1
NR 547 EXAM / NR547 FINAL EXAM LATEST 2026 ACTUAL EXAM
COMPLETE 70 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) NEWEST UPDATED VERSION |GUARANTEED PASS
A+.
1. A 72-year-old client is brought to the psychiatric clinic by family members
because of gradually worsening forgetfulness over three years. The client
frequently misplaces objects, has difficulty managing finances and
medications, and recently became lost while driving in a familiar
neighborhood. The family reports that the decline has been progressive
rather than occurring in discrete episodes. Which diagnosis is most
consistent with this presentation?
A. Delirium
B. Major depressive disorder
C. Major neurocognitive disorder due to Alzheimer’s disease
D. Adjustment disorder
Answer: C
2. A 79-year-old hospitalized client suddenly becomes disoriented overnight,
alternates between agitation and lethargy, cannot maintain attention during
conversation, and has fluctuating consciousness. The family reports that the
client was cognitively intact before admission. Which condition should the
psychiatric mental health nurse practitioner suspect first?
A. Delirium
B. Generalized anxiety disorder
C. Major depressive disorder
D. Schizophrenia
Answer: A
3. A 45-year-old client reports six months of excessive worry about finances,
employment, family health, and multiple everyday responsibilities. The
client describes the worry as difficult to control and reports muscle tension,
irritability, fatigue, and poor sleep. The symptoms occur on most days and
cause significant impairment. Which diagnosis is most appropriate?
,2
A. Panic disorder
B. Generalized anxiety disorder
C. Illness anxiety disorder
D. Adjustment disorder
Answer: B
4. A 28-year-old client experiences sudden episodes of intense fear
accompanied by palpitations, sweating, trembling, shortness of breath,
chest discomfort, and fear of dying. Medical evaluation is unrevealing, and
the client has become persistently concerned about having another attack.
Which diagnosis best fits this presentation?
A. Social anxiety disorder
B. Generalized anxiety disorder
C. Specific phobia
D. Panic disorder
Answer: D
5. A 34-year-old client has recurrent unexpected panic attacks followed by
persistent worry about additional attacks and significant avoidance of
situations where escape might be difficult. The client has stopped using
public transportation and avoids crowded stores. Which condition is most
consistent with the avoidance pattern?
A. Agoraphobia
B. Obsessive-compulsive disorder
C. Social anxiety disorder
D. Specific phobia
Answer: A
6. A 22-year-old college student experiences intense fear whenever required
to speak in front of classmates. The student worries about being
embarrassed, avoids presentations, and experiences blushing and trembling
when social evaluation is unavoidable. Which diagnosis is most
appropriate?
A. Panic disorder
, 3
B. Social anxiety disorder
C. Generalized anxiety disorder
D. Separation anxiety disorder
Answer: B
7. A 31-year-old client repeatedly checks the door lock 20 times before leaving
home because of intrusive fears that an intruder will enter. The client
recognizes that the thoughts are excessive but feels compelled to perform
the checking ritual to reduce anxiety. Which diagnosis best explains the
symptoms?
A. Delusional disorder
B. Generalized anxiety disorder
C. Obsessive-compulsive disorder
D. Illness anxiety disorder
Answer: C
8. A client reports recurrent intrusive thoughts about contamination and
spends several hours each day washing hands and cleaning household
surfaces. The client understands that the behavior is excessive but cannot
resist the urge to perform it. Which treatment approach is particularly
appropriate?
A. Exposure and response prevention
B. Supportive confrontation
C. Dream interpretation alone
D. Social skills training only
Answer: A
9. A 30-year-old client develops recurrent nightmares, intrusive memories,
hypervigilance, exaggerated startle response, avoidance of reminders, and
emotional detachment after surviving a serious motor vehicle collision eight
months ago. Which diagnosis should be considered?
A. Acute stress disorder
B. Posttraumatic stress disorder
C. Adjustment disorder
NR 547 EXAM / NR547 FINAL EXAM LATEST 2026 ACTUAL EXAM
COMPLETE 70 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) NEWEST UPDATED VERSION |GUARANTEED PASS
A+.
1. A 72-year-old client is brought to the psychiatric clinic by family members
because of gradually worsening forgetfulness over three years. The client
frequently misplaces objects, has difficulty managing finances and
medications, and recently became lost while driving in a familiar
neighborhood. The family reports that the decline has been progressive
rather than occurring in discrete episodes. Which diagnosis is most
consistent with this presentation?
A. Delirium
B. Major depressive disorder
C. Major neurocognitive disorder due to Alzheimer’s disease
D. Adjustment disorder
Answer: C
2. A 79-year-old hospitalized client suddenly becomes disoriented overnight,
alternates between agitation and lethargy, cannot maintain attention during
conversation, and has fluctuating consciousness. The family reports that the
client was cognitively intact before admission. Which condition should the
psychiatric mental health nurse practitioner suspect first?
A. Delirium
B. Generalized anxiety disorder
C. Major depressive disorder
D. Schizophrenia
Answer: A
3. A 45-year-old client reports six months of excessive worry about finances,
employment, family health, and multiple everyday responsibilities. The
client describes the worry as difficult to control and reports muscle tension,
irritability, fatigue, and poor sleep. The symptoms occur on most days and
cause significant impairment. Which diagnosis is most appropriate?
,2
A. Panic disorder
B. Generalized anxiety disorder
C. Illness anxiety disorder
D. Adjustment disorder
Answer: B
4. A 28-year-old client experiences sudden episodes of intense fear
accompanied by palpitations, sweating, trembling, shortness of breath,
chest discomfort, and fear of dying. Medical evaluation is unrevealing, and
the client has become persistently concerned about having another attack.
Which diagnosis best fits this presentation?
A. Social anxiety disorder
B. Generalized anxiety disorder
C. Specific phobia
D. Panic disorder
Answer: D
5. A 34-year-old client has recurrent unexpected panic attacks followed by
persistent worry about additional attacks and significant avoidance of
situations where escape might be difficult. The client has stopped using
public transportation and avoids crowded stores. Which condition is most
consistent with the avoidance pattern?
A. Agoraphobia
B. Obsessive-compulsive disorder
C. Social anxiety disorder
D. Specific phobia
Answer: A
6. A 22-year-old college student experiences intense fear whenever required
to speak in front of classmates. The student worries about being
embarrassed, avoids presentations, and experiences blushing and trembling
when social evaluation is unavoidable. Which diagnosis is most
appropriate?
A. Panic disorder
, 3
B. Social anxiety disorder
C. Generalized anxiety disorder
D. Separation anxiety disorder
Answer: B
7. A 31-year-old client repeatedly checks the door lock 20 times before leaving
home because of intrusive fears that an intruder will enter. The client
recognizes that the thoughts are excessive but feels compelled to perform
the checking ritual to reduce anxiety. Which diagnosis best explains the
symptoms?
A. Delusional disorder
B. Generalized anxiety disorder
C. Obsessive-compulsive disorder
D. Illness anxiety disorder
Answer: C
8. A client reports recurrent intrusive thoughts about contamination and
spends several hours each day washing hands and cleaning household
surfaces. The client understands that the behavior is excessive but cannot
resist the urge to perform it. Which treatment approach is particularly
appropriate?
A. Exposure and response prevention
B. Supportive confrontation
C. Dream interpretation alone
D. Social skills training only
Answer: A
9. A 30-year-old client develops recurrent nightmares, intrusive memories,
hypervigilance, exaggerated startle response, avoidance of reminders, and
emotional detachment after surviving a serious motor vehicle collision eight
months ago. Which diagnosis should be considered?
A. Acute stress disorder
B. Posttraumatic stress disorder
C. Adjustment disorder
