A nurse is caring for a client who receives lamotrigine daily for bipolar disorder

Adult Psychiatric & Mental Health Nurse Practitioner Exam Sample Questions

The following sample questions are similar to those on the examination but do not represent the full range of content or levels of difficulty. The answers to the sample questions are provided after the last question. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination.

To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). Then click the button corresponding to the best answer for each question. When you are finished, click the "Evaluate" button at the bottom of the page. A new browser window will open, displaying your results, which you may print, if you wish.

This practice exam is not timed, and you may take it as many times as you wish. Good luck!

1. A nurse is assisting with obtaining consent for a client who has been declared legally

incompetent. Which of the following actions should the nurse take?

a. Ask the charge nurse to obtain informed consent

b. Contact the facility social worker to obtain consent

c. Request that the client's guardian sign the consent

d. Explain implied consent to the clients familyc. Request that the client's guardian sign the

consent

2. A nurse in a mental health facility is reviewing a client's medical record. Which of the

following actions should the nurse take first(Click on the exhibit button for additional

information about the client. There are 3 tabs that contain separate categories of data)?

a. Teach the client about nutritional needs

b. Initiate 0.9% sodium chloride with 40 mEq potassium chloride

c. Administer acetaminophen 500 mg PO

d. Encourage the client to attend group therapy sessions...

3. A nurse is assessing a client who has delirium. Which of the following findings requires

immediate intervention by the nurse?

a. Rapid mood swings

b. Command hallucinations

c. Impaired memory

d. Inappropriate speech patternsa. Rapid mood swings

4. A nurse is reviewing the medication administration record of a client who has major

depressive disorder and a new prescription for selegiline. The nurse should recognize that which

of the following client medications is contraindicated when taken with selegiline?

a. Wafarin

b. Fluoxetine

c. Calcium carbonate

d. Acetaminophen b. Fluoxetine

5. A nurse in a long term care facility is assessing a client who has dementia. Which of the

following findings should the nurse identify as a risk for this client?

a. Outside doors have locks

b. The bed is in the low position

c. Hallways are long distances

d. The room has an area rugd. The room has an area rug

6. A nurse is providing behavioral therapy for a client who has obsessive compulsive disorder.

The client repeatedly checks that the doors are locked at night. Which of the following

instructions should the nurse give the client when using thought stopping technique?

a. "Ask a family member to check the locks for you at night"

b. "Keep a journal of how often you check the locks each night"

c. "Snap a rubber band on your wrist when you think about checking the

locks"

d. "Focus on abdominal breathing whenever you go to check the locks"c. "Snap a rubber

band on your wrist when you think about checking the

locks"

7. A nurse is providing teaching about relapse prevention to a client who has schizophrenia.

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