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Details: Category: NCLEX CAT; Last Updated: May 01 2023

1. What is the priority nursing objective of the therapeutic psychiatric environment for a confused client?

Assist the client to relate to others.
Make the hospital atmosphere more home-like.
Help the client become accepted in a controlled setting.
Maintain the highest level of safe, independent functioning.

2. How should a nurse intervene when a regressed, emotionally disturbed client voids on the floor in the sitting room of the mental health unit?

Make the client mop the floor.
Restrict the client’s fluids for the rest of the day.
Toilet the client more frequently with supervision.
Withhold the client’s privileges each time the client voids on the floor.

3. While watching TV in the day room, a client who has demonstrated withdrawn, regressed behavior suddenly screams, bursts into tears, and runs out of the room to the far end of the hallway. What is the most therapeutic action by the nurse?

Walk to the end of the hallway where the client is standing.
Accept the action as being the impulsive behavior of a sick person.
Ask another client in the day room why the client acted as she did.
Document the incident in the client’s record while the memory is fresh.

4. A client’s severe anxiety and panic are often considered to be “contagious.” What action should be taken when a nurse’s personal feelings of anxiety are increasing?

Refocus the conversation on some pleasant topics.
Say to the client, “Calm down. You are making me anxious, too.”
Say, “Another staff member is coming in. I will leave and return later.”
Remain quiet so that personal feelings of anxiety do not become apparent to the client.

5. A delirious client sees a design on the wallpaper and perceives it as an animal. How should a nurse communicate what the client perceived at the change of shift report?

A delusion
An illusion
A hallucination
An idea of reference

Details: Category: NCLEX CAT; Last Updated: May 01 2023

1. After 4 days on the inpatient psychiatric unit, a client on suicidal precautions tells the nurse, “Hey, look! I was feeling pretty depressed for a while, but I’m certainly not going to kill myself.” What is the nurse’s best response to this statement?

“You do seem to be feeling better.”
“We should talk some more about this.”
“We have to observe you until you are better.”
“I don’t understand what you mean by killing yourself.”

2. What should a nurse include in the initial plan of care for a client with the long-standing, obsessive-compulsive behavior of hand washing?

Determine the purpose of the ritualistic behavior.
Limit the time allowed for the ritualistic behavior.
Suggest a symptom substitution technique to refocus the ritualistic behavior.
Develop a routine schedule of activities to reduce the need for the ritualistic behavior.

3. What should a nurse consider when planning care for a client who is using ritualistic behavior?

Nurses must attempt to limit the ritualistic behavior.
Clients need to realize that ritualistic behavior serves no purpose.
Nurses should try to divert the ritual immediately after it is started.
Clients do not want to repeat the ritual but feel compelled to do so.

4. A nurse moves into the working phase of a therapeutic relationship with a depressed client who has a history of suicide attempts. What question should the nurse ask the client when exploring alternative coping strategies?

“How have you managed your problems in the past?”
“What do you feel you have learned from this suicide attempt?”
“How will you manage the next time your problems start piling up?”
“Were there other things going on in your life that made you want to die?”

5. A client with a diagnosis of major depression refuses to participate in unit activities because of being “just too tired.” What is the nurse’s best approach?

Plan one rest period during each activity.
Explain why the staff believes the activities are therapeutic.
Encourage the client to express negative feelings about the activities.
Accept the client’s feelings about activities calmly, while setting firm limits.

2. During the orientation tour for three new staff members, a young, hyperactive manic client greets them by saying, “Welcome to the funny farm. I’m Jo-Jo, the head yo-yo.” Which meaning can the nurse assign to the client’s statement?

Trying to fill the “life-of-the-party” role
Looking for attention from the new staff
Unable to distinguish fantasy from reality
Anxious over the arrival of new staff members

3. A severely depressed client is to have electroconvulsive therapy (ECT). What should a nurse include when discussing this therapy with the client?

Sleep will be induced and treatment will not cause pain.
Treatment is totally safe with the new methods of administration.
You can ask any question you like, but it is better not to talk about it.
There may be some unrecoverable short-term and longterm memory loss.

4. A nurse is assisting with the administration of electroconvulsive therapy (ECT) to a severely depressed client. What side effect of the therapy should the nurse anticipate?

Loss of appetite
Postural hypotension
Complete temporary loss of memory
Confusion immediately after the treatment

Details: Category: NCLEX CAT; Last Updated: May 01 2023

1. A 35-year-old client is scheduled for a conization of the cervix to remove dysplastic cervical cells and to determine the extent of involvement. What behavior indicates to a nurse that the client understands the postoperative instructions?

States she will not resume sexual intercourse for 48 hours
Verbalizes expectations of a vaginal discharge for 3 to 5 days
Demonstrates the ability to change sterile surgical dressings
Affirms that because she has children she does not mind being sterile

2. A nurse is teaching clients to determine the time of ovulation by taking the basal temperature. What change is expected to occur in the basal temperature during ovulation?

Slight drop and then rises
Sudden rise and then drops
Marked rise and remains high
Marked drop and remains lower

3. The school nurse is discussing issues concerning premarital sex with a group of adolescents taking a health education course. The students are asked to write an essay on what they have learned about preventing pregnancy. Which comment alerts the nurse to have a private discussion with the student?

“I can’t get pregnant if I have sex during my period.”
“The pill may prevent me from getting pregnant, but I can still get an STI.”
“I won’t get pregnant if I swim in a pool where a boy has just masturbated.”
“A condom will not always protect me from getting pregnant, but it can protect me from getting an STI.”

4. A 15-year-old adolescent tells a school nurse, “I have persistent pain during my periods.” What should the nurse encourage her to do?

Continue daily activities.
Have a gynecologic examination.
Eat a nutritious diet containing iron.
Practice relaxation of abdominal muscles.

5. A nurse teaches women in the fertility clinic that after ovulation has occurred, the ovum is thought to remain viable for:

1 to 6 hours.
12 to 18hours.
24 to 36hours.
48 to 72hours.

2. During a physical in the prenatal clinic the client’s vaginal mucosa is observed to have a purplish discoloration. What sign should the nurse document in the client’s clinical record?

Hegar
Goodell
Chadwick
Braxton Hicks

3. A client tells the nurse that the first day of her last menstrual period was July 22, 2010. What is the estimated date of birth?

May 7, 2011
April 29 2011
April 22, 2011
March 6, 2011

4. When involved in prenatal teaching, a nurse should inform clients that there is an increase in vaginal secretions during pregnancy called leukorrhea. What causes this increase?

Metabolic rate
Production of estrogen
Secretion from the Bartholin glands
Supply of sodium chloride to the vaginal cell

5. What information concerning the childbearing process should the nurse teach a client during the first trimester of pregnancy?

Labor and birth
Signs and symptoms of complications
Role transition into parenthood and its acceptance
Physical and emotional changes resulting from pregnancy

2. A client is admitted to the birthing unit in active labor. What should the nurse expect after an amniotomy is performed?

Diminished bloody show
Increased and more variable FHR
Less discomfort with contractions
Progressive dilation and effacement

3. During labor a client who has been receiving epidural anesthesia has a sudden episode of severe nausea, and her skin becomes pale and clammy. What is the nurse’s immediate reaction?

Turn the client on her side.
Notify the health care provider.
Check the vaginal area for bleeding
Monitor the fetal heart rate every three minutes

4. At 9 PM visiting hours are officially over, but the sister of a newly admitted postpartum client remains at the bedside. What is the most appropriate nursing intervention?

Remind the client’s sister that visiting hours are over.
Get written permission from the client for her sister to remain.
Call the evening nursing supervisor to tactfully handle the situation.
Encourage the sister to participate in care as much as the client wishes.

5. A nurse assesses the frequency of a client’s contractions by timing them from the beginning of a contraction:

until the uterus starts to relax.
to the end of a second contraction.
until the uterus completely relaxes.
to the beginning of the next contraction.

Nursing Student Free Sample Tests

1. What is the priority nursing objective of the therapeutic psychiatric environment for a confused client?

2. How should a nurse intervene when a regressed, emotionally disturbed client voids on the floor in the sitting room of the mental health unit?

3. While watching TV in the day room, a client who has demonstrated withdrawn, regressed behavior suddenly screams, bursts into tears, and runs out of the room to the far end of the hallway. What is the most therapeutic action by the nurse?

4. A client’s severe anxiety and panic are often considered to be “contagious.” What action should be taken when a nurse’s personal feelings of anxiety are increasing?

5. A delirious client sees a design on the wallpaper and perceives it as an animal. How should a nurse communicate what the client perceived at the change of shift report?

Nursing Student Quizzes

2. What should a nurse include in the initial plan of care for a client with the long-standing, obsessive-compulsive behavior of hand washing?

3. What should a nurse consider when planning care for a client who is using ritualistic behavior?

4. A nurse moves into the working phase of a therapeutic relationship with a depressed client who has a history of suicide attempts. What question should the nurse ask the client when exploring alternative coping strategies?

5. A client with a diagnosis of major depression refuses to participate in unit activities because of being “just too tired.” What is the nurse’s best approach?

Psychiatric Nursing - Free NCLEX Test 2024

2. During the orientation tour for three new staff members, a young, hyperactive manic client greets them by saying, “Welcome to the funny farm. I’m Jo-Jo, the head yo-yo.” Which meaning can the nurse assign to the client’s statement?

3. A severely depressed client is to have electroconvulsive therapy (ECT). What should a nurse include when discussing this therapy with the client?

4. A nurse is assisting with the administration of electroconvulsive therapy (ECT) to a severely depressed client. What side effect of the therapy should the nurse anticipate?

CAT NCLEX Practice Test Free

2. A nurse is teaching clients to determine the time of ovulation by taking the basal temperature. What change is expected to occur in the basal temperature during ovulation?

4. A 15-year-old adolescent tells a school nurse, “I have persistent pain during my periods.” What should the nurse encourage her to do?

5. A nurse teaches women in the fertility clinic that after ovulation has occurred, the ovum is thought to remain viable for:

NCLEX Practice Tests 2024

2. During a physical in the prenatal clinic the client’s vaginal mucosa is observed to have a purplish discoloration. What sign should the nurse document in the client’s clinical record?

3. A client tells the nurse that the first day of her last menstrual period was July 22, 2010. What is the estimated date of birth?

4. When involved in prenatal teaching, a nurse should inform clients that there is an increase in vaginal secretions during pregnancy called leukorrhea. What causes this increase?

5. What information concerning the childbearing process should the nurse teach a client during the first trimester of pregnancy?

NCLEX Simulator Canada 2024

2. A client is admitted to the birthing unit in active labor. What should the nurse expect after an amniotomy is performed?

3. During labor a client who has been receiving epidural anesthesia has a sudden episode of severe nausea, and her skin becomes pale and clammy. What is the nurse’s immediate reaction?

4. At 9 PM visiting hours are officially over, but the sister of a newly admitted postpartum client remains at the bedside. What is the most appropriate nursing intervention?

5. A nurse assesses the frequency of a client’s contractions by timing them from the beginning of a contraction:

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Nursing Student Free Sample Tests

1. What is the priority nursing objective of the therapeutic psychiatric environment for a confused client?

2. How should a nurse intervene when a regressed, emotionally disturbed client voids on the floor in the sitting room of the mental health unit?

3. While watching TV in the day room, a client who has demonstrated withdrawn, regressed behavior suddenly screams, bursts into tears, and runs out of the room to the far end of the hallway. What is the most therapeutic action by the nurse?

4. A client’s severe anxiety and panic are often considered to be “contagious.” What action should be taken when a nurse’s personal feelings of anxiety are increasing?

5. A delirious client sees a design on the wallpaper and perceives it as an animal. How should a nurse communicate what the client perceived at the change of shift report?

Nursing Student Quizzes

2. What should a nurse include in the initial plan of care for a client with the long-standing, obsessive-compulsive behavior of hand washing?

3. What should a nurse consider when planning care for a client who is using ritualistic behavior?

4. A nurse moves into the working phase of a therapeutic relationship with a depressed client who has a history of suicide attempts. What question should the nurse ask the client when exploring alternative coping strategies?

5. A client with a diagnosis of major depression refuses to participate in unit activities because of being “just too tired.” What is the nurse’s best approach?

Psychiatric Nursing - Free NCLEX Test 2024

2. During the orientation tour for three new staff members, a young, hyperactive manic client greets them by saying, “Welcome to the funny farm. I’m Jo-Jo, the head yo-yo.” Which meaning can the nurse assign to the client’s statement?

3. A severely depressed client is to have electroconvulsive therapy (ECT). What should a nurse include when discuss­ing this therapy with the client?

4. A nurse is assisting with the administration of electrocon­vulsive therapy (ECT) to a severely depressed client. What side effect of the therapy should the nurse anticipate?

CAT NCLEX Practice Test Free

2. A nurse is teaching clients to determine the time of ovulation by taking the basal temperature. What change is expected to occur in the basal temperature during ovulation?

4. A 15-year-old adolescent tells a school nurse, “I have persistent pain during my periods.” What should the nurse encourage her to do?

5. A nurse teaches women in the fertility clinic that after ovulation has occurred, the ovum is thought to remain viable for:

NCLEX Practice Tests 2024

2. During a physical in the prenatal clinic the client’s vaginal mucosa is observed to have a purplish discoloration. What sign should the nurse document in the client’s clinical record?

3. A client tells the nurse that the first day of her last menstrual period was July 22, 2010. What is the estimated date of birth?

4. When involved in prenatal teaching, a nurse should inform clients that there is an increase in vaginal secretions during pregnancy called leukorrhea. What causes this increase?

5. What information concerning the childbearing process should the nurse teach a client during the first trimester of pregnancy?

NCLEX Simulator Canada 2024

2. A client is admitted to the birthing unit in active labor. What should the nurse expect after an amniotomy is performed?

3. During labor a client who has been receiving epidural anes­thesia has a sudden episode of severe nausea, and her skin becomes pale and clammy. What is the nurse’s immediate reaction?

4. At 9 PM visiting hours are officially over, but the sister of a newly admitted postpartum client remains at the bedside. What is the most appropriate nursing intervention?

5. A nurse assesses the frequency of a client’s contractions by timing them from the beginning of a contraction:

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Who's online

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3. A severely depressed client is to have electroconvulsive therapy (ECT). What should a nurse include when discussing this therapy with the client?

4. A nurse is assisting with the administration of electroconvulsive therapy (ECT) to a severely depressed client. What side effect of the therapy should the nurse anticipate?

3. During labor a client who has been receiving epidural anesthesia has a sudden episode of severe nausea, and her skin becomes pale and clammy. What is the nurse’s immediate reaction?