Versions (Latest 2026) Accurate Spring/Summer
– Complete with Correct Answers
Question 1
An adolescent female who is admitted with bulimia tells the practical nurse (PN)
that she does not have an eating disorder. Which finding should the PN report that
is most indicative of long-standing purging behaviors?
A) Polyuria.
B) Excessive facial hair.
C) Dental enamel erosion.
D) Elevated blood pressure.
Correct Answer: C) Dental enamel erosion.
Question 2
The practical nurse (PN) is collecting admission data for a young man with a
history of chronic mental illness who is admitted to the mental health unit. What
client information is most important in guiding the PN in data collection?
A) Displays aggressive and assaultive behavior.
B) Expresses denial to comply with treatment.
C) Requests to leave against medical advice.
D) States he knows how to fit his diagnosis.
Correct Answer: A) Displays aggressive and assaultive behavior.
Question 3
A female client admits that she has been battered frequently by her live-in
boyfriend over the last year. She tells the practical nurse (PN) they plan to be
married and she thinks things will be better since he is always sorry after the
battering. What is the best action for the PN to take?
A) Assist the client in enrolling in a self-defense class.
B) Provide information to develop an emergency plan.
,C) Support the client's hope that the battering will end.
D) Emphasize battering patterns usually remains the same.
Correct Answer: B) Provide information to develop an emergency plan.
Question 4
A 35-year-old male client is admitted after a suicide attempt. Which action should
the practical nurse (PN) implement when interacting with the client?
A) Redirect conversations that focus on the topic of suicide.
B) Recommend that the client focus on peers rather than self-absorption.
C) Encourage the client to express feelings rather than suppress them.
D) Discuss the impact that suicidal behaviors have on his family.
Correct Answer: C) Encourage the client to express feelings rather than
suppress them.
Question 5
A male client who learns his results show HIV is seropositive tells the practical
nurse that he is experiencing constant heart palpitations. The client is not
comfortable, and walks around trembling. What reaction to the diagnosis is the
client demonstrating?
A) Guilt.
B) Acute anxiety.
C) Suicidal ideations.
D) Disappointment.
Correct Answer: B) Acute anxiety.
Question 6
A male client who is in a minor motor vehicle collision (MVC) while on the job is
brought to the urgent care clinic. The healthcare provider prescribes a urine drug
screen, but the client repeatedly refuses to provide a specimen. Which action
should the practical nurse (PN) implement?
A) Collect a urine specimen using a sterile catheter.
B) Detain the client in the clinic until he cooperates.
,C) Document the client's refusal in the medical record.
D) Palpate the pubic symphysis for urinary retention.
Correct Answer: C) Document the client's refusal in the medical record.
Question 7
What approach is best for the practical nurse (PN) to use when establishing a
relationship with a severely socially withdrawn male client diagnosed with
schizophrenia?
A) Read to the client from the daily newspaper to promote orientation.
B) Sit with the client in silence several times a day.
C) Ask the client questions about the thoughts that are having.
D) Use therapeutic touch by placing a hand on the client's arm occasionally.
Correct Answer: B) Sit with the client in silence several times a day.
Question 8
During the admission interview to an inpatient psychiatric unit, the practical nurse
(PN) asks a male client who is admitted with depression about recent life events
that precipitated his admission. The client remains silent, looks at the floor, and
does not answer any of the PN's questions. Which intervention is best for the PN to
implement?
A) Initiate a conversation about the client's suicidal ideations and plans.
B) Describe diagnostic laboratory results to the client.
C) Ask the client if he would like to talk to another nurse.
D) Record these findings in the medical record under the DSM IV Axis IV.
Correct Answer: D) Record these findings in the medical record under the
DSM IV Axis IV.
Question 9
A client who is admitted for surgery seems to focus only on his immediate
concerns and asks the practical nurse (PN) to repeat everything that is said over
again. The client seems to follow directions but asks for assistance when filling out
admission forms and checklists. He apologizes to the PN often and says he did not
hear all of the instructions. This client is experiencing which level of anxiety?
, A) Mild.
B) Panic.
C) Severe.
D) Moderate.
Correct Answer: C) Severe.
Question 10
A man who has been admitted numerous times for alcohol detoxification is found
wandering in the street and is unable to identify his own home address. He is
manifesting ataxia, nystagmus, and confusion and has a blood-alcohol level (BAL)
of 0.29%. Which prescribed medication should the practical nurse (PN) administer
to prevent Korsakoff’s psychosis?
A) Thiamine.
B) Benzodiazepines.
C) Glucose solution.
D) Haloperidol (Haldol).
Correct Answer: A) Thiamine.
Question 11
Which part of the client’s plan of care is the practical nurse (PN) implementing
when plans are used to increase a male client’s participation in his own care and
social environment?
A) Client autonomy.
B) The therapeutic community.
C) The nurse-client relationship.
D) The multidisciplinary mental health team.
Correct Answer: B) The therapeutic community.
Question 12
A client with bipolar I disorder is in the acute manic phase. He is pacing rapidly,
speaking loudly in rhymes, and making inappropriate sexual comments to staff.
What is the priority nursing intervention?
A) Place the client in seclusion until his behavior improves.