WITH NGN||QUESTIONS AND
ANSWERS||LATEST EXAM
A nurse is performing a cognitive assessment to distinguish delirium from dementia in a
client whose family reports episodes of confusion. Which of the following assessment
findings supports the nurse's suspicion of delirium? -CORRECT ANSWER Easily
distracted
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following
statements should the nurse make? -CORRECT ANSWER "I'll stay with you just in
case you want to talk."
A nurse is caring for four clients in an emergency department. The nurse should identify
that which of the following clients can give informed consent? -CORRECT ANSWER A
35-year-old client who has major depressive disorder
A nurse is teaching a newly licensed nurse about nursing care plans for clients who
have depressive disorders. Which of the following statements by the newly licensed
nurse indicates an understanding of the teaching? -CORRECT ANSWER "I will update
the plan of care as a client's manifestations of depression change."
A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago
following a motor-vehicle crash. The client's admission blood alcohol level was 325
mg/dL. Which of the following findings should indicate to the nurse that the client is
experiencing alcohol withdrawal? -CORRECT ANSWER Blood pressure 154/96 mm Hg
A nurse is planning care for a client who has made repeated physical threats toward
others on the unit. Although the client does not want to leave the unit, the nurse
requests the provider to transfer the client to a unit that is equipped to manage violent
behavior. Which of the following ethical principles should the nurse apply in this
situation? -CORRECT ANSWER Nonmaleficence
A nurse is discussing a 12-step program with a client who has alcohol use disorder and
is in an acute care facility undergoing detoxification. Which of the following information
should the nurse include in the teaching? -CORRECT ANSWER The client should
obtain a sponsor before discharge for an increased chance of recovery.
A nurse is creating a plan of care for a client who has been placed in seclusion after
threatening to harm others on the unit. Which of the following interventions should the
nurse include in the plan? -CORRECT ANSWER Renew the prescription for the client
every 4 hr.
, A nurse is performing an admission assessment on a client and notices that the client
appears withdrawn and fearful. To establish a trusting nurse-client relationship, which of
the following actions should the nurse take first? -CORRECT ANSWER Inform the client
that this admission is confidential.
A nurse is planning discharge teaching for a client who has severe schizoaffective
disorder. The nurse should identify that which of the following treatment options can
offer interdisciplinary services for the client at home? -CORRECT ANSWER Assertive
community treatment
A nurse on a mental health unit is caring for a group of clients. Which of the following
actions by the nurse is an example of the ethical principle of justice? -CORRECT
ANSWER Spending adequate time with a client who is verbally abusive.
A nurse is teaching the guardians of a client about their adolescent child's diagnosis of
bulimia nervosa. Which of the following statements made by the guardians indicates an
understanding of their child's illness? -CORRECT ANSWER "It is important for our child
to have regular dental checkups."
A nurse is assessing a client who has major depressive disorder and has been
receiving amitriptyline for 1 week. Which of the following outcomes should the nurse
expect? -CORRECT ANSWER Greater risk of attempting suicide as affect and energy
improve
A nurse is planning care for a client who has generalized anxiety disorder. At which of
the following levels of anxiety should the nurse plan to teach the client relaxation
techniques? -CORRECT ANSWER Mild
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5%
above their ideal body weight. Which of the following interventions should the nurse
include in the plan? -CORRECT ANSWER Identify the client's trigger foods.
A charge nurse on a mental health unit is discussing client rights with a newly licensed
nurse. Which of the following statements should the nurse make? -CORRECT
ANSWER "Clients who are admitted involuntarily maintain the right to give informed
consent for procedures."
A nurse is reviewing the medication administration record for a client who is
experiencing adverse effects of chlorpromazine. The nurse should administer
benztropine to relieve which of the following adverse effects? -CORRECT ANSWER
Acute dystonia
A nurse is assessing a client who has bulimia nervosa. The nurse should expect which
of the following findings? -CORRECT ANSWER Tooth erosion