1|Page
NUR 131 FINAL EXAM 2026 – PRACTICE UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
The nurses notes on the admission form that the patient has indication
"no religious preference." What does this indicate to the nurse about
the patient?
a) does not follow the tenets of a specific faith
b) is in denial about his religious beliefs
c) doesn't believe in God or a "higher power"
d) will not want to pray or visit with the chaplain ......ANSWER......a)
does not follow the tenets of a specific faith
Your pt is a 17 year old who lost her right leg in a MVA. After her
parents leave, she asks you, "Why did God let this happen to me? I have
always followed his commandments." Which action best depicts the
"caring" aspect of SENC?
a) "Let me call your parents back to support you."
b) I think the chaplain can provide the support you need."
c) cry with the pt as you hug her
pg. 1
,2|Page
d) hold her hand, sit with her, & listen ......ANSWER......d) hold her
hand, sit with her, & listen
The student nurse has earned A's in all of her prerequisite courses. For
the first exam in a nursing course, she earns a D and now feels that she
may not be smart enough to become a nurse. What type of "loss" is the
student experiencing?
a) actual
b) external
c) physical
d) perceived ......ANSWER......d) perceived
Your 55 year old pt was just informed that she has metastatic pancreatic
cancer and has 4 months to live. After the provider leaves, she says to
you, "I don't want my family to know. But they have to know. Please
don't tell them. Please tell me what to do, help me." What is your best
response?
a) "I know this is difficult for you. Take time to thin about it."
b) "You should get a second opinion before you alarm your family."
c) "Let me hold your hand to make you feel better."
d) "Tell me how you are feeling right now." ......ANSWER......d) "Tell me
how you are feeling right now"
pg. 2
,3|Page
The pt is dying of cancer and can no longer swallow. The son states to
the nurse, "You MUST give dad some water, he always drank a lot of
water." The nurse's best response is
a) "You sound very upset. Tell me more about your dad."
b) "Your father is dying from cancer and water will not stop this
process."
c) "Research shows that withholding oral fluids decreases edema."
d) "I will call the provider & get a prescription to insert a NG tube for
the water." ......ANSWER......a) "You sound very upset. Tell me more
about your dad."
The hospitalized pt states, "I need to know when I'm going to be
discharged. I'm so upset & worried that I'm missing work." The nurse
knows:
a) this is an example of "eustress" & no intervention is necessary
b) this is an example of psychological stress & the pt should be placed
on antidepressants
c) this is an example of developmental stress & the pt should talk to
someone his own age
d) this is an example of distress & could affect the pt's health status
......ANSWER......d) this is an example of distress & could affect the pt's
health status
pg. 3
, 4|Page
A pt who is taking atenolol (Tenormin) may not exhibit a rise in blood
pressure & pulse during the alarm stage of the general adaptation
syndrome
a) true
b) false ......ANSWER......a) true
Tenormin is a beta-blocker (or otherwise a anti-hypertensive
medication)
The nurse should assess every pt to determine if stress reduction
interventions should be part of the plan of care. The rationale for this
action is that:
a) there are more persons experiencing mental illness now than in the
past
b) life is so much more stressful than it has ever been
c) the occurrence of stress in pts is unpredictable
d) pts often develop maladaptive coping strategies ......ANSWER......c)
the occurrence of stress in pts is unpredictable
Mr. Arbor complains to the nurse that he is feeling anxious. He states,
"I'm just so tired of all these tests they are doing, and it's so noisy here
at night." Mr. Arbor's pulse is 110 bpm and his blood pressure is 140/70
mmHg. Nursing actions should include which of the following?
pg. 4
NUR 131 FINAL EXAM 2026 – PRACTICE UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
The nurses notes on the admission form that the patient has indication
"no religious preference." What does this indicate to the nurse about
the patient?
a) does not follow the tenets of a specific faith
b) is in denial about his religious beliefs
c) doesn't believe in God or a "higher power"
d) will not want to pray or visit with the chaplain ......ANSWER......a)
does not follow the tenets of a specific faith
Your pt is a 17 year old who lost her right leg in a MVA. After her
parents leave, she asks you, "Why did God let this happen to me? I have
always followed his commandments." Which action best depicts the
"caring" aspect of SENC?
a) "Let me call your parents back to support you."
b) I think the chaplain can provide the support you need."
c) cry with the pt as you hug her
pg. 1
,2|Page
d) hold her hand, sit with her, & listen ......ANSWER......d) hold her
hand, sit with her, & listen
The student nurse has earned A's in all of her prerequisite courses. For
the first exam in a nursing course, she earns a D and now feels that she
may not be smart enough to become a nurse. What type of "loss" is the
student experiencing?
a) actual
b) external
c) physical
d) perceived ......ANSWER......d) perceived
Your 55 year old pt was just informed that she has metastatic pancreatic
cancer and has 4 months to live. After the provider leaves, she says to
you, "I don't want my family to know. But they have to know. Please
don't tell them. Please tell me what to do, help me." What is your best
response?
a) "I know this is difficult for you. Take time to thin about it."
b) "You should get a second opinion before you alarm your family."
c) "Let me hold your hand to make you feel better."
d) "Tell me how you are feeling right now." ......ANSWER......d) "Tell me
how you are feeling right now"
pg. 2
,3|Page
The pt is dying of cancer and can no longer swallow. The son states to
the nurse, "You MUST give dad some water, he always drank a lot of
water." The nurse's best response is
a) "You sound very upset. Tell me more about your dad."
b) "Your father is dying from cancer and water will not stop this
process."
c) "Research shows that withholding oral fluids decreases edema."
d) "I will call the provider & get a prescription to insert a NG tube for
the water." ......ANSWER......a) "You sound very upset. Tell me more
about your dad."
The hospitalized pt states, "I need to know when I'm going to be
discharged. I'm so upset & worried that I'm missing work." The nurse
knows:
a) this is an example of "eustress" & no intervention is necessary
b) this is an example of psychological stress & the pt should be placed
on antidepressants
c) this is an example of developmental stress & the pt should talk to
someone his own age
d) this is an example of distress & could affect the pt's health status
......ANSWER......d) this is an example of distress & could affect the pt's
health status
pg. 3
, 4|Page
A pt who is taking atenolol (Tenormin) may not exhibit a rise in blood
pressure & pulse during the alarm stage of the general adaptation
syndrome
a) true
b) false ......ANSWER......a) true
Tenormin is a beta-blocker (or otherwise a anti-hypertensive
medication)
The nurse should assess every pt to determine if stress reduction
interventions should be part of the plan of care. The rationale for this
action is that:
a) there are more persons experiencing mental illness now than in the
past
b) life is so much more stressful than it has ever been
c) the occurrence of stress in pts is unpredictable
d) pts often develop maladaptive coping strategies ......ANSWER......c)
the occurrence of stress in pts is unpredictable
Mr. Arbor complains to the nurse that he is feeling anxious. He states,
"I'm just so tired of all these tests they are doing, and it's so noisy here
at night." Mr. Arbor's pulse is 110 bpm and his blood pressure is 140/70
mmHg. Nursing actions should include which of the following?
pg. 4
