NURS 172
Nurs 172 Exam 3 Study Guide Questions and
Answers 2025
A client diagnosed with PTSD states, "Why did my doctor prescribe an antidepressant
rather than an antianxiety drug for me?" Which of the following are the most appropriate
nursing responses? (Select 3 that apply.) -Correct Answer ✔"Antidepressants are now
considered first-line treatment choice for PTSD."
"There have been no controlled studies on the effect of antianxiety drugs on PTSD."
"Because of their addictive properties, antianxiety drugs are less desirable."
A college student has been diagnosed with generalized anxiety disorder (GAD). Which
of the following symptoms should a campus nurse expect this client to exhibit? -Correct
Answer ✔. Fatigue
Insomnia
Irritability
A nurse is discussing treatment options with a client whose life has been negatively
impacted by claustrophobia. Which of the following commonly used behavioral
therapies for phobias should the nurse explain to the client? -Correct Answer
✔Imploding (flooding)
Systematic desensitization
After reporting a sexual assault, a female soldier is diagnosed with a personality
disorder. Which of the following consequences may result? -Correct Answer ✔Stigma of
a psychiatric diagnosis
Service discharge
Loss of service-related disability compensation
Loss of health-care benefits
An attractive female client presents with high anxiety levels because of her belief that
her facial features are large and grotesque. Body dysmorphic disorder (BDD) is
suspected. Which of the following additional symptoms would support this diagnosis?
(Select 3 that apply.) -Correct Answer ✔Mirror checking
Excessive grooming
Skin picking
An extremely distressing experience that causes severe emotional shock and may have
long-lasting psychological effects is called _________________ -Correct Answer
✔trauma
Antianxiety drugs are also called ______________________ and minor tranquilizers. -
Correct Answer ✔anxiolytics
NURS 172
,NURS 172
Traits associated with schizoid, obsessive-compulsive, and _____________________
personality disorders are commonly seen in clients with the diagnosis of body
dysmorphic disorder. -Correct Answer ✔narcissistic
janet becomes panicky when she gets near a dog -Correct Answer ✔specific phobia
patricia weighs and measures her food. long after everyone else has finished eating,
she is still calculating the caloric value of her food and remeasuring her portion -Correct
Answer ✔OCD
frances will not leave her house unless a friend or relative goes with her -Correct
Answer ✔agoraphobia
the nurse asks heather about the bald spots on her scalp. heather replies that when she
gets nervous, she feels better if she pulls her hair out -Correct Answer ✔hair-pulling
disorder
When monitoring an adult client with Fluid Volume Deficit, the nurse is aware that the
minimum acceptable urine output is -Correct Answer ✔30mL/hr
Your18 months old client weighs 32 pounds and has been having vomiting and diarrhea
for the past two days. Mucous beds are dry and the child does not tear with crying. The
health care provider decides to provide IV fluids. You check the daily fluid requirement
calculation and get ___________ ml/day. -Correct Answer ✔32 pounds divided by 2.2
lbs/Kilo = 14.5 Kilos
(1st 10kg) 100 ml X 10 Kg = 1000 ml
(2nd 10 kg) 50 ml x 4.5 Kg = 225 ml
Total = 1225 ml
A patient who has been hospitalized for 2 days has been receiving normal saline IV at
100 ml/hr, has a nasogastric tube to low suction, and is NPO. Which assessment finding
by the nurse is the priority to report to the health care provider? -Correct Answer ✔b.
Gradually decreasing level of consciousness (LOC)
The home health nurse notes that an elderly patient has a low serum protein level. The
nurse will plan to assess for -Correct Answer ✔edema.
The major intracellular fluid (ICF) cation is -Correct Answer ✔Potassium.
The phenomenon of third-space fluid shifting involves -Correct Answer ✔Fluid shifts into
body cavities other than ICF and ECF where the fluid is not available for exchange with
plasma volume.
NURS 172
, NURS 172
When assessing a client for hypovolemic hypernatremia, the nurse would expect to find:
-Correct Answer ✔Thirst.
Which of the following individuals would be most likely to have the highest percentage
of body weight as water? -Correct Answer ✔Infant
Which of the following nursing interventions is most appropriate when caring for a
patient with dehydration? -Correct Answer ✔Monitor daily weight and intake and output.
You must prepare the correct IV solution before administration. The order reads for the
patient to receive D5½ NS with 40 mEq KCl/L at 125 ml/hr. You must add KCl to the IV
because no premixed solutions are available. The unit medication supply has a stock of
KCl 3 mEq/ml in multidose vials. Which of the following amounts of KCl should you add
to a liter of D5½ NS to obtain the correct solution? -Correct Answer ✔c. 13.3 ml
Potassium (K+) -Correct Answer ✔3.5 - 5.0 mEq/
Magnesium (Mg2+ -Correct Answer ✔1.5 - 2.5 mEq/L
Sodium (Na+ -Correct Answer ✔135 - 145 mEq/L
Calcium (Ca2+) -Correct Answer ✔.
8.6 - 10.2 mg/dL
Phosphate (PO43-) -Correct Answer ✔2.4 - 4.4 mg/dL
Active Transport -Correct Answer ✔process in which molecules move against the
concentration gradient
Anions -Correct Answer ✔negatively charged Ions
Cations -Correct Answer ✔positively charged Ions
Central Venous Access Devise (CVAD) -Correct Answer ✔catheters placed in large
blood vessels for patients who require frequent or specific access
- 3 methods: centrally inserted catheters, peripherally inserted catheters, implanted
fusion ports
-major disadvantage= increased risk of systematic infection
-nurse management care of CVADs: assessment, dressing change, cleansing, injection
cap changes, maintenance of catheter patency
Electrolytes -Correct Answer ✔substances whose molecules dissociate or split into Ions
when placed in water
NURS 172
Nurs 172 Exam 3 Study Guide Questions and
Answers 2025
A client diagnosed with PTSD states, "Why did my doctor prescribe an antidepressant
rather than an antianxiety drug for me?" Which of the following are the most appropriate
nursing responses? (Select 3 that apply.) -Correct Answer ✔"Antidepressants are now
considered first-line treatment choice for PTSD."
"There have been no controlled studies on the effect of antianxiety drugs on PTSD."
"Because of their addictive properties, antianxiety drugs are less desirable."
A college student has been diagnosed with generalized anxiety disorder (GAD). Which
of the following symptoms should a campus nurse expect this client to exhibit? -Correct
Answer ✔. Fatigue
Insomnia
Irritability
A nurse is discussing treatment options with a client whose life has been negatively
impacted by claustrophobia. Which of the following commonly used behavioral
therapies for phobias should the nurse explain to the client? -Correct Answer
✔Imploding (flooding)
Systematic desensitization
After reporting a sexual assault, a female soldier is diagnosed with a personality
disorder. Which of the following consequences may result? -Correct Answer ✔Stigma of
a psychiatric diagnosis
Service discharge
Loss of service-related disability compensation
Loss of health-care benefits
An attractive female client presents with high anxiety levels because of her belief that
her facial features are large and grotesque. Body dysmorphic disorder (BDD) is
suspected. Which of the following additional symptoms would support this diagnosis?
(Select 3 that apply.) -Correct Answer ✔Mirror checking
Excessive grooming
Skin picking
An extremely distressing experience that causes severe emotional shock and may have
long-lasting psychological effects is called _________________ -Correct Answer
✔trauma
Antianxiety drugs are also called ______________________ and minor tranquilizers. -
Correct Answer ✔anxiolytics
NURS 172
,NURS 172
Traits associated with schizoid, obsessive-compulsive, and _____________________
personality disorders are commonly seen in clients with the diagnosis of body
dysmorphic disorder. -Correct Answer ✔narcissistic
janet becomes panicky when she gets near a dog -Correct Answer ✔specific phobia
patricia weighs and measures her food. long after everyone else has finished eating,
she is still calculating the caloric value of her food and remeasuring her portion -Correct
Answer ✔OCD
frances will not leave her house unless a friend or relative goes with her -Correct
Answer ✔agoraphobia
the nurse asks heather about the bald spots on her scalp. heather replies that when she
gets nervous, she feels better if she pulls her hair out -Correct Answer ✔hair-pulling
disorder
When monitoring an adult client with Fluid Volume Deficit, the nurse is aware that the
minimum acceptable urine output is -Correct Answer ✔30mL/hr
Your18 months old client weighs 32 pounds and has been having vomiting and diarrhea
for the past two days. Mucous beds are dry and the child does not tear with crying. The
health care provider decides to provide IV fluids. You check the daily fluid requirement
calculation and get ___________ ml/day. -Correct Answer ✔32 pounds divided by 2.2
lbs/Kilo = 14.5 Kilos
(1st 10kg) 100 ml X 10 Kg = 1000 ml
(2nd 10 kg) 50 ml x 4.5 Kg = 225 ml
Total = 1225 ml
A patient who has been hospitalized for 2 days has been receiving normal saline IV at
100 ml/hr, has a nasogastric tube to low suction, and is NPO. Which assessment finding
by the nurse is the priority to report to the health care provider? -Correct Answer ✔b.
Gradually decreasing level of consciousness (LOC)
The home health nurse notes that an elderly patient has a low serum protein level. The
nurse will plan to assess for -Correct Answer ✔edema.
The major intracellular fluid (ICF) cation is -Correct Answer ✔Potassium.
The phenomenon of third-space fluid shifting involves -Correct Answer ✔Fluid shifts into
body cavities other than ICF and ECF where the fluid is not available for exchange with
plasma volume.
NURS 172
, NURS 172
When assessing a client for hypovolemic hypernatremia, the nurse would expect to find:
-Correct Answer ✔Thirst.
Which of the following individuals would be most likely to have the highest percentage
of body weight as water? -Correct Answer ✔Infant
Which of the following nursing interventions is most appropriate when caring for a
patient with dehydration? -Correct Answer ✔Monitor daily weight and intake and output.
You must prepare the correct IV solution before administration. The order reads for the
patient to receive D5½ NS with 40 mEq KCl/L at 125 ml/hr. You must add KCl to the IV
because no premixed solutions are available. The unit medication supply has a stock of
KCl 3 mEq/ml in multidose vials. Which of the following amounts of KCl should you add
to a liter of D5½ NS to obtain the correct solution? -Correct Answer ✔c. 13.3 ml
Potassium (K+) -Correct Answer ✔3.5 - 5.0 mEq/
Magnesium (Mg2+ -Correct Answer ✔1.5 - 2.5 mEq/L
Sodium (Na+ -Correct Answer ✔135 - 145 mEq/L
Calcium (Ca2+) -Correct Answer ✔.
8.6 - 10.2 mg/dL
Phosphate (PO43-) -Correct Answer ✔2.4 - 4.4 mg/dL
Active Transport -Correct Answer ✔process in which molecules move against the
concentration gradient
Anions -Correct Answer ✔negatively charged Ions
Cations -Correct Answer ✔positively charged Ions
Central Venous Access Devise (CVAD) -Correct Answer ✔catheters placed in large
blood vessels for patients who require frequent or specific access
- 3 methods: centrally inserted catheters, peripherally inserted catheters, implanted
fusion ports
-major disadvantage= increased risk of systematic infection
-nurse management care of CVADs: assessment, dressing change, cleansing, injection
cap changes, maintenance of catheter patency
Electrolytes -Correct Answer ✔substances whose molecules dissociate or split into Ions
when placed in water
NURS 172
