NR 224 Fundamentals of Nursing - Week 8 Comprehensive Quiz 2026
|Chamberlain College
1. A nurse is caring for a patient who has just been diagnosed with a terminal
illness. The patient says, ‘I cannot believe this is happening to me. I’ve always
taken care of my health.’ Which stage of Kubler-Ross’s stages of dying is the
patient experiencing?
A. Anger
B. Depression
C. Bargaining
D. Denial
Answer: D
Rationale: Denial is the first stage where the person refuses to believe or understand that
a loss has occurred.
2. A client who lost a spouse 18 months ago continues to experience intense
emotional pain, an inability to trust others, and detachment. The nurse should
identify this as which type of grief?
A. Anticipatory grief
B. Disenfranchised grief
C. Normal grief
D. Complicated grief
Answer: D
Rationale: Complicated grief occurs when a person has a prolonged or significantly
difficult time moving forward after a loss, lasting longer than one year.
,3. Which type of grief is commonly experienced by a person whose loss cannot
be openly acknowledged or socially sanctioned, such as the loss of a former
spouse?
A. Chronic grief
B. Disenfranchised grief
C. Delayed grief
D. Masked grief
Answer: B
Rationale: Disenfranchised grief occurs when the relationship to the deceased person is
not socially recognized or cannot be openly shared.
4. The nurse is providing palliative care to a client with end-stage heart failure.
What is the primary goal of palliative care?
A. To provide a cure for the underlying disease
B. To achieve the best possible quality of life for the client and family
C. To hasten the dying process safely
D. To limit medical interventions only to those that are life-sustaining
Answer: B
Rationale: Palliative care focuses on the prevention, relief, reduction, or soothing of
symptoms of disease throughout the entire course of an illness to improve quality of life.
5. A nurse is caring for a terminally ill patient who is experiencing Cheyne-
Stokes respirations. Which of the following describes this breathing pattern?
A. Rapid, deep respirations without pauses
B. Irregular breathing with periods of apnea and hyperventilation
C. Shallow, slow respirations under 10 per minute
D. Persistent gasping for air at a rate of 40 per minute
Answer: B
, Rationale: Cheyne-Stokes respiration is a common sign of approaching death
characterized by alternating periods of apnea and deep, rapid breathing.
6. Which document provides specific instructions about a patient’s medical
treatment preferences if they become unable to communicate their wishes?
A. Informed Consent
B. Living Will
C. Incident Report
D. Medical Bill of Rights
Answer: B
Rationale: A Living Will is a legal document that directs treatment in accordance with a
patient’s wishes in the event of a terminal illness or condition.
7. After a patient dies, the nurse is preparing the body for the family to view.
Which action should the nurse take?
A. Remove all tubes and lines regardless of whether an autopsy is planned
B. Place the body in a prone position to prevent facial discoloration
C. Keep the eyes open and mouth slightly agape for a natural look
D. Position the patient supine with the head elevated on a pillow
Answer: D
Rationale: Positioning the body supine with the head on a pillow prevents pooling of blood
(livor mortis) in the face and maintains a natural appearance for viewing.
8. A nurse is performing a spiritual assessment using the FICA tool. What does
the ‘I’ in FICA represent?
A. Integrity
B. Intensity
C. Importance
D. Integration
Answer: C
|Chamberlain College
1. A nurse is caring for a patient who has just been diagnosed with a terminal
illness. The patient says, ‘I cannot believe this is happening to me. I’ve always
taken care of my health.’ Which stage of Kubler-Ross’s stages of dying is the
patient experiencing?
A. Anger
B. Depression
C. Bargaining
D. Denial
Answer: D
Rationale: Denial is the first stage where the person refuses to believe or understand that
a loss has occurred.
2. A client who lost a spouse 18 months ago continues to experience intense
emotional pain, an inability to trust others, and detachment. The nurse should
identify this as which type of grief?
A. Anticipatory grief
B. Disenfranchised grief
C. Normal grief
D. Complicated grief
Answer: D
Rationale: Complicated grief occurs when a person has a prolonged or significantly
difficult time moving forward after a loss, lasting longer than one year.
,3. Which type of grief is commonly experienced by a person whose loss cannot
be openly acknowledged or socially sanctioned, such as the loss of a former
spouse?
A. Chronic grief
B. Disenfranchised grief
C. Delayed grief
D. Masked grief
Answer: B
Rationale: Disenfranchised grief occurs when the relationship to the deceased person is
not socially recognized or cannot be openly shared.
4. The nurse is providing palliative care to a client with end-stage heart failure.
What is the primary goal of palliative care?
A. To provide a cure for the underlying disease
B. To achieve the best possible quality of life for the client and family
C. To hasten the dying process safely
D. To limit medical interventions only to those that are life-sustaining
Answer: B
Rationale: Palliative care focuses on the prevention, relief, reduction, or soothing of
symptoms of disease throughout the entire course of an illness to improve quality of life.
5. A nurse is caring for a terminally ill patient who is experiencing Cheyne-
Stokes respirations. Which of the following describes this breathing pattern?
A. Rapid, deep respirations without pauses
B. Irregular breathing with periods of apnea and hyperventilation
C. Shallow, slow respirations under 10 per minute
D. Persistent gasping for air at a rate of 40 per minute
Answer: B
, Rationale: Cheyne-Stokes respiration is a common sign of approaching death
characterized by alternating periods of apnea and deep, rapid breathing.
6. Which document provides specific instructions about a patient’s medical
treatment preferences if they become unable to communicate their wishes?
A. Informed Consent
B. Living Will
C. Incident Report
D. Medical Bill of Rights
Answer: B
Rationale: A Living Will is a legal document that directs treatment in accordance with a
patient’s wishes in the event of a terminal illness or condition.
7. After a patient dies, the nurse is preparing the body for the family to view.
Which action should the nurse take?
A. Remove all tubes and lines regardless of whether an autopsy is planned
B. Place the body in a prone position to prevent facial discoloration
C. Keep the eyes open and mouth slightly agape for a natural look
D. Position the patient supine with the head elevated on a pillow
Answer: D
Rationale: Positioning the body supine with the head on a pillow prevents pooling of blood
(livor mortis) in the face and maintains a natural appearance for viewing.
8. A nurse is performing a spiritual assessment using the FICA tool. What does
the ‘I’ in FICA represent?
A. Integrity
B. Intensity
C. Importance
D. Integration
Answer: C
