NCLEX CRUSADE ACADEMY TEST - 20 EATING DISORDERS

1. A nurse is assessing a patient with anorexia nervosa. Which finding is most expected?. Tachycardia. Bradycardia. Hypertension. Hyperthermia.

2. Which laboratory value indicates severe malnutrition?. Albumin 4.2 g/dL. Albumin 3.8 g/dL. Albumin 3.2 g/dL. Albumin 5.0 g/dL.

3. A patient with bulimia nervosa is at highest risk for which electrolyte imbalance?. Hyperkalemia. Hypokalemia. Hypercalcemia. Hyponatremia.

4. Russell's sign is associated with which condition?. Anorexia nervosa. Bulimia nervosa. Binge eating disorder. Depression.

5. Which disorder involves binge eating WITHOUT purging?. Bulimia nervosa. Anorexia nervosa. Binge eating disorder. Schizophrenia.

6. What is the priority intervention for a patient with severe anorexia nervosa?. Provide psychotherapy. Restore fluid and electrolytes. Encourage exercise. Social interaction.

7. Which behavior is typical of bulimia nervosa?. Food restriction only. Excessive exercise only. Binge-purge cycle. Starvation.

8. Which is a key nursing intervention after meals for eating disorder patients?. Encourage sleep. Provide 1:1 supervision. Offer snacks. Start IV fluids.

9. What is the therapeutic lithium level?. 0.10.5 mEq/L. 0.61.2 mEq/L. 1.52.5 mEq/L. >3.0 mEq/L.

10. A patient with lithium toxicity may present with: Tachycardia. Tremors. Weight gain. Dry skin.

11. What happens when sodium levels are low in a patient taking lithium?. Lithium decreases. Lithium remains stable. Lithium increases. Lithium is excreted.

12. Which symptom is part of SIGECAPS for depression?. Hyperactivity. Increased appetite. Sleep changes. Euphoria.

13. Which symptom is part of DIGFAST for mania?. Sleep increase. Grandiosity. Fatigue. Sadness.

14. Which is a hallmark of mania?. Low energy. Flight of ideas. Social withdrawal. Slow speech.

15. Which intervention is priority in manic patients?. Encourage socialization. Provide low stimulation environment. Increase activity. Give large meals.

16. Which is a complication of binge eating disorder?. Hypotension. Osteoporosis. Diabetes type 2. Bradycardia.

17. Which lab abnormality is seen in bulimia?. Metabolic acidosis. Metabolic alkalosis. Respiratory acidosis. Hyperglycemia.

18. Which symptom indicates severe lithium toxicity?. Mild tremor. Nausea. Seizures. Thirst.

19. What is the first step in suicide assessment?. Ask about plan. Ask directly about thoughts. Ask about means. Notify provider.

20. Which statement is therapeutic when a patient is hallucinating?. 'That is real.'. 'I dont see that, but Im here with you.'. 'Ignore it.'. 'You are imagining things.'.