NSG 3130 Exam 3 | QUESTIONS AND ANSWERS
9. A client is on complete bed rest and complains of back 3. Giving the client a back
massage pain from lying "in the bed all the time." What is a nursing 5. Using music that
contains no words
intervention that uses a nonpharmacologic method to 6. Instructing the client in guided
imagery ease the discomfort? (Select all that apply.)
1. Administering a dose of morphine for pain
2. Assisting the client to a bedside chair
3.Giving the client a back massage
4. Instructing the client that the health care provider
will see him tomorrow night
5.Using music that contains no words
6. Instructing the client in guided imagery
A patient recently got pregnant and tells the nurse, "I A. Milk
Thistle don't understand, I have been on oral contraceptive pills
for years." The nurse reviews medical history with the
patient and realizes that what herbal substance could be
to blame for the unintended pregnancy?
A. Milk Thistle
B.Echinacea
C. Ginseng
D. Valerian
,A patient with a terminal illness tells the nurse, "I have b. Sit quietly by the patient's
bedside lived a long life. I am ready to go." What is the nurse's best
response?
a.Offer the patient a back rub
b.Sit quietly by the patient's bedside
c.Tell the family about the patient's statement
d.Discuss with the patient how dying is part of the
life cycle
A mother whose young daughter has died of leukemia is d. "It must be hard to deal with such a precious
loss." crying and is unable to talk about her feelings. Which is
the best response by the nurse?
a."Everyone will remember her because she was so
cute. She was one of our favorites."
b."As hard as this is, it is probably for the best
because she was in a lot of pain."
c. "She put up the good fight but now she is out of
pain and in heaven."
d."It must be hard to deal with such a precious loss."
he nurse is preparing to care for a dying client, and c. Encourage expression of feelings, concerns, and fears.
several family members are at the client's e. Touch and hold the client's or family member's hand if appropriate.
bedside. Which therapeutic technique should the nurse f. Be honest and let the client and family know they will not be abandoned by
the use when communicating with the family? nurse.
Select all that apply.
a.Discourage reminiscing.
b.Make the decisions for the family.
c. Encourage expression of feelings, concerns, and fears.
d.Explain everything that is happening to all
family members.
e. Touch and hold the client's or family member's
hand if appropriate.
f.Be honest and let the client and family know they
will not be abandoned by the nurse.
A client is close to death and the family asks how the c. Your father will quit breathing, his heart will quit pumping and he will have
no nurse will know when their father has died. What is the blood pressure when I take it.
best response the nurse can state to the family?
a. Your loved one will quit breathing and the
machine will alarm.
b.Your father's blood pressure will drop.
c.Your father will quit breathing, his heart will quit
pumping and he will have no blood pressure when I take
it.
d.It should be shortly as his blood pressure has already
dropped. I am just waiting for him to stop breathing.
, The nurse's patient has just died and the nurse is
c. Check the patient's religious beliefs and discuss with the family member
preparing him for viewing by the family. What
how they would like to have the body prepared.
preparations should the nurse make first for the viewing?
a.Give the patient a bath, change the bed, and put on
a fresh gown.
b.Position the patient with his arms to his side, close
his eyes, close his mouth, and remove all the
jewelry.
c. Check the patient's religious beliefs and discuss with
the family member how they would like to have the
body prepared.
d.Tape all tubes per protocol, clean the room, remove
supplies from the bedside, and lower the lights.
nurse is guiding her patient's family through the death of
b. Cremation is preferred.
their grandmother. She asks what religion the family is
and they reply that they are Hindu. What is a Hindu's
belief on cremation?
a.Cremation is opposed as is autopsies.
b.Cremation is preferred.
c.All parts of the body need to be buried, not cremated.
d.The patient needs to be dressed in their
"temple clothes" before cremation.
Which is an important concept to consider about
b. One can conceptualize anxiety as being similar to the health-illness continuum.
anxiety to provide appropriate nursing care?
a.Panic attacks generally have a slower onset that
can be prevented if identified early.
b.One can conceptualize anxiety as being similar to
the health-illness continuum.
c. People who lead healthy lifestyles rarely experience
anxiety.
d.Anxiety is an abnormal reaction to realistic danger.
A patient is told that surgery is necessary, and the
b. Moderate-the pulse, respirations, and blood pressure are slightly elevated
patient begins to experience elevations in pulse,
respirations, and blood pressure. Which stage of
anxiety is indicated by these nursing assessments?
a.Mild-the vital signs remain the same as at resting stage
b.Moderate-the pulse, respirations, and blood pressure
are slightly elevated
c. Severe-pulse and respirations are rapid, blood
pressure is high
d.Panic-pulse and respirations are very rapid, blood
pressure is high, pt may hyperventilate
9. A client is on complete bed rest and complains of back 3. Giving the client a back
massage pain from lying "in the bed all the time." What is a nursing 5. Using music that
contains no words
intervention that uses a nonpharmacologic method to 6. Instructing the client in guided
imagery ease the discomfort? (Select all that apply.)
1. Administering a dose of morphine for pain
2. Assisting the client to a bedside chair
3.Giving the client a back massage
4. Instructing the client that the health care provider
will see him tomorrow night
5.Using music that contains no words
6. Instructing the client in guided imagery
A patient recently got pregnant and tells the nurse, "I A. Milk
Thistle don't understand, I have been on oral contraceptive pills
for years." The nurse reviews medical history with the
patient and realizes that what herbal substance could be
to blame for the unintended pregnancy?
A. Milk Thistle
B.Echinacea
C. Ginseng
D. Valerian
,A patient with a terminal illness tells the nurse, "I have b. Sit quietly by the patient's
bedside lived a long life. I am ready to go." What is the nurse's best
response?
a.Offer the patient a back rub
b.Sit quietly by the patient's bedside
c.Tell the family about the patient's statement
d.Discuss with the patient how dying is part of the
life cycle
A mother whose young daughter has died of leukemia is d. "It must be hard to deal with such a precious
loss." crying and is unable to talk about her feelings. Which is
the best response by the nurse?
a."Everyone will remember her because she was so
cute. She was one of our favorites."
b."As hard as this is, it is probably for the best
because she was in a lot of pain."
c. "She put up the good fight but now she is out of
pain and in heaven."
d."It must be hard to deal with such a precious loss."
he nurse is preparing to care for a dying client, and c. Encourage expression of feelings, concerns, and fears.
several family members are at the client's e. Touch and hold the client's or family member's hand if appropriate.
bedside. Which therapeutic technique should the nurse f. Be honest and let the client and family know they will not be abandoned by
the use when communicating with the family? nurse.
Select all that apply.
a.Discourage reminiscing.
b.Make the decisions for the family.
c. Encourage expression of feelings, concerns, and fears.
d.Explain everything that is happening to all
family members.
e. Touch and hold the client's or family member's
hand if appropriate.
f.Be honest and let the client and family know they
will not be abandoned by the nurse.
A client is close to death and the family asks how the c. Your father will quit breathing, his heart will quit pumping and he will have
no nurse will know when their father has died. What is the blood pressure when I take it.
best response the nurse can state to the family?
a. Your loved one will quit breathing and the
machine will alarm.
b.Your father's blood pressure will drop.
c.Your father will quit breathing, his heart will quit
pumping and he will have no blood pressure when I take
it.
d.It should be shortly as his blood pressure has already
dropped. I am just waiting for him to stop breathing.
, The nurse's patient has just died and the nurse is
c. Check the patient's religious beliefs and discuss with the family member
preparing him for viewing by the family. What
how they would like to have the body prepared.
preparations should the nurse make first for the viewing?
a.Give the patient a bath, change the bed, and put on
a fresh gown.
b.Position the patient with his arms to his side, close
his eyes, close his mouth, and remove all the
jewelry.
c. Check the patient's religious beliefs and discuss with
the family member how they would like to have the
body prepared.
d.Tape all tubes per protocol, clean the room, remove
supplies from the bedside, and lower the lights.
nurse is guiding her patient's family through the death of
b. Cremation is preferred.
their grandmother. She asks what religion the family is
and they reply that they are Hindu. What is a Hindu's
belief on cremation?
a.Cremation is opposed as is autopsies.
b.Cremation is preferred.
c.All parts of the body need to be buried, not cremated.
d.The patient needs to be dressed in their
"temple clothes" before cremation.
Which is an important concept to consider about
b. One can conceptualize anxiety as being similar to the health-illness continuum.
anxiety to provide appropriate nursing care?
a.Panic attacks generally have a slower onset that
can be prevented if identified early.
b.One can conceptualize anxiety as being similar to
the health-illness continuum.
c. People who lead healthy lifestyles rarely experience
anxiety.
d.Anxiety is an abnormal reaction to realistic danger.
A patient is told that surgery is necessary, and the
b. Moderate-the pulse, respirations, and blood pressure are slightly elevated
patient begins to experience elevations in pulse,
respirations, and blood pressure. Which stage of
anxiety is indicated by these nursing assessments?
a.Mild-the vital signs remain the same as at resting stage
b.Moderate-the pulse, respirations, and blood pressure
are slightly elevated
c. Severe-pulse and respirations are rapid, blood
pressure is high
d.Panic-pulse and respirations are very rapid, blood
pressure is high, pt may hyperventilate
