Nsg 211 Northern Virginia Community College -NSG 211 -
Exam 1 Questions | 2026/2027 | Answers Correct | With
Complete Solutions
A client diagnosed with obsessive-compulsive disorder (OCD)
tells the nurse about having feelings of apprehension that are
alleviated through frequent hand washing. The client's hands are
red and swollen, and the nurse notes several areas of excoriation.
Which nursing diagnosis is the priority for this client?
A. Anxiety
B. Sleep Pattern, Disturbed
C. Skin Integrity, Impaired
D. Coping, Ineffective Correct Answers C
Based on the assessment findings, diagnosis of Skin Integrity,
Impaired is a priority for the nurse. Sleep Pattern, Disturbed;
Anxiety; and Coping, Ineffective are appropriate nursing
diagnoses for a client with OCD, but they are not a priority for
this client.
A client has a tendency to develop anxiety when giving a
presentation at work. The client reports developing muscle
tension, headaches, and occasional palpitations. Which coping
strategy should the nurse recommend as the most effective for
immediate stress reduction?
A. Participating in deep-breathing exercises before the
anticipated event
B. Performing progressive relaxation technique
C. Engaging in daily yoga therapy
D. Using herbal therapy, including valerian Correct Answers A
Deep breathing is an activity that can be accomplished
anywhere. This activity is usually unnoticed by others in the
,same area and therefore can be done without attracting attention.
All the other options cannot be applied for immediate stress
reduction.
A client is noted to have a type I (IgE-mediated) hypersensitivity
reaction with a systemic response. Which clinical manifestation
should the nurse anticipate? Select all that apply.
A. Wheezing
B. Urticaria
C. Allergic rhinitis
D. Hypotension
E. Stridor Correct Answers A, B, D, E
Anaphylaxis is a systemic, type I response. Some signs of
anaphylaxis are wheezing, stridor, urticaria, and hypotension.
Allergic rhinitis is a sign of a less serious, local type I response.
A client is prescribed Alprazolam (Xanax) for acute anxiety.
What client history should cause a nurse to question this order?
A. History of alcohol dependence
B. History of personality disorder
C. History of schizophrenia
D. History of hypertension Correct Answers A
The nurse would be concerned if the patient has a history of
alcohol dependence; this could increase the risk of developing
an addiction or dependence on benzodiazepines.
A client recently diagnosed with anxiety would like to prevent
further panic attacks. Which suggestion should the nurse
include? Select all that apply.
A. Avoiding alcohol
B. Avoiding caffeine
, C. Not staying home alone
D. Tracking patterns
E. Quitting smoking Correct Answers A, B, D, E
A client with human immunodeficiency virus (HIV) and
acquired immunodeficiency syndrome confides that he is
homosexual and his employer does not know his HIV status.
Which response by the nurse is best?
A. "The information you confide in me is confidential."
B. "Would you like me to help you tell them?"
C. "I must share this information with your family."
D. "I must share this information with your employer." Correct
Answers A
The nurse is responsible for maintaining confidentiality of this
disclosure by the client. The nurse CANNOT discuss the client's
health problems with the family or employer. It is the client's
reprehensibility to inform others if he or she chooses to do so.
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? Select all that apply.
A. Fatigue
B. Anorexia
C. Hyperventilation
D. Insomnia
E. Irritability Correct Answers A, D, E
A parent tells the nurse that they are thinking of not giving their
child any vaccinations. How should the nurse respond?
A. Suggest they provide all except the measles, mumps, and
rubella vaccine.
Exam 1 Questions | 2026/2027 | Answers Correct | With
Complete Solutions
A client diagnosed with obsessive-compulsive disorder (OCD)
tells the nurse about having feelings of apprehension that are
alleviated through frequent hand washing. The client's hands are
red and swollen, and the nurse notes several areas of excoriation.
Which nursing diagnosis is the priority for this client?
A. Anxiety
B. Sleep Pattern, Disturbed
C. Skin Integrity, Impaired
D. Coping, Ineffective Correct Answers C
Based on the assessment findings, diagnosis of Skin Integrity,
Impaired is a priority for the nurse. Sleep Pattern, Disturbed;
Anxiety; and Coping, Ineffective are appropriate nursing
diagnoses for a client with OCD, but they are not a priority for
this client.
A client has a tendency to develop anxiety when giving a
presentation at work. The client reports developing muscle
tension, headaches, and occasional palpitations. Which coping
strategy should the nurse recommend as the most effective for
immediate stress reduction?
A. Participating in deep-breathing exercises before the
anticipated event
B. Performing progressive relaxation technique
C. Engaging in daily yoga therapy
D. Using herbal therapy, including valerian Correct Answers A
Deep breathing is an activity that can be accomplished
anywhere. This activity is usually unnoticed by others in the
,same area and therefore can be done without attracting attention.
All the other options cannot be applied for immediate stress
reduction.
A client is noted to have a type I (IgE-mediated) hypersensitivity
reaction with a systemic response. Which clinical manifestation
should the nurse anticipate? Select all that apply.
A. Wheezing
B. Urticaria
C. Allergic rhinitis
D. Hypotension
E. Stridor Correct Answers A, B, D, E
Anaphylaxis is a systemic, type I response. Some signs of
anaphylaxis are wheezing, stridor, urticaria, and hypotension.
Allergic rhinitis is a sign of a less serious, local type I response.
A client is prescribed Alprazolam (Xanax) for acute anxiety.
What client history should cause a nurse to question this order?
A. History of alcohol dependence
B. History of personality disorder
C. History of schizophrenia
D. History of hypertension Correct Answers A
The nurse would be concerned if the patient has a history of
alcohol dependence; this could increase the risk of developing
an addiction or dependence on benzodiazepines.
A client recently diagnosed with anxiety would like to prevent
further panic attacks. Which suggestion should the nurse
include? Select all that apply.
A. Avoiding alcohol
B. Avoiding caffeine
, C. Not staying home alone
D. Tracking patterns
E. Quitting smoking Correct Answers A, B, D, E
A client with human immunodeficiency virus (HIV) and
acquired immunodeficiency syndrome confides that he is
homosexual and his employer does not know his HIV status.
Which response by the nurse is best?
A. "The information you confide in me is confidential."
B. "Would you like me to help you tell them?"
C. "I must share this information with your family."
D. "I must share this information with your employer." Correct
Answers A
The nurse is responsible for maintaining confidentiality of this
disclosure by the client. The nurse CANNOT discuss the client's
health problems with the family or employer. It is the client's
reprehensibility to inform others if he or she chooses to do so.
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? Select all that apply.
A. Fatigue
B. Anorexia
C. Hyperventilation
D. Insomnia
E. Irritability Correct Answers A, D, E
A parent tells the nurse that they are thinking of not giving their
child any vaccinations. How should the nurse respond?
A. Suggest they provide all except the measles, mumps, and
rubella vaccine.
