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NR 326 CMS Exam Questions With Complete Solutions
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NR 326 CMS Exam Questions With Complete Solutions
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NR 326 CMS Exam Questions With Complete SolutionsA 65 years old client is in the first stage of Alzheimer's disease.
Nurse Patricia should plan to focus this client's care on:
A. Offering nourishing finger foods to help maintain the client's
optimal nutritional status.
B. Providing emotional support and individual counseling.
C. Monitoring the client to prevent minor illnesses from turning
into major problems.
D. Suggesting new activities for the client and family to do
together. Correct Answer CORRECT - Option B: Clients in the
first stage of Alzheimer's disease are aware that something is
happening to them and may become overwhelmed and
frightened. Therefore, nursing care typically focuses on
providing emotional support and individual counseling.
Options A, C, and D: The other options are appropriate during
the second stage of Alzheimer's disease when the client needs
continuous monitoring to prevent minor illnesses from
progressing into major problems and when maintaining adequate
nutrition may become a challenge. During this stage, offering
nourishing finger foods helps clients to feed themselves and
maintain adequate nutrition.
A charge nurse is preparing an educational session for a group
of newly licensed nurses to review client rights under the law.
Which of the following statements should thee nurse make?
Correct Answer "In the event a client threatens harm to others,
medications can be administered without consent." Primary
commitment is to the client and their priority is always to
advocate for and protect their health and safety. During an
emergency situation, if the client is threatening harm to self or
,others, meds can be administered without the client's consent
and without a court order
A client has alcohol toxicity and is unresponsive, what is an
appropriate nursing intrevention? Correct Answer Gather
supplies for an endotracheal intubation because an expected
finding of an unresponsive client who has alcohol toxicity is
respiratory depression.
A client has anorexia nervosa, what finding requires
hospitalization? Correct Answer Total body fat 8.7%. The
nurse should recognize that criteria for hospitalization includes
having a weight less than 75% of ideal body weight, or less than
10% body fat.
A client has schizophrenia and reports auditory hallucinations.
What interventions should be included in their care plan?
Correct Answer Promote the use of music to compete with the
client's auditory hallucinations. This can assist in limiting the
effect the hallucinations have on the client's stress level.
A client is experiencing a headache and heart palpitations after
having 1 glass of wine 1 hr ago. The client has a hx of
depression and a BP of 210/105 mm Hg and a temp of 103.8 F.
What action should the nurse take first? Correct Answer
Determine the client's prescribed medication regimen. This way
the nurse can determine the cause of thee hypertension, such as
the client taking mAOI to treat depression. These meds can
precipitate a hypertensive crisis if consumed with tyramine-
containing foods, including wine.
,A client is experiencing adverse effects of chlorpromazine. The
nurse should administer benztropine to relieve which of the
following adverse effects? Correct Answer Acute dystonia.
A client is taking buspirone for generalized anxiety disorder.
What is an adverse effects of this medication? Correct Answer
Xerostomia (dry mouth)
Headache
Nausea
Insomnia
Myalgia
Blurry vision
Tachycardia
A client who has a recent diagnosis of bipolar disorder is placed
in a room with a client who has severe depression. The client
who has depression reports to the nurse, "My roommate never
sleeps and keeps me up, too." Which of the following actions
should the nurse take? Correct Answer Move the client who
has bipolar disorder to a private room. Clients who have bipolar
disorder can disrupt the therapeutic milieu for other clients.
Therefore, the nurse should move this client to a private room.
A client with bipolar disorder stopped taking lithium 2 weeks
ago. What adverse effect could have caused the the client to stop
taking this medication? Correct Answer Hand tremors. Fine
hand tremors are an expected adverse effect of lithium and can
interfere with performance of ADLs, causing the client to stop
taking the medication
, A home health nurse is assessing an older adult client whose
sibling is the primary caregiver. Which of the following findings
should the nurse identify as a possible indicator of neglect?
Correct Answer Inappropriate dress. Clothing that is soiled or
clothing that is not appropriate for weather conditions is a
possible indicator of neglect.
A nurse assigned to care for a patient scheduled for
electroconvulsive therapy (ECT) is aware of the following:
A.Patients are expected to be alert an hour following ECT, offer
fluids immediately upon awakening, monitor possible
hypotension and tachycardia after ECT procedure
B.Patients are expected to have short term memory loss, IV line
is maintained until full recovery, monitor for possible
hypertension and bradycardia after ECT procedure
C.Patients are expected to have permanent memory loss,
maintain indwelling catheter due to frequent urination, monitor
for tonic-clonic seizure activity associated after ECT procedure
D.Patients are expected to have relief of depressed moods two
weeks after ECT, oxygen via nasal cannula will be maintained
for one day, monitor for possible ECG changes and fever
Correct Answer B. Patients are expected to have short term
memory loss, IV line is maintained until full recovery, monitor
for possible hypertension and bradycardia after ECT procedure
A nurse has a patient who is taking paroxetine for posttraumatic
stress disorder. The patient states that he grinds his teeth during
the night, which causes pain in his mouth. The nurse identifies
which of the following interventions as possible measures to
manage the client's bruxism? (Select all that apply)
A.Concurrent administration of buspirone
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