ATI UPDATED ACTUAL EXAM 2 WITH WELL
DETAILED CORRECT ANSWERS
A nurse on the psychiatric unit is assessing a client
who has moderate anxiety disorder. Which of the
following findings should the nurse expect?
A) Rapid speech
B) Chills
C) Distorted perceptual field
D) Urinary frequency - answer-D) Urinary frequency
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?
A) Amylase
B) Creatinine
C) Aspartate aminotransferase (AST)
,D) Antidiuretic hormone (ADH) - answer-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?
A) Conversion
B) Projection
C) Undoing
D) Regression - answer-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?
,A) Mild
B) Moderate
C) Severe
D) Panic - answer-C) Severe
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?
A) Limit the amount of time available to interact
with others.
B) Focus attention on meaningful tasks.
C) Manipulate and control others' behaviors.
D) Decrease anxiety to a tolerable level. - answer-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?
A) Call for assistance to place the client in restraints.
B) Escort the client to an unlocked seclusion room.
C) Offer the client a PRN antianxiety medication.
D) Speak to the client calmly, giving simple
directions. - answer-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.)
A) Amenorrhea
B) Verbalized desire to gain weight
C) Altered body image
DETAILED CORRECT ANSWERS
A nurse on the psychiatric unit is assessing a client
who has moderate anxiety disorder. Which of the
following findings should the nurse expect?
A) Rapid speech
B) Chills
C) Distorted perceptual field
D) Urinary frequency - answer-D) Urinary frequency
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?
A) Amylase
B) Creatinine
C) Aspartate aminotransferase (AST)
,D) Antidiuretic hormone (ADH) - answer-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?
A) Conversion
B) Projection
C) Undoing
D) Regression - answer-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?
,A) Mild
B) Moderate
C) Severe
D) Panic - answer-C) Severe
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?
A) Limit the amount of time available to interact
with others.
B) Focus attention on meaningful tasks.
C) Manipulate and control others' behaviors.
D) Decrease anxiety to a tolerable level. - answer-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?
A) Call for assistance to place the client in restraints.
B) Escort the client to an unlocked seclusion room.
C) Offer the client a PRN antianxiety medication.
D) Speak to the client calmly, giving simple
directions. - answer-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.)
A) Amenorrhea
B) Verbalized desire to gain weight
C) Altered body image
