2026\2027 A+ Grade
A nurse in an acute mental health facility is reviewing the medication records for a group of clients. The
nurse should expect a prescription for memantine for a client who has which of the following diagnoses?
- correct answer Alzheimer's disease
A nurse is collecting data from a client who takes an MAOI for treatment of depression. Which of the
following findings is the priority for the nurse to report to the provider?
- correct answer Elevated blood pressure
A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription for
lithium. The nurse should identify that it is safe to administer which of the following medications while
the client is taking lithium?
- correct answer Valproic acid
A nurse is collecting data fro, a client who has cocaine intoxication. Which of the following findings
should the nurse expect?
- correct answer Increased mental alertness
A nurse is caring for a client who has schizophrenia. The nurse notices that the client is pacing up and
down the hall very rapidly and muttering in an angry manner. Which of the following actions should the
nurse take first?
- correct answer Approach the client in a nonthreatening manner.
A nurse in an acute mental health facility is participating is participating in a nursing staff discussion
about the legal aspects of involuntary admissions. Which of the following information should the nurse
include?
- correct answer An involuntary admission is justified if the client is a danger to others.
, A nurse is reinforcing teaching with a client who has a new prescription for disulfiram for the
management of alcohol dependence. Which of the following dietary choices should the nurse instruct
the client to avoid?
- correct answer Pure vanilla extract
A nurse is reinforcing teaching with the family of a client who has Alzheimer's disease about donepezil.
Which of the following statements should the nurse include?
- correct answer "Donepezil can improve cognitive functioning during the earlier stages of the disease."
A nurse is reviewing the medical history of a client who has a new prescription for electroconvulsive
therapy (ECT). Which of the following findings should the nurse identify as the priority?
- correct answer Cardiac arrhythmia
A nurse is contributing to the plan of care for a client who has anorexia nervosa. The nurse should
identify that which of the following actions is contraindicated for this client?
- correct answer Permitting the client to spend some quiet time alone after each meal
A nurse is reinforcing teaching with the parents of a school-age child who has attention deficit
hyperactivity disorder (ADHD). Which of the following instructions should the nurse include?
- correct answer "Ignore your child's attention-seeking behaviors that are not dangerous."
A nurse is assisting in the planning of a staff education session about the administration of
antidepressant medications to older adult clients. Which of the following information should the nurse
recommend to include?
- correct answer Older adults clients require a lower initial dose of antidepressant medication than adult
clients.
A nurse in an acute substance disorder unit is collecting data from a client who received treatment in
the emergency department for an opioid overdose. Which of the following findings should the nurse
anticipate during opioid withdrawal?
- correct answer Anxiety
A nurse is caring for a client who has major depressive disorder and is severely withdrawn. Which of the
following techniques should the nurse use to facilitate communication with the client?
- correct answer Speak to the client using simple and concrete terminology.