Question: The nurse is assessing an adolescent for cocaine addiction. Which finding indicates the client has used Cocaine?

Answer Options:
A – Heart Rate of 180 beats per minute
B – Heart Rate of 60 beats per minute
C – Slurred speech
D – Cyanosis

Answer: A — Heart rate of 180 beats per minute

Question: A child weighing 50 kg requires defibrillation. How many joules would the nurse expect to give initially?

Answer Options:
A – 49 joules
B – 46 joules
C – 100 joules
D – 200 joules

Answer: C — 100 joules

Question: The nurse is providing care to a child who is intubated and the child’s condition is deteriorating. What action will the nurse least likely implement?

Answer Options:
A – Check the equipment for malfunction
B – Check if the tracheal tube is obstructed
C – Look for signs of a possible pneumothorax
D – Assess for displacement of the tracheal tube
E – Administer medication orally

Answer: E — Administer medication orally

Question: A depressed patient says, “I’m a failure and a burden to everyone.” What cognitive-behavioral strategy should the nurse use?

Answer Options:
A – Change the subject
B – Ask the patient to explain why they feel that way
C – Challenge negative thoughts with evidence
D – Tell the patient their feelings are wrong

Answer: C – Challenge negative thoughts with evidence

Question: Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife should indicate to a nurse that the client is in the acceptance stage of grief?

Answer Options:
A – “If only we could have tried again, things might have worked out.”
B – “I am so mad that the children and I had to put up with him as long as we did.”
C – “Yes, it was a difficult relationship, but I think I have learned from the experience.”
D – “I still don’t have any appetite and continue to lose weight.”

Answer: C – “Yes, it was a difficult relationship, but I think I have learned from the experience.”

Question: Which part of the nervous system should a nurse identify as playing a major role during stressful situations?

Answer Options:
A – Peripheral nervous system
B – Somatic nervous system
C – Sympathetic nervous system
D – Parasympathetic nervous system

Answer: C – Sympathetic nervous system

Question: A patient with major depressive disorder says, “I don’t want to get out of bed anymore. Nothing matters.” What is the nurse’s priority assessment?

Answer Options:
A – Medication adherence
B – Suicide risk
C – Sleep pattern
D – Level of social support

Answer: B – Suicide risk

Question: The nurse observes a patient having a panic attack. What should be the nurse’s priority action?

Answer Options:
A – Explain to the patient that the symptoms are not life-threatening
B – Stay with the patient and remain calm
C – Teach relaxation techniques
D – Encourage the patient to talk about their feelings

Answer: B – Stay with the patient and remain calm

Question: A nurse concludes that a restless, agitated client is manifesting a fight-or-flight response. The nurse should associate this response with which neurotransmitter?

Answer Options:
A – Acetylcholine
B – Dopamine
C – Serotonin
D – Norepinephrine

Answer: D – Norepinephrine

Question: A nurse teaches a patient about ECT for treatment-resistant depression. Which statement indicates correct understanding?

Answer Options:
A – “It will cure my depression permanently.”
B – “I can drive myself home afterward.”
C – “It may cause temporary memory loss.”
D – “I will be awake during the procedure.”

Answer: C – “It may cause temporary memory loss.”

Question: A client with major depression says, “There is no point in going on.” What is the nurse’s priority response?

Answer Options:
A – Encourage the client to rest
B – Assess for suicidal thoughts and plan
C – Offer distraction activities
D – Ask family members to visit more often

Answer: B – Assess for suicidal thoughts and plan

Question: A client with panic disorder arrives trembling and hyperventilating. What should the nurse do first?

Answer Options:
A – Teach deep breathing immediately
B – Stay with the client and speak calmly
C – Leave the client alone in a quiet room
D – Ask the client to describe past trauma

Answer: B – Stay with the client and speak calmly

Question: Which statement best reflects therapeutic communication with a depressed client?

Answer Options:
A – “You should focus on the positive.”
B – “Why do you think you feel this way?”
C – “Tell me more about what you’re experiencing.”
D – “Others have it worse than you.”

Answer: C – “Tell me more about what you’re experiencing.”

Question: When setting limits, the nurse should:

Answer Options:
A – Argue
B – Be inconsistent
C – Use clear, firm statements
D – Ignore behavior

Answer: C – Use clear, firm statements