NUR401 Exam Test Bank – Correct Solutions To All
Questions
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Terms in this set (109)
Ch. 13 ANS: D
1. The nurse is caring for a terminally ill
client who has 20-second periods of
apnea followed by
periods of deep and rapid breathing.
Which of the following terms should
the nurse use to
document this finding?
a. Agonal breathing
b. Apneustic breathing
c. Death rattle respirations
d. Cheyne-Stokes respirations
4. The nurse is caring for a client who ANS: C
has been diagnosed with metastatic
cancer and plans a trip across the
country "to settle some issues with my
sisters and brothers." Which of the
responses should the nurse recognize
that the client is manifesting?
a. Restlessness
b. Yearning and protest
c. Anxiety about unfinished business
d. Fear of the meaninglessness of
one's life
,5. The spouse of a client with terminal ANS: A
lung cancer visits daily and cheerfully
talks with the client about vacation
plans for the next year. When the
nurse asks about any concerns, the
spouse says, "I'm busy at work, but
otherwise things are fine." Which of
the following nursing diagnoses is
appropriate?
a. Ineffective denial related to the
threat of unpleasant reality
b. Anxiety related to the threat to
current status
c. Caregiver role strain related to
inexperience with caregiving
d. Hopelessness related to chronic
stress
6. As the nurse admits a client with ANS: A
severe heart failure to the hospital, the
client tells the nurse, "If my heart or
breathing stops, I do not want to be
resuscitated." Which of the following
actions should the nurse take?
a. Ask if these wishes have been
discussed with the health care
provider.
b. Place a "do not resuscitate" (DNR)
notation in the client's care plan.
c. Inform the client that a notarized
advance directive must be included in
the record
or resuscitation must be performed.
d. Advise the client to designate a
person to make health care decisions
when the
client is not able to make them
independently.
,7. A client who is very close to death is ANS: B
very restless and keeps repeating, "I
am not ready to die." Which of the
following actions should the nurse
take?
a. Remind the client that no one feels
ready for death.
b. Sit at the bedside and ask if there is
anything the client needs.
c. Insist that family members remain at
the bedside with the client.
d. Tell the client that everything
possible is being done to delay death.
8. The nurse is caring for a client in a ANS: A
hospice palliative care program who
is experiencing continuous, increasing
amounts of pain. Which of the
following time schedules should the
nurse implement for the administration
of opioid pain medications?
a. Around-the-clock routine
administration of analgesics
b. PRN doses of medication whenever
the client requests
c. Enough pain medication to keep the
client sedated and unaware of stimuli
d. Analgesic doses that provide pain
control without decreasing respiratory
rate
, 9. The nurse is caring for a client with ANS: B
lung cancer as part of a home hospice
palliative program.
Which of the following interventions
should the nurse implement?
a. Discuss cancer risk factors and
appropriate lifestyle modifications.
b. Encourage the client to discuss past
life events and their meaning.
c. Accomplish a thorough head-to-toe
assessment once a week.
d. Educate the client about the
purpose of chemotherapy and
radiation.
10. The nurse has been caring for a ANS: B
terminally ill client for the past 10
months. The nurse and the
family are present when the client dies
and feels saddened and tearful as the
family members
begin to cry. Which of the following
actions should the nurse take at this
time?
a. Contact a grief counsellor as soon
as possible.
b. Cry along with the client's family
members.
c. Leave the home as quickly as
possible to allow the family to grieve
privately.
d. Consider whether working in
hospice is desirable since client losses
are common.
Questions
Save Groups
Terms in this set (109)
Ch. 13 ANS: D
1. The nurse is caring for a terminally ill
client who has 20-second periods of
apnea followed by
periods of deep and rapid breathing.
Which of the following terms should
the nurse use to
document this finding?
a. Agonal breathing
b. Apneustic breathing
c. Death rattle respirations
d. Cheyne-Stokes respirations
4. The nurse is caring for a client who ANS: C
has been diagnosed with metastatic
cancer and plans a trip across the
country "to settle some issues with my
sisters and brothers." Which of the
responses should the nurse recognize
that the client is manifesting?
a. Restlessness
b. Yearning and protest
c. Anxiety about unfinished business
d. Fear of the meaninglessness of
one's life
,5. The spouse of a client with terminal ANS: A
lung cancer visits daily and cheerfully
talks with the client about vacation
plans for the next year. When the
nurse asks about any concerns, the
spouse says, "I'm busy at work, but
otherwise things are fine." Which of
the following nursing diagnoses is
appropriate?
a. Ineffective denial related to the
threat of unpleasant reality
b. Anxiety related to the threat to
current status
c. Caregiver role strain related to
inexperience with caregiving
d. Hopelessness related to chronic
stress
6. As the nurse admits a client with ANS: A
severe heart failure to the hospital, the
client tells the nurse, "If my heart or
breathing stops, I do not want to be
resuscitated." Which of the following
actions should the nurse take?
a. Ask if these wishes have been
discussed with the health care
provider.
b. Place a "do not resuscitate" (DNR)
notation in the client's care plan.
c. Inform the client that a notarized
advance directive must be included in
the record
or resuscitation must be performed.
d. Advise the client to designate a
person to make health care decisions
when the
client is not able to make them
independently.
,7. A client who is very close to death is ANS: B
very restless and keeps repeating, "I
am not ready to die." Which of the
following actions should the nurse
take?
a. Remind the client that no one feels
ready for death.
b. Sit at the bedside and ask if there is
anything the client needs.
c. Insist that family members remain at
the bedside with the client.
d. Tell the client that everything
possible is being done to delay death.
8. The nurse is caring for a client in a ANS: A
hospice palliative care program who
is experiencing continuous, increasing
amounts of pain. Which of the
following time schedules should the
nurse implement for the administration
of opioid pain medications?
a. Around-the-clock routine
administration of analgesics
b. PRN doses of medication whenever
the client requests
c. Enough pain medication to keep the
client sedated and unaware of stimuli
d. Analgesic doses that provide pain
control without decreasing respiratory
rate
, 9. The nurse is caring for a client with ANS: B
lung cancer as part of a home hospice
palliative program.
Which of the following interventions
should the nurse implement?
a. Discuss cancer risk factors and
appropriate lifestyle modifications.
b. Encourage the client to discuss past
life events and their meaning.
c. Accomplish a thorough head-to-toe
assessment once a week.
d. Educate the client about the
purpose of chemotherapy and
radiation.
10. The nurse has been caring for a ANS: B
terminally ill client for the past 10
months. The nurse and the
family are present when the client dies
and feels saddened and tearful as the
family members
begin to cry. Which of the following
actions should the nurse take at this
time?
a. Contact a grief counsellor as soon
as possible.
b. Cry along with the client's family
members.
c. Leave the home as quickly as
possible to allow the family to grieve
privately.
d. Consider whether working in
hospice is desirable since client losses
are common.
