Comprehensive exam for nursing students question

For educational purpose

1. 1. The nurse is providing nursing care for a client in pain. The nurse administered pain medication, repositioned the
client, and dimmed the lights. 20min later, the nurse returns to check on the client’s level of pain. The nurse is
performing which standard of practice?
A. assessment C. implementation
B. planning D. evaluation
2. A 52 yr old client with a fractured left tibia has a long leg cast and she is using crutches to ambulate. Nurse hiwot
assesses for which sign and symptom that indicates complication associated with crutch walking?
A. left leg discomfort C. triceps muscle spasm
B. weak biceps brachi D. forearm weakness
3. A 52 yrs old male diagnosed with cancer of the tongue is admitted in medical ward with chief complain of
difficulty of breathing. He is scheduled for emergency tracheostomy to assist in ventilation. Which of the following
complications associated with tracheostomy tube?
A. increased cardiac output C. increased blood pressure
B. acute respiratory distress D. damage to laryngeal nerves
4. Nurse halde observed one of the patient breathing rapidly. The respirations are deep and labored. On the pattern
of respiration this is a/an;
A. kausmaul’s respiration C. tachypnea
B. blot’s respiration D. hyperpnea
5. Biruk is complaining of shortness of breath. The nurse assesses his respiration rate to be 30 breath per min and
documents that take is tachypneic.the nurse understands that tachypnea means:
A. pulse rate greater than 100 b/min C. RR >20 b/min
B. BPof 140/90 D. frequent bowel sounds
6. What s the proper technique with gravity tube feeding?
A. feeding bag is hung 1 foot higher than the the tube’s insertion point into the client
B. nurse administers the next feeding only if there is less than 25ml of residual volume from the previous
feeding.
C. place client in the left lateral position
D. feeding is administered directly from the refrigerator
7. A nurse is teaching a client about active range of motion (ROM) exercises. The nurse rhen watches the client
demonstrate these principles. The nurse would evaluate that teaching was successful when the client does which of
the following
A.Exercise pass the point of resistance
B.Perform each exercise one time
C.Perform each series of exercise once a day

2. D.Uses the same sequence during each exercise session
8. The client is complaining of shortness of breath his respirations are 28 and labored.
A. fowler’s C.
B. semi-fowler’s D. reverse trendelenburg
9. Abebe, 3yrs old, vomited. His mom stated,”he vomited 6 ounces of his formula this morning.”
This statement is an example of:
A.Objective data from a secondary source
B.Objective data from a primary source
C.Subjective data from a primary source
D.Subjective data from a secocdary source
10. You are planning to give tepid sponge bath (TSB) to a child who has hyperthermia you would:
A.Obtain isopropyl alcohol to add to the bath water
B.Warm the water to the same body temperature of the child
C.Make use of the water in the faucet
D.Allow 5min for the
11. The nurse prepare IM injection that is irritating to the Subcutaneous tissue. This of the following is the best
action in order to prevent tracking of the medication
A.Use a small gauge needle
B.Apply ice on the injection site
C.Administer at 45 degree angle
D.Use the Z-track technique
12. After surgery your patient starts to shiver uncontrollably. what nursing intervention would you do FIRST?
A.Apply warm blankets and continue oxygen as prescribed
B.Take the patient’s rectal temperature
C.Page the doctor for further orders
D.Adjust the thermostat in the room
13. The nurse is monitoring the patient who is 24 hours post op from surgery. Which finding requires intervention?
A.24 hour urine output of 300ml
B.BP 100/80
C.Pain rating of 4 on 1-10 scale
D.Temperature of 99.3’f
14. A patient is taking aspirin 325 mg PO daily. The patient is scheduled for surgery in a week.
What education do you provide the patient with before surgery?

3. A.The medication should be discontinued for 48 hours prior to the scheduled surgery date
B.Educate the patient to take the scheduled dose of Aspirin the day of surgery to help prevent blood clots
C.To hold his morning dose of aspirin because the nurse Will give it to him before surgery
D.None of the above are correct
15. While examining a client’s leg, the nurse notes an open -------- with visible granulation tissue in the wound
Until a wound –specialist can be contacted, which type of dressing is most appropriate for the nurse in charge to
apply?
A.Dry sterile dressing
B.Sterile petroleum gauze
C.Moist, sterile saline gauze
D.Povidone-iodine –socked gauze
16. A male client is on prolonged bed rest and eventually has developed a pressure ulcer. The wound shows no
Signs of healing even though the client has received skin care and has been turned every 2hrs. which factor
Is most likely responsible for the failure to heal?
A.Inadequate vitamin D intake
B.Inadequate protein intake
C.Inadequate massaging of the affected area
D.Low calcium level
17. A femal client who receive general anesthesia returns from surgery. Postoperatively, which nursing diagnosis
takes highest pricrity for this client?
A. Acute pain related to sugery
B. Deficient fluid volume related to blood and fluid loss from sugery
C. Impaired physica mobility related to surgery
D. Risk for aspiration related to anesthesia
18. A patient must receive 50 unit of Humulin regular insulin. The label reads 100 unit = 1ml. how many milliliters
should the nurse administer?
A. 0.5 ml C. 1 ml
B. 0.75 ml D. 2 ml
19. How should the nurse prepare an injection lot a patient who takes both regular and NPH insulin?
A. Draw up the NPH insulin, then the regular insulin, in the same syringe
B. Draw up the regular insulin then the NPH insulin, in the same syringe
C. use two separate syringe

4. D. check with the physician
20. A patient is characterized with a ……..indwelling urinary (folly) catheter to determine if.
A. Trauma has occurred
B. His 24 hour output is adequate
C. He has a urinary tract infection
D. Residual urinary tract infection
E. Residual urine remains in the bladder after voiding
MEDICAL- SURGICAL NURSING
21-22. Situation: kebebew, age 46 is admitted to the hospital with diagnosis of chronic lymphocytic leukemia.
21. The treatment for patients with leukemia is bone mariow transplantation. Which statement about bone marrow
transplantation is not correct?
A. The p.t.is under local anesthesia during the procedure
B. the aspirated bone marrow is mixed with heparin
C. the aspiration site is the posterior or anterior iliac crest
D. consecutive before the procedure
24. A nurse is assessing a client with chronic airflow limitation and notes that the client has a “barrel chest” The
nurse interprets that this client has which of the following form of chronic airflow limitation?
A. Chronic obstructive bronchitis C. bronchial asthma
B. Bronchial asthma and bronchitis D. emphysema
25. a client has active TB which of the following symptoms will be exhibit?
A. chest and lower back pain
B. chills, fever, night sweats and hemoptysis
C. fever of more than 104* f and nausea
D. headache and photophobia
26. a client’s ulcerative. Colitis symptoms have been present for longer than 1 week. the nurse recognizes
That the clients should be assessed carefully for signs of which of the f.f complication?
A.Heart failure C. hypokalemia
B.DVT D. hypocalcemia
27. a client with irritable bowel syndrome is being prepared for discharge. Which of the f.f meal plan
Should the nurse give the client?

5. A.Low fiber, low fat C. low fiber, high fat
B.High fiber, low fat D. high fiber, high fat
28. nurse micky is administering (PPD) test with a ---- less client which of the f.f statements
Concerning PPD testing is true?
A.A positive reaction indicates that the client has active tuberculosis (TB)
B. Positive reaction indicate the client has been ------to the disease
C.–ve reaction always exclude the diagnosis of TB
D.The PPD can be read with in 12hr after the injection
29. the nurse is reviewing the record of a client with crohn disease. Which of the f.f stool
Cxr would nurse expect to note documented on the client’s record ?
A.Chronic constipation C. constipation alternating with diarrhea
B.Diarrhea D. stool constantly oozing from the rectum
30. during the assessment of a client’s mouth, the nurse notes the sence of saliva. The client is also
Complaining of pain ------ the ---- of the ear. The client has been NPO for several days because of
The insertion of a NG tube. Based on these findings, the nurse suspect that the client is developing
Which of the f.f mouth conditions?
A.Stomatitis C. parotitis
B.Oral candidiasis D. gingivitis
31. to help Mr. degu a newly diagnosed p/t which type 1 DM, meet the goal of maintaining blood glucose
Control, which of the f.f is of greatest priority in the plan of care?
A.Refer the p/t to the hospital dietitian for intense Education about his dietary needs.
B.Instruct him on self-examination of his extremities, observe Return demonstrations, and correct his
techniques as needed.
C.Teach the p/t the effect of diet, exercise, and insulin on the blood glucose level
D.Review with him the desired effects of his medication, their Potential in curing his DM, as well as possible
side effects.
32. In teaching a newly diagnosed type 1 DM “survive skill,”
The nurse includes information about?
A.Elimination of sugar from diet
B.Capillary blood glucose monitoring
C.Need to reduce physical activity
D.All of the above
33. getnet suddenly experiences a seizure and nurse feyissa notice that getnet exhibits uncontrollable
Jerking movements. Which type of seizure he should document?
A.Tonic seizure C. myoclonic seizure
B.Absence seizure D. clonic seizure

6. 34. nurse wude, assigned in medical ward, should be aware that the early indicator of hypoxia
In an unconscious client is?
A.Cyanosis C. hypertension
B.Increased respirations D. restlessness
35. nurse Bethlehem is caring for a client with parkinson’s disease she recognize
Bradykinesia when the client exhibits:
A.Intentional tremor C. muscle
B.Paralysis of limbs D. lack of spontaneous movement
36. Mr. mulugeta was a hypertensive p/t and as a consequences he developed recurrent episodes of nasal
Bleeding. He was admitted for the medical management in goba referral hospital so after accomplishment
Of Rx if you are a care giver, which of the f.f is not included in advice of p/t self-care for epistaxis?
A.Hold tissues of nose
B.Cold application
C.Sits upright with the head tilted forward to prevent
Swallowing and aspiration of blood
D.Picking nose to often
37. which one is not true about nursing mg’t for pharyngitis p/t?
A. Encourage exercise
B. secretion precautions
C. warm saline gargles and mouth care
D. performing throat irrigation as it relieves soreness of the throat
38. Artist mikiyas had been working at the national theatre for over 20yrs usually is offered a piece on
Stage on d/t concerts. Eventually, he developed persistent hoarseness and the doctor advise him to rest
the voice. What is most likely the problem of mikiyas?
A.Acute pharyngitis C. chronic laryngitis
B.Acute laryngitis D. chronic tonsillitis
39. Which of the f.f is not the risk factor/s for hearing loss?
A. family Hx of sensorineural impairment
B. congenital malformations of the cranial structure (ear)
C. low birth weight (1500g)
D. none of the above
40. nurse mahder knows that the +ve Dx for HIV infection is made based on which of the f.f:

7. A. a Hx of high risk sexual behaviors
B. +ve ELISA and western blot tests
C. identification of an associated opportunistic infection
D. evidence of extreme weight loss and high level

PEDIATRIC NURSING
41. While performing physical assessment of a 12 month old, the nurse notes that the infant’s
Anterior fontanelle is still slightly open which of the f.f is the nurse’s most appropriate action?
A.Notify the physictian immediately b/c there is a problem
B.Perform an intensive neurologic examination
C.Perform an intensive developmental examination
D.Do nothing b/c this is a normal finding for the age
42. When teaching a mother about introducing solid foods to her child, which of the f.f indicates the
Earliest age at which this should be done?
A.1 month C. 3 month
B.2 month D. 4 month
43. When assessing an 18-month-old, the nurse notes a cxr protruding abdomen. Which of the f.f would explain the
rationale for this finding?
A.Increased food intake owing to age
B.Underdeveloped abdominal muscle
C.Bowlegged posture
D.Linear growth curve
44. One of the f.f is not true about meningitis
A. bacterial meningitis is most potentially serious infection in infants and older children
B. hydrocephalus can occur as an acute complication of Bacterial meningitis
C. in younger children (12-18mo) kernig and Brudzinski signs Are consistently present
D. severe cardiopulmonary compromise can be contraindication for immediate LP
45. F.F an episode of meningitis, it is most important to assess the child for:
A. hearing loss
B. changes in test
C. cervical lymphadenophathy

8. D. Tinnitus
46. which of the f.f would the nurse identify---the initial priority for a child with acute lymphocytic leukemia
A. instituting infection control precautions
B. encouraging adequate intake of iron-rich foods
C. assisting with coping with chronic illness
D. administering medication via IM injections
47. which of the f.f should the nurse expect to notes as a frequent complication for a child
With congenital heart disease?
A.Susceptible to respiratory infection
B.Bleeding tendencies
C.Frequent-vomiting and diarrhea
D.Seizure disorder
48. from the f.f, select the true statement/s about the new global diarrheal Rx. Policy:
A. Continue feeding or increase during and after diarrheal episodes
B. use antibiotic for all type of diarrhea
C. provide zink stat
D. provide vitA in acute diarrheal disease
49. which of the f.f would the nurse need to keep in mind as a predisposing factor when formulating A teaching
plan for child with a urinary tract infection?
A.A shorter urethra in female
B.Frequent emptying of the bladder
C.Increased fluid intake
D.Ingestion of acidic juices
50. which of the f.f the nurse do first for a 15-yr-old boy with a full leg cast who is screaming in unrelenting
Pain and exhibiting right foot pallor signifying compartment syndrome?
A.Medicate him with acetaminophen
B.Notify the physician immediately
C.Release the reaction
D.Monitoring him every 5 min
51. at which of the f.f ages would the nurse expect to administer the varicella zoster vaccine to child?
A. at birth C. 6 month
B. 2 month D. 12 month
52. which of the f.f assessment findings would lead the nurse to suspect down syndrome in an infant?
A. small tongue C. large nose

9. B. transverse palmar crease D. restricted joint movement
53. which the f.f immunization would the nurse expect to administer to a child who is HIV ( )
And severely immunocompromised?
A.Varicella B. rotavirus C. MMR D. IPV
54. when providing postoperative care for the child with a cleft palate, the nurse should position the
Child in the f.f positions?
A.Supine C. in an infant seat
B.Prone D. on the side
55. Suppose that, you assessed a 12kg child with some dehydration at the facility you were working
And you planned to give ORS for this child, so how many ml of ORS
do you give for four hours for this child?
A.48ml B. 300ml C. 900ml D. none

NURSING ETHICS
56. Restricting others autonomy to protect from perceive anticipated human known as
A.informed……. C. non-compliance
B. Paternalism D. non maleficence
57. preventing medication errors and equal Rx are indication of
A. beneficence and non maleficence
B. non maleficence and justice
C. beneficence and justice
D. autonomy and justice
58. A legal document that--------- a person to offer his /her knowledge to the -----------known as
A. license B. certification C. Accreditation D.
59. One of the f.f is not an indication of unintentional tort
A. failure to follow standards of care
B. failure to document
C. using physical restrain
D. giving medication without a doctor’s order
60. The skill required for a nurse to think through the situations ask the appropriate questions, and

10. Make decisions about what needs
A.Psychomotor skills B. critical thinking skills
B.Interpersonal skills C. all the above
OBYGYNE
Situation :mrs tsige pregnant for 16 wks age of gestation (aog)visit the health care facility for her prenatal check up
with her only son habtamu. During assessmen the client told the nurse that previously she got pregnant twice. The
first was with her only child mark who was delivered at 35wks aog and the other pregnancy was terminated at about
20wks aog
61.based on the data obtained ,mrs tsige GTPAL score is
A.20111
B.21111
C.30111
D.31111
62.mrs tsige asked the nurse when dose the fetal starts beating? the nurse correctly responded by stating
A. 3 WKS aog
B.8wks aog
C.12wks aog
D.20 wks aog
Situation: mrs genet is in labor and broutht to the emergency room with aruptured bag of water.
63. The nurse initial action once the bag of water has ruptured is
A. take the fetal heart tones
B. put the client to the bed immediately
C. perform an IE
D. take the women’s temp..
64. The history of mrs genet revealed that she is a ruptured when should the nurse transport the client from the
labor room to the delivery room?
A. when the cervical dilatation is 8 cm
B. when the cervical dilatation is 10 cm
C. when the cervical dilatation is 9 cm
D. When the client feels urge to push
65. Monitoring contraction is very important during labor to monitor uterine contraction, what should the nurse do?
A. Observes for the client’s facial expression to know that the contraction started or stopped.

11. B.instruct the client take note of the duration of her contractions
C. offer ice chips to the women
D. spread the finger lightly over the fundus to monitor the contraction
66. nurse mahilet is about to administer MGSO4 to a mother with sever pre eclamptia . Mahilet monitored the
respiration ,patella reflex and urine out put before giving the mgso4 and she notice that the respiration of the mother
is only 8 breath /minute w/c of the ff medication is the anti dote of mgso4?
A. calcium gluconate
B. ceftraxone
C. potassium chloride
D. adrenaline
67. w/c of the ff intervention will lead you to start partograph?
A. On the latent phase and when the cervical dilatation is 6cm
B. on active phase and when the cervical dilatation is 2cm
C. On the latent phase and when the cervical dilatation is 3 cm
D. . on active phase and when the cervical dilatation is 4 cm
68. nurse kalkidan ispriparing mgso4 to a mother with eclamptia w/c of the ff is the correct preparation of mgso4
20% in loading dose?
A. 4 gram of mgso4 +12 ml normal saline iv
B. 4 gram of mgso4 +16 ml normal saline iv
C. 8 gram of mgso4 +12 ml normal saline iv
D. 5 gram of mgso4 +15ml normal saline iv
69.mother etete was dx with hyperemisis gravidem w/c of the ff vitamin is inadequate to the situation ?
A . vita A
B. vita B
C. vita C
D . vita D
70. the pregnant mother arrived at the delivery room with severe bleeding due to placenta accreta. w/c of the ff is
incorrect nursing intervention to post partum hemorrhage?
A. monitor the vital sign of mother
B. give oxytocine 10 IU IM
C. massage the uterus and stimulate the nipple
D . Give metoclopramide IV

12. Pharmacology
71. of the ff w/c adverse rxn is not associated with furosemide ?
A. hyperuricemia
B. Ototoxicity (tinnitus)
C. Fluid and electrolyte imbalance
D. Metabolic acidosis
72w/c of the ff antihypertensive agent should avoided in pregnant women's regiment ?
A Hydralizine
B Methyldop
C Captopril
D Hydrochlorothiazide
73. A 29 years old female who takes levothyroxine following the thyroidectomy becomes pregnant . If the dosage
is not changed she will become.
A. Hyperthyroid B. euthyroid C. hypothyroid D. none of the above
74. a 3 years old pt with a 26.4 KG was dx with pneumonia and was ordered with ceftrazone IV 75 mg/kg/day
tid .available stoke in the pharmacy is 500mg/vial ,w/c will be diluted in 5 ml of water . The nurse knows that the
amount of medication he administer per dose should be;
A. 9.0 ml
B. 6.6 ml
C. 3.0 ml
D. 4.5 ml
75. w/c of the ff antibiotic is concederd very effective in treatment of rickettsia, mycoplasma,and chlamydia
infection(it is also used to manage some pt with acne vulgaris lesions )
A. doxycycline
B. vancomaycine
C. gentamicin
D. pencillin G
76. w/c of the ff antidiabetec drug is least likely to cause hypoglycemia ?
A. insulin
B. glyburide
C. metformin

13. D . Chlorpropamide
77.w/c of the ff antischizolphernic drug is limited to treating only positive symptom of schizophrenia?
A. risperidone
B. clozapine
C. chlorpromazine
D. olanzapine
78. w/c of the ff is not among complications associated with insulin therapy?
A . Hyperglycemia B. allergy C. resistant D. lipodystrophy
79. a 60 years old male pt with chronic obstractive lung disease is given ipratropium as part of his therapeutic
regimen . What is the mechanism of action of ipratropium?
A. inhibition of airway muscarinic receptor
B. inhibition of 5-lipoxygenase
C. breakdown of mucus
D. inhibition of mediator release
80. a one year old male develops decreased breath sound and wheezing during a febrile episode w/c is relieved by
albuterol. What is the mechanism of action of albuterol?
A. inhibition of airway muscarinic receptor
B . inhibition of 5-lipoxygenase
C . inhibition of phosphodiesterase
D. activation of beta adrenergic recepto
CDC
81. a pt is presented to yr opd with abruot painless watery diarrhea and he told you that the diarrhea looks like rice
water .what would be the possible diagnosis for this case?
A. amoeba
B. typhoid
C . shigellosis
D . Cholera
82 .adult pt is presented to yr opd complaining dog bite dog is confirmed to be rabid and it was biting other animals
and man what would be yr action to manage the case ?

14. A. wash the wound with water and soap thoroughly to decrease viral load
B. never suture the wound to decrease viral spread
C. start anti rabies if the dog is proved rabies
D . all
83. while nurse nino is counseled a group of pregnant mothers about sexually transmitted disease one
mother asks w/c sexually transmitted disease is most determinant to their babies safety during pregnancy?
The nurse should respond that it would be :
A. gonorrhea
B. syphilis
C. genital herpes simplex
D. trichomonas vaginalis
84.a nurse is preparing the plan of care for pt with herpes genitalia. What would be priority nursing dx?
A. disturbed sleep pattern
B. imbalanced in nutrition :less than body requirement
C. alteration in comfort pain
D. in effective breathing pattern
85. w/c of the ff activity is included under secondary level prevention?
A. stress mgt
B. nutritional counseling
C. breast self examination
D. regular exercise
86. All of the ff are the main reasons for prioritizing MCH service except?
A. children are the future of the nation
B. women and children forms minority of the population
C. the health of mothers and infants is inter related
D. the majority of conditions women suffer have also an adverse effect on the fetuses
87. w/c is not component of adolescent reproduction health ?
A. adolescence family planning and counseling
B. STIS/HIV
C. unwanted pregnancy and unsafe abortion

15. D. none of the above
88. w/c of the ff are common health problem among school children in Ethiopia ?
A. odesity
B. htn
C. under nutrition
D . dm
89. is the process of identification and detailed description of the most important problem of a given
community?
A. community dx
B. preventive medicine
C. community medicine
D. clinical medicine
90. all of the ff are age specific mortality rate except one?
A. neonatal mortality rate
B.post natal mortality rate
C. infant mortality rate
D . Maternal mortality ratio
91.is the careful and detailed report by one or more clinicians of the profile of a single pt?
A.
B. case report
C. case control
D.
Situation : bruce is a unit manager in the medical unit …satisfied with the way things are going in his unit.
Satisfaction rate is 60% for two consecutive months and morale is at the lowest. He decides to plan and initiate
change….will push for a turnaround in the condition of the unit.
92.w/c of the ff action is apriority for bruce ?
A. call for a staff meeting and take this up in the agenda
B. seek help from her manager
C. develop a strategic action on how to deal with this concern
D. ignore the issues since these will be resolved naturally.

16. 93. after discussing the possible effect of the low pt satisfaction rate, the staff started to list down possible strategies
to solve the problems head on. Should they decide to vote on the best change strategy, w/c of the ff strategy is
referred to this?
A. collaboration
B. majority rule
C. dominancy
D . Compromise
94. when bruce uses team nursing as a care delivery system, he and his team need to assess the priority of care for a
group of pt , w/c of the ff should be a priority?
A. each pt as listed on the work sheet
B.pt who needs care
C. medication and treatments required for all pt
D. pt who need the most care
95. He emphasizes to the team that they need to put their effort together towards the attainment of the goals of the
program w/c of the ff principles refers to this?
A. span of control
B. unity of direction
C. unity of commandment
D. command responsiblity
96. in assessing the cranial nerve function , a nurse finds out that apt has a difficulty in determining the different
….when the eye is closed. w/c of the ff cranial nerve had a problem?
A.CN III
B.CN II
C.CN I
D.CN V
97. Physical examination and health assessment are important in rendering care. The nurse must use assessment
knowledge in……to determine and prioritize clients response to his or her ……
The component that should receive the highest priority before physical examination is the:
A. psychological preparation of the client
B. physical preparation of the client
C. preparation of the environment
D. preparation of the equipment

17. 98. w/c expected outcome is correctly written?
A. The pt will be less edematous in 24 hr
B. the pt will drink an adequate amount of fluid daily
C. the pt will identify 5 high salt food from prepared his discharge
D. ……
99.during a Romberg test the nurse asks the pt to assume w/c position ?
A.SITING
B. standing
C. genupectoral
D. tendelenburg
100. the nurse is evaluating a clients lung sound .w/c of the ff breath sound is indicate adequate ventilation when
auscultated over the lung field?
A. vesicular
B. bronchial
C. broncho-vesicular
D. adventitious
PSYCHIATRIC NURSING
101. selam approached nurse Abera asking for advice on how to deal with his alcohol addiction.
Nurse Abera should tell the client that the only effective Rx. For alcoholism is:
A.Psychotherapy C. total abstinence
B.Alcoholics anonymous (A.A.) D. aversion therapy
102. nurse abayineh is caring for a male client who experience false sensory perception
With no basis in reality. This perception is known as:
A.Hallucinations C. loose associations
B.Delusions D. neologisms
103. nurse adem is caring for a female client who has suicidal tendency. When accompanying
The client to the restroom, nurse monet should…
A.Give her privacy
B.Allow her to urinate
C.Open the window and allow her to get some fresh air

18. D.Observe her
105. A 75yr old client admitted to the hospital with the DX of dementia of the Alzheimer’s type and
Depression. the symptom that is unrelated to depression would be?
A.Apathetic response to the environment
B.“I don’t know” answer to questions
C.Shallow of labile effect
D.Neglect of personal hygiene
106. to assess the client’s ability to concentrate, the nurse would instruct the client to do which
of the f.f ?
A.Explain what “a rolling stone gathers no moss” means.
B.Name the last three presidents
C.Repeat the days of the week back ward
D.Tell what a typical day is like
107. Which of the f.f is/are NOT considered being +VE signs of schizophrenia?
A. delusion C. disorganized
B. hallucinations D. social withdrawal
108. a p/t on an antipsychotic agent suddenly becomes febrile, develops severe muscle rigidity,
And appears confused. The nurse should suspect:
A.Tardive dyskinesia
B.Neuroleptic malignant syndrome
C.Acute dystonia
D.Parkinsonism
109. The nurse expects a client exhibiting flight of idea to do which of the f.f?
A. make sudden stop in the flow of conversion
B. coin new words out of his language for his meaning
C. talk excessively while frequently shifting from one topic to another
D. provides excessive detail that delays starting point
110. which nursing intervention would be most appropriate if a client were to develop orthostatic
hypotension while taking TCAs?
A.Consulting the physician about substituting a d/t type of antidepressants
B.Advising the client to sit up for 1 min before getting out of bed
C.Instructing the client to double the dosage until the problem resolves
D.Importing the client that this adverse rxn should appear within one week