NLE PRACTICE EXAM 01

Answer the 20 item exam

and get your scores below!

1. Which theoretical model is being applied if the nurse views mental illness as a learned
behavior?
A. Humanistic Model
B. Medical Model
C. Interpersonal Model
D. Behavioral Model
2. The essential foundation that must be established early in the therapeutic relationship
is:
A. confidence
B. insight
C. trust
D. change
3. The basis for building a strong therapeutic nurse-client relationship begins with the
nurse�s:
A. sincere desire to help others
B. acceptance of others
C. self-awareness and understanding
D. sound knowledge of Psychiatric Nursing
4. For a beginning nurse practitioner in a psychiatric-mental health setting, which
behavior would be least effective in helping to achieve personal and professional growth?
A. Completing a task for a client instead of repeatedly prompting him to finish it
B. Taking time to adjust to a slower pace
C. Avoiding frustration when a client refuses to interact
D. Use listening and observation skills
5. You are planning a treatment care for a client who has been on the streets for several
years. The client has delusions, and frequently responds to auditory hallucinations. Which
of the following client needs would be the priority?
A. Self-esteem
B. Love and Belongingness
C. Self-Actualization
D. Physical safety
6. Which contribution of the psychoanalytical model is particularly useful to psychiatric
nurses?
A. All behavior has meaning
B. Behavior that is reinforced will be perpetuated
C. The first 6 years of a person�s life determine his personality
D. Behavioral deviations result from an incongruence between verbal and nonverbal
communication
7. The Psychiatric nurses� role in tertiary prevention is:
A. Prevent the spread of disease
B. Promote mental health through anticipatory guidance
C. Case finding to limit severity of disease
D. Prevent the crippling defects of illness through rehabilitation programs
8. A nurse who uses nurturing activities such as bathing or feeding the patient is
assuming the role of a:
A. Counselor
B. Teacher
C. Ward Manager
D. Parent Surrogate
9. In the application of the nursing process, the nursing diagnoses are prioritized
according to:
A. the established goals of care
B. the nurses� priority of care
C. life threatening potential
D. focus on resolution of patient�s problems
10. During the assessment process, the nurse:
A. establishes a therapeutic contract
B. participates in nursing conferences
C. collaborates with other nurse
D. utilizes a system of data collection
11. Mrs. Dimalanta age 40 was admitted because of bouts of insomnia, nervousness and
poor concentration becoming worst in the last 6 months. What is the initial responsibility
of the nurse?
A. Assess her level of anxiety
B. Encourage husband to stay with her
C. Orient her to the unit
D. Administer medication to allay anxiety
12. During the orientation phase of the N-C-R initiated by the nurse, the appropriate topic
would be:
A. Effective coping patterns
B. Facts about stress and coping
C. Mrs. Dimalanta�s perception of her illness
D. Feelings about her family
13. All of the following are physical responses to anxiety EXCEPT:
A. Perspiration
B. Headache
C. Increased pulse & respiration
D. Forgetfulness
14. In planning the discharge of a client with chronic anxiety, the goal should focus on
which of the following?
A. Eliminating all anxiety from daily situations
B. Ignoring feelings of anxiety
C. Identifying anxiety producing situations
. Continued contact with crisis counselor
15. Primary gain associated with Somatoform Disorders, is referred to as:
A. Financial compensation from disability
B. Relief from anxiety associated with conflict
C. Love & attention from support system
D. Financial aid from relatives
16. Management of client with Somatoform Disorders includes the following EXCEPT:
A. Use of Matter-of-fact attitude
B. Help develop insight into his/her condition
C. Help use effective coping skills to reduce stress and anxiety
D. Ignore somatic complaints
17. The desired outcome for the nursing care of client with Hypochondriasis is:
A. Nurse will respond in an authoritative manner when client complains pain
B. Client will seek 2nd opinion from healthcare providers
C. Client will state the relationship between life events & physical symptoms
D. Nurse will reinforce physical symptoms experienced by the client
18. Defense mechanisms used by clients experiencing Dissociative Disorder:
A. Dissociation & Undoing
B. Dissociation & Repression
C. Repression & Projection
D. Regression & Denial
19. The Nurse working with a client who has Dissociative Disorder understands that this
disorder is likely to begin as a/an:
A. gradual loss of memory
B. means to avoid responsibilities
C. effect of Drug abuse
D. protective defense against anxiety
20. Nursing intervention for patients with Dissociative Disorder should be based on the
understanding that:
A. Patients can recall his identity if he wants to
B. Memory Loss is due to their dislike of their original personality
C. Patient can recall his anxiety when anxiety subsides
D. Memory loss is due to an emotional conflict or an external stressor

NLE PRACTICE EXAM 02

Answer the 20 item exam

and get your scores below!

1. Romy, 14 y/o was admitted to a medical ward due to bronchial asthma after learning
that his mother is leaving for UK to work as a nurse. Romy�s behavioral symptoms may
be conveying which of the following message?
A. I am alone and helpless
B. I hate you for leaving me
C. Everyone needs attention
D. I deserve to be punished
2. The initial goal in the nursing care for Romy is:
A. Teach relaxation techniques
B. Encourage verbalization of feelings and concerns
C. Teach alternative ways of coping
D. Alleviate the patient�s physical symptoms
3. The individual with essential hypertension is thought to:
A. Suppress anger and hostility
B. Fear social interactions with others
C. Project feelings onto environment
D. Deny responsibility for own behavior
4. Mr. Jose, bank executive is described by his subordinates as meticulous, scrupulous
and wants every work to be on time. What physical illness would he be vulnerable?
A. Essential Hypertension
B. Bronchial Asthma
C. Migraine
D. D. Dermatitis
5. An appropriate nursing diagnosis for Mr. Jose would be:
A. Alteration in health maintenance related to knowledge deficit
B. Ineffective individual coping related to inadequate psychological resources
C. Ineffective denial related to poorly developed defensive function
D. Altered thought process related to withdrawal to the self
6. Chad, 23 years old, was admitted to the psychiatric unit with a diagnosis of
Schizophrenia Paranoid type. As you approach Chad, he says, �If you come any closer,
I�ll die�. This is an example of:
A. Hallucination
B. Delusion
C. Illusion
D. Ideas of reference
7. Your best response for this behavior is:
A. How can I hurt you?
B. Chad, I am your Nurse
C. Tell me more about this.
D. That�s a silly thing to say
8. When communicating with a paranoid client, the main principle is to:
A. Use logic and be persistent
B. Express doubt and do not argue
C. Provide an anxiety free environment
D. Encourage ventilation of anger
9. In planning for a client who has negative symptoms of Schizophrenia, the nurse would
anticipate a problem with:
A. bizarre behaviors
B. motivation for activities
C. ideas of reference
D. tactile hallucinations
10. The patient is asked, �Have you eaten?� and answered, �Have you eaten, Have
you eaten, Have you eaten?� This phenomenon is called as:
A. Echolalia
B. Verbigeration
C. Dissociation
D. Neologism
11. How will you help a patient anticipate and deal with future recurrence of
hallucination?
A. Stay with the patient all the time
B. Examine the patient�s ways of dealing with hallucinations
C. Help patient accept that hallucination is a part of his mental illness
D. Assigning permanent staff who knows when the patient hallucinates
12. Your assessment of a patient with a diagnosis of catatonic schizophrenia will most
likely reveal the following sets of behavior?
A. Aloofness, distrust, suspiciousness, grandiosity
B. Regression, giggling, smiling, laughing
C. Anxious, bizarre behavior, depression, elation
D. Stupor, hallucinations, negativism and automatism
13. Which of the following is an adverse effect associated with the use of Antipsychotic
drug?
A. Sedation
B. Neuroleptic Malignant Syndrome
C. Extrapyramidal symptoms
D. Anticholinergic effects
14. Anton diagnosed with Schizophrenia Disorganized type was observed sitting alone,
looking frightened. How should the nurse approach him?
A. Approach Anton, touch him on the arm and say: I�m your nurse.
B. Sit across him and say: Hi, I�m Rose your nurse. You appear frightened.
C. Greet him and say: Come I�ll show you around.
D. Allow him to remain alone until he feels more comfortable
15. The goal of rehabilitation of a Schizophrenic is to:
A. learn effective coping
B. involve the family in client care
C. find employment for the client
D. facilitate optimal functioning of patient
16. Jenny was admitted to the Psychiatric unit exhibiting elation, incessant chattering and
hyperactivity. Which of the following nursing diagnostic categories would hold the
highest priority for her?
A. Hopelessness
B. Potential for injury
C. Personal identity disturbance
D. Ineffective individual coping
17. Jenny starts saying, �You will be promoted. Just go to Malaca�ang, see my cousin
GMA. She is experiencing:
A. illusion
B. verbigeration
C. hallucination
D. delusion
18. Sensing that people don�t believe her, she shouted,� I�m really the cousin of
GMA. Why don�t you believe me? I own 10 buildings in Makati and the Fort Area. An
effective approach of the nurse should be to:
A. listen attentively
B. leave her to a co-patient
C. start presenting reality
D. give reasons for not believing her
19. The primary reason for assigning a private room for Jenny is:
A. Decrease environmental stimuli
B. Prevent the patient�s excessive activity from disturbing others
C. Deter the patient from interrupting the nurses
D. Provide the patient with a quiet place to thinking about her problems
20. The highest priority nursing intervention for a hyperactive patient like Jenny would
be:
A. Discourage her from manipulating the staff
B. Prevent her assaulting other patients
C. Protect her against suicidal attempts
D. Provide adequate food and fluid intake

NLE PRACTICE EXAM 03

Answer the 20 item exam

and get your scores below!

1. Jenny is placed on Lithium therapy. Early signs of toxicity include:

A. tinnitus
B. vomiting
C. ataxia
D. stupor
2. The therapeutic blood lithium level is:
A. 2.5 MEq/L and above
B. 1.5-2.5 MEq/L
C. 0.5-1.5 MEq/L
D. 1.5-2.0 MEq/L
3. To reduce overt aggression from a manic patient the following are appropriate
measures EXCEPT:
A. Participation in competitive games
B. Encouraging relaxation techniques
C. Reduction in environmental stimuli
D. Encourage client to discuss angry feelings
4. The biochemical theory of manic behavior may be related to:
A. Neurotransmitter deficiency
B. Excessive level of Norepinephrine
C. Increased cholinergic activity
D. Increased noreadrenergic activity
5. Karla was given a diagnosis of Depression with Suicidal tendencies. In planning the
nursing care for her, which of the following should be given priority?
A. Allow relatives to visit him
B. Meet his daily self-care needs
C. Keep him safe from self-harm
D. Maintain his daily nutritional needs
6. You noticed that Karla combed her hair for the first time while in the hospital. You
validate the meaning of her behavior by saying:
A. Tell me how you did that
B. I sense that you feel good today. Tell me what�s happening
C. I like the way you arranged your hair. It�s nice.
D. Is that your favorite hairdo?
7. Karla was scheduled for ECT. The most frequent complication of ECT is:
A. Loss of consciousness and headache
B. Restlessness and confusion
C. Fractures of the vertebra & long bones
D. Temporary memory loss and apnea
8. The appropriate activity for a depressed withdrawn client should be:
A. reading a novel
B. playing chess
C. taking a walk
D. listening to music
9. Suicide precaution should be strictly observed when the client exhibits which of the
following manifestations?
A. the client feels weak and tired
B. the client expresses hostile feelings
C. the client has sudden cheerfulness
D. the client is agitated
10. Tricyclic Antidepressant was prescribed for Karla. While taking the TCA, she should
be observed for:
A. diarrhea
B. constipation
C. muscle rigidity
D. polyuria
11. Carlos, age 35 was brought to the rehabilitation center for detoxification. He is a
known alcoholic for ten years. Upon assessment, the reason he was asked when was his
last intake of alcohol is:
A. Specific period when withdrawal symptoms may set in
B. How far the dependency has progressed
C. To determine the development of delirium tremens
D. Severity of withdrawal client may experience
12. Carlos tells the nurse how he hit his wife after an argument they had and asked if he
would ever be forgiven. The best response of the nurse is:
A. You seem to have bad feelings about hitting your wife.
B. You may ask her when she visits you.
C. That depends if you�ll be good enough during your confinement.
D. If it�s okay with you, we can discuss that during the family therapy.
13. During the night, Carlos suddenly cries out as he saw shadows on the wall, - No,
don�t take me, noooh!! The nurse�s best response would be:
A. What do the shadows mean to you, Carlos?
B. Go back to sleep you�re just having a nightmare.
C. No one�s here but you and me Carlos, You�re safe here.
D. Tell me what you feel Carlos, I�m here to help.
14. Carlos is noted to fabricate information due to his memory lapses. The nurse is aware
that this is done to:
A. maintain self-esteem
B. gain sympathy
C. manipulate others
D. attract attention
15. An attitude that the nurse must assume to be most help to Carlos is:
A. Warm and accommodating
B. Firmly consistent yet accepting
C. Acceptance and permisiveness
D. Judgmental and moralistic
16. Robin, known to be substance dependent for 3 years is admitted to the ER. Upon
assessment he was found to be on drugs, with pinpoint pupils with RR of 9. Robin is
likely to be suffering from:
A. Cocaine intoxication
B. Cocaine withdrawal
C. Heroine intoxication
D. Heroine withdrawal
17. Most appropriate nursing diagnosis for Robin is:
A. alteration in social interaction
B. alteration in sensory perception
C. ineffective individual coping
D. impaired adjustment
18. The medication likely to be to Robin for the withdrawal from the substance will be:
A. Methadone
B. Librium
C. Narcan
D. Disulfiram
19. During withdrawal Robin will likely manifest:
A. rapid respiration, dilated pupils, rapid pulse
B. synesthesia, increased vital signs, aggression
C. lacrimation, yawning restlessness
D. sleepy languor, poor concentration, euphoria
20. Chronic use of marijuana may lead to:
A. Emphysema and lung cancer
B. Korsakoffs and Wernickes syndrome
C. Hepatitis and AIDS
D. Cardiomyopathy
Nurses Licensure Exam NLE NURSING PRACTICE 04

Answer the 20 item exam

and get your scores below!

1. For most patients with Personality Disorders, the treatment of choice is usually:
A. Group therapy
B. Individual Psychotherapy
C. Self-help support groups
D. Hospitalization
2. Lorna is diagnosed with Borderline Personality Disorder. Which symptom would the
nurse expect to assess related to her expression of anger?
A. Controlled, subtle anger
B. Inappropriate, intense anger
C. Inability to recognize anger
D. Substitution of physical symptoms
3. Lorna tells the nurse that she is the best nurse in the hospital, and then tells her she is
when the nurse sets limits on her behavior. The nurse interprets this behavior as:
A. Denial
B. Splitting
C. Rationalization
D. Projection
4. One effective treatment modality for persons with Antisocial personality is:
A. Behavior therapy
B. Light therapy
C. Play therapy
D. ECT
5. In the assessment of a client diagnosed with Narcissistic Personality disorder,
prominent behavioral characteristics to be observed is:
A. Suspiciousness
B. Splitting
C. Hypersensitivity to negative remarks
D. Sense of entitlement
6. During morning medication, Mang Nano, a patient with dementia, could not be located
in the unit. Later he was found walking aimlessly in front of the hospital. When asked he
say that his only son is coming to bring him home. What should you do?
A. Encourage him to interact with other patients
B. Explain to him that his medication time should be followed
C. Reorient him to reality and assess the reason for the behavior
D. Hold him by his hands and gently guide him back to his room
7. Assessment data of Mang Nano reveals disorientation to time and place after dark. The
nurse interprets this finding as:
A. Amnesia
B. Degeneration
C. Perseveration
D. Sundown syndrome
8. The family of the client with Alzheimer�s disease asks the nurse about what to expect
as the disease progress. The answer of the nurse is based on which fact?
A. Improvement depends on the treatment given
B. Improvement can occur when underlying medical problems are treated
C. The disorder occurs in a chronic, progressive manner over time
D. The disorder typically involves periods of remission and exacerbation
9. Which nursing intervention would be most appropriate for Mang Nano if he is upset
and agitated?
A. Decrease environmental stimuli while remaining with the client
B. Firmly tell the client that the behavior is not acceptable
C. Offer medication that will have a calming effect
D. Question the client about the cause of the problem
10. A client was admitted with the chief complaint of increasing confusion for about a
month. Which assessment question to the family will differentiate delirium from
dementia?
A. How long have you noticed the confusion in your family member?
B. Has there been a history of dementia in the family?
C. Do you think something happened that was upsetting to your family member?
D. Does your family member live alone or with someone?
11. In the late stages of Alzheimer�s disease, which of the following outcomes would be
most realistic for the client?
A. The client will verbalize increased feelings of self-worth
B. The client will identify life areas that require alterations due to illness
C. The client will maintain reality orientation
D. The client will remain safe in the least restrictive environment
12. Sui is in his senior year in Nursing. He is an active student leader, an honor student &
a part-time tutor. He has little time to rest and often complains of having difficulty in
falling asleep, especially at night. He can be suffering from:
A. Initial Insomnia
B. Intermittent insomnia
C. Maintenance insomnia
D. Terminal insomnia
13. How can you help Sui overcome his Insomnia?
A. Ask him to lessen his food intake
B. Limit activities just before bedtime
C. Advise him to buy sleep meds
D. Ask him to drink warm coffee
14. Mr. TokAn 30y/o experienced sudden wave of overwhelming sleepiness in his job
and this problem lasted for more than a month. What can be the appropriate nursing
intervention for persons with narcolepsy?
A. Ask him to drink at least 4-5 cups of espresso especially during working hours
B. Offer a tall glass of warm milk
C. Suggest taking scheduled naps
D. Tell him to always bring an Ipod or Discman filled with dance tunes
15. Lumen, the mother of an 8 y/o boy remarked, - I�m sick & tired of washing his
soiled bed sheets twice a week. This has been going on for 2 months. What can I do to
lessen the episode of my son�s bedwetting? The best answer to her query is:
A. Transfer him to a sleeping mat
B. Punish him for his bedwetting
C. Ask him to wear snuggly fit diapers
D. Empty his bladder before sleeping
16. BusogBoy, a 20 y/o college student needs help for uncontrolled eating & self-induced
vomiting. He has been diagnosed with Bulimia Nervosa. What would be an appropriate
nursing intervention for him?
A. Observe BusogBoy for the next 24 hrs. for any incidence of purging
B. Tell BusogBoy that he�ll be forced to eat soon after purging
C. Tell BusogBoy that he�ll be given extra food tray
D. BusogBoy must be observed two hours after each meal
17. One of the most common characteristic of persons suffering from Bulimia is binge-
eating. This refers to:
A. Insatiable appetite
B. Eating unusually large amount of food over a short period of time
C. Self-induced vomiting
D. Use of laxatives, diuretics & enemas to compensate for calories consumed
18. Payatita, 18 y/o was admitted due to rapid weight loss associated with Anorexia
Nervosa. The nursing diagnosis identified in her present condition is:
A. Altered nutrition: less than body requirements
B. Impaired gas exchange
C. Alteration in Perception
D. Anxiety
19. The most important goal for clients with eating disorders such as anorexia nervosa is:
A. Be able to cope with stresses & conflicts
B. Develop a more realistic body image
C. Be able to identify significant others
D. Develop a positive outlook in life
20. Payatita�s refusal to eat serves the primary purpose of allowing her to:
A. Gain the sympathy of others
B. Gain a sense of control and power
C. Remain free from anxiety
D. Openly assert her own identity

Nurses Licensure Exam NLE NURSING PRACTICE 05

Answer the 20 item exam

and get your scores below!

1. When 40 year old Tom was admitted to the hospital, he frequently exposes himself to
female staff nurses. He derives pleasure at the sight of shrieking woman. This is behavior
is known as:
A. Necrophilia
B. Sadism
C. Voyeurism
D. Exhibitionism
2. The nurse responds to this behavior by:
A. Ignoring his behavior, realizing that he has low self-esteem
B. Informing him that the behavior is unacceptable, limit setting is appropriate
C. Holding a ward meeting where unit appropriate behavior is discussed
D. Ask the Psychiatrist to confront Tom�s behavior
3. In order to get into areas of sex life of a patient, the nurse must first be:
A. Secure about her own sexuality
B. Knowledgeable in what is proper and what is improper sexual behavior
C. Keen about the varieties of sexual expressions
D. Interested, natural and human
4. When the nurse enters the patients room and sees him openly masturbate, what is the
best approach to follow?
A. Provide privacy and leave the patient
B. Warn the patient that masturbation can lead to serious illnesses
C. Report the incident to the head nurse and record the observation
D. Tell the patient that masturbation is an unacceptable
5. Baffy, 25y/o was sexually abused by a pedicab driver while on her way home from
work one evening as a cashier in a 24 hour convenience store. She was brought to the ER
with bruises all over her body. She was crying uncontrollably & appears to be very
anxious. Nurse Lena therapeutically communicates with her, saying:
A. You are very upset, calm yourself first Baffy. I can�t understand you.
B. I know something terrible & horrifying happened to you.
C. Would you like to relate to me what happened?
D. Can you identify your abuser?
6. For victims of sexual abuse like Baffy, nurse Lena can help lower her level of anxiety
by:
A. Assessing her family history
B. Allowing her to express feelings & concern
C. Identifying coping mechanisms
D. Teaching about human sexuality
7. Emergency care to be given for Rape victims are as follows:
___ 1. If a victim calls the hospital, tell her not to bathe, shower, wash or change clothes,
just go the directly to the hospital
___ 2. Provide privacy and be judgemental
___ 3. Stay with the victim, focus on physical safety & emotional security
___ 4. Assist in pelvic examination to collect evidences such as semen, stains
A. 1,2,3
B. 2,3,4
C. 1,2,4
D. 1,3,4
8. In providing nursing care for Baffy during her acute stress reaction to rape trauma,
Nurse Lena applies which of the following?
A. Collaboration with community agencies
B. Crisis intervention techniques
C. Physical assessment
D. Teaching & Learning principles
9. To become a patient advocate to rape victims, nurse Lena should note the following
responsibilities:
A. Since this is a legal case, call the press
B. Isolate the patient first to provide privacy while attending to other patients
C. Postpone the physical examination, until the patient is calm
D. Perform thorough physical assessment & document objectively all evidences of rape
10. Sheila, 5 years old, was diagnosed as autistic since she was 1 year old. This disorder
is characterized by:
A. Anxiety induced involuntary stereotype motor movements
B. Inappropriate behavior, poor attention span with impulsivity
C. Negativistic, hostile and defiant behavior
D. Failure to develop interpersonal skills
11. At her age, Sheila is at what stage of psychosocial development?
A. Industry vs. Inferiority
B. Initiative vs. guilt
C. Trust vs. Mistrust
D. Autonomy vs. Shame and Doubt
12. The best strategy that the nurse can use to provide a trusting relationship with an
autistic child like Sheila is to:
A. Reinforce positive behavior through praise and rewards
B. Explain to the child activities and routines
C. Provide a structured environment
D. Convey warmth through touch
13. A distinguishing factor that separates conduct disorder from oppositional defiant
disorder in children include the following:
A. Obvious symptoms at birth
B. Violation of rights of others
C. Opposition to authority
D. Angry outburst
14. A normal response to hospitalization for a young child is:
A. being emotionally upset
B. withdrawal from the family
C. regressive behavior
D. free-floating anxiety
15. Prevention of mental retardation begins:
A. As soon as pregnancy is suspected
B. With family planning
C. During the first trimester of pregnancy
D. During the second trimester of pregnancy
16. The real issue in school phobia is not the school itself, but the:
A. separation from the mother
B. teacher
C. school work
D. hostile classmates
17. The priority nursing action for a child with Separation Anxiety disorder is:
A. Assist the child to return to school immediately with family support
B. Arrange for a home-school teacher to visit for 2 weeks
C. Encourage family discussion of various problem areas
D. Use play therapy to help the child express his feelings
18. A child with a depressive disorder is likely to exhibit:
A. Negativism and acting out
B. Sadness and crying
C. Suicidal thoughts
D. Weight gain
19. The parents of a child with Attention Deficit Hyperactivity disorder tells the nurse
that they have tried everything to calm their child and nothing has worked. Which action
is most appropriate initially?
A. Actively listen to the parents concern before planning interventions
B. Encourage the parents to discuss these issues with the mental health team
C. Provide literature regarding the disorder and its management
D. Tell the parents they are overreacting to the problem
20. The final stage of nurse-client relationship is the termination phase where the:
A. problems are identified
B. problems are resolved
C. problems are examined
D. contract is specified

NCLEX PRACTICE EXAM 01

Answer the 20 item exam

and get your scores below!

1. An adult male is in the post-anesthesia care unit (PACU) following a hemicolectomy.

While in the PACU, the nurse will monitor his vital signs:
A. continuously
B. every 5 minutes
C. every 15 minutes
D. on a PRN basis
2. In this patient who underwent general anesthesia, one of the signs that may indicate
that artificial airway should be removed is:
A. gagging
B. restlessness
C. an increase in pain
D. clear lungs on auscultation
3. An adult is 6 days post abdominal surgery. Which sign alerts the nurse to wound
evisceration?
A. acute bleeding
B. pink serous drainage
C. purple drainage
D. severe pain
4. An adult client�s wound has eviscerated; the nurse assesses his respiratory status
because:
A. dehiscence elevates the diaphragm
B. coughing increases the risk of evisceration
C. respiratory arrest commonly accompanies wound dehiscence
D. splinting the wound will compromise respiratory status
5. A major advantage of regional anesthesia is that the client:
A. retains all reflexes
B. remains conscious
C. has retroactive amnesia
D. is in the OR for a short period of time
6. A client is scheduled for an emergency appendectomy; which of the following
preoperative laboratory valued would require intervention prior to surgery?
A. hemoglobin 13.5 g/dL
B. serum potassium 3.0 mEq/L
C. partial thromboplastin time (PTT) 25 sec
D. serum sodium 140 mEq/L
7. During preoperative assessment, the nurse finds that the client has an irregular pulses,
pedal edema, and cyanotic nail beds. These symptoms indicate an alteration in:
A. pulmonary function
B. renal function
C. cardiovascular function
D. liver function
8. During preop interview, which of the following statements made by the client would
alert the nurse to an increased risk during surgery?
A. I rarely eat red meat, it usually makes me feel bloated
B. I do take a large assortment of vitamins daily
C. I experience headaches almost daily, but I only need to take a couple of aspirin to get
relief
D. I am a reformed smoker, I haven not had a cigarette in 10 years
9. Which assessment methodology is likely to provide the most useful information related
to a person�s teaching/learning needs preoperatively?
A. asking the person what he or she wants to know
B. conducting a purposeful interview
C. encouraging the person to share aspects of his or her daily routine
D. examining old records
10. Which nursing action would best help to prevent thrombophlebitis in a postop client?
A. massaging the client�s leg
B. assisting the client to sit up in bed after surgery
C. maintaining the legs in an elevated position
D. reminding the client to exercise her legs and feet
11. A client (high school student) who has a history of seizures reports a recent inability
to concentrate and mood swings, which of the following actions is appropriate for the
nurse to take?
A. explain to the client that this is a normal progression of seizures
B. speak to the client�s physician regarding a change in medications
C. assess the client for changer in motor or sensory function
D. recommend a decrease in the client�s physical activity
12. The nurse observed a client�s gait as short, accelerating steps, shuffling, forward-
leaning posture, and difficulty in starting and stopping. The nurse would identify this gait
as:
A. ataxic
B. parkinsonian
C. dystrophic
D. festinating
13. A patient with CVA is showing slightly dilated pupils. This can be explained by non-
conduction of the:
A. Cranial nerve II
B. Cranial nerve III
C. Cranial nerve VII
D. Cranial nerve XII
14. Intact, functioning Cranial nerves give information about the:
A. cerebellum
B. brain stem
C. cerebrum
D. spinal cord
15. An adult has been in a motor vehicle accident, has 4 inch laceration on forehead that
is bleeding profusely. Her left ankle is splinted and with BP-100/60, PR-110 RR-16.
What is the first action of the nurse?
A. start of IV line
B. place a foley catheter
C. get an ECG
D. check her neurologic status
16. An adult is brought in by ambulance after a motor vehicle accident. He is
unconscious, on a backboard with his neck immobilized. He is bleeding profusely from a
large gash on his right thigh. What is the first action the nurse should take?
A. stop the bleeding
B. check his airway
C. take his vital signs
D. find out what happened from the eyewitness
17. While assessing the CVA client, the nurse gently scrapes the sole of his foot with a
blunt-pointed object. The nurse notes plantar flexion of the toes and records this response
as:
A. a present Babinski�s reflex
B. a present ankle jerk reflex
C. an absent Babinski�s reflex
D. an absent patellar reflex
18. The client is comatose following brain surgery, which of the following actions would
be contraindicated in his care?
A. raising the head of his bed
B. pharyngeal suctioning
C. nasal suctioning
D. tooth brushing
19. A patient in a coma is scheduled for a lumbar puncture. The CSF obtained is cloudy
in appearance. This finding most likely indicates:
A. infection
B. increased ICP
C. meningeal irritation
D. a normal finding
20. The patient is admitted to the hospital with right sided hemiplegia as a result of a
stroke. The nurse should position the client:
A. on her right side as much as possible
B. on her left side with brief periods on her back and right side
C. upright as long as tolerated
D. supine with a pillow under her knees

NCLEX PRACTICE EXAM 02

Answer the 20 item exam

and get your scores below!

1. The nurse notes that the client with head trauma has clear fluid draining from his nose.
Which of the following actions by the nurse is most appropriate initially?
A. notify the physician immediately
B. test the fluid for glucose
C. send a specimen of the fluid for culture
D. encourage the client to blow his nose often to promote drainage
2. The nurse performing a neurological assessment on a client in a coma. In order to
assess motor response, the nurse should ask the client to:
A. grasp the nurse�s finger
B. cough and deep breathe
C. wiggle his toes
D. repeat a phrase
3. Following intracranial surgery, the nurse should observe the client for signs of
increased ICP which include:
A. increased urinary output
B. bradycardia
C. fever
D. change in level of consciousness
4. Henry is a 13 yr old who has been diagnosed as having epilepsy. A positive sign that
Henry is taking his Dilantin properly is:
A. hair growth on his upper lip
B. absence of seizures
C. lowered Hgb and Hct
D. drowsiness
5. The nurse understands that Doll�s eyes reflex is present if the patient�s eyes:
A. move in the same direction in which his head is turned
B. move in the direction opposite to which his head is turned
C. remain midline when the head is turned
D. move to the medial aspect of the orbit when his head is turned
6. What should the nurse include in the plan of care for a newly admitted client with an
infratentorial craniotomy for a brain tumor?
A. keep HOB elevated 30 -45 degree and a large pillow under the client� head and
shoulder
B. keep the head flat with a small pillow under the nape of the neck
C. assess vital signs and pupils every four hours
D. flex neck every two hours to prevent stiffness
7. A 74 yr. old widow client is hospitalized for cataract surgery. During his interview, he
repeatedly talks about how his wishes when he was as strong and energetic as when he
was younger. In planning care for this client, the nurse should include which of the
following?
A. use of the intervention reminiscence
B. confrontation of the client about being so grim
C. changing the topic whenever he brings it up
D. incorportation of a humorous view of the normal loss of strength
8. A client reports gradual painless blurring of vision. On assessment, the nurse notes a
cloudy opague lens, the nurse suspects the client has:
A. glaucoma
B. cataracts
C. retinal detachment
D. diabetic retinopathy
9. Which of the following risk factors would the nurse assess for in a client with
glaucoma?
A. family history of increased intraocular pressure, and age of 45 -65
B. history of diabetes and age greater than 50
C. female gender, cigarette smoking, age greater than 65
D. myopia, history of diabetes, and sudden severe physical exertion
10. A nurse is admitting a client who reports vision loss; to determine if a client has
glaucoma or a detached retina, the nurse understands that a client with glaucoma will
report:
A. seeing floating spots
B. eye pain
C. seeing flashing lights
D. sudden loss of vision
11. The nurse is teaching a post-op stapedectomy client, what should be included in the
teaching?
A. work can be resumed the next day
B. gently sneeze or cough with the mouth closed
C. blow the nose gently one side at a time
D. resume exercise in one week
12. What is the priority nursing diagnosis for a client with very loud overpowering
ringing in his ears, fluctuating hearing loss on the right side with severe vertigo
accompanied by nausea & vomiting and a feeling of fullness in the right ear?
A. knowledge deficit related to the disease process
B. anxiety
C. impaired physical mobility
D. pain
13. An adult patient who is in pain is on long term aspirin therapy and experiencing
tinnitus, the nurse best interprets this to mean:
A. the Aspirin is working correctly
B. the client ingested more medicine that was recommended
C. the client has an upper GI bleed
D. the is experiencing a mild overdosage
14. An adult is receiving a nonsteroidal anti-inflammatory drug. Which of the following
would the nurse observe if the client is experiencing no side-effects?
A. the client is somnolent and hard to arouse
B. the client is having dark, tarry stools
C. there is no complaint of nausea or vomiting
D. the pain is still a 6 on a scale of 1 to 10
15. An adult is to receive an intramuscular injection of Morphine for post op pain. Which
of the following is necessary for the nurse to assess prior to giving a narcotic analgesic?
A. the client�s level of alertness and respiratory rate
B. the last time the client ate or drank
C. the client�s bowel habits and last bowel movement
D. the client�s history of addiction
16. The nurse has explained the use of neostigmine methylsulfate (Prostigmin) to a client
with Myasthenia Gravis. Which comment by the client indicates the need for further
instruction?
A. I need to take the medication regularly even when I feel strong
B. I should take the medication once daily at bedtime
C. if I take too much medication, I can become weak and have breathing problems
D. I may have difficulty swallowing my saliva if I take too much medication
17. A 36 yr. old female reports double vision, visual loss, weakness, numbness of the
hands, fatigue, tremors, and incontinence. On assessment, the nurse notes nystagmus,
scanning speech, ataxia, and muscular weakness. Based on these findings, the nurse
suspects the client has:
A. Parkinson�s disease
B. Myasthenia gravis
C. Amyotrophic lateral sclerosis
D. Multiple sclerosis
18. A client with Parkinson�s disease is receiving combination therapy with Levodopa
and Carbidopa. Which of the following manifestations indicates to the nurse that an
adverse drug reaction is occurring?
A. involuntary head movement
B. bradykinesia
C. shuffling gait
D. depression
19. The nurse is teaching a client the potential complications of osteoporosis. Which of
the following conditions are related to this disorder?
A. fractures of the hip, wrist, & spine
B. fractures of the femur, ankle, and clavicle
C. acute MI, CVA, and acute renal failure
D. hyperparathyroidism, hypothyroidism, & osteomyelitis
20. The nurse is counseling a client with osteoporosis; which of the following foods
should the nurse instruct the client to avoid consuming in large amount:
A. carbonated beverages, citrus fruits, and foods high in simple carbohydrates
B. foods high in protein, salt, & caffeine
C. foods high in fat, sodium, and nitrates
D. fatty meats & organ meats

NCLEX PRACTICE EXAM 03

Answer the 20 item exam

and get your scores below!

1. Which of the following is the most common manifestations of osteoporosis?

A. significant weight loss
B. fractures
C. urinary calculi
D. long bone pain
2. The nurse is teaching a class on osteoarthritis. The nurse�s understanding of this
disorder is best described as:
A. degeneration of articular cartilage in synovial joints
B. enzymatic breakdown of tissue in non-weight bearing joints
C. joint destruction caused by an autoimmune process
D. the overproduction of synovial fluid resulting in joint destruction
3. How does nicotine, a substance in cigarette smoke, increase the prevalence of CAD?
A. it decreases the oxygen-carrying capacity of the blood
B. it increases the deposits of fat containing substances along the intima of blood vessels
C. it causes smooth muscle cell proliferation
D. it increases the likelihood of dysrhythmias and elevated heart rate, BP, & oxygen
consumption
4. In most cases, which of the following is the cause of sudden cardiac death?
A. ventricular fibrillation
B. severe congestive heart failure
C. myocardial ischemia
D. unstable angina
5. Nurses can best help prevent CAD by teaching clients:
A. low fat, low-cholesterol diets
B. the importance of exercise
C. how to maintain normal BP
D. how to handle stress
6. The nurse is instructing a client in the proper administration of sublingual
Nitroglycerin. Which of the following is correct and should be included in the teaching
plan?
A. tablets should be stored in the refrigerator
B. repeat dosage after 5 minutes if pain is not relieve. Seek medical help if pain is not
relieved after 3 sublingual nitroglycerin tablets
C. assess BP for reactive hypertension after each dose
D. headache is a rare side effect and should be reported to the physician
7. When administering Nifedipine (Procardia) to a client with a history of angina, the
nurse should:
A. observe for signs of respiratory depression
B. monitor the client�s BP
C. observe for manifestation of GI bleeding
D. force fluids
8. When caring for a client immediately after an MI, the nurse�s first priority is:
A. relief of pain
B. monitoring for presence of dysrhythmias
C. prevention of embolism
D. relieving client�s apprehension
9. Which of the following nursing orders would be found on the care plan for a client for
the first 24 hours after an MI?
A. utilize bedside commode for bowel movements
B. 200 calorie, soft diet
C. feed the patient
D. administer promethazine regularly
10. Which of the following would be included in the discharge teaching plan for a client
after MI?
A. don�t begin sexual intercourse until after 3 months
B. begin walking frequently
C. take one aspirin every 8 hours as ordered
D. continue previous lifestyle when ready
11. When auscultating the respirations of a client in left ventricular heart failure, the
nurse will most likely detect:
A. wheezing
B. loud expiratory sounds
C. loud inspiratory sounds
D. crackling sounds
12. In which position should the nurse place the client who is experiencing acute
congestive heart failure (CHF)?
A. Sim�s position
B. supine
C. Trendelenburg
D. high Fowler�s with feet dependent
13. The most important action of Digitalis derivatives on the heart of a client in CHF is
to:
A. re-establish normal heart rhythm
B. increase ventricular contractility
C. decrease dysrhythmias
D. decrease AV node refractory period
14. What is the long term effect of rheumatic fever?
A. Cardiomegaly
B. cardiac tamponade
C. sudden cardiac death syndrome
D. pericarditis
15. The client admitted for the treatment of rheumatic fever and has fever of 101 degrees
F should have which activity order?
A. activity ad lib
B. bed rest
C. out of bed in a chair
D. exercise until the point of fatigue
16. The nurse is conducting a ward class for a group of client who are to undergo cardiac
surgery. What information should the nurse include when discussing the use of the
ventilation in the ICU immediately after surgery?
A. no visitors will be allowed while the client is intubated
B. refraining from coughing is especially important while using the ventilator
C. while being ventilated the client must remain on bed rest
D. the client will be unable to talk while being ventilated
17. A client is admitted to the hospital with chronic venous disease. Physical assessment
of the client�s legs would most likely reveal:
A. erythema
B. reduced muscle mass
C. overgrowth of hair
D. decreased pulses
18. Which of the following manifestations would the nurse expect when assessing a client
with arterial insufficiency?
A. warm, erythematous legs
B. thin fragile toenails
C. muscular atrophy
D. bounding arterial pulses
19. Which of the following is the most common cause of secondary hypertension?
A. chronic renal disease
B. primary hyperaldosteronism
C. pregnancy induced hypertension
D. oral contraceptive use
20. A client is admitted to the ICU with malignant hypertension. Assessment of the client
would most likely reveal symptoms of:
A. fluid overload
B. livery dysfunction
C. renal failure
D. exercise intolerance

Nurses Licensure Exam NLE NURSING PRACTICE 04

Answer the 20 item exam

and get your scores below!

1. For most patients with Personality Disorders, the treatment of choice is usually:
A. Group therapy
B. Individual Psychotherapy
C. Self-help support groups
D. Hospitalization
2. Lorna is diagnosed with Borderline Personality Disorder. Which symptom would the
nurse expect to assess related to her expression of anger?
A. Controlled, subtle anger
B. Inappropriate, intense anger
C. Inability to recognize anger
D. Substitution of physical symptoms
3. Lorna tells the nurse that she is the best nurse in the hospital, and then tells her she is
when the nurse sets limits on her behavior. The nurse interprets this behavior as:
A. Denial
B. Splitting
C. Rationalization
D. Projection
4. One effective treatment modality for persons with Antisocial personality is:
A. Behavior therapy
B. Light therapy
C. Play therapy
D. ECT
5. In the assessment of a client diagnosed with Narcissistic Personality disorder,
prominent behavioral characteristics to be observed is:
A. Suspiciousness
B. Splitting
C. Hypersensitivity to negative remarks
D. Sense of entitlement
6. During morning medication, Mang Nano, a patient with dementia, could not be located
in the unit. Later he was found walking aimlessly in front of the hospital. When asked he
say that his only son is coming to bring him home. What should you do?
A. Encourage him to interact with other patients
B. Explain to him that his medication time should be followed
C. Reorient him to reality and assess the reason for the behavior
D. Hold him by his hands and gently guide him back to his room
7. Assessment data of Mang Nano reveals disorientation to time and place after dark. The
nurse interprets this finding as:
A. Amnesia
B. Degeneration
C. Perseveration
D. Sundown syndrome
8. The family of the client with Alzheimer�s disease asks the nurse about what to expect
as the disease progress. The answer of the nurse is based on which fact?
A. Improvement depends on the treatment given
B. Improvement can occur when underlying medical problems are treated
C. The disorder occurs in a chronic, progressive manner over time
D. The disorder typically involves periods of remission and exacerbation
9. Which nursing intervention would be most appropriate for Mang Nano if he is upset
and agitated?
A. Decrease environmental stimuli while remaining with the client
B. Firmly tell the client that the behavior is not acceptable
C. Offer medication that will have a calming effect
D. Question the client about the cause of the problem
10. A client was admitted with the chief complaint of increasing confusion for about a
month. Which assessment question to the family will differentiate delirium from
dementia?
A. How long have you noticed the confusion in your family member?
B. Has there been a history of dementia in the family?
C. Do you think something happened that was upsetting to your family member?
D. Does your family member live alone or with someone?
11. In the late stages of Alzheimer�s disease, which of the following outcomes would be
most realistic for the client?
A. The client will verbalize increased feelings of self-worth
B. The client will identify life areas that require alterations due to illness
C. The client will maintain reality orientation
D. The client will remain safe in the least restrictive environment
12. Sui is in his senior year in Nursing. He is an active student leader, an honor student &
a part-time tutor. He has little time to rest and often complains of having difficulty in
falling asleep, especially at night. He can be suffering from:
A. Initial Insomnia
B. Intermittent insomnia
C. Maintenance insomnia
D. Terminal insomnia
13. How can you help Sui overcome his Insomnia?
A. Ask him to lessen his food intake
B. Limit activities just before bedtime
C. Advise him to buy sleep meds
D. Ask him to drink warm coffee
14. Mr. TokAn 30y/o experienced sudden wave of overwhelming sleepiness in his job
and this problem lasted for more than a month. What can be the appropriate nursing
intervention for persons with narcolepsy?
A. Ask him to drink at least 4-5 cups of espresso especially during working hours
B. Offer a tall glass of warm milk
C. Suggest taking scheduled naps
D. Tell him to always bring an Ipod or Discman filled with dance tunes
15. Lumen, the mother of an 8 y/o boy remarked, - I�m sick & tired of washing his
soiled bed sheets twice a week. This has been going on for 2 months. What can I do to
lessen the episode of my son�s bedwetting? The best answer to her query is:
A. Transfer him to a sleeping mat
B. Punish him for his bedwetting
C. Ask him to wear snuggly fit diapers
D. Empty his bladder before sleeping
16. BusogBoy, a 20 y/o college student needs help for uncontrolled eating & self-induced
vomiting. He has been diagnosed with Bulimia Nervosa. What would be an appropriate
nursing intervention for him?
A. Observe BusogBoy for the next 24 hrs. for any incidence of purging
B. Tell BusogBoy that he�ll be forced to eat soon after purging
C. Tell BusogBoy that he�ll be given extra food tray
D. BusogBoy must be observed two hours after each meal
17. One of the most common characteristic of persons suffering from Bulimia is binge-
eating. This refers to:
A. Insatiable appetite
B. Eating unusually large amount of food over a short period of time
C. Self-induced vomiting
D. Use of laxatives, diuretics & enemas to compensate for calories consumed
18. Payatita, 18 y/o was admitted due to rapid weight loss associated with Anorexia
Nervosa. The nursing diagnosis identified in her present condition is:
A. Altered nutrition: less than body requirements
B. Impaired gas exchange
C. Alteration in Perception
D. Anxiety
19. The most important goal for clients with eating disorders such as anorexia nervosa is:
A. Be able to cope with stresses & conflicts
B. Develop a more realistic body image
C. Be able to identify significant others
D. Develop a positive outlook in life
20. Payatita�s refusal to eat serves the primary purpose of allowing her to:
A. Gain the sympathy of others
B. Gain a sense of control and power
C. Remain free from anxiety
D. Openly assert her own identity

Nurses Licensure Exam NLE NURSING PRACTICE 05

Answer the 20 item exam

and get your scores below!
1. When 40 year old Tom was admitted to the hospital, he frequently exposes himself to
female staff nurses. He derives pleasure at the sight of shrieking woman. This is behavior
is known as:
A. Necrophilia
B. Sadism
C. Voyeurism
D. Exhibitionism
2. The nurse responds to this behavior by:
A. Ignoring his behavior, realizing that he has low self-esteem
B. Informing him that the behavior is unacceptable, limit setting is appropriate
C. Holding a ward meeting where unit appropriate behavior is discussed
D. Ask the Psychiatrist to confront Tom�s behavior
3. In order to get into areas of sex life of a patient, the nurse must first be:
A. Secure about her own sexuality
B. Knowledgeable in what is proper and what is improper sexual behavior
C. Keen about the varieties of sexual expressions
D. Interested, natural and human
4. When the nurse enters the patients room and sees him openly masturbate, what is the
best approach to follow?
A. Provide privacy and leave the patient
B. Warn the patient that masturbation can lead to serious illnesses
C. Report the incident to the head nurse and record the observation
D. Tell the patient that masturbation is an unacceptable
5. Baffy, 25y/o was sexually abused by a pedicab driver while on her way home from
work one evening as a cashier in a 24 hour convenience store. She was brought to the ER
with bruises all over her body. She was crying uncontrollably & appears to be very
anxious. Nurse Lena therapeutically communicates with her, saying:
A. You are very upset, calm yourself first Baffy. I can�t understand you.
B. I know something terrible & horrifying happened to you.
C. Would you like to relate to me what happened?
D. Can you identify your abuser?
6. For victims of sexual abuse like Baffy, nurse Lena can help lower her level of anxiety
by:
A. Assessing her family history
B. Allowing her to express feelings & concern
C. Identifying coping mechanisms
D. Teaching about human sexuality
7. Emergency care to be given for Rape victims are as follows:
___ 1. If a victim calls the hospital, tell her not to bathe, shower, wash or change clothes,
just go the directly to the hospital
___ 2. Provide privacy and be judgemental
___ 3. Stay with the victim, focus on physical safety & emotional security
___ 4. Assist in pelvic examination to collect evidences such as semen, stains
A. 1,2,3
B. 2,3,4
C. 1,2,4
D. 1,3,4
8. In providing nursing care for Baffy during her acute stress reaction to rape trauma,
Nurse Lena applies which of the following?
A. Collaboration with community agencies
B. Crisis intervention techniques
C. Physical assessment
D. Teaching & Learning principles
9. To become a patient advocate to rape victims, nurse Lena should note the following
responsibilities:
A. Since this is a legal case, call the press
B. Isolate the patient first to provide privacy while attending to other patients
C. Postpone the physical examination, until the patient is calm
D. Perform thorough physical assessment & document objectively all evidences of rape
10. Sheila, 5 years old, was diagnosed as autistic since she was 1 year old. This disorder
is characterized by:
A. Anxiety induced involuntary stereotype motor movements
B. Inappropriate behavior, poor attention span with impulsivity
C. Negativistic, hostile and defiant behavior
D. Failure to develop interpersonal skills
11. At her age, Sheila is at what stage of psychosocial development?
A. Industry vs. Inferiority
B. Initiative vs. guilt
C. Trust vs. Mistrust
D. Autonomy vs. Shame and Doubt
12. The best strategy that the nurse can use to provide a trusting relationship with an
autistic child like Sheila is to:
A. Reinforce positive behavior through praise and rewards
B. Explain to the child activities and routines
C. Provide a structured environment
D. Convey warmth through touch
13. A distinguishing factor that separates conduct disorder from oppositional defiant
disorder in children include the following:
A. Obvious symptoms at birth
B. Violation of rights of others
C. Opposition to authority
D. Angry outburst
14. A normal response to hospitalization for a young child is:
A. being emotionally upset
B. withdrawal from the family
C. regressive behavior
D. free-floating anxiety
15. Prevention of mental retardation begins:
A. As soon as pregnancy is suspected
B. With family planning
C. During the first trimester of pregnancy
D. During the second trimester of pregnancy
16. The real issue in school phobia is not the school itself, but the:
A. separation from the mother
B. teacher
C. school work
D. hostile classmates
17. The priority nursing action for a child with Separation Anxiety disorder is:
A. Assist the child to return to school immediately with family support
B. Arrange for a home-school teacher to visit for 2 weeks
C. Encourage family discussion of various problem areas
D. Use play therapy to help the child express his feelings
18. A child with a depressive disorder is likely to exhibit:
A. Negativism and acting out
B. Sadness and crying
C. Suicidal thoughts
D. Weight gain
19. The parents of a child with Attention Deficit Hyperactivity disorder tells the nurse
that they have tried everything to calm their child and nothing has worked. Which action
is most appropriate initially?
A. Actively listen to the parents concern before planning interventions
B. Encourage the parents to discuss these issues with the mental health team
C. Provide literature regarding the disorder and its management
D. Tell the parents they are overreacting to the problem
20. The final stage of nurse-client relationship is the termination phase where the:
A. problems are identified
B. problems are resolved
C. problems are examined
D. contract is specified