1. A nurse is assessing a client who recently used cocaine. Which of the following findings should

the nurse expect? - Hypertension

2. A nurse is caring for a group of clients. Which of the following findings should the nurse report?

- A client who is taking lamotrigine and has developed a rash

3. A nurse on a mental health unit is admitting a client who is anxious and tells the nurse,. "I hear

voices telling me what to do." Which of the following actions should the nurse take? - Ask the

client what the voices are saying.

4. A nurse is communicating with a client in an inpatient mental health facility. Which of the

following actions by the nurse demonstrates the use of active listening? - Attention to body

language

5. A client who has paranoid schizophrenia is attending a treatment planning conference with a

family member. During the discussion of the medication adherence portion of the plan, a nurse

notices that the family member seems distracted. Which of the following actions should the

nurse take? - Ask the family member if they have any thoughts or questions about the

treatment plan.

6. A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse

should identify that which of the following findings indicates a potential psychiatric emergency?

- The client reports command hallucinations.

7. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following

medications should the nurse administer first? - Diazepam 5 mg IV bolus

8. A nurse is reviewing the electronic medical record of a client who has schizophrenia and is

taking clozapine. Which of the following findings is the priority for the nurse to notify the

provider? - The client reports an inability to breathe easily.