NURS 6512N CASE SJ ACTUAL EXAM
PAPER 2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ When assessing tactile fremitus, the nurse recalls that it is normal to feel
tactile fremitus most intensely over which location?.
Answer: ANS: Between the scapulae
◍ Which of these positions is most likely to make significant lumps more
distinct during breast palpation?.
Answer: ANS: Supine with arms raised over her head
◍ The pt's adolescent family member enters the room, kisses the pt, and
remarks, "I think she can get better if we just give her more time. Just
because she was moved to this hospice doesn't mean she will die." The RN
recognizes the adolescent has already begun to grieve the loss of a family
member. According to the Kubler-Ross Model, how should the RN
categorize this stage of grief being exemplified by the adolescent's
statements?a. Acceptanceb. Depressionc. Bargainingd. Denial.
Answer: Denial
◍ A patient comes to the clinic complaining of a cough that is worse at night
but not as bad during the day. The nurse recognizes that this may indicate:.
Answer: ANS: postnasal drip or sinusitis.
◍ The nurse notes hyperresonant percussion tones when percussing the thorax
of an infant..
Answer: ANS: consider this a normal finding.
◍ The pt becomes difficult to arouse and doesn't follow commands. The
daughter ask the RN what they should tell their preschool child if she
dies.Which phrase should the RN recommend?a. "She went to sleep and
, didn't wake up"b. "She died and that makes us feel very sad"c. "God wanted
her because she was so good"d. "We've lost her and will miss her very
much".
Answer: "She died and that makes us feel very sad"
◍ During a breast examination on a female patient, the nurse notices that the
nipple is flat, broad, and fixed. The patient states it "started doing that a few
months ago." This finding suggests:.
Answer: ANS: a retracted nipple.
◍ The pt's spouse decides to go home to sleep in their own bed. Another of the
pt's family spends the night at the bedside. Early the next morning, the pt's
VS are pulse 50 beats/min and thready, respirations 10 breaths/min and
shallow, BP 70/30 mmHg, Glasgow Coma Scale 3. Which other physical
symptom should the RN anticipate?a. Hyperreflexia in legs and armsb.
Increased urinary outputc. Mottling of hands and feetd. Head turned away
from light.
Answer: Mottling of hands and feet
◍ The family members are at the bedside very early the next day when the pt
stops breathing. The HCP arrives and pronounces the death. As the faith
leader is being consulted regarding the prep of the body, a group of
individuals from the pt's faith community arrive to assist with the
postmortem care.How should the RN respond?a. Instruct the family and the
religious leader to leave the roomb. Remain available to assist the women of
the religious community as neededc. Tell the religious leader that
postmortem care must be done by the hospice staff regardless of religiond.
Remind the family that an autopsy must be performed before the burial.
Answer: Remain available to assist the women of the religious community
as needed
◍ The pt has frequent episodes of coughing and choking with decrease oxygen
sat and is transferred to the hospice unit. The RN identified the pt's nursing
diagnosis of "Ineffective airway clearance".Which nursing intervention
should be implemented to care for the pt's mouth?a. Give her sips of water
, through a strawb. Offer her an oz of ice chips every hourc. Provide mouth
care daily with her bathd. Clean her mouth frequently with oral swabs.
Answer: Clean her mouth frequently with oral swabs
◍ The nurse is teaching a pregnant woman about breast milk. Which is
correct?.
Answer: ANS: "You may notice a thick, yellow fluid expressed from your
breasts as early as the fourth month of pregnancy."
◍ The pt's family has been observing the RN perform oral suction for the pt
and says, "I know she's dying. I can do the suctioning. Would you watch me
once?"How should the RN respond?a. "Do you think you're strong
enough?"b. "Yes. I would be happy to watch you."c. "I am not sure that's a
good idea"d. "I think there is a policy against it".
Answer: "Yes, I would be happy to watch you"
◍ While examining a 75-year-old woman, the nurse notices that the skin over
her right breast is thickened and the hair follicles are exaggerated. This
condition is known as:.
Answer: ANS: peau d'orange.
◍ The pt's spouse tells the RN their faith in God has seen them through life's
problems and they rely on that faith everyday.What is the best response to
support the pt and her spouse spiritually?a. "Do you have any wishes I
should convey to the staff?"b. "I wish my faith were as strong as yours"c.
"Does your family share your faith?"d. "Would you like to visit the chapel
on the 1st floor?".
Answer: "Do you have any wishes I should convey to the staff?"
◍ The pt now lies quietly with her eyes closed. She no longer responds
verbally, but she smiles when her family speaks to her. To assist the pt and
family in life review, what is the best intervention by the RN?a. Encourage
visitors to talk quietly so the pt isn't disturbedb. Suggest to the family that
they bring photo albums to show the ptc. Encourage the pt and family to talk
about their experiencesd. Encourage visitors to use touch when
communicating with the pt.
PAPER 2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ When assessing tactile fremitus, the nurse recalls that it is normal to feel
tactile fremitus most intensely over which location?.
Answer: ANS: Between the scapulae
◍ Which of these positions is most likely to make significant lumps more
distinct during breast palpation?.
Answer: ANS: Supine with arms raised over her head
◍ The pt's adolescent family member enters the room, kisses the pt, and
remarks, "I think she can get better if we just give her more time. Just
because she was moved to this hospice doesn't mean she will die." The RN
recognizes the adolescent has already begun to grieve the loss of a family
member. According to the Kubler-Ross Model, how should the RN
categorize this stage of grief being exemplified by the adolescent's
statements?a. Acceptanceb. Depressionc. Bargainingd. Denial.
Answer: Denial
◍ A patient comes to the clinic complaining of a cough that is worse at night
but not as bad during the day. The nurse recognizes that this may indicate:.
Answer: ANS: postnasal drip or sinusitis.
◍ The nurse notes hyperresonant percussion tones when percussing the thorax
of an infant..
Answer: ANS: consider this a normal finding.
◍ The pt becomes difficult to arouse and doesn't follow commands. The
daughter ask the RN what they should tell their preschool child if she
dies.Which phrase should the RN recommend?a. "She went to sleep and
, didn't wake up"b. "She died and that makes us feel very sad"c. "God wanted
her because she was so good"d. "We've lost her and will miss her very
much".
Answer: "She died and that makes us feel very sad"
◍ During a breast examination on a female patient, the nurse notices that the
nipple is flat, broad, and fixed. The patient states it "started doing that a few
months ago." This finding suggests:.
Answer: ANS: a retracted nipple.
◍ The pt's spouse decides to go home to sleep in their own bed. Another of the
pt's family spends the night at the bedside. Early the next morning, the pt's
VS are pulse 50 beats/min and thready, respirations 10 breaths/min and
shallow, BP 70/30 mmHg, Glasgow Coma Scale 3. Which other physical
symptom should the RN anticipate?a. Hyperreflexia in legs and armsb.
Increased urinary outputc. Mottling of hands and feetd. Head turned away
from light.
Answer: Mottling of hands and feet
◍ The family members are at the bedside very early the next day when the pt
stops breathing. The HCP arrives and pronounces the death. As the faith
leader is being consulted regarding the prep of the body, a group of
individuals from the pt's faith community arrive to assist with the
postmortem care.How should the RN respond?a. Instruct the family and the
religious leader to leave the roomb. Remain available to assist the women of
the religious community as neededc. Tell the religious leader that
postmortem care must be done by the hospice staff regardless of religiond.
Remind the family that an autopsy must be performed before the burial.
Answer: Remain available to assist the women of the religious community
as needed
◍ The pt has frequent episodes of coughing and choking with decrease oxygen
sat and is transferred to the hospice unit. The RN identified the pt's nursing
diagnosis of "Ineffective airway clearance".Which nursing intervention
should be implemented to care for the pt's mouth?a. Give her sips of water
, through a strawb. Offer her an oz of ice chips every hourc. Provide mouth
care daily with her bathd. Clean her mouth frequently with oral swabs.
Answer: Clean her mouth frequently with oral swabs
◍ The nurse is teaching a pregnant woman about breast milk. Which is
correct?.
Answer: ANS: "You may notice a thick, yellow fluid expressed from your
breasts as early as the fourth month of pregnancy."
◍ The pt's family has been observing the RN perform oral suction for the pt
and says, "I know she's dying. I can do the suctioning. Would you watch me
once?"How should the RN respond?a. "Do you think you're strong
enough?"b. "Yes. I would be happy to watch you."c. "I am not sure that's a
good idea"d. "I think there is a policy against it".
Answer: "Yes, I would be happy to watch you"
◍ While examining a 75-year-old woman, the nurse notices that the skin over
her right breast is thickened and the hair follicles are exaggerated. This
condition is known as:.
Answer: ANS: peau d'orange.
◍ The pt's spouse tells the RN their faith in God has seen them through life's
problems and they rely on that faith everyday.What is the best response to
support the pt and her spouse spiritually?a. "Do you have any wishes I
should convey to the staff?"b. "I wish my faith were as strong as yours"c.
"Does your family share your faith?"d. "Would you like to visit the chapel
on the 1st floor?".
Answer: "Do you have any wishes I should convey to the staff?"
◍ The pt now lies quietly with her eyes closed. She no longer responds
verbally, but she smiles when her family speaks to her. To assist the pt and
family in life review, what is the best intervention by the RN?a. Encourage
visitors to talk quietly so the pt isn't disturbedb. Suggest to the family that
they bring photo albums to show the ptc. Encourage the pt and family to talk
about their experiencesd. Encourage visitors to use touch when
communicating with the pt.
