2024 EXAM 140 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT) /A+ GRADE ASSURED
A nurse is providing care for a client who has
anorexia nervosa. Which of the following nursing
interventions should the nurse take?
A) Compliment the client for weight gain.
B) Allow the client to eat at any time.
C) Provide privacy when friends visit.
D) Schedule regular weigh-in times. - ...ANSWER...D)
Schedule regular weigh-in times.
A nurse is caring for a client who has severe manifestations
of acute alcohol withdrawal. To ensure safe care, which of
the following nursing actions should the nurse take? (Select
all that apply.)
A) Administer a sedative.
B) Keep the lights on in the client's room.
C) Ambulate the client in the hallway.
D) Reduce unnecessary stimuli.
E) Limit daily fluid intake. - ...ANSWER...C) Ambulate
the client in the hallway.
D) Reduce unnecessary stimuli.
,A nurse is caring for a client who is experiencing acute
alcohol withdrawal. Which of the following findings should
the nurse expect?
A) Hand tremors
B) Stuporous level of consciousness
C) Bradycardia
D) Hypotension - ...ANSWER...A) Hand tremors
A nurse is counseling a client for the management of
anxiety. The client is consistently late for appointments and
ignores household chores. The client states, "I'm just too
stressed. I need someone to take care of me." The nurse
identifies this behavior as an example of which of the
following defense mechanisms?
A) Dissociation
B) Introjection
C) Regression
D) Repression - ...ANSWER...C) Regression
A nurse is assessing a client who has posttraumatic stress
disorder (PTSD) following a sexual assault. Which of
the following is an expected finding?
A) Sleeping 12 hr or more each day.
B) Increasing sense of attachment to others.
C) Constant need to talk about the event.
D) Increasing feelings of anger. - ...ANSWER...D)
Increasing feelings of anger.
A nurse is assessing a client who has a new diagnosis of
anorexia nervosa. Which of the following findings should
the nurse expect?
A) Hyperactive bowel sounds
,B) Bradycardia
C) Hypertension
D) Dental erosion - ...ANSWER...B) Bradycardia
A home-health nurse is assessing a client who has
obsessive-compulsive disorder (OCD) and finds that the
client demonstrates constant repetitive cleaning. The nurse
knows that this behavior is an attempt to accomplish
which of the following?
A) Decrease anxiety.
B) Prevent aggressive and impulsive behaviors.
C) Manipulate others.
D) Decrease the time available for interaction with people. -
...ANSWER...A) Decrease anxiety.
A nurse is caring for a client who has obsessive-compulsive
disorder (OCD). Which of the following characteristics are
expected findings of OCD? (Select all that apply.)
A) Difficulty relaxing
B) Irrational fear of certain objects
C) Rule-conscious behavior
D) Unaware of compulsions
E) Perfectionist behavior - ...ANSWER...A)
Difficulty relaxing
C) Rule-conscious behavior
E) Perfectionist behavior
A client is admitted with post-traumatic stress disorder
following a fire in his home in which family members died.
Which of the following should the nurse recognize as an
adaptive defense mechanism?
, A) The client begins reading a book when he
experiences hand tremors in response to loud noise.
B) The client makes a decision to postpone a
needed surgery.
C) The client focuses on discussing his daily routine
when asked about the fire.
D) The client develops stomach pains when fire is seen on
television. - ...ANSWER...A) The client begins reading a
book when he experiences hand tremors in response to
loud noise.
A nurse is planning care for a client who has a
prescription for alprazolam. For which of the following
adverse effects should the nurse plan to monitor?
A) Decreased urine output
B) Manifestations of seizure activity
C) Inability to recall events
D) Increase in white blood cell count - ...ANSWER...C)
Inability to recall events
A nurse manager is preparing to confront a staff nurse who
is abusing alcohol. Which of the following defense
mechanisms should the nurse manager expect the staff
nurse to use?
A) Projection
B) Rationalization
C) Repression
D) Denial - ...ANSWER...D) Denial
A client states, "I just don't know what to do about my
partner's drinking. Every time I see him drinking beer, I start