of care?.
Answer: Search the client's personal belongings.
◍ A male client is brought to the emergency department by a police officer,
who reports the client was "disturbing the peace" by running naked in the
street, striking out at others, and smashing car windows. Which behaviors
should the client demonstrate to determine if he should be evaluated for
involuntary commitment? (Choose all that apply.).
Answer: Threats to kill his friend, hears voices telling him to kill himself,
reports he has not needed a bath in 4 months and says he has not eaten in 3
days.
EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ The nurse completes an emergency admission of a male client with
schizophrenia who has not been taking his antipsychotic medications. The
client is pacing, is extremely irritable, and has a blood pressure of 146/96.
What is the priority nursing action?.
Answer: Reevaluate the client's blood pressure in an hour.
◍ The nurse observes that a client with bipolar disorder is pacing in the hall,
talking loudly and rapidly, and using elaborate hand gestures. The nurse
concludes that the client is demonstrating which?a. Aggressionb. Angerc.
Anxietyd. Psychomotor agitation.
Answer: d. Psychomotor agitation
◍ A client with bipolar disorder begins taking lithium carbonate (lithium)
300mg four times a day. After 3 days of therapy, the client says, "My hands
are shaking." Which is the best response by the nurse?a. "Fine motor
tremors are an early effect of lithium therapy that usually subsides in a few
weeks."b. "It is nothing to worry about unless it continues for the next
month."c. "Tremors can be an early sign of toxicity, but we'll keep
monitoring your lithium level to make sure you're O
K. "d. "You can expect tremors with lithium. You seem very concerned
about such a small tremor.".
Answer: a. "Fine motor tremors are an early effect of lithium therapy that
usually subsides in a few weeks."
◍ A young adult female client with panic disorder arrives in the Emergency
Center with a 4-day history of chest pain that began when her boyfriend left
her. Initial assessment reveals normal cardiopulmonary findings. Which
, information is most important for the nurse to obtain?.
Answer: Drugs taken in last 7 days.
◍ What are the most common types of side effects from SSRIs?a. Dizziness,
drowsiness, and dry mouthb. Convulsions and respiratory difficultiesc.
Diarrhea and weight gaind. Jaundice and agranulocytosis.
Answer: a. Dizziness, drowsiness, and dry mouth
◍ A female client comes to an outpatient therapy appointment intoxicated. The
spouse tells the nurse, "There wasn't anything I could do to stop her drinking
this morning." What intervention should the nurse take at this time?.
Answer: Tell the client that therapy cannot take place while she is
intoxicated.
◍ The nurse observes that a client with depression sat at a table with two other
clients during lunch. Which is the best feedback the nurse could give the
client?a. "Do you feel better after talking with others during lunch?"b. "I'm
so happy to see you interacting with other clients."c. "I see you were sitting
with others at lunch today."d. "You must feel much better than you were a
few days ago.".
Answer: c. "I see you were sitting with others at lunch today."
◍ The nurse is planning care for a client with major depression who is
admitted to the unit after a recent suicide attempt. Which intervention has
the highest priority for inclusion in this client's plan of care?.
Answer: Search the client's personal belongings.
◍ A male client is brought to the emergency department by a police officer,
who reports the client was "disturbing the peace" by running naked in the
street, striking out at others, and smashing car windows. Which behaviors
should the client demonstrate to determine if he should be evaluated for
involuntary commitment? (Choose all that apply.).
Answer: Threats to kill his friend, hears voices telling him to kill himself,
reports he has not needed a bath in 4 months and says he has not eaten in 3
days.
