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NURB 4130 Practice Questions and Answers
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- Northwestern State University Of Louisiana
Detailed practice questions and answers for NURB 4130. *An Essential Study Resource!!
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1. Flumazenil (Romazicon) has been ordered for a male client who has overdosed onoxazepam (Serax). Before administering the medication, nurse Gina should be
prepared for which common adverse effect?
A. Seizures
B. Shivering
C. Anxiety
D. Chest pain
A. Seizures
Seizures are the most common serious adverse effect of using flumazenil to reverse
benzodiazepine overdose. The effect is magnified if the client has a combined tricyclic
antidepressant and benzodiazepine overdose.
2. Nurse Tamara is caring for a client diagnosed with bulimia. The most appropriate
initial goal for a client diagnosed with bulimia is to:
A. Avoid shopping for large amounts of food
B. Control eating impulses
C. Identify anxiety-causing situations
D. Eat only three meals per day
C. Identify anxiety-causing situations
Bulimic behavior is generally a maladaptive coping response to stress and underlying
issues. The client must identify anxiety-causing situations that stimulate the bulimic
behavior and then learn new ways of coping with the anxiety.
3. A female client who’s at high risk for suicide needs close supervision. To best
ensure the client’s safety, Nurse Mary should:
A. Check the client frequently at irregular intervals throughout the night
B. Assure the client that the nurse will hold in confidence anything the client says
C. Repeatedly discuss previous suicide attempts with the client
D. Disregard decreased communication by the client because this is common with
suicidal clients
A. Check the client frequently at irregular intervals throughout the night
Checking the client frequently but at irregular intervals prevents the client from
predicting when observation will take place and altering behavior in a misleading way at
these times.
4. Which of the following drugs should Nurse Mary prepare to administer to a client
with a toxic acetaminophen (Tylenol) level?
A. Deferoxamine mesylate (Desferal
)B. Succimer (Chemet)
C. Flumazenil (Romazicon)
,D. Acetylcysteine (Mucomyst)
D. Acetylcysteine (Mucomyst)
The antidote for acetaminophen toxicity is acetylcysteine. It enhances conversion of toxic
metabolites to nontoxic metabolites.
5. A male client is admitted to the substance abuse unit for alcohol detoxification.
Which of the following medications is Nurse Alice most likely to administer to
reduce the symptoms of alcohol withdrawal?
A. Naloxone (Narcan)
B. Haloperidol (Haldol)
C. Magnesium sulfate
D. Chlordiazepoxide (Librium)
D. Chlordiazepoxide (Librium)
Chlordiazepoxide (Librium) and other tranquilizers help reduce the symptoms of alcohol
withdrawal.
6. During postprandial monitoring, a female client with bulimia nervosa tells the
nurse, “You can sit with me, but you’re just wasting your time. After you had sat
with me yesterday, I was still able to purge. Today, my goal is to do it twice.” What
is the nurse’s best response?
A. “I trust you not to purge.”
B. “How are you purging and when do you do it?”
C. “Don’t worry. I won’t allow you to purge today.”
D. “I know it’s important for you to feel in control, but I’ll monitor you for 90 minutes
after you eat.”
D. “I know it’s important for you to feel in control, but I’ll monitor you for 90
minutes after you eat.”
This response acknowledges that the client is testing limits and that the nurse is setting
them by performing postprandial monitoring to prevent self-induced emesis. Clients with
bulimia nervosa need to feel in control of the diet because they feel they lack control over
all other aspects of their lives.
7. A male client admitted to the psychiatric unit for treatment of substance abuse
says to the nurse, “It felt so wonderful to get high.” Which of the following is the
most appropriate response?
A. “If you continue to talk like that, I’m going to stop speaking to you.”
B. “You told me you got fired from your last job for missing too many days after taking
drugs all night.”
C. “Tell me more about how it felt to get high.”
D. “Don’t you know it’s illegal to use drugs?”
, B. “You told me you got fired from your last job for missing too many days after
taking drugs all night.”
Confronting the client with the consequences of substance abuse helps to break through
denial.
8. For a female client with anorexia nervosa, Nurse Jimmy is aware that which goal
takes the highest priority?
A. The client will establish adequate daily nutritional intake
B. The client will make a contract with the nurse that sets a target weight
C. The client will identify self-perceptions about body size as unrealistic
D. The client will verbalize the possible physiological consequences of self-starvation
A. The client will establish adequate daily nutritional intake
According to Maslow’s hierarchy of needs, all humans need to meet basic physiological
needs first. Because a client with anorexia nervosa eats little or nothing, the nurse must
first plan to help the client meet this basic, immediate physiological need.
9. When interviewing the parents of an injured child, which of the following is the
strongest indicator that child abuse may be a problem?
A. The injury isn’t consistent with the history or the child’s age
B. The mother and father tell different stories regarding what happened
C. The family is poor
D. The parents are argumentative and demanding with emergency department personnel
A. The injury isn’t consistent with the history or the child’s age
When the child’s injuries are inconsistent with the history given or impossible because of
the child’s age and developmental stage, the emergency department nurse should be
suspicious that child abuse is occurring.
10. For a female client with anorexia nervosa, nurse Rose plans to include the
parents in therapy sessions along with the client. What fact should the nurse
remember to be typical of parents of clients with anorexia nervosa?
A. They tend to overprotect their children
B. They usually have a history of substance abuse
C. They maintain emotional distance from their children
D. They alternate between loving and rejecting their children
A. They tend to overprotect their children
Clients with anorexia nervosa typically come from a family with parents who are
controlling and overprotective. These clients use eating to gain control of an aspect of
their lives.
11. In the emergency department, a client with facial lacerations states that her
husband beat her with a shoe. After the health care team repairs her lacerations, she
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