CAP LAND NGN EXAM 2025–2026 | REAL CAP LAND
EXAM QUESTIONS & VERIFIED CORRECT ANSWERS
EXACT CAP LAND NGN TEST | LATEST UPDATED
VERSION | PASS ON FIRST ATTEMPT | FAST REVIEW
The nurse provides care for an older adult client with dementia who has multiple care needs. The
client's adult child provides all care for the client and refuses to let anyone else help. The client's
child states, I created a lot of problems for my parents when I was younger." The nurse
understands the client's adult child is using which defense mechanism?
A. Substitution
B. Undoing
C. Compensation
D. Denial
Undoing
The unlicensed assistive personnel (UAP) states with a critical tone. "The client's family worries
about the client but the client doesn't seem to care how anybody feels. "Which response by the
nurse to the UAP is best?
A. "If we can make the client realize this, perhaps the client will get better"
B. "Sometimes it's difficult to see how anxious the clients really are"
C. "Perhaps the client's family has caused the client pain"
D. "Being critical of the client is not going to help the client is not going to help the client
improve.
,Sometimes it's difficult to see how anxious the clients really are
The nurse counsels with a client diagnosis of depression. During the second therapy session, the
client sits with arms folded, speaks very little and looks to the floor. Which statement by the
nurse is most appropriate.
A. You look nice today. Did you do something differently with your hair
B. Why aren't you in the mood to talk today
C. Are you taking the medication as prescribed
D. What would you like to talk about during our time today
D. What would you like to talk about during our time today
A client with a diagnosis of bipolar disorder is boisterous, quarrelsome, and unusually energetic.
Which intervention is most important for the nurse to include in the client's plan of care.
A. Allow the client to make choices about care
B. Orient the client to reality
C. Ensure the client participates in physical exercise
D. Provide the client with frequent activity and distraction
B. Orient the client to reality
The nurse provides care for a preschooler client in the pediatric clinic who involved in play
therapy. The nurse understands which is the desired goal of play therapy.
A. To allow the client to express feeling and resolve conflict
,B. To distract the client from the reality of health care
C. To evaluate the client's ability to interact with others
D. To tire the child and promote better sleep
A. To allow the client to express feeling and resolve conflict
The nurse provides care for clients in the pediatric clinic. The nurse understands that according
to Erickson's stages of psychological development, developing a sense of personal control and a
sense of independence occurs during which time period?
A. 18 months to 3 years
B. 3 to 6 years
C. 6 to 12 years
D. 12 to 20 years
A. 18 months to 3 years
During group therapy session, several clients verbally attack another client for behaving
passively. Which is the most effective action for the nurse to take to move the group in a positive
direction?
A. Ask the client being attacked to tall the group how the negative behavior of the group feels
B. Allow the group to continue the verbal assault
C. Call on another client in the group as a diversion
D. Tell the other clients in the group to ignore the client
, C. Call on another client in the group as a diversion
A client diagnosed with anxiety reports to the nurse. "I start my new job next week and I am so
afraid my new employer will find out I don't know enough to do my job! What if I get fired?"
The nurse understands this concern is typical of which kind of anxiety disorder?
A. Obsessive compulsive disorder
B. Phobic disorder
C. Social anxiety disorder
D. Signal anxiety disorder
D. Signal anxiety disorder
Signal anxiety arises in response to internal conflict or an emerging impulse, and functions as a
sign to the self of impending threat, resulting in the preemptive use of a defense mechanism in an
attempt to control anxiety.
An older adult client diagnosed with terminal cancer has difficulty providing self care due to
fatigue and dyspnea. When the nurse comes to assist the client, the client says "whats the use. I
might as well just die". Which interpretation of the client's behavior is most justifiable?
A. The client is in the acceptance phase about the end of life
B. The client is actively dying
C. The client is depressed and is physically and emotionally exhausted.
D. The client is angry at the nurse's interference and is lashing out.
C. The client is depressed and is physically and emotionally exhausted.
EXAM QUESTIONS & VERIFIED CORRECT ANSWERS
EXACT CAP LAND NGN TEST | LATEST UPDATED
VERSION | PASS ON FIRST ATTEMPT | FAST REVIEW
The nurse provides care for an older adult client with dementia who has multiple care needs. The
client's adult child provides all care for the client and refuses to let anyone else help. The client's
child states, I created a lot of problems for my parents when I was younger." The nurse
understands the client's adult child is using which defense mechanism?
A. Substitution
B. Undoing
C. Compensation
D. Denial
Undoing
The unlicensed assistive personnel (UAP) states with a critical tone. "The client's family worries
about the client but the client doesn't seem to care how anybody feels. "Which response by the
nurse to the UAP is best?
A. "If we can make the client realize this, perhaps the client will get better"
B. "Sometimes it's difficult to see how anxious the clients really are"
C. "Perhaps the client's family has caused the client pain"
D. "Being critical of the client is not going to help the client is not going to help the client
improve.
,Sometimes it's difficult to see how anxious the clients really are
The nurse counsels with a client diagnosis of depression. During the second therapy session, the
client sits with arms folded, speaks very little and looks to the floor. Which statement by the
nurse is most appropriate.
A. You look nice today. Did you do something differently with your hair
B. Why aren't you in the mood to talk today
C. Are you taking the medication as prescribed
D. What would you like to talk about during our time today
D. What would you like to talk about during our time today
A client with a diagnosis of bipolar disorder is boisterous, quarrelsome, and unusually energetic.
Which intervention is most important for the nurse to include in the client's plan of care.
A. Allow the client to make choices about care
B. Orient the client to reality
C. Ensure the client participates in physical exercise
D. Provide the client with frequent activity and distraction
B. Orient the client to reality
The nurse provides care for a preschooler client in the pediatric clinic who involved in play
therapy. The nurse understands which is the desired goal of play therapy.
A. To allow the client to express feeling and resolve conflict
,B. To distract the client from the reality of health care
C. To evaluate the client's ability to interact with others
D. To tire the child and promote better sleep
A. To allow the client to express feeling and resolve conflict
The nurse provides care for clients in the pediatric clinic. The nurse understands that according
to Erickson's stages of psychological development, developing a sense of personal control and a
sense of independence occurs during which time period?
A. 18 months to 3 years
B. 3 to 6 years
C. 6 to 12 years
D. 12 to 20 years
A. 18 months to 3 years
During group therapy session, several clients verbally attack another client for behaving
passively. Which is the most effective action for the nurse to take to move the group in a positive
direction?
A. Ask the client being attacked to tall the group how the negative behavior of the group feels
B. Allow the group to continue the verbal assault
C. Call on another client in the group as a diversion
D. Tell the other clients in the group to ignore the client
, C. Call on another client in the group as a diversion
A client diagnosed with anxiety reports to the nurse. "I start my new job next week and I am so
afraid my new employer will find out I don't know enough to do my job! What if I get fired?"
The nurse understands this concern is typical of which kind of anxiety disorder?
A. Obsessive compulsive disorder
B. Phobic disorder
C. Social anxiety disorder
D. Signal anxiety disorder
D. Signal anxiety disorder
Signal anxiety arises in response to internal conflict or an emerging impulse, and functions as a
sign to the self of impending threat, resulting in the preemptive use of a defense mechanism in an
attempt to control anxiety.
An older adult client diagnosed with terminal cancer has difficulty providing self care due to
fatigue and dyspnea. When the nurse comes to assist the client, the client says "whats the use. I
might as well just die". Which interpretation of the client's behavior is most justifiable?
A. The client is in the acceptance phase about the end of life
B. The client is actively dying
C. The client is depressed and is physically and emotionally exhausted.
D. The client is angry at the nurse's interference and is lashing out.
C. The client is depressed and is physically and emotionally exhausted.
