801 - 900 Solved NMC Licensure Questions Bank

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801. Which of the following should be included in the health teachings among clients receiving Valium:
A. Avoid taking CNS depressant like alcohol.
B. There are no restrictions in activities.
C. Limit fluid intake.
D. Any beverage like coffee may be taken

802. The primary nursing intervention in working with a client with moderate stage dementia is ensuring that the client:
A. receives adequate nutrition and hydration
B. will reminisce to decrease isolation
C. remains in a safe and secure environment
D. independently performs self care

803. Situation: A nurse may encounter children with mental disorders. Her knowledge of these various disorders is vital. When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to:
A. provide as much structure as possible for the child
B. ignore the child’s overactivity.
C. encourage the child to engage in any play activity to dissipate energy
D. remove the child from the classroom when disruptive behavior occurs

804. Which of these personality disorders are categorized predominantly dramatic,emotional and erratic in nature?
A. Histrionic ,Paranoid and borderline
B. Histrionic,compulsive and schizoid
C. Narcissistic ,antisocial and paranoid
D. Narcissistic ,histrionic and antisocial

805. A person seeing a design on the wallpaper and perceived it as an animal;
A. Illusion
B. Delusion
C. Hallucination
D. Ideas of reference

806. A mother with a Roman Catholic belief has given birth in an ambulance on the way to the hospital. The neonate is in very critical condition with little expectation of surviving the trip to the hospital. Which of these requests should the nurse in the ambulance anticipate and be prepared to do?
A. The refusal of any treatment for self and the neonate until she talks to a reader
B. The placement of a rosary necklace around the neonate’s neck and not to remove it unless absolutely necessary
C. Arrange for a church elder to be at the emergency department when the ambulance arrives so a “laying on hands” can be done
D. Pour fluid over the forehead backwards towards the back of the head and say “I baptize you in the name of the father, the son and the holy spirit. Amen.”

807. A client is admitted with needle tracts on his arm, stuporous and with pin point pupil will likely be managed with:
A. Naltrexone (Revia)
B. Narcan (Naloxone)
C. Disulfiram (Antabuse)
D. Methadone (Dolophine)

808. Situation: A 17-year-old gymnast is admitted to the hospital due to weight loss and dehydration secondary to starvation. Which of the following nursing diagnoses will be given priority for the client?
A. altered self-image
B. fluid volume deficit
C. altered nutrition less than body requirements
D. altered family process

809. “How do you feel about being pressured into sex by your boyfriend?”
A. Has evidence of an organic basis.
B. It is a deliberate effort to handle upsetting events
C. Gratification from the environment are obtained
D. Stress is expressed through physical symptoms

810. A client with paranoid thoughts refuses to eat because he believes the food is poisoned. The MOST appropriate initial action is to
A. Taste the food in the client’s presence
B. Suggest that food be brought from home
C. Simply state the food is not poisoned
D. Inform the client he will be tube fed if he does not eat

811. A teenage female is admitted with the diagnosis of anorexia nervosa. Upon admission, the nurse finds a bottle of assorted pills in the client’s drawer. The client tells the nurse that they are antacids for stomach pains. The best response by the nurse would be
A. “These pills aren’t antacids since they are all different.”
B. “Some teenagers use pills to lose weight.”
C. “Tell me about your week prior to being admitted.”
D. “Are you taking pills to change your weight?”

812. A nurse is teaching a stress-management program for client. Which of the following beliefs will the nurse advocate as a method of coping with stressful life events?
A. Avoidance of stress is an important goal for living.
B. Control over one’s response to stress is possible.
C. Most people have no control over their level of stress.
D. Significant others are important to provide care and concern.

813. The primary nursing intervention for a victim of child abuse is:
A. Assess the scope of the problem
B. Analyze the family dynamics
C. Ensure the safety of the victim
D. Teach the victim coping skills

814. What would be the best approach for a wife who is still living with her abusive husband?
A. “Here’s the number of a crisis center that you can call for help .”
B. “Its best to leave your husband.”
C. “Did you discuss this with your family?”
D. “Why do you allow yourself to be treated this way”

815. The censoring portion of the mind.
A. Helping the client resume self care.
B. Ensuring the safety of a suicidal client in the institution.
C. Teaching the client stress management techniques
D. Case finding and surveillance in the community

816. A persistent recurring of unwanted ideas, thought or image that cannot be eliminated even though the sufferer considers it to be foolish is:
A. Compulsion
B. Foliea deux
C. Folledu donte
D. Obsession

817. She says to the nurse who offers her breakfast, “Oh no, I will wait for my husband. We will eat together” The therapeutic response by the nurse is:
A. “Your husband is dead. Let me serve you your breakfast.”
B. “I’ve told you several times that he is dead. It’s time to eat.”
C. “You’re going to have to wait a long time.”
D. “What made you say that your husband is alive?

818. The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:
A. overprotection of the child
B. patience, routine and repetition
C. assisting the parents set realistic goals
D. giving reasonable compliments

819. Which comment about a 3-year-old child if made by the parent may indicate child abuse?
A. “Once my child is toilet trained, I can still expect her to have some”
B. “When I tell my child to do something once, I don’t expect to have to tell”
C. “My child is expected to try to do things such as, dress and feed.”
D. “My 3-year-old loves to say NO.”

820. Abrupt withdrawal from barbiturate could cause a person to experience:
A. Ataxia
B. Urticarial
C. Diarrhea
D. Seizures

821. When planning the therapeutic milieu, it is MOST important to select group activities which
A. Match the clients’ preferences
B. Are consistent with clients’ skills
C. Achieve clients’ therapeutic goals
D. Build skills of group participation

822. The therapeutic approach in the care of an autistic child include the following EXCEPT:
A. Engage in diversionary activities when acting -out
B. Provide an atmosphere of acceptance
C. Provide safety measures
D. Rearrange the environment to activate the child

823. The nurse is assessing a 17-year-old female who is admitted to the eating disorders unit with a history of weight fluctuation, abdominal pain, teeth erosion, receding gums, and bad breath. She states that her health has been a problem but there are no other concerns in her life. Which of the following assessments will be the least useful as the nurse develops the care plan?
A. Information regarding recent mood changes.
B. Family functioning using a genogram.
C. Ability to socialize with peers.
D. Whether she has a sexual relationship with a boyfriend.

824. The nurse is caring for a severely depressed client who has just been admitted to the in-client psychiatric unit. Which of the following is a PRIORITY of care?
A. Nutrition
B. Elimination
C. Rest
D. Safety

825. The nurse is planning care for a client who has a phobic disorder manifested by a fear of elevators. Which goal would need to be accomplished first? The client
A. demonstrates the relaxation response when asked.
B. verbalizes the underlying cause of the disorder.
C. rides the elevator in the company of the nurse.
D. role plays the use of an elevator.

826. One of the sexual deviations involving dressing in clothes appropriate to the opposite sex for the purpose of arousal is:
A. Exhibitionism
B. Fetishism
C. Transexualism
D. Transvertism

827. Which of these statements by the nurse reflects the best use of therapeutic interaction techniques?
A. “You look upset. Would you like to talk about it?”
B. “I’d like to know more about your family. Tell me about them.”
C. “I understand that you lost your partner. I don’t think I could go on if that happened to me.”
D. You look very sad. How long have you been this way?”

828. The following statements describe somatoform disorders:
A. Physical symptoms are explained by organic causes
B. It is a voluntary expression of psychological conflicts
C. Expression of conflicts through bodily symptoms
D. Management entails a specific medical treatment

829. A disorder of the central nervous system that affects movement, often including tremors.
A. Parkinson's Disease
B. Newtown's Disease
C. Harlusination
D. Illusion Diseases

830. Dementia unlike delirium is characterized by:
A. slurred speech
B. insidious onset
C. clouding of consciousness
D. sensory perceptual change

831. The client admitted for alcohol detoxification develops increased tremors, irritability, hypertension and fever. The nurse should be alert for impending:
A. delirium tremens
B. Korsakoff’s syndrome
C. esophageal varices
D. Wernicke’s syndrome

832. The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. This sexual disorder is:
A. Sexual desire disorder
B. Sexual arousal disorder
C. Orgasm disorder
D. Sexual Pain Disorder

833. A thinking that is delayed and indirect in reaching a goal or getting to the point isblock known as:
A. Blocking of thought
B. Circumstantiality
C. Tangentiality
D. Perseveration

834. The nurse is discussing electroconvulsive therapy (ECT) with a client who asks how long it will be before she feels better. The nurse explains that the beneficial effects of ECT usually occur within
A. one week.
B. three weeks.
C. four weeks.
D. six weeks.

835. The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:
A. hopelessness
B. altered parenting role
C. altered family process
D. ineffective coping

836. The nurse should observe the autistic child for signs of:
A. Crying for attention
B. Irresponsiveness and failure to bond with caretakers
C. Loss of temper
D. Use of multiple non-verbal behavior

837. The characteristic manifestation that will differentiate bulimia nervosa from anorexia nervosa is that bulimic individuals
A. have episodic binge eating and purging
B. have repeated attempts to stabilize their weight
C. have peculiar food handling patterns
D. have threatened self-esteem

838. What would be the best response to the client’s repeated complaints of pain:
A. “I know the feeling is real tests revealed negative results.”
B. “I think you’re exaggerating things a little bit.”
C. “Try to forget this feeling and have activities to take it off your mind.”
D. “So tell me more about the pain.”

839. Provide client with someone who can make decisions
A. Folie a deux
B. Schizoaffective type
C. Simple schizophrenia
D. Residual type

840. School phobia is usually treated by:
A. Returning the child to the school immediately with family support.
B. Calmly explaining why attendance in school is necessary
C. Allowing the child to enter the school before the other children
D. Allowing the parent to accompany the child in the classroom

841. According to Piaget a 5 year old is in what stage of development:
A. Sensorimotor stage
B. Concrete operations
C. Pre-operational
D. Formal operation

842. Situation: A 20 year old college student is admitted to the medical ward because of sudden onset of paralysis of both legs. Extensive examination revealed no physical basis for the complaint. The nurse plans intervention based on which correct statement about conversion disorder?
A. The symptoms are conscious effort to control anxiety
B. The client will experience high level of anxiety in response to the paralysis.
C. The conversion symptom has symbolic meaning to the client
D. A confrontational approach will be beneficial for the client.

843. A delirious client sees a design on the wallpaper and perceives it to be an animal. This is an example of:
A. A delusion
B. An illusion
C. A hallucination
D. An idea of reference

844. The use of jumble of words and phrases that lacks any comprehensive meaning or logical coherency is schizophreniais known as:
A. Clang association
B. Loose association
C. Neologism
D. Word salad

845. A confrontational approach will be beneficial for the client.
A. “I can refer you to a spiritual counselor if you like.”
B. “You shouldn’t allow anyone to pressure you into sex.”
C. “It sounds like this problem is related to your paralysis.”
D. “How do you feel about being pressured into sex by your boyfriend?”

846. When a husband takes out his work frustrations and anger by abusing his wife at home, the nurse would identify this crisis as which type?
A. psychiatric emergency crisis
B. developmental crisis
C. anticipated life transition
D. dispositional crisis

847. Joe is afraid of entering into a shopping mall unless in the company of a trusted friend.The disorder is known as:
A. Agoraphobia
B. Ailurophobia
C. Social phobia
D. Simple phobia

848. Initial intervention for the client should be to:
A. Encourage to verbalize his fears as much as he wants.
B. Assist him to find meaning to his feelings in relation to his past.
C. Establish trust through a consistent approach.
D. Accept her fears without criticizing.

849. Freud explains anxiety as:
A. Strives to gratify the needs for satisfaction and security
B. Conflict between id and superego
C. A hypothalamic-pituitary-adrenal reaction to stress
D. A conditioned response to stressors

850. The client with anorexia nervosa is improving if:
A. She eats meals in the dining room.
B. Weight gain
C. She attends ward activities.
D. She has a more realistic self concept.

851. Situation: A 35 year old male has intense fear of riding an elevator. He claims “ As if I will die inside.” This has affected his studies The client is suffering from:
A. agoraphobia
B. social phobia
C. Claustrophobia
D. xenophobia

852. The most prominent symptoms of korskoff‟s syndrome is:
A. Ataxia
B. Confabulation
C. Oculomotor difficulties
D. Recent Memory

853. Situation: In a home visit done by the nurse, she suspects that the wife and her child are victims of abuse. Which of the following is the most appropriate for the nurse to ask?
A. “Are you being threatened or hurt by your partner?
B. “Are you frightened of you partner”
C. “Is something bothering you?”
D. “What happens when you and your partner argue?”

854. The nurse develops a countertransference reaction. This is evidenced by:
A. Revealing personal information to the client
B. Focusing on the feelings of the client.
C. Confronting the client about discrepancies in verbal or non-verbal behavior
D. The client feels angry towards the nurse who resembles his mother.

855. Fordjour, an epileptic client tells the nurse that he smell roses, yet there no flowers in the room.
This statement should alert the
nurse to the possibility that the patient:
A. Is experiencing and aura
B. Is hallucinating
C. May be imagining he smells roses
D. Wishes to have some roses

856. Mental health is defined as:
A. The ability to distinguish what is real from what is not.
B. A state of well-being where a person can realize his own abilities can cope with normal stresses of life and work productively.
C. Is the promotion of mental health, prevention of mental disorders, nursing care of patients during illness and rehabilitation
D. Absence of mental illness

857. Another client is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating, agitated, with irritated nasal septum.
A. Heroin
B. cocaine
C. LSD
D. marijuana

858. The nurse should observe the autistic child for signs of;
A. Crying for attention
B. Irresponsiveness and failure to bond with caretakers
C. Loss of temper
D. Use of multiple non-verbal behavior

859. The care for the client places priority to which of the following:
A. Monitoring his vital signs every hour
B. Providing a quiet, dim room
C. Encouraging adequate fluids and nutritious foods
D. Administering Librium as ordered

860. A client was admitted to the psychiatric unit for severe depression. After several days, the client continues to withdraw from other clients. Which of the following would be the MOST appropriate statement by the nurse to promote interaction with other clients?
A. “Your doctor thinks its good for you to spend time with others.”
B. “It is important for you to participate in group activities.”
C. “Painting this picture will help you feel better.”
D. “Come play Chinese Checkers with Gerry and me.”

861. What is the best intervention to teach the client when she feels the need to starve?
A. Allow her to starve to relieve her anxiety
B. Do a short term exercise until the urge passes
C. Approach the nurse and talk out her feelings
D. Call her mother on the phone and tell her how she feels

862. A parrot-like repetition ofanother's speech is
A. Echolalia
B. Echopraxia
C. Perseveration
D. Vebigeration

863. A 5 year old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?
A. argumentativeness, disobedience, angry outburst
B. intolerance to change, disturbed relatedness, stereotypes
C. distractibility, impulsiveness and overactivity
D. aggression, truancy, stealing, lying

864. The child with conduct disorder will likely demonstrate:
A. Easy distractibility to external stimuli.
B. Ritualistic behaviors
C. Preference for inanimate objects.
D. Serious violations of age related norms.

865. At a graduation ceremony of your school, your best friend was invited to give a vote of thanks. As soon as she mounted the podium, she started sweating profusely, shaking had thought block and could not alter a word until the master of the ceremony saved her from an obvious embarrassment by collecting the microphone from her. Which of the following conditions is your friend likely to suffer from?
A. Agoraphobia
B. Social phobia
C. Specific phobia
D. Panic attack

866. A man is admitted to the nursing care unit with a diagnosis of cirrhosis. He has a long history of alcohol dependence. During the late evening following his admission, he becomes increasingly disoriented and agitated. Which of the following would the client be least likely to experience?
A. Diaphoresis and tremors.
B. Increased blood pressure and heart rate.
C. Illusions.
D. Delusions of grandeur.

867. A parrot-like repetition of another's speech is
A. Echolalia
B. Echopraxia
C. Perseveration
D. Vebigeration

868. Significant others are important to provide care and concern.
A. written directions for bathing.
B. speaking very loudly.
C. gentle touch while guiding ADLs (activities of daily living).
D. flat facial expression.

869. A 34-year-old woman is admitted for treatment of depression. Which of these symptoms would the nurse be least likely to find in the initial assessment?
A. inability to make decisions.
B. feelings of hopelessness.
C. family history of depression.
D. increased interest in sex.

870. The following are appropriate nursing diagnosis for the client EXCEPT:
A. Ineffective individual coping
B. Alteration in comfort, pain
C. Altered role performance
D. Impaired social interaction

871. Slow movement and little reactivity are signs of the psychomotor retardation common in which of these types of schizophrenia?
A. Catatonia
B. Hebephrenia
C. Paranoid
D. Residual type

872. The superego is that part of the psyche that:
A. Uses defensive function for protection.
B. Is impulsive and without morals.
C. Determines the circumstances before making decisions.
D. The censoring portion of the mind.

873. A nurse is assessing a client with dementia .which of the following is unexpected in the client
A. Acts in pessimistic manner
B. Appears agitated
C. Has short attention span
D. Exhibits disordered reasoning.

874. The method of achieving sexual excitement by the use of non-human objects is:
A. Aversion
B. Fetishism
C. Frotteurism
D. Transverstic-festishism

875. An elderly man is admitted to the hospital. He was alert and oriented during the admission interview. However, his family states that he becomes disruptive and disoriented around dinnertime. One night he was shouting furiously and didn’t know where he was. He was sedated and the next morning he was fine. At dinnertime the disruptive behavior returned. The client is diagnosed as having sundown syndrome. The client’s son asks the nurse what causes sundown syndrome. The nurse’s best response is that it is attributed to
A. an underlying depression.
B. inadequate cerebral flow.
C. changes in the sensory environment.
D. fluctuating levels of oxygen exchange.

876. A nursing diagnosis for bulimia nervosa is powerlessness related to feeling not in control of eating habits. The goal for this problem is:
A. Patient will learn problem solving skills
B. Patient will have decreased symptoms of anxiety.
C. Patient will perform self care activities daily.
D. Patient will verbalize how to set limits on others.

877. In the man agement of bulimic patients, the following nursing interventions will promote a therapeutic relationship EXCEPT:
A. Establish an atmosphere of trust
B. Discuss their eating behavior.
C. Help patients identify feelings associated with binge-purge behavior
D. Teach patient about bulimia nervosa

878. The nurse can BEST ensure the safety of a demented client who wanders from the room by
A. Repeatedly reminding the client of time and place
B. Explaining the risks of becoming lost
C. Using soft restraints
D. Attaching a wander-guard sensor band to the client’s wrist

879. When a nurse is working with a client with psychiatric problems, a primary goal is the
establishment of a therapeutic nurse-client relationship. The major purpose of this relationship is to:
A. Increase non-verbal communication
B. Provide an outlet for suppressed hostile feelings
C. Assist the client acquiring more effective behavior
D. Provide client with someone who can make decisions

880. ObsessionYou noticed that a child has a small skull, slated eyes, protruding tongue, short neck and enlarged abdomen when interacting with her. Which disorder is likely to be diagnosed?
A. Downs syndrome
B. kinefelter syndrome
C. Fetal tobacco syndrome
D. Fetal alcohol syndrome

881. Which of the following describes the role of a technician?
A. Administers medications to a schizophrenic patient.
B. The nurse feeds and bathes a catatonic client
C. Coordinates diverse aspects of care rendered to the patient
D. Disseminates information about alcohol and its effects.

882. Skipping from one idea to another in a continuous flow if accelerated speech is said to be
A. Pressure of speech
B. Flight of speech
C. Flight of ideas
D. Puns

883. A disorder associated with episodes of mood swings ranging from depressive lows to manic highs.
A. Illusion
B. Confusion
C. Hallucination
D. Bipolar disorder

884. Letty says, “Give me 10 minutes to recall the name of our college professor who failed many students in our anatomy class.” She is operating on her:
A. Subconscious
B. Conscious
C. Unconscious
D. Ego

885. Situation: A 30-year-old male employee frequently complains of low back pain that leads to frequent absences from work. Consultation and tests reveal negative results. The client has which somatoform disorder?
A. Somatization Disorder
B. Hypochondriasis
C. Conversion Disorder
D. Somatoform Pain Disorder

886. Which statement by the client during the initial assessment in the the emergency department is most indicative for suspected domestic violence?
A. “I am determined to leave my house in a week.”
B. “No one else in the family has been treated like this.”
C. “I have only been married for 2 months.”
D. “I have tried leaving, but have always gone back.”

887. Mr. Peterson, 35, is admitted for bipolar illness, manic phase, after assaulting his landlord in an argument over Mr. Peterson is staying up all night playing loud music. Mr. Peterson is hyperactive, intrusive, and has rapid, pressured speech. He has not slept in three days and appears thin and disheveled. Which of the following is the most essential nursing action at this time?
A. Providing a meal and beverage for Mr. Peterson to eat in the dining room.
B. Providing linens and toiletries for Mr. Peterson to attend to his hygiene.
C. Consulting with the psychiatrist to order a hypnotic to promote sleep.
D. Providing for client safety by limiting his privileges.

888. Situation: An old woman was brought for evaluation due to the hospital for evaluation due to increasing forgetfulness and limitations in daily function. The daughter revealed that the client used her toothbrush to comb her hair. She is manifesting:
A. apraxia
B. aphasia
C. agnosia
D. amnesia

889. A client who has been hospitalized with schizophrenia tells nurse ‟Everyone hates me”. The best response by the nurse would be
A. Everyone does not hate you
B. Tell me more about this
C. That feeling is part of your illness
D. You may be doing something to promote this feeling

890. Situation : The nurse assigned in the detoxification unit attends to various patients with substance-related disorders. A 45 years old male revealed that he experienced a marked increase in his intake of alcohol to achieve the desired effect This indicates:
A. withdrawal
B. tolerance
C. intoxication
D. psychological dependence

891. Neuroleptics are the drug of choice to relieve symptoms of
A. Depression
B. Hyperkinesias
C. Narcotic withdrawal
D. Psychosis

892. The side effects of oral iron therapy include
I. Blackened stools
II. Darkened teeth
III. Darkening of the skin
IV. Gastric irritation
A. I, II and III
B. I, II and IV
C. II, III and IV
D. I, II, III and IV

893. Which of the following parts will you use when giving an injection to a 6 month old
A. Anterior thigh
B. Deltoid muscle
C. Dorsogluteal
D. Lateral parts of the thigh

894. Which of the under listed drugs will you get ready for use when a child is brought to the
emergency room with convulsion?
A. Ampicillin
B. Chloroquine
C. Hydrocortisone
D. Phenobarbital

895. A child with lymphatic leukaemia has a very low platelets count. An appropriate nursing
intervention would be to
A. discourage active play to avoid getting hurt
B. Encourage a high fibre diet
C. Keep the child isolated to avoid infection
D. Provided frequent rest periods

896. The most important nursing intervention for a 3-year old child with nephrotic syndrome is
A. Encourage fluids
B. Maintaining bed rest
C. Prevention of infection
D. Regulating the diet

897. Which of the following will make you suspect that a child with measles is developing
bronchopneumonia
A. Increase pulse rate
B. Increased respiration
C. Redness of eye
D. Wheezing respiration

898. A three year old child who has ingested a bleach will exhibit the following EXCEPT
A. Anxiety
B. Drooling
C. Severely burning pain in the mouth
D. Cyanosis

899. What is the most important nursing intervention when caring for a patient with a tracheostomy?
A. Ensure the patient is positioned flat to aid breathing
B. Suction the tracheostomy tube regularly to clear secretions
C. Encourage the patient to speak frequently to prevent vocal cord atrophy
D. Change the tracheostomy dressing only when it becomes visibly soiled

900. A one –year-old girl is admitted to the ward diagnosed with dysentery. On discharge, what
is the most important information the nurse must impart to the mother?
A. As soon as the child has diarrhoea place her on NPO for 8 hours
B. Do not wait for so long the next time before you bring the child to the hospital
C. Observe good hygiene to reduce faeco-oral spread
D. Start with anti-diarrhoea medication before bringing the child to hospital