NURS 172 EXAM 3 QUESTIONS AND ANSWERS
1. 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.): "Antide-
pressants 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."
2. 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?: . Fatigue
Insomnia
Irritability
3. 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?-
: Imploding (flooding)
Systematic desensitization
4. After reporting a sexual assault, a female soldier is diagnosed with a per-
sonality disorder. Which of the following consequences may result?: Stigma
of a psychiatric diagnosis
Service discharge
Loss of service-related disability compensation
Loss of health-care benefits
5. 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.): Mirror checking
Excessive grooming
Skin picking
6. An extremely distressing experience that causes severe emotion-
al shock and may have long-lasting psychological effects is called
: trauma
,7. Antianxiety drugs are also called and minor
tran- quilizers.: anxiolytics
8. Traits associated with schizoid, obsessive-compulsive, and
personality disorders are commonly seen in clients
with the diagnosis of body dysmorphic disorder.: narcissistic
9. janet becomes panicky when she gets near a dog: specific phobia
,10. 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: OCD
11. frances will not leave her house unless a friend or relative goes with
her: agoraphobia
12. 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: -
hair-pulling disorder
13. When monitoring an adult client with Fluid Volume Deficit, the nurse is
aware that the minimum acceptable urine output is: 30mL/hr
14. 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.: 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
15. 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?: b. Gradually decreasing level of consciousness (LOC)
16. The home health nurse notes that an elderly patient has a low serum
protein level. The nurse will plan to assess for: edema.
17. The major intracellular fluid (ICF) cation is: Potassium.
18. The phenomenon of third-space fluid shifting involves: Fluid shifts into body
cavities other than ICF and ECF where the fluid is not available for exchange with
plasma volume.
19. When assessing a client for hypovolemic hypernatremia, the nurse would
expect to find:: Thirst.
20. Which of the following individuals would be most likely to have the highest
, percentage of body weight as water?: Infant
21. Which of the following nursing interventions is most appropriate when
caring for a patient with dehydration?: Monitor daily weight and intake and output.
22. 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
1. 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.): "Antide-
pressants 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."
2. 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?: . Fatigue
Insomnia
Irritability
3. 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?-
: Imploding (flooding)
Systematic desensitization
4. After reporting a sexual assault, a female soldier is diagnosed with a per-
sonality disorder. Which of the following consequences may result?: Stigma
of a psychiatric diagnosis
Service discharge
Loss of service-related disability compensation
Loss of health-care benefits
5. 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.): Mirror checking
Excessive grooming
Skin picking
6. An extremely distressing experience that causes severe emotion-
al shock and may have long-lasting psychological effects is called
: trauma
,7. Antianxiety drugs are also called and minor
tran- quilizers.: anxiolytics
8. Traits associated with schizoid, obsessive-compulsive, and
personality disorders are commonly seen in clients
with the diagnosis of body dysmorphic disorder.: narcissistic
9. janet becomes panicky when she gets near a dog: specific phobia
,10. 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: OCD
11. frances will not leave her house unless a friend or relative goes with
her: agoraphobia
12. 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: -
hair-pulling disorder
13. When monitoring an adult client with Fluid Volume Deficit, the nurse is
aware that the minimum acceptable urine output is: 30mL/hr
14. 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.: 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
15. 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?: b. Gradually decreasing level of consciousness (LOC)
16. The home health nurse notes that an elderly patient has a low serum
protein level. The nurse will plan to assess for: edema.
17. The major intracellular fluid (ICF) cation is: Potassium.
18. The phenomenon of third-space fluid shifting involves: Fluid shifts into body
cavities other than ICF and ECF where the fluid is not available for exchange with
plasma volume.
19. When assessing a client for hypovolemic hypernatremia, the nurse would
expect to find:: Thirst.
20. Which of the following individuals would be most likely to have the highest
, percentage of body weight as water?: Infant
21. Which of the following nursing interventions is most appropriate when
caring for a patient with dehydration?: Monitor daily weight and intake and output.
22. 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
