NUR 131 Exam 4 Questions and Correct
Answers, Over 270 Q&A, With Complete Solution,
Updated 2024.
a) does not follow the tenets of a specific faith
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
d) hold her hand, sit with her, & listen
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
d) hold her hand, sit with her, & listen
d) perceived
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
d) "Tell me how you are feeling right now"
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."
a) "You sound very upset. Tell me more about your dad."
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."
d) this is an example of distress & could affect the pt's health status
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
a) true
Tenormin is a beta-blocker (or otherwise a anti-hypertensive medication)
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
c) the occurrence of stress in pts is unpredictable
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
c) close the blinds, dim the lights, and ask the pt what other measures would help
him rest
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?
a) turn on the TV to provide distraction
b) ask the pt if he would like to discuss his anxiety further
c) close the blinds, dim the lights, and ask the pt what other measures would help him
rest
d) call the physician and obtain an order for an anti-anxiety medication for PRN use
a) true
, GCS correlates to the patient's ability to function. The lower the score, the more
nursing intervention required.
For any patient with an altered level of consciousness, the Glasgow Coma Scale score
will help the nurse in planning care.
a) true
b) false
a) investigate why
It's important to understand why the pt hasn't been adhering to the scheduled
med schedule
Issues like vision, literacy, & side effects could be easily rectified if investigated
When conducting a weekly home visit with an older pt, the nurse realized the pt has not
been adhering to his recommended medication schedule. What should the nurse do
next?
a) investigate why
b) reprimand the pt for being noncompliant and explain how important it is to not miss
dosages of medications
c) explain the effects of missing dosages of certain medications
d) evaluate the medication schedule
c) maintaining the child's home sleep routine
A 4 year old patient resists going to sleep. To assist this pt, the best action to take
would be:
a) adding a daytime nap
b) allowing the child to sleep longer in the morning
c) maintaining the child's home sleep routine
d) offering the child a bedtime snack
d) sleep apnea
During rounds on the night shift, you note that a pt stops breathing for 1-2 minutes
several times during the shift. This condition is known as:
a) cataplexy
b) insomnia
c) narcolepsy
d) sleep apnea
a) amount drained
What is missing from the documentation regarding the emptying of draining from a
wound?
"03/12/16 07:50: Hemovac drained serosanguinous fluid over 12 hours. No odor or
perulent material noted at drainage site."
a) amount drained
b) AM or PM
Answers, Over 270 Q&A, With Complete Solution,
Updated 2024.
a) does not follow the tenets of a specific faith
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
d) hold her hand, sit with her, & listen
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
d) hold her hand, sit with her, & listen
d) perceived
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
d) "Tell me how you are feeling right now"
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."
a) "You sound very upset. Tell me more about your dad."
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."
d) this is an example of distress & could affect the pt's health status
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
a) true
Tenormin is a beta-blocker (or otherwise a anti-hypertensive medication)
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
c) the occurrence of stress in pts is unpredictable
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
c) close the blinds, dim the lights, and ask the pt what other measures would help
him rest
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?
a) turn on the TV to provide distraction
b) ask the pt if he would like to discuss his anxiety further
c) close the blinds, dim the lights, and ask the pt what other measures would help him
rest
d) call the physician and obtain an order for an anti-anxiety medication for PRN use
a) true
, GCS correlates to the patient's ability to function. The lower the score, the more
nursing intervention required.
For any patient with an altered level of consciousness, the Glasgow Coma Scale score
will help the nurse in planning care.
a) true
b) false
a) investigate why
It's important to understand why the pt hasn't been adhering to the scheduled
med schedule
Issues like vision, literacy, & side effects could be easily rectified if investigated
When conducting a weekly home visit with an older pt, the nurse realized the pt has not
been adhering to his recommended medication schedule. What should the nurse do
next?
a) investigate why
b) reprimand the pt for being noncompliant and explain how important it is to not miss
dosages of medications
c) explain the effects of missing dosages of certain medications
d) evaluate the medication schedule
c) maintaining the child's home sleep routine
A 4 year old patient resists going to sleep. To assist this pt, the best action to take
would be:
a) adding a daytime nap
b) allowing the child to sleep longer in the morning
c) maintaining the child's home sleep routine
d) offering the child a bedtime snack
d) sleep apnea
During rounds on the night shift, you note that a pt stops breathing for 1-2 minutes
several times during the shift. This condition is known as:
a) cataplexy
b) insomnia
c) narcolepsy
d) sleep apnea
a) amount drained
What is missing from the documentation regarding the emptying of draining from a
wound?
"03/12/16 07:50: Hemovac drained serosanguinous fluid over 12 hours. No odor or
perulent material noted at drainage site."
a) amount drained
b) AM or PM
