NR 326 CMS FINAL EXAM 2023-2024 ACTUAL EXAM
100 QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES|ALREADY GRADED
A+||CHAMBERLAINE
The nurse is assessing a client who has just been admitted to the emergency
department. Which signs would suggest an overdose of an antianxiety agent?
A. Combativeness, sweating, and confusion
B. Agitation, hyperactivity, and grandiose ideation
C. Emotional lability, euphoria, and impaired memory
D. Suspiciousness, dilated pupils, and increased blood pressure
CORRECT – Option C: Signs of antianxiety agent overdose include emotional
lability, euphoria, and impaired memory.
Option A: Phencyclidine (PCP) overdose can cause combativeness, sweating, and
confusion.
Option B: Amphetamine overdose can result in agitation, hyperactivity, and
grandiose ideation.
Option D: Hallucinogen overdose can produce suspiciousness, dilated pupils, and
increased blood pressure.
Nurse Amy is providing care for a male client undergoing opiate withdrawal.
Opiate withdrawal causes severe physical discomfort and can be life-threatening.
To minimize these effects, opiate users are commonly detoxified with:
A. Barbiturates
B. Amphetamines
C. Methadone
D. Benzodiazepines
CORRECT – Option C: Methadone is used to detoxify opiate users because it binds
with opioid receptors at many sites in the central nervous system but doesn’t have
the same deleterious effects as other opiates, such as cocaine, heroin, and
morphine.
Options A, B, and D: Barbiturates, amphetamines, and benzodiazepines are highly
addictive and would require detoxification treatment.
Nurse Marco is developing a plan of care for a client with anorexia nervosa. Which
action should the nurse include in the plan?
A. Restrict visits with the family and friends until the client begins to eat
B. Provide privacy during meals
C. Set up a strict eating plan for the client
D. Encourage the client to exercise, which will reduce her anxiety
CORRECT – Option C: Establishing a consistent eating plan and monitoring the
client’s weight are very important in this disorder.
Option A: The family and friends should be included in the client’s care.
Option B: The client should be monitored during meals-not given privacy.
Option D: Exercise must be limited and supervised.
Mickey 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
CORRECT – Option C: 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.
Nicolas is experiencing hallucinations tells the nurse, “The voices are telling me
I’m no good.” The client asks if the nurse hears the voices. The most appropriate
response by the nurse would be:
A. “It is the voice of your conscience which only you can control.”
B. “No, I don’t hear your voices, but I believe you can hear them.”
C. “The voices are coming from within you and only you can hear them.”
D. “Oh, the voices are a symptom of your illness, don’t pay attention to them.”