NSG 322 Final
Ziprasidone
What medication should the nurse ques-
tion when a patient has afib? poor choice for a client with cardiac dis-
ease.
A nurse is teaching a client about
non-pharmacological and complemen-
tary interventions to help improve sleep
patterns. Which of the following interven-
tions could be considered to support bet-
A. Melatonin
ter sleep?(Select all that apply)
B. Chamomile
C. Valerian
A. Melatonin
B. Chamomile
C. Valerian
D. Ginseng
E. Green tea
A client diagnosed with borderline per-
sonality disorder throws a meal tray C. "I can see you're upset, but throwing
across the room after being told their the tray is not acceptable behavior."
request cannot be fulfilled. What is the
most appropriate nursing response? Rationale:Clients with borderline person-
ality disorder often struggle with emo-
A. "If you don't stop, you will lose your tional regulation and may express dis-
privileges." tress through impulsive or aggressive be-
B. "Why did you throw the tray? You need havior. The nurse should use a calm,
to explain yourself." nonjudgmental, and firm approach—ac-
C. "I can see you're upset, but throwing knowledging the client's feelings while
the tray is not acceptable behavior." also setting clear boundaries about ac-
D. "Ignore the behavior and walk away to ceptable behavior.
avoid escalating the situation.
A nurse is reviewing medications for a
client with a history of seizures. Which B. Bupropion
medication should the nurse question?
Rationale: Bupropion is contraindicated
A. Sertraline in clients with a history of seizures be-
B. Bupropion cause it lowers the seizure threshold, in-
C. Lorazepam creasing the risk of seizure activity.
D. Gabapentin
, NSG 322 Final
A nurse is caring for a client diagnosed
B. Chronic low self-esteem
with a serious mental illness (SMI) who
is currently homeless. Which nursing di-
Rationale: Individuals with serious men-
agnosis is most appropriate for this indi-
tal illness (SMI) who are also experi-
vidual?
encing homelessness often struggle with
chronic low self-esteem due to factors
A. Risk for acute confusion
like stigma, social isolation, lack of sup-
B. Chronic low self-esteem
port, and repeated failures in employ-
C. Impaired verbal communication
ment, housing, or relationships.
D. Disturbed sensory perception
How does dialectical behavioral therapy
Changes severe reactions to moderate
(DBT) work?
A nurse is educating a client who has
been prescribed ramelteon for insomnia.
Which statement by the nurse best ex-
C. "It works by acting as a melatonin
plains how this medication works?
receptor agonist."
A. "It increases serotonin levels to help
Rationale: Ramelteon is a melatonin re-
you sleep."
ceptor agonist that specifically targets
B. "It slows brain activity by enhancing
MT1 and MT2 receptors in the brain,
GABA."
mimicking the effects of natural mela-
C. "It works by acting as a melatonin
tonin.
receptor agonist."
D. "It blocks dopamine to calm your mind
before sleep."
Which of the following should the nurse
C. Avoid combining this medication with
include in the teaching plan for a client
St. John's Wort.
beginning sertraline therapy?
Rationale: Sertraline is a selective sero-
A. Limit intake of dairy products while
tonin reuptake inhibitor (SSRI) used to
taking this medication.
treat depression and anxiety disorders.
B. Take this medication only as needed
Combining it with St. John's Wort, a
for symptoms.
herbal supplement, can increase the
C. Avoid combining this medication with
risk of serotonin syndrome, a potentially
St. John's Wort.
life-threatening condition due to exces-
D. Stop the medication if you feel better
sive serotonin levels.
after one week.
, NSG 322 Final
A nurse is reviewing a new prescription
for bupropion for a client. Which of the
following client conditions would require
C. Seizure disorder
the nurse to contact the provider before
administration?
Rationale: Bupropion lowers the seizure
threshold and is contraindicated in
A. History of seasonal affective disorder
clients with a history of seizure disorders.
B. Diagnosis of type 2 diabetes
C. Seizure disorder
D. Generalized anxiety disorder
B. Promote emotional regulation
A nurse is caring for a client diagnosed
with borderline personality disorder who
Rationale:Dialectical behavior therapy
is undergoing dialectical behavior thera-
(DBT) is an evidence-based therapy de-
py (DBT). What is the primary goal of this
veloped specifically for clients with bor-
therapeutic approach?
derline personality disorder. Its primary
goal is to promote emotional regulation
A. Eliminate all impulsive behaviors
by helping clients identify and manage
B. Promote emotional regulation
intense emotions, reduce self-destruc-
C. Encourage complete dependence on
tive behaviors, improve interpersonal re-
the therapist
lationships, and develop distress toler-
D. Suppress all emotional responses
ance skills.
The nurse is teaching a client who has
been prescribed zolpidem for insomnia.
C. Take the medication right before going
Which instruction should the nurse in-
to bed
clude in the teaching?
Rationale:Zolpidem is a sedative-hyp-
A. Take the medication in the morning
notic used for short-term treatment of
with food
insomnia. It works quickly, and should
B. Avoid taking the medication after a
be taken immediately before going to
high-fat meal
bed when the client is ready for at least
C. Take the medication right before going
7-8 hours of sleep to prevent next-day
to bed
drowsiness or impairment.
D. Take the medication at least 3 hours
before bedtime
After administering naloxone to a client
with an opioid overdose, which assess-
ment finding best indicates that the med-
Ziprasidone
What medication should the nurse ques-
tion when a patient has afib? poor choice for a client with cardiac dis-
ease.
A nurse is teaching a client about
non-pharmacological and complemen-
tary interventions to help improve sleep
patterns. Which of the following interven-
tions could be considered to support bet-
A. Melatonin
ter sleep?(Select all that apply)
B. Chamomile
C. Valerian
A. Melatonin
B. Chamomile
C. Valerian
D. Ginseng
E. Green tea
A client diagnosed with borderline per-
sonality disorder throws a meal tray C. "I can see you're upset, but throwing
across the room after being told their the tray is not acceptable behavior."
request cannot be fulfilled. What is the
most appropriate nursing response? Rationale:Clients with borderline person-
ality disorder often struggle with emo-
A. "If you don't stop, you will lose your tional regulation and may express dis-
privileges." tress through impulsive or aggressive be-
B. "Why did you throw the tray? You need havior. The nurse should use a calm,
to explain yourself." nonjudgmental, and firm approach—ac-
C. "I can see you're upset, but throwing knowledging the client's feelings while
the tray is not acceptable behavior." also setting clear boundaries about ac-
D. "Ignore the behavior and walk away to ceptable behavior.
avoid escalating the situation.
A nurse is reviewing medications for a
client with a history of seizures. Which B. Bupropion
medication should the nurse question?
Rationale: Bupropion is contraindicated
A. Sertraline in clients with a history of seizures be-
B. Bupropion cause it lowers the seizure threshold, in-
C. Lorazepam creasing the risk of seizure activity.
D. Gabapentin
, NSG 322 Final
A nurse is caring for a client diagnosed
B. Chronic low self-esteem
with a serious mental illness (SMI) who
is currently homeless. Which nursing di-
Rationale: Individuals with serious men-
agnosis is most appropriate for this indi-
tal illness (SMI) who are also experi-
vidual?
encing homelessness often struggle with
chronic low self-esteem due to factors
A. Risk for acute confusion
like stigma, social isolation, lack of sup-
B. Chronic low self-esteem
port, and repeated failures in employ-
C. Impaired verbal communication
ment, housing, or relationships.
D. Disturbed sensory perception
How does dialectical behavioral therapy
Changes severe reactions to moderate
(DBT) work?
A nurse is educating a client who has
been prescribed ramelteon for insomnia.
Which statement by the nurse best ex-
C. "It works by acting as a melatonin
plains how this medication works?
receptor agonist."
A. "It increases serotonin levels to help
Rationale: Ramelteon is a melatonin re-
you sleep."
ceptor agonist that specifically targets
B. "It slows brain activity by enhancing
MT1 and MT2 receptors in the brain,
GABA."
mimicking the effects of natural mela-
C. "It works by acting as a melatonin
tonin.
receptor agonist."
D. "It blocks dopamine to calm your mind
before sleep."
Which of the following should the nurse
C. Avoid combining this medication with
include in the teaching plan for a client
St. John's Wort.
beginning sertraline therapy?
Rationale: Sertraline is a selective sero-
A. Limit intake of dairy products while
tonin reuptake inhibitor (SSRI) used to
taking this medication.
treat depression and anxiety disorders.
B. Take this medication only as needed
Combining it with St. John's Wort, a
for symptoms.
herbal supplement, can increase the
C. Avoid combining this medication with
risk of serotonin syndrome, a potentially
St. John's Wort.
life-threatening condition due to exces-
D. Stop the medication if you feel better
sive serotonin levels.
after one week.
, NSG 322 Final
A nurse is reviewing a new prescription
for bupropion for a client. Which of the
following client conditions would require
C. Seizure disorder
the nurse to contact the provider before
administration?
Rationale: Bupropion lowers the seizure
threshold and is contraindicated in
A. History of seasonal affective disorder
clients with a history of seizure disorders.
B. Diagnosis of type 2 diabetes
C. Seizure disorder
D. Generalized anxiety disorder
B. Promote emotional regulation
A nurse is caring for a client diagnosed
with borderline personality disorder who
Rationale:Dialectical behavior therapy
is undergoing dialectical behavior thera-
(DBT) is an evidence-based therapy de-
py (DBT). What is the primary goal of this
veloped specifically for clients with bor-
therapeutic approach?
derline personality disorder. Its primary
goal is to promote emotional regulation
A. Eliminate all impulsive behaviors
by helping clients identify and manage
B. Promote emotional regulation
intense emotions, reduce self-destruc-
C. Encourage complete dependence on
tive behaviors, improve interpersonal re-
the therapist
lationships, and develop distress toler-
D. Suppress all emotional responses
ance skills.
The nurse is teaching a client who has
been prescribed zolpidem for insomnia.
C. Take the medication right before going
Which instruction should the nurse in-
to bed
clude in the teaching?
Rationale:Zolpidem is a sedative-hyp-
A. Take the medication in the morning
notic used for short-term treatment of
with food
insomnia. It works quickly, and should
B. Avoid taking the medication after a
be taken immediately before going to
high-fat meal
bed when the client is ready for at least
C. Take the medication right before going
7-8 hours of sleep to prevent next-day
to bed
drowsiness or impairment.
D. Take the medication at least 3 hours
before bedtime
After administering naloxone to a client
with an opioid overdose, which assess-
ment finding best indicates that the med-
