Georgette's LMR PMHNP Certification Exam Review - Latest Update 2023, Exams of Nursing

Download Georgette's LMR PMHNP Certification Exam Review - Latest Update 2023 and more Exams Nursing in PDF only on Docsity! Georgette's LMR PMHNP Certification Exam Review, Latest Update 2024 Question 1 See full question 2s Report this Question For a child with hemophilia, what is the most important nursing goal? You Selected: • Controlling pain Correct response: • Preventing bleeding episodes Explanation: Remediation: Add a Note Question 2 See full question 2s Report this Question A mental health nurse receives the following phone messages. Which client with the nurse call back first? You Selected: • A client with a history of illicit drug use who stated, ―My family would be happier if I was not around.‖ Correct response: • A client with a history of illicit drug use who stated, ―My family would be happier if I was not around.‖ Explanation: Remediation: Add a Note Question 3 See full question 2s Report this Question A client who is 28 weeks pregnant is admitted for testing. After reading the nursing notes, which rationale best explains why a pregnant client should lie on her left side when resting or sleeping in the later stages of pregnancy? You Selected: • to prevent development of fetal anomalies Correct response: • to prevent compression of the vena cava Explanation: Add a Note Question 4 See full question 2s Report this Question The laboratory comes to draw an Hgb AIc. The client asks the nurse what this test represents. Which statement would be correct? You Selected: • "This blood test is done to measure hyperglycemia in your system for 3 to 4 days after you were diagnosed with diabetic ketoacidosis (DKA).‖ Correct response: • ―This test reflects the average blood glucose over a period of approximately 2-3 months.‖ Explanation: Remediation: Add a Note Question 5 See full question 2s Report this Question The client in the early stage of Alzheimer’s disease and his adult son attend an appointment at the community mental health center. While conversing with the nurse, the son states, ―I’m tired of hearing about how things were 30 years ago. Why does Dad always talk about the past?‖ What should the nurse tell the son? You Selected: • "Reminding your dad that you have heard that story will help him stop." Correct response: • "Your dad lost his short-term memory, but he still has his long-term memory." Explanation: Remediation: Add a Note Question 6 See full question 2s Report this Question The nurse instructs a client prescribed digoxin about the signs and symptoms of toxicity. Which client statement indicates that teaching was effective? You Selected: • "I can expect my ability to taste and smell to change because of the medication." Correct response: • "I should contact the healthcare provider if I notice a change in my vision such as flashing lights or different colors." Explanation: Remediation: Add a Note Question 7 See full question 2s • hydromorphone Explanation: Remediation: Add a Note Question 14 See full question 1s Report this Question When performing client education, the nurse knows that which client statement is a safe, cost-saving choice? You Selected: • "I do cost comparisons between different pharmacies and different manufacturers, and ask my health care provider to prescribe a different brand of medication to save money." Correct response: • "I do cost comparisons between different pharmacies and different manufacturers, and ask my health care provider to prescribe a different brand of medication to save money." Explanation: Add a Note Question 15 See full question 3s Report this Question A client who has been physically abused by her spouse agrees to meet with the nurse. What is most important for the nurse to do before the nurse terminates the meeting with the client? You Selected: • Tell the client not to do anything that could upset her husband. Correct response: • Give the client the telephone numbers of a shelter or a safe house and the crisis line. Explanation: Remediation: Add a Note Question 16 See full question 4s Report this Question A nursing supervisor notices that a previously effective nurse has been preoccupied and distant for several days and is having difficulty focusing on clients' needs. What statement will the supervisor use to explore the change in the nurse's behavior? You Selected: • "I have noticed you seem to be preoccupied. Would you like to talk?" Correct response: • "I have noticed you seem to be preoccupied. Would you like to talk?" Explanation: Remediation: Add a Note Question 17 See full question 2s Report this Question The nurse is to administer insulin to a client with diabetes mellitus. Which illustration indicates the appropriate syringe to use? You Selected: • Correct response: • Explanation: Remediation: Add a Note Question 18 See full question 2s Report this Question Which is an expected outcome when a client is receiving an IV administration of furosemide? You Selected: • decreased pain Correct response: • increased urine output Explanation: Remediation: Add a Note Question 19 See full question 2s Report this Question The nurse is gathering supplies in the medication room when another nurse asks to borrow the nurse's security code for the computerized automated dispensing cabinet (ADC) to obtain a dose of hydrocodone for a client. What is the best response by the nurse? You Selected: • "If I share my security code with you, I need you to make certain you don't allow anyone else to use it." Correct response: • "It is important to use your own security code because the law requires accurate documentation of all controlled substances." Explanation: Add a Note Question 20 See full question 1s Report this Question A client with gestational hypertension is experiencing abdominal pain and vaginal bleeding. Which assessment should the nurse perform first? You Selected: • strength of contractions Correct response: • fetal heart tones Explanation: Remediation: Add a Note Question 21 See full question 2s Report this Question The nurse is preparing to administer IM morphine sulfate to a client who is in pain. On checking the health care provider’s (HCP’s) prescription, the nurse notes that the prescription states, ―morphine sulfate 60 mg IM every 4 Explanation: Remediation: Add a Note Question 25 See full question 2s Report this Question A school-age child is diagnosed with pediculosis. The parent is concerned about the spread of the lice to children who have been in contact with her child. What should the nurse instruct the parent to have her child avoid? You Selected: • sharing batting helmets Correct response: • sharing batting helmets Explanation: Remediation: Add a Note Question 26 See full question 1s Report this Question The client with first-time bacterial cystitis is being treated with an antibiotic to be taken for 7 days. What should the nurse instruct the client to do? You Selected: • Notify the health care provider (HCP) when the urine is clear. Correct response: • Take the entire prescription as ordered. Explanation: Add a Note Question 27 See full question 1s Report this Question A pregnant client at about 29 weeks’ gestation asks the nurse ―What can I do about this dark brown line running down my stomach?‖ When teaching the client about this brown line, what should the nurse tell the client? You Selected: • ―This is a linea nigra that will fade after the baby is born.‖ Correct response: • ―This is a linea nigra that will fade after the baby is born.‖ Explanation: Remediation: Add a Note Question 28 See full question 2s Report this Question After a myocardial infarction, the hospitalized client is taught to move the legs while resting in bed. What is the expected outcome of this exercise? You Selected: • Promote urinary and intestinal elimination. Correct response: • Prevent thrombophlebitis and blood clot formation. Explanation: Remediation: Add a Note Question 29 See full question 1s Report this Question A client is on isolation precautions for a hospital-acquired infection, and the client's visitors are not following the posted hand hygiene protocol. What is the nurse's best action? You Selected: • Post "do not enter" and "report to the nurse's desk" signs on the hospital door. Correct response: • Explain to visitors the importance to the client of consistent hand hygiene. Explanation: Remediation: Add a Note Question 30 See full question 1s Report this Question A client who likes energy drinks asks the nurse if consuming bread or milk will reverse the effect of excessive caffeine intake. What is the best response by the nurse? You Selected: • "Do an internet search on how to reduce caffeine." Correct response: • "Water is the safest way to keep the body hydrated." Explanation: Remediation: Add a Note Question 31 See full question 3s Report this Question Explanation: Add a Note Question 35 See full question 1s Report this Question A pregnant client at 36 weeks gestation tells the nurse she has been to see her physician but doesn’t feel that the physician is taking her symptoms of lower extremity edema seriously. Which of the following is the most appropriate response from the nurse? You Selected: • ―Have you thought of switching physicians?" Correct response: • ―Tell me more about your experience with your physician.‖ Explanation: Add a Note Question 36 See full question 2s Report this Question When performing cardiopulmonary resuscitation (CPR), which finding indicates that external chest compressions are effective? You Selected: • cool, dry skin Correct response: • palpable pulse Explanation: Remediation: Add a Note Question 37 See full question 1s Report this Question An adolescent with type 1 diabetes is monitoring her blood glucose level at home. Which action indicates that the client understands appropriate care management strategies for a blood glucose level of 250 mg/dL (13.9 mmol/L)? You Selected: • taking insulin Correct response: • taking insulin Explanation: Remediation: Add a Note Question 38 See full question 2s Report this Question The nurse leaves an older adult client with confusion unattended with the bed in high position, and the client sustains a fall. What will the action of the nurse be considered? You Selected: • collective liability Report this Question A client is to take 8 ounces of magnesium sulfate solution. The calibrations on the measuring device are in milliliters. How many milliliters should the nurse give? You Selected: • 8 Correct response: • 240 Explanation: Add a Note Question 43 See full question 2s Report this Question A client has a total serum cholesterol level of 326 mg/dL (8.44 mmol/L). The nurse explains to the client that this level: You Selected: • is borderline normal and may require dietary modification. Correct response: • is high and will require dietary modification. Explanation: Remediation: Add a Note Question 44 See full question 1s Report this Question The nurse is drawing up medication into the syringe from the ampule when the ampule breaks and sprays the medication into the nurse’s eyes. Which action would be the priority for the nurse to perform? You Selected: • Obtain another ampule of the medication. Correct response: • Have eyes flushed with saline. Explanation: Remediation: Add a Note Question 45 See full question 2s Report this Question A client has several intravenous infusions, each running to a separate location. Which intravenous infusion line does the nurse select to attach secondary tubing to infuse an intravenous piggyback medication over 30 minutes? The line with: You Selected: • 25,000 units of heparin sodium in 250 mL 5% dextrose in water at 10 mL/hour. Correct response: • 1,000 mL normal saline at 50 mL/hour. Explanation: Add a Note Question 46 See full question 2s Report this Question A child who is 18 months of age is brought to the emergency department by her babysitter. The babysitter states, ―She fell from the sofa an hour ago and has not been herself since.‖ On questioning, the babysitter appears to be unsure of time and other facts about the incident. Which question below would be most effective in obtaining more information about the child’s injuries? You Selected: • "Why did you leave the child alone on the couch?‖ Correct response: • ―Tell me what was happening before she fell.‖ Explanation: Add a Note Question 47 See full question 1s Report this Question What is the nurse’s priority intervention for a toddler who has just had a hip spica cast applied? You Selected: • Reduce the risk of constipation by avoiding pain medications. Correct response: • Assess sensation, circulation, and motion of the child’s feet and toes. Explanation: Remediation: Add a Note Question 48 See full question 2s Report this Question A nurse is caring for a client who suffered a stroke. The family reports that the nurse on the previous shift failed to administer medications properly or maintain client privacy. What is the best action by the nurse? You Selected: • Notify the health care provider and social services. Correct response: • Inform the charge nurse of the family’s concerns. Explanation: You Selected: • 8 Correct response: • 2 Explanation: Remediation: Add a Note Question 53 See full question 1s Report this Question An older adult client with moderate dementia is being admitted to the memory wing of an assisted living unit. When the family brings the personal belongings of the client, the nurse should warn against leaving which item into the unit? You Selected: • word-find books Correct response: • a pair of sewing scissors Explanation: Remediation: Add a Note Question 54 See full question 2s Report this Question A nurse teaches a client with newly diagnosed hypothyroidism about the need for thyroid hormone replacement therapy to restore normal thyroid function. Which thyroid preparation is the agent of choice for thyroid hormone replacement therapy? You Selected: • levothyroxine Correct response: • levothyroxine Explanation: Remediation: Add a Note Question 55 See full question 1s Report this Question Following a sexual assault the client tells the nurse that she is on long-lasting birth control and has no intention of taking any legal action against her assailant. The nurse advises the client that she stills needs follow-up care for early detection of which problem? You Selected: • menstrual difficulties Correct response: • sexually transmitted disease Explanation: Remediation: Add a Note Question 56 See full question Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 and before dinner. She will receive a snack of milk and cereal at bedtime. What does the nurse tell the client the snack is intended to do? You Selected: • Help her regain lost weight. Correct response: • Prevent late night hypoglycemia. Explanation: Remediation: Add a Note Question 63 See full question 2s Report this Question A nurse is teaching bicycle safety to a child and parents. What protective device should the nurse tell the parents is most important in preventing or lessening the severity of injury related to bicycle crashes? You Selected: • knee pads Correct response: • helmet Explanation: Remediation: Add a Note Question 64 See full question 3s Report this Question The nurse is assessing an infant who has been brought for a scheduled clinic visit by a parent. When asked about the infant's immunization status, the parent pauses and then states, "I am just not comfortable pumping my baby full of mercury and causing autism." How should the nurse best address the parent's statement? You Selected: • "It sounds like you have some serious concerns about the safety of vaccines. Can we talk about those concerns?" Correct response: • "It sounds like you have some serious concerns about the safety of vaccines. Can we talk about those concerns?" Explanation: Remediation: Add a Note Question 65 See full question 2s Report this Question When teaching a client to perform testicular self-examination, when should the nurse instruct the client to Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 perform the exam? You Selected: • after intercourse Correct response: • after a warm bath or shower Explanation: Remediation: Add a Note Question 66 See full question 3s During a conversation with the client, the nurse observes that the client is shaking his leg and tapping his fingers on the table next to him. Which statement by the nurse is best? You Selected: • ―I see that you’re anxious. I’ll be back later when you’re calmer.‖ Correct response: • ―I noticed that your leg is shaking and you’re tapping your fingers on the table. How are you feeling now?‖ Explanation: Remediation: Add a Note Question 67 See full question 1s Report this Question Which principle forms the basis for the teaching plan about avoiding nonprescription medication for a primiparous client who is breastfeeding? You Selected: • Breast milk quality and richness are decreased. Correct response: • Medications may be excreted in breast milk to the nursing neonate. Explanation: Remediation: Add a Note Question 68 See full question 2s Report this Question A nurse walks into the room of a client who has had surgery for testicular cancer. The client says that he'll be undesirable to his wife. Becoming tearful, he says he's been spoiled by a happy, satisfying sex life with his wife. Which nursing diagnosis is appropriate? You Selected: • risk for situational low self-esteem Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Correct response: • risk for situational low self-esteem Explanation: Remediation: Add a Note Question 69 See full question 2s The nurse is caring for an infant with severe diarrhea that has lasted 3 days. The child has poor skin turgor and dry mucous membranes. What is the priority nursing diagnosis for the nurse to use when planning care for this child? You Selected: • risk for infection Correct response: • fluid volume deficit Explanation: Remediation: Add a Note Question 70 See full question 2s Report this Question While helping clients brought to a crisis center during a severe flood, the nurse interviews a client whose pregnant wife is missing and whose home has been destroyed. The client keeps talking rapidly about his experience and says, ―I can’t see how I can ever rebuild my life.‖ Which response by the nurse would be most appropriate? You Selected: • "This has been a terrible experience. Tell me more about how you feel." Correct response: • "This has been a terrible experience. Tell me more about how you feel." Explanation: Remediation: Add a Note Question 71 See full question 7s Report this Question A physician writes an order for a nurse to administer an I.V. medication which, according to hospital policy, is not a nursing protocol. The nurse informs the physician that it is not a nursing protocol, and the physician states, ―Give it, and I will cover you.‖ What should the nurse do in this situation? You Selected: • Administer the medication as ordered. Correct response: • Refuse to administer the medication. Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Question 76 See full question 1s Report this Question Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 The nurse discusses safety and accident prevention with the parent of a 9-month-old. The nurse understands that the teaching has been effective when the parent makes which statement? You Selected: • ―I’ve found that those child-protective cabinet locks don’t work very well.‖ Correct response: • "I make sure that I keep my cleaning supplies locked up." Explanation: Remediation: Add a Note Question 77 See full question 2s Report this Question A nurse is teaching a group of nursing assistants about infection-control measures. What is the priority information to include in this teaching? You Selected: • hand-washing techniques Correct response: • hand-washing techniques Explanation: Remediation: Add a Note Question 78 See full question 1s Report this Question The nurse is offering nutritional instruction to the parents of a preschooler who has undergone a tonsillectomy and adenoidectomy. What food choice by the parents would indicate successful teaching? You Selected: • hot dog and potato chips Correct response: • cream of chicken soup and orange sherbet Explanation: Remediation: Add a Note Question 79 See full question 2s Report this Question A client says, ―I hate the idea of being an invalid after they cut off my leg.‖ Which response by the nurse would be the most therapeutic? Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 You Selected: • ―Tell me more about how you’re feeling.‖ Correct response: • ―Tell me more about how you’re feeling.‖ Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 A client admitted with a gastric ulcer has been vomiting bright red blood. The hemoglobin level is 5.11 g/dL (51.1 g/L), and blood pressure is 100/50 mm Hg. The client and family state that their religious beliefs do not support the use of blood products and refuse blood transfusions as a treatment for the bleeding. The nurse should collaborate with the health care provider and family to plan to take which action next? You Selected: • Attempt to stabilize the client through the use of fluid replacement. Correct response: • Attempt to stabilize the client through the use of fluid replacement. Explanation: Remediation: Add a Note Question 84 See full question 3s Report this Question The nurse is taking care of a client with a spinal cord injury. The extent of the client’s injury is shown in the accompanying image. Which finding is expected when assessing this client? You Selected: • dysfunction of bowel and bladder Correct response: • dysfunction of bowel and bladder Explanation: Add a Note Question 85 See full question 2s Report this Question A client with recurrent, endogenous depression has been hospitalized on the psychiatric unit for 3 days. He exhibits psychomotor retardation, anhedonia, indecision, and suicidal thoughts. Which goal of nursing care should have highest priority? You Selected: • Use measures to protect the client from harming himself. Correct response: • Use measures to protect the client from harming himself. Explanation: Remediation: Add a Note Question 86 See full question 2s Report this Question Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Which safeguard should the nurse take to ensure accuracy of a telephone order? You Selected: • Repeat the order to the prescriber. Correct response: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 • Repeat the order to the prescriber. Explanation: Remediation: Add a Note Question 87 See full question 1s Report this Question The client has been taking clomipramine for his obsessive-compulsive disorder. He tells the nurse, ―I’m not really better, and I’ve been taking the medication faithfully for the past 3 days just like it says on this prescription bottle.‖ Which action should the nurse do first? You Selected: • Tell the client to continue taking the medication as prescribed because it takes 2 to 4 weeks for a full therapeutic effect. Correct response: • Tell the client to continue taking the medication as prescribed because it takes 2 to 4 weeks for a full therapeutic effect. Explanation: Add a Note Question 88 See full question 2s Report this Question A nurse is admitting a client with a possible diagnosis of PTSD (posttraumatic stress disorder). Which statement by the client most accurately describes PTSD? You Selected: • "I feel so angry, guilty and humiliated that this has happened to me." Correct response: • "I have these flashbacks and recurring dreams about the event so often." Explanation: Remediation: Add a Note Question 89 See full question 3s Report this Question An adolescent presents to the emergency department after a motor vehicle accident. Police inform the parent that the client was thrown from the vehicle, was not wearing a seatbelt, and they believe the client was driving while under the influence of alcohol. The health care provider updates the parent that the adolescent has a cervical spine fracture and may be paralyzed. The parent becomes upset and agitated with the police officer and health care provider, and says ―You are both wrong! My Johnny is a good boy! He would never do that – he plays basketball and is on the honor roll!‖ In which stage of the grief process is the parent? You Selected: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Add a Note Question 93 See full question 1s Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Report this Question The nurse is assessing a 2-hour-old newborn. The nurse notes nasal flaring and acrocyanosis. Which of the following is the nurse's priority intervention? You Selected: • Auscultate the newborn's heart tones. Correct response: • Assess the newborn’s oxygen saturation. Explanation: Remediation: Add a Note Question 94 See full question 3s Report this Question A client with major depression is to be discharged home tomorrow. When preparing the client's discharge plan, which area is most important for the nurse to review with the client? You Selected: • results of psychological testing Correct response: • medication management with outpatient follow-up Explanation: Remediation: Add a Note Question 95 See full question 1s Report this Question A nurse is caring for a client in a vegetative state following a traumatic head injury. During the initial assessment, the nurse notes that the client has difficulty digesting a new tube feeding formula. When she contacts the dietician to discuss the change in the tube-feeding formula, the nurse is demonstrating the nursing role of You Selected: • educator. Correct response: • client advocate. Explanation: Add a Note Question 96 See full question 2s Report this Question Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 The nurse is caring for a client with hypothyroidism. The client notes, "The provider mentioned that I would need to take medication for this condition. What medication will I be prescribed?" What medication does the nurse anticipate the healthcare provider ordering? You Selected: • bethanechol Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 2s Report this Question A nurse working on the respiratory floor is preparing to administer medications using the computerized medication-dispensing system. The nurse's password is not working. What is the appropriate action by the nurse? You Selected: • Override the machine to gain access and deliver the medications. Correct response: • Ask computer support to reset the nurse's password. Explanation: Remediation: Add a Note Question 101 See full question 1s Report this Question The nurse gives a client 0.25 mg of digoxin instead of the prescribed dose of 0.125 mg. What action should the nurse take after realizing the mistake? You Selected: • Hold the next dose of digoxin. Correct response: • Assess the client and notify the physician. Explanation: Remediation: Add a Note Question 102 See full question 2s Report this Question A mother states that she is very angry with the health care provider who diagnosed her child with leukemia. Which statement helps the nurse understand this mother’s reaction? You Selected: • The mother cannot overcome her anger in an acceptable manner. Correct response: • Anger is a natural result of a sense of loss and helplessness. Explanation: Remediation: Add a Note Question 103 See full question 2s Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Report this Question A nurse is caring for a client with a prescription for morphine delivered by continuous intravenous infusion. Which intervention is most important to include in the plan of care? You Selected: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 • Obtain baseline vital signs before initiating the infusion. Correct response: • Obtain baseline vital signs before initiating the infusion. Explanation: Remediation: Add a Note Question 104 See full question 2s Report this Question A registered nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which client's care will the nurse safely delegate to the UAP? You Selected: • a client with mild hematuria who requires bladder irrigation via urinary catheter Correct response: • a client diagnosed with renal calculi who is encouraged to ambulate four times daily Explanation: Add a Note Question 105 See full question 1s Report this Question The nurse changes a client’s dressing and disposes of the used items into a biohazardous waste receptacle. Which is the best action for the nurse to take if the biohazardous bag begins to leak fluid? You Selected: • Place the leaking bag outside of the client’s room. Correct response: • Place the leaking bag into another biohazardous bag. Explanation: Remediation: Add a Note Question 106 See full question 2s Report this Question A client with supraventricular tachycardia is prescribed esmolol. What should the nurse monitor in the client because of this medication? You Selected: • heart rate and blood pressure Correct response: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Report this Question A client is admitted and has a history of combat-related post-traumatic stress. At night the client experiences nightmares and declines anxiolytics, replying that only privacy is needed to perform Reiki treatment. What is the nurse’s best response? Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 You Selected: • "Can you explain to me how you use Reiki?" Correct response: • "Can you explain to me how you use Reiki?" Explanation: Remediation: Add a Note Question 111 See full question 2s Report this Question An abused child is admitted to the hospital, and the nurse is aware that a court appearance may be necessary. To plan for this eventuality, what should be the priority? You Selected: • Document physical findings and behaviors observed during the child's admission. Correct response: • Document physical findings and behaviors observed during the child's admission. Explanation: Remediation: Add a Note Question 112 See full question 2s Report this Question It has been 5 months since a client lost his wife and child in a car-train accident. The nurse should determine that the client needs continuing counseling if he makes which statement? You Selected: • ―I never thought I’d get over this, but I’m working with my legislator for train crossing safety.‖ Correct response: • ―I wish I didn’t have to sleep. I hate the nightmares about what the car looked like.‖ Explanation: Add a Note Question 113 See full question 3s Report this Question A 39-year-old female client has been experiencing intermittent vaginal bleeding for several months. Her health care provider (HCP) tells her that she has uterine fibroids and recommends an abdominal hysterectomy. When the client expresses fear about the surgery, what should the nurse do? You Selected: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 • Change the subject of conversation. Correct response: • Give the client opportunities to express her fears. Explanation: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Report this Question A nurse is teaching a client with constipation about management of the problem. Which statement by the client indicates understanding? You Selected: • "I'll limit water intake to three glasses per day." Correct response: • "I'll consume foods high in fiber." Explanation: Add a Note Question 118 See full question 1s Report this Question A 2-year-old client is brought to the emergency department with suspected croup. The client appears frightened and cries as the nurse approaches him. The nurse needs to assess the client's breath sounds. The best way to approach the client is to You Selected: • expose the client's chest quickly and auscultate breath sounds as quickly and efficiently as possible. Correct response: • allow the client to handle the stethoscope before the nurse listens to the client's lungs. Explanation: Remediation: Add a Note Question 119 See full question 2s Report this Question Which statement indicates that the client with peptic ulcer disease understands how to effectively adjust the response to work-related stress? You Selected: • ‖Well, I guess this ulcer means I will not be able to work toward a promotion.‖ Correct response: • ‖I will have to improve my ability to cope with stress.‖ Explanation: Remediation: Add a Note Question 120 See full question 2s Report this Question Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 A client who was a victim of a motor vehicle accident dies in the emergency department. What should be done first to support the client’s family at this time? You Selected: • Recommend the family return home to rest before making plans. Correct response: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 • Provide the family with a private place to begin grieving. Explanation: Remediation: Add a Note Question 121 See full question 2s Report this Question A nurse is caring for a client on a four-medication regimen to treat tuberculosis. The nurse discovers that the client isn't taking all medications. What is appropriate for the nurse to say to the client? You Selected: • "Why aren't you taking your medications? Don't you want to get better?" Correct response: • "Taking several medications can be difficult. Tell me about the difficulties you're having." Explanation: Remediation: Add a Note Question 122 See full question 2s Report this Question A nurse is preparing a client for magnetic resonance imaging (MRI) scan to confirm or rule out a spinal cord lesion. Which action would pose a threat to the client during the procedure? You Selected: • The client wears a watch and wedding band. Correct response: • The client wears a watch and wedding band. Explanation: Remediation: Add a Note Question 123 See full question 1s Report this Question The nurse is invited to attend a meeting with several parents who express frustration with the amount of time their adolescents spend in front of the mirror and the length of time it takes them to get dressed. What does the nurse explain that this behavior indicates? You Selected: • a result of developing self-concept Correct response: • a result of developing self-concept Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 2s Report this Question Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 While talking to her husband, who is caring for their children, a 52-year-old client slams the phone down. She begins to cry and states that she is feeling guilty for being hospitalized. Which nursing action will best support the client emotionally? You Selected: • Ask the client if she would like to speak with a grief counselor. Correct response: • Sit with the client and help her acknowledge and discuss her feelings. Explanation: Add a Note Question 128 See full question 2s Report this Question A client newly diagnosed with tuberculosis (TB) is being admitted with a prescription for "isolation precautions for tuberculosis." The nurse should assign the client to which type of room? You Selected: • a private room to implement standard precautions Correct response: • a private room to implement airborne precautions Explanation: Remediation: Add a Note Question 129 See full question 2s Report this Question A teenager was driving a car that slid off an icy road, killing two friends. The client repeatedly tells the nurse that the client should be dead instead of the friends. The client's behavior is an example of: You Selected: • denial. Correct response: • survivor's guilt. Explanation: Remediation: Add a Note Question 130 See full question 2s Report this Question After reading the vaccine information sheets, the parent of a 2-month-old infant is hesitant to consent to the recommended vaccinations. What should the nurse ask the parent first? Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 You Selected: • "Would you prefer that fewer vaccines are given at a time?" Correct response: • ―What concerns do you have about vaccinations?‖ Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Report this Question A client on a surgical unit provided consent for a liver biopsy. The nurse is in the process of taking the client to the operating room when the client states, "I've changed my mind." Which response by the nurse is accurate? You Selected: • "You have the right to withdraw consent. Would you like to discuss this further?" Correct response: • "You have the right to withdraw consent. Would you like to discuss this further?" Explanation: Remediation: Add a Note Question 135 See full question 1s Report this Question A nurse is reviewing the health care provider’s (HCP’s) admitting prescriptions for a post-menopausal woman scheduled for a dilatation and curettage. The nurse is unable to decipher the handwriting but thinks the medication prescription reads either metoprolol or topiramate. What should the nurse do next? You Selected: • Ask the client if she has migraines. Correct response: • Call the HCP to clarify the prescription. Explanation: Remediation: Add a Note Question 136 See full question 2s Report this Question A nurse is teaching a client about using herbal supplements as part of the client's healthcare regimen. What client statement indicates the nurse's teaching was effective? You Selected: • "I can use the Internet to check out what would work the best for me." Correct response: • "I need to make sure that the supplement does not interact with other meds I am taking." Explanation: Add a Note Question 137 See full question 2s Report this Question Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 A physician orders a soap suds enema, 500 ml. What does this amount equal in liters? You Selected: • 1 L Correct response: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 • 0.5 L Explanation: Add a Note Question 138 See full question 2s Report this Question When examining school-age and adolescent clients, the nurse routinely screens for scoliosis. Which statement accurately summarizes how to perform this screening? You Selected: • Have the client stand firmly on both feet and bend forward at the hips, with the trunk exposed. Correct response: • Have the client stand firmly on both feet and bend forward at the hips, with the trunk exposed. Explanation: Remediation: Add a Note Question 139 See full question 2s Report this Question A child, age 3, is admitted to the pediatric unit with dehydration after 2 days of nausea and vomiting. The parent tells the nurse that the child's illness "is all my fault." How should the nurse respond? You Selected: • "Tell me why you think this is your fault." Correct response: • "Tell me why you think this is your fault." Explanation: Add a Note Question 140 See full question 1s Report this Question An older adult is taking seven prescribed drugs with varied dosing schedules. In order to improve compliance and safe administration of the drugs, the nurse should instruct the client to: You Selected: • count the remaining pills in each bottle at the end of the day. Correct response: • use a pill tray and place the medications in the compartment at the correct time and day. Explanation: Remediation: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 A client with a history of combat-related post-traumatic stress is admitted for treatment of complicated pneumonia. The first night, he experiences nightmares and frightens everyone with his screaming. He declines offers of anxiolytics, replying that he just needs privacy to perform his Reiki treatment. The nurse’s best response is: You Selected: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 • "Reiki cannot help with post-traumatic stress." Correct response: • "Can you explain to me how you use Reiki?" Explanation: Remediation: Add a Note Question 145 See full question 3s Report this Question Furosemide 40 mg intravenous push is prescribed. Furosemide 10 mg/mL is available. How many mL should the nurse should administer? Record your answer using a whole number. Your Response: • 6 Correct response: • 4 Explanation: Add a Note Question 146 See full question 2s Report this Question A nurse on a neurologic unit is caring for several clients. Which task should the nurse delegate to the nursing assistant? You Selected: • Obtain an oxygen saturation. Correct response: • Obtain an oxygen saturation. Explanation: Add a Note Question 147 See full question 2s Report this Question The nurse teaches a client with a pain disorder a progressive relaxation exercise. What client statement indicates the goal of progressive relaxation was attained? You Selected: • "My pain is better, and now I feel relaxed." Correct response: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 • "My pain is better, and now I feel relaxed." Explanation: Remediation: Add a Note Question 148 See full question Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 • Decrease fluid intake to four glasses daily. Correct response: • Eat smaller and more frequent meals during the day. Explanation: Add a Note Question 152 See full question 1s Report this Question The mother of a toilet-trained toddler who was admitted to the hospital for severe gastroenteritis and subsequent dehydration and is now at home asks the nurse why the child still wets the bed. What would be the nurse's best response? You Selected: • "Children do not feel comfortable in their home surroundings once they return home from being hospitalized." Correct response: • "Hospitalization is a traumatic experience for children. Regression is common, and it takes time for them to return to their former behavior." Explanation: Remediation: Add a Note Question 153 See full question 2s Report this Question A client has presented to the emergency department with symptoms of appendicitis. The client admits to the nurse, "I am very nervous because I am in the country illegally and have been for several years." What is the nurse's best response? You Selected: • "This hospital treats immigrants as charity so all your treatments are free." Correct response: • "We are going to give you the treatment you need regardless of your immigration status." Explanation: Add a Note Question 154 See full question 2s Report this Question Three weeks after the client has had an ileostomy, the nurse is following up with instruction about using a skin barrier around the stoma. How will the nurse determine that the client has been applying the skin barrier correctly? Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 You Selected: • The client only changes the ostomy pouch once a day. Correct response: • There is no skin irritation around the stoma. Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Explanation: Remediation: Add a Note Question 155 See full question 2s Report this Question When developing a teaching plan for women about human immunodeficiency virus (HIV) transmission, the nurse should instruct the group that to reduce the risk of transmission they should: You Selected: • avoid prolonged sex. Correct response: • use latex condoms with sexual intercourse. Explanation: Remediation: Add a Note Question 156 See full question 2s Report this Question The client with dementia states to the nurse, ―I know you. You’re Margaret, the girl who lives down the street from me.‖ Which response by the nurse is most therapeutic? You Selected: • ―Mrs. Jones, I’m Rachel, a nurse here at the hospital.‖ Correct response: • ―Mrs. Jones, I’m Rachel, a nurse here at the hospital.‖ Explanation: Remediation: Add a Note Question 157 See full question 2s Report this Question After discussing asthma as a chronic condition, which statement by the parent of a child with asthma best reflects the family's positive adjustment to this aspect of the child's disease? You Selected: • "We keep our child away from other children to help cut down on infections." Correct response: • "Although our child's disease is serious, we try not to let it be the focus of our family." Explanation: Remediation: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Report this Question During a panic attack, a client hyperventilates, becomes unable to speak, and reports symptoms that mimic those of a heart attack. Which nursing intervention is appropriate? You Selected: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 • Encouraging the client to work on a craft project in his/her room Correct response: • Accompanying the client to his/her room; remaining there and providing instructions in short, simple statements Explanation: Remediation: Add a Note Question 162 See full question 2s Report this Question A client diagnosed with depression states, ―I’m looking forward to going back to work, but I wonder if I’ll be able to keep up with the demands of my job.‖ Which statement by the nurse would be most helpful? You Selected: • ―You’ll do well. You have an excellent work record.‖ Correct response: • ―You sound concerned. I want to hear more about how you’re feeling.‖ Explanation: Remediation: Add a Note Question 163 See full question 2s Report this Question A nurse is educating a client who is at risk for coronary artery disease (CAD). The nurse knows that the teaching has been successful when the client states that the risk factors that can be controlled or modified include: You Selected: • obesity, inactivity, diet, and smoking. Correct response: • obesity, inactivity, diet, and smoking. Explanation: Remediation: Add a Note Question 164 See full question 2s Report this Question A client refuses to look at or care for their colostomy. Which statement by the nurse would be most appropriate? You Selected: • "I can see that you are upset. Would you like to share your concerns with me?" Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Correct response: • "I can see that you are upset. Would you like to share your concerns with me?" Explanation: Remediation: Add a Note Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 • The nurse had previously provided care to the client during past hospitalization. Correct response: • The nurse is reporting lab results to the Code Blue team during resuscitation. Explanation: Remediation: Add a Note Question 169 See full question 2s Report this Question A 62-year-old client reports being tired all the time, having trouble sleeping, and having trouble thinking. What should the nurse do? You Selected: • Advise the client to discontinue daytime napping. Correct response: • Further assess the client's mental status and health history. Explanation: Remediation: Add a Note Question 170 See full question 1s Report this Question A young client is admitted with a diagnosis of somatic symptom disorder, but declines analgesic medications. The nurse learns that the client finds relief in regular hypnotherapy practice. The best response of the nurse should be: You Selected: • ―You have to believe in hypnosis for it to work.‖ Correct response: • ―Explain how you find the procedure helpful.‖ Explanation: Remediation: Add a Note Question 171 See full question 2s Report this Question Following the creation of an ileostomy, a client states, ―I’m really worried about how I’m going to manage this thing.‖ What should the nurse do first? You Selected: • Encourage the client's spouse to talk with the client. Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Correct response: • Determine the client’s exact concerns about the ileostomy. Explanation: Remediation: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Add a Note Question 172 See full question 2s Report this Question A teenage mother brings her 1-year-old child to the pediatrician's office for a well-baby checkup. The mother says that her infant can't sit alone. You Selected: • "This is very abnormal. Your child must be sick." Correct response: • "Let's see about further developmental testing." Explanation: Remediation: Add a Note Question 173 See full question 2s Report this Question The nurse plans discharge care with the parents of a 16-year-old boy who recently attempted suicide. The nurse should advise the parents to notify a heath care provider immediately for which client finding? You Selected: • expressing a desire to date. Correct response: • giving away valued personal items. Explanation: Remediation: Add a Note Question 174 See full question 4s Report this Question A client who is receiving chemotherapy expresses concern at the thought of losing hair on the head. The nurse’s best response is: You Selected: • ―A little hair loss shouldn’t concern you. You have more serious things to worry about.‖ Correct response: • "Your hair loss will be temporary. Would you like to tell me about your concerns?‖ Explanation: Remediation: Add a Note Question 175 See full question Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 • Give a written report to a transporter who is bringing the client to the receiving nurse. Correct response: • Call the nurse on the orthopedic unit and give a verbal report. Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Explanation: Remediation: Add a Note Question 179 See full question 2s Report this Question A nurse is caring for a 10-year-old child with cystic fibrosis. The child's parents tell the nurse that they're having difficulty coping with their child's disease. Which action should the nurse take? You Selected: • Counsel the parents on not having any more children because all future children will also have cystic fibrosis. Correct response: • Encourage the parents to get connected with support groups such as the Cystic Fibrosis Foundation. Explanation: Remediation: Add a Note Question 180 See full question 6s Report this Question A non–English-speaking client with chest pain has been admitted to the healthcare facility. Because the assigned nurse does not know the client's language, what would be the most appropriate action in this case? You Selected: • Request the help of a professional interpreter. Correct response: • Request the help of a professional interpreter. Explanation: Add a Note Question 181 See full question 2s Report this Question A client who was sexually assaulted is transported to the emergency department. What is the nurse's most important intervention? You Selected: • Encourage the client to enroll in a self-defense class. Correct response: • Remain with the client, and assist through the crisis. Explanation: Remediation: Georgette's LMR PMHNP Certification Exam Review, Latest Update 2023 Add a Note Question 182 See full question 3s