2023 PROCTORED EXAM
WITH NGN (ACTUAL
EXAM)
Instructions
All answers underlined.
Questions
A charge nurse is discussing mental status exams with a
newly licensed nurse. Which of the following statements
by the newly licensed nurse indicates an understanding of
the teaching? (Select all that apply)
,A) To assess cognitive ability, I should ask the client to
count backward by sevens.
B) To assess affect, I should observe the client's facial
expression
C) To assess language ability, I should instruct the client to
write a sentence.
D) To assess remote memory, I should have the client
repeat a list of objects.
E) To assess the client's abstract thinking, I should ask the
client to identify our most recent presidents. <answer>A,
B, C
A charge nurse is discussing the care of a client who has
MDD with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates an
understanding of the teaching?
A) Care during the continuation phase focuses on treating
continued manifestations of MDD
B) The treatment of MDD during the maintenance phase
lasts for 6-12 weeks
C) The client is at greatest risk for suicide during the first
weeks of an MDD episode
,D) Medication and psychotherapy are most effective
during the acute phase of MDD <answer>C
A charge nurse is discussing the characteristics of a
nurse-client relationship with a newly licensed nurse.
Which of the following characteristics should the nurse
include in the discussion? (Select all that apply)
A) The needs of both participants are met
B) An emotional commitment exists between the
participants
C) It is goal-directed
D) Behavioral change is encouraged
E) A termination date is established <answer>C, D, E
A charge nurse is discussing TMS with a newly licensed
nurse. Which of the following statements by the newly
licensed nurse indicates an understanding of the
teaching?
A) TMS is indicated for clients who have schizophrenia
spectrum disorders
B) I will provide post anesthetic care following TMS
C) TMS treatments usually last 5-10 minutes
, D) I will schedule the client for daily TMS treatments for
the first several weeks <answer>D
A client says she is experiencing increased stress
because her significant other is "pressuring me and my
kids to go live with him. I love him, but I'm not ready to do
that." Which of the following recommendations should the
nurse make to promote a change in the client's situation?
A) Learn to practice mindfulness
B) Use assertiveness techniques
C) Exercise regularly
D) Rely on the support of a close friend <answer>B
A client tells a nurse, "Don't tell anyone but I hid a sharp
knife under my mattress in order to protect myself from my
roommate, who is always yelling at me and threatening
me." Which of the following actions should the nurse take?
A) Keep the client's communication confidential, but talk to
the client daily, using therapeutic communication to
convince him to admit to hiding the knife.
B) Keep the client's communication confidential, but watch
the client and his roommate closely.