Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia.
Which of the following medications should the nurse anticipate the provider to prescribe for this client?.
A. Valbenazine
A rationale: Valbenazine is a medication approved by the FDA for treating tardive dyskinesia.
B. Diphenhydramine.
B rationale: Diphenhydramine is an antihistamine and is not used to treat tardive dyskinesia.
C. Naloxone.
C rationale: Naloxone is used to reverse opioid overdose, not tardive dyskinesia.
D. Fluoxetine.
D rationale: Fluoxetine is an antidepressant and does not treat tardive dyskinesia.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Valbenazine is a medication approved by the FDA for treating tardive dyskinesia.
Choice B rationale:
Diphenhydramine is an antihistamine and is not used to treat tardive dyskinesia.
Choice C rationale:
Naloxone is used to reverse opioid overdose, not tardive dyskinesia.
Choice D rationale:
Fluoxetine is an antidepressant and does not treat tardive dyskinesia.
Similar Questions
A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?.
A. "This procedure will cause me to have brief seizures.”.
A rationale: ECT does cause brief seizures, which is a correct understanding of the procedure.
B. "One ECT treatment will be effective for my depression.”.
B rationale: One ECT treatment is usually not enough to effectively treat depression.
C. "I will not need to have a pre-ECT workup before the procedure.”.
C rationale: A pre-ECT workup is typically required before the procedure.
D. "I will be able to eat breakfast prior to my procedure.”. .
D rationale: Patients are usually required to fast before ECT due to the use of general anesthesia.
Full Explanation
Choice A rationale:
ECT does cause brief seizures, which is a correct understanding of the procedure.
Choice B rationale:
One ECT treatment is usually not enough to effectively treat depression.
Choice C rationale:
A pre-ECT workup is typically required before the procedure.
Choice D rationale:
Patients are usually required to fast before ECT due to the use of general anesthesia.
A nurse is providing care to a client who has acute stress disorder.
Which of the following client statements is consistent with this disorder?.
A. "I was in a car crash 2 weeks ago and I have nightmares when I sleep.”.
A rationale: The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.
B. "I was in a terrible car crash 2 years ago and I have been unable to drive a car since then.”.
B rationale: This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.
C. "I was physically abused when I was a child and have frequent flashbacks since then.”.
C rationale: Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.
D. "My parents fought a lot when I was a child.
D rationale: The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.
Full Explanation
Choice A rationale:
The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.
Choice B rationale:
This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.
Choice C rationale:
Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.
Choice D rationale:
The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.
A nurse is caring for a client who has schizophrenia.
Nurses' Notes.
Day 1 1030: Vital Signs.
A 35-year-old client who has schizophrenia is admitted.
Diagnosed 15 years ago.
Brought in by partner and states client has remained in room for the last several days and movements are delayed.
Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.
A. Blood pressure.
A rationale: Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.
B. Lack of motivation.
B rationale: Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.
C. Change in behavior.
C rationale: Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.
D. Lack of energy.
D rationale: Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.
E. Withdrawn.
E rationale: Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions.
Full Explanation
Choice A rationale:
Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.
Choice B rationale:
Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.
Choice C rationale:
Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.
Choice D rationale:
Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.
Choice E rationale:
Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions.