Practice Questions

123. A patient is experiencing severe anxiety and agitation. What is the least restrictive initial de-escalation technique?

A. Physical restraint

B. Seclusion

C. Verbal de-escalation and offering PRN medication ✓

D. Yelling at the patient

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Jun 6, 2026

122. A patient with type 1 diabetes is admitted with nausea, vomiting, abdominal pain, and fruity breath odor. You suspect Diabetic Ketoacidosis (DKA). What is the immediate medical intervention?

A. Oral glucose administration

B. IV insulin and fluid replacement ✓

C. Oral antibiotics

D. High-carbohydrate meal

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

121. A patient with liver cirrhosis develops confusion, asterixis (flapping tremors), and changes in personality. What medicinal treatment is commonly used to reduce ammonia levels in hepatic encephalopathy?

A. Lactulose ✓

B. Furosemide

C. Insulin

D. Acetaminophen

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

120. When performing a sterile procedure, maintaining a 1-inch border around the edge of a sterile field is considered:

A. A contaminated area ✓

B. A safe area for non-sterile items

C. Part of the sterile field

D. An area for discarded supplies

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

119. A patient is on telemetry monitoring. You observe a sudden change in their cardiac rhythm to ventricular fibrillation. What is your immediate action?

A. Call the patient's family

B. Begin chest compressions and call for a defibrillator ✓

C. Monitor the rhythm for a few minutes

D. Document the rhythm change only

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

118. A client in a therapy session describes experiencing flashbacks, nightmares, and avoidance behaviors related to a traumatic event that occurred six months ago. This aligns with criteria for:

A. Acute Stress Disorder

B. Adjustment Disorder

C. Post-Traumatic Stress Disorder (PTSD) ✓

D. Generalized Anxiety Disorder

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

117. You are assessing a patient’s pain. What is the most reliable indicator of pain?

A. Grimacing

B. Moaning

C. The patient's self-report ✓

D. Elevated heart rate

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

116. A patient is on fall precautions. What is the most effective environmental intervention to prevent falls?

A. Leave the bed in the highest position

B. Keep pathways clear, use non-slip socks, and ensure adequate lighting ✓

C. Apply restraints at all times

D. Allow the patient to wander freely

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

115. A patient with asthma is prescribed an inhaled corticosteroid. What is a critical teaching point for this medication?

A. It is a rescue inhaler for acute attacks

B. It should be used for immediate symptom relief

C. It is a preventative medication and should be taken daily, even without symptoms ✓

D. It can be discontinued once symptoms improve

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

114. In mental health, the concept of “duty to warn” (Tarasoff ruling) refers to:

A. The obligation to report all client secrets

B. The obligation to warn an identifiable third party if a client expresses a serious threat of violence against them ✓

C. The obligation to warn clients about the risks of therapy

D. The obligation to warn families about client's financial issues

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mintcream-chough-797767.hostingersite.com BS Nursing

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Practice Questions

123. A patient is experiencing severe anxiety and agitation. What is the least restrictive initial de-escalation technique?

122. A patient with type 1 diabetes is admitted with nausea, vomiting, abdominal pain, and fruity breath odor. You suspect Diabetic Ketoacidosis (DKA). What is the immediate medical intervention?

121. A patient with liver cirrhosis develops confusion, asterixis (flapping tremors), and changes in personality. What medicinal treatment is commonly used to reduce ammonia levels in hepatic encephalopathy?

120. When performing a sterile procedure, maintaining a 1-inch border around the edge of a sterile field is considered:

119. A patient is on telemetry monitoring. You observe a sudden change in their cardiac rhythm to ventricular fibrillation. What is your immediate action?

118. A client in a therapy session describes experiencing flashbacks, nightmares, and avoidance behaviors related to a traumatic event that occurred six months ago. This aligns with criteria for:

117. You are assessing a patient’s pain. What is the most reliable indicator of pain?

116. A patient is on fall precautions. What is the most effective environmental intervention to prevent falls?

115. A patient with asthma is prescribed an inhaled corticosteroid. What is a critical teaching point for this medication?

114. In mental health, the concept of “duty to warn” (Tarasoff ruling) refers to:

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