NURS 6675 FINAL EXAM 5 COLLECTION 2026
ACCURATE SPRING- SUMMER COMPLETE 5
VERSIONS QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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FINAL EXAM PREP
When preparing a teaching plan for a client who is to be discharged with a prescription for
lithium carbonate (Lithonate). It is most important for the nurse to include which instructions.
A. "It may take 3 to 4 weeks to achieve therapeutic effects."
B. "Keep our dietary salt intake consistent."
C. "Avoid eating aged cheese and chicken liver."
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D. "Eat foods high in fiber such as whole grain breads." –
Correct Answer :B. "Keep our dietary salt intake consistent."
Rationale: Lithium's effectiveness is influenced by salt intake. Too much salt causes more
lithium to be excreted, thereby decreasing the effectiveness of the drug.
The nurse is preparing to administer phenelzine sulfate (Nardil) to a client on the psychiatric
unit. Which complaint related to administration of this drug would the nurse expect this client
to make
A. "My mouth feels like cotton."
B. "That stuff gives me indigestion."
C. "This pill gives me diarrhea."
D. "My urine looks pink." –
Correct Answer :A. "My mouth feels like cotton."
Rationale: A dry mouth is an anticholinergic effect that is an expected side effect of MAO
inhibitors such as phenelzine sulfate (Nardil).
A client receiving substitution therapy during withdrawal from benzodiazepines. Which
expected outcome statement has the highest priority when planning nursing care?
A. Client will not demonstrate cross-addiction.
B. Co-dependent behaviors will be decreased.
C. Excessive CNS stimulation will be reduced.
D. Client's level of consciousness will increase. –
Correct Answer :C. Excessive CNS stimulation will be reduced.
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Rationale: Substitution therapy with another CNS depressant is intended to decrease the
excessive CNS stimulation that can occur during benzodiazepine withdrawal.
A client who is known to abuse drugs is admitted to the psychiatric unit. which medication
should the nurse anticipate administering to a client who is exhibiting benzodiazepine
withdrawal symptoms?
A. Perphenazine (Trilafon)
B. Diphenhydramine (Benadryl)
C. Chlordiazepoxide (Librium)
D. Isocarboxazid (Marplan) –
Correct Answer :C. Chlordiazepoxide (Librium)
Rationale: Librium, an anti anxiety drug, as well as other benzodiazepines, is used in titrated
doses to reduce the severity of abrupt benzodiazepine withdrawal.
A 22-year-old male client is admitted to the emergency center following a suicide attempt. His
records reveal that this is his third suicide attempt in the past two years. He is conscious but
does not respond to verbal commands for treatment. Which assessment finding should
prompt the nurse to prepare the client for gastric lavage?
A. He ingested the drug 3 hours prior to admission to the emergency center.
B. The family reports that he took an entire bottle of acetaminophen (Tylenol).
C. He is unresponsive to instructions and is unable to cooperate with emetic therapy.
D. Those with repeated suicide attempts desire punishment to relieve their guilt. –
Correct Answer :C. He is unresponsive to instructions and is unable to cooperate with emetic
therapy.
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Rationale: because the client is unable to follow instructions, emetic therapy would be very
difficult to implement and gastric lavage would be necessary.
A 72-year-old female is admitted to the psychiatric unit with a diagnosis of major depression.
Which statement by the client should be of greatest concern to the nurse and require further
assessment?
A. "I will die if my cat dies."
B. "I don't feel like eating this morning."
C. "I just went to my friend's funeral."
D. "Don't yo have more important things to do?" –
Correct Answer :A. "I will die if my cat dies."
Rationale: Sometimes a client will use an analogy to describe themselves, and (A) would be
an indication for conducting a suicide assessment.
A 19-year-old female client with diagnosis anorexia nervoua wants to help serve dinner trays
to other clients on a psychiatric unit. Which action should the nurse take?
A. Encourage the client self-motivation by asking her to pass trays for the rest of the week.
B. Provide an additional challenge by asking the client to help feed the older clients.
C. Suggest another way or this client to participate in the unit's activities.
D. Tell the client that hospital guidelines allow only staff to pass the trays. –
Correct Answer :C. Suggest another way or this client to participate in the unit's activities.
Rationale: Clients with anorexia should not be allowed to plan or prepare food for unit
activities and their desires to do so should be redirected.
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