2024 PROCTORED EXAM ACTUAL QUESTIONS WITH DETAILED
VERIFIED ANSWERS /A+ GRADE ASSURED
A nurse is reviewing the medical record of a client who reports drinking three to four
glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of
the following laboratory values is the priority for the nurse to assess?
• Amylase
• Creatinine
• Aspartate aminotransferase (AST)
• Antidiuretic hormone (ADH) - ANS-C) Aspartate aminotransferase (AST)
A nurse at a college campus mental health counseling center is caring for a student
who just failed an examination. The student spends the session berating the teacher
and the course. The nurse should recognize this behavior as which of the following
defense mechanisms?
• Conversion
• Projection
• Undoing
• Regression - ANS-B) Projection
A nurse in the emergency department is caring for a client who reports chest pain,
headache, and shortness of breath. He continues to state, "I don't know why my wife
left me." The client receives a diagnosis of anxiety. The nurse realizes the client's
findings support which level of anxiety?
• Mild
• Moderate
• Severe
• Panic - ANS-C) Severe
A nurse on the psychiatric unit is assessing a client who has moderate anxiety
disorder. Which of the following findings should the nurse expect?
• Rapid speech
• Chills
• Distorted perceptual field
• Urinary frequency - ANS-D) Urinary frequency
A nurse is caring for a client who has been diagnosed with obsessive compulsive
disorder (OCD) and is constantly picking up after others in the day room. The nurse
should recognize that the client uses this behavior to do which of the following?
• Limit the amount of time available to interact with others.
• Focus attention on meaningful tasks.
• Manipulate and control others' behaviors.
• Decrease anxiety to a tolerable level. - ANS-D) Decrease anxiety to a tolerable
level.
, A nurse in an acute mental health facility is caring for a client who jumps out of her
chair and begins to shout angrily at the clients around her. Which of the following
actions should the nurse take first?
• Call for assistance to place the client in restraints.
• Escort the client to an unlocked seclusion room.
• Offer the client a PRN antianxiety medication.
• Speak to the client calmly, giving simple directions. - ANS-D) Speak to the client
calmly, giving simple directions.
A nurse is caring for an adolescent female who has an eating disorder. The client is
162.6 cm (64 in) tall and weighs 38.56 kg (85 lb). Upon assessment, which of the
following manifestations should the nurse expect? (Select all that apply.)
• Amenorrhea
• Verbalized desire to gain weight
• Altered body image
• Hyperactivity
• Bradycardia - ANS-A) Amenorrhea
• Altered body image
• Hyperactivity
• Bradycardia
A nurse is planning care for a client who has generalized anxiety disorder. Which of
the following intervention should the nurse implement to promote relaxation?
• Assist the client in practicing meditation.
• Recognize the client's spiritual preferences.
• Encourage the client to identify his positive qualities.
• Help the client to identify his previous accomplishments. - ANS-A) Assist the
client in practicing meditation.
A nurse is caring for a client who professes a deep and everlasting love for his
girlfriend one day, and the next day refuses to speak to her or allow her to visit. The
nurse recognizes this client behavior which of the following defense mechanisms?
• Repression
• Splitting
• Sublimation
• Undoing - ANS-D) Undoing
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following findings should the nurse expect?
• Muscle aches and chills
• Fatigue and depression
• Anxiety and diaphoresis
• Arrhythmia and respiratory depression - ANS-C) Anxiety and diaphoresis