NUR204 EXAM / NUR 204 LEADERSHIP EXAM 1 LATEST 2025
COMPLETE REAL QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES (A NEW UPDATED VERSION)
|ALREADY GRADED A+ NUR 204 EXAM 1
Which action by the unlicensed assistive personnel (UAP) at bedtime
requires the nurse to intervene?
a) giving the patient a back rub
b) turning on quiet music
c) dimming the lights in the patient's room
d) giving a patient a cup of coffee
answer- d) giving a patient a cup of coffee
Rationale: Coffee, tea, cola, and chocolate act as stimulants, causing a
person to stay awake or awaken throughout the night. Coffee, tea, colas,
and alcohol act as stimulants and diuretics, which may cause someone to
awaken throughout the night. Routines that promote sleep include back
rubs, massages, quiet music, and dimming the lights in a patient's room.
Which intervention would the nurse include on a care plan for improving
sleep in the older adult?
a) Decrease fluids 2 to 4 hours before sleep.
b) Exercise vigorously 1 hour before bedtime to increase fatigue.
,c) Allow the patient to sleep as late as possible.
d) Take a nap during the day to make up for lost sleep.
Answer- a) Decrease fluids 2 to 4 hours before sleep.
Rationale: Decreasing fluids 2 to 4 hours before sleep reduces the
likelihood that the older adults sleep will be disrupted. Exercise within 2
hours of sleep should be avoided. Encourage routine bedtimes and avoid
naps if possible.
Test-taking tip: Although "a" was the correct answer, be sure to read all
answers in future tests as there may be better options than answer "a".
Which defense mechanism is being used by a patient who is having
difficulty managing his diabetes mellitus and responds to the news that
his hemoglobin A1C (a measure of blood sugar control over the last 90
days) has increased by saying "The hemoglobin A1C is wrong. My
blood sugar levels have been excellent for the last 6 months."?
a) Denial
b) Conversion
c) Dissociation
d) Displacement
answer- a) Denial
, Rationale: Denial, is avoiding emotional stress by refusing to
consciously acknowledge anything that causes intolerable anxiety.
Conversion, dissociation, and displacement do not involve ignoring
aspects of reality.
What condition is recognized when the nurse learns that a young woman
who was in an automobile accident 6 months’ prior, has vivid images of
the crash whenever she hears a loud, sudden noise?
a) Fight or Flight response
b) general adaptation syndrome
c) The exhaustion stage
d) post-traumatic stress disorder (PTSD)
answer- d) post-traumatic stress disorder (PTSD)
Rationale: PTSD originates from experiencing a traumatic event that is
causing intense fear or helplessness. The fight or flight response may
have occurred during the actual accident itself.
Which response would a nurse give when finding the patient gazing out
the window in thought after being informed of a colon cancer diagnosis
by the health care provider?
COMPLETE REAL QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES (A NEW UPDATED VERSION)
|ALREADY GRADED A+ NUR 204 EXAM 1
Which action by the unlicensed assistive personnel (UAP) at bedtime
requires the nurse to intervene?
a) giving the patient a back rub
b) turning on quiet music
c) dimming the lights in the patient's room
d) giving a patient a cup of coffee
answer- d) giving a patient a cup of coffee
Rationale: Coffee, tea, cola, and chocolate act as stimulants, causing a
person to stay awake or awaken throughout the night. Coffee, tea, colas,
and alcohol act as stimulants and diuretics, which may cause someone to
awaken throughout the night. Routines that promote sleep include back
rubs, massages, quiet music, and dimming the lights in a patient's room.
Which intervention would the nurse include on a care plan for improving
sleep in the older adult?
a) Decrease fluids 2 to 4 hours before sleep.
b) Exercise vigorously 1 hour before bedtime to increase fatigue.
,c) Allow the patient to sleep as late as possible.
d) Take a nap during the day to make up for lost sleep.
Answer- a) Decrease fluids 2 to 4 hours before sleep.
Rationale: Decreasing fluids 2 to 4 hours before sleep reduces the
likelihood that the older adults sleep will be disrupted. Exercise within 2
hours of sleep should be avoided. Encourage routine bedtimes and avoid
naps if possible.
Test-taking tip: Although "a" was the correct answer, be sure to read all
answers in future tests as there may be better options than answer "a".
Which defense mechanism is being used by a patient who is having
difficulty managing his diabetes mellitus and responds to the news that
his hemoglobin A1C (a measure of blood sugar control over the last 90
days) has increased by saying "The hemoglobin A1C is wrong. My
blood sugar levels have been excellent for the last 6 months."?
a) Denial
b) Conversion
c) Dissociation
d) Displacement
answer- a) Denial
, Rationale: Denial, is avoiding emotional stress by refusing to
consciously acknowledge anything that causes intolerable anxiety.
Conversion, dissociation, and displacement do not involve ignoring
aspects of reality.
What condition is recognized when the nurse learns that a young woman
who was in an automobile accident 6 months’ prior, has vivid images of
the crash whenever she hears a loud, sudden noise?
a) Fight or Flight response
b) general adaptation syndrome
c) The exhaustion stage
d) post-traumatic stress disorder (PTSD)
answer- d) post-traumatic stress disorder (PTSD)
Rationale: PTSD originates from experiencing a traumatic event that is
causing intense fear or helplessness. The fight or flight response may
have occurred during the actual accident itself.
Which response would a nurse give when finding the patient gazing out
the window in thought after being informed of a colon cancer diagnosis
by the health care provider?
