Page |1 p p
NSG 4100 (AHIII) EXAM 4 TESTBANK 2025 ACTUALE
p p p p p p p p
XAM QUESTIONS WITH 100% CORRECT SOLUTIONS
p p p p p
p p | GUARANTEED SUCCESS. p
1. The nurse has observed that an older adult patient with a diagnosis of en
p p p p p p p p p p p p p
d-
stage renal failure seems to prefer to have his eldest son make allof his h
p p p p p p p p p p p p p p p
ealth care decisions. While the family is visiting, the patient explains to y
p p p p p p p p p p p p
ou that this is a cultural practice and very important to him.How should yo
p p p p p p p p p p p p p p
u respond?
p
a. privately ask the son to allow the pt to make his own healthcared
p p p p p p p p p p p p p
ecisions
b. explain to the pt that he is responsible for his own decisionsc.
p p p p p p p p p p p p
p work w the team to negotiate informed consent
p p p p p p p
d. avoid divulging info to the eldest son - correct answer - C
p p p p p p p p p p p p
2. One aspect of the nurses comprehensive assessment when caring for th
p p p p p p p p p p
e terminally ill is the assessment of hope. The nurse is assessing a patie
p p p p p p p p p p p p p
nt with liver failure for the presence of hope. What would the nurseidentif
p p p p p p p p p p p p p
y as a hope-fostering category?
p p p p
a. uplifting memories p
b. ignoring negative outcomes p p
c. envisioning one specific outcome p p p
d. avoiding any actual or potential threat - correct answer - A
p p p p p p p p p p
3. A patients rapid cancer metastases have prompted a shift from active tre
p p p p p p p p p p p
atment to palliative care. When planning this patients care, the nursesho
p p p p p p p p p p p
uld identify what primary aim?
p p p p
a. To prioritize emotional needs
p p p
b. To prevent and relieve suffering
p p p p
c. To bridge between curative care and hospice care
p p p p p p p
, Page |2 p p
d. To provide care while there is still hope - correct answer - B
p p p p p p p p p p p p
4. A patient with end-
p p p
stage heart failure has participated in a family meeting with the interdisc
p p p p p p p p p p p
iplinary team and opted for hospice care. Onwhat belief should the patie
p p p p p p p p p p p p
nts care in this setting be based?
p p p p p p
A) Meaningful living during terminal illness requires technologici p p p p p p p
nterventions.
B) Meaningful living during terminal illness is best supported ind p p p p p p p p p
esignated facilities. p
C) Meaningful living during terminal illness is best supported in theh p p p p p p p p p p
ome.
D) Meaningful living during terminal illness is best achieved byp p p p p p p p p p
rolonging physiologic dying. - correct answer - C p p p p p p p
5. A nurse who provides care on an acute medical unit has observed thatp
p p p p p p p p p p p p p
hysicians are frequently reluctant to refer patients to hospice care. What
p p p p p p p p p p p
are contributing factors that are known to underlie this tendency?Select
p p p p p p p p p p p
all that apply.
p p
A) Financial pressures on health care providers
p p p p p p p
B) Patient reluctance to accept this type of care
p p p p p p p p
C) Strong association of hospice care with prolonging death
p p p p p p p p p
D) Advances in curative treatment in late-stage illness
p p p p p p p
E) Ease of making a terminal diagnosis - correct answer - A, B, D
p p p p p p p p p p p p p
6. The nurse is admitting a 52-year-
p p p p p
old father of four into hospice care. Thepatient has a diagnosis of Parkinso
p p p p p p p p p p p p p
ns disease, which is progressing rapidly. The patient has made clear his pr
p p p p p p p p p p p p
eference to receive care at home. What interventions should the nurse pri
p p p p p p p p p p p
oritize in the plan of care?
p p p p p
A) Aggressively continuing to fight the disease process p p p p p p
, Page |3 p p
B) Moving the patient to a long- p p p p p
term care facility when it becomesnecessary
p p p p p p
C) Including the children in planning their fathers carep p p p p p p
D) Supporting the patients and familys values and choices - p p p p p p p p
correctanswer - D
p p p p
7. A patient is brought to the emergency department from the site of a chem
p p p p p p p p p p p p p
ical fire, where he suffered a burn that involves the epidermis, dermis, an
p p p p p p p p p p p p
d the muscle and bone of the right arm. On inspection, the skin appears c
p p p p p p p p p p p p p p
harred. Based on these assessment findings, what is thedepth of the bur
p p p p p p p p p p p p
n on the patients arm?
p p p p
A) Superficial partial-thickness p
B) Deep partial-thickness p
C) Full partial-thickness p
D) Full-thickness - correct answer - D p p p p p
8. The current phase of a patients treatment for a burn injury prioritizes woun
p p p p p p p p p p p p
d care, nutritional support, and prevention of complications such asinfectio
p p p p p p p p p p
n. Based on these care priorities, the patient is in what phase of burn care
p p p p p p p p p p p p p p
?
A) Emergent
B) Immediate resuscitative p p
C) Acute p
D) Rehabilitation - correct answer - C
p p p p p p
9. A patient in the emergent/resuscitative phase of a burn injury has hadbl
p p p p p p p p p p p p
ood work and arterial blood gases drawn. Upon analysis of the patients l
p p p p p p p p p p p p
aboratory studies, the nurse will expect the results to indicatewhat?
p p p p p p p p p p
, Page |4 p p
A) Hyperkalemia, hyponatremia, elevated hematocrit, and metabolic p p p p p p
acidosis
B) Hypokalemia, hypernatremia, decreased hematocrit, and p p p p p
metabolic acidosis p
C) Hyperkalemia, hypernatremia, decreased hematocrit, and p p p p p
metabolic alkalosis p
D) Hypokalemia, hyponatremia, elevated hematocrit, and metabolic p p p p p p
alkalosis - correct answer - A p p p p p
10. A patient has experienced an electrical burn and has developed thicke
p p p p p p p p p p p
schar over the burn site. Which of the following topical antibacterial agent
p p p p p p p p p p p
s will the nurse expect the physician to order for the wound?
p p p p p p p p p p p
A) Silver sulfadiazine 1% (Silvadene) water-soluble cream
p p p p p
B) Mafenide acetate 10% (Sulfamylon) hydrophilic-based cream
p p p p p
C) Silver nitrate 0.5% aqueous solution
p p p p
D) Acticoat - correct answer - B p p p p p
11. n occupational health nurse is called to the floor of a factory where aw
p p p p p p p p p p p p p p
orker has sustained a flash burn to the right arm. The nurse arrives and t
p p p p p p p p p p p p p p
he flames have been extinguished. The next step is to cool the burn. Ho
p p p p p p p p p p p p p
w should the nurse cool the burn?
p p p p p p
A) Apply ice to the site of the burn for 5 to 10 minutes.
p p p p p p p p p p p p
B) Wrap the patients affected extremity in ice until help arrives.
p p p p p p p p p
C) Apply an oil- p p
based substance or butter to the burned area untilhelp arrives.
p p p p p p p p p p
D) Wrap cool towels around the affected extremity intermittently. -
p p p p p p p p
correct answer - D p p p p
NSG 4100 (AHIII) EXAM 4 TESTBANK 2025 ACTUALE
p p p p p p p p
XAM QUESTIONS WITH 100% CORRECT SOLUTIONS
p p p p p
p p | GUARANTEED SUCCESS. p
1. The nurse has observed that an older adult patient with a diagnosis of en
p p p p p p p p p p p p p
d-
stage renal failure seems to prefer to have his eldest son make allof his h
p p p p p p p p p p p p p p p
ealth care decisions. While the family is visiting, the patient explains to y
p p p p p p p p p p p p
ou that this is a cultural practice and very important to him.How should yo
p p p p p p p p p p p p p p
u respond?
p
a. privately ask the son to allow the pt to make his own healthcared
p p p p p p p p p p p p p
ecisions
b. explain to the pt that he is responsible for his own decisionsc.
p p p p p p p p p p p p
p work w the team to negotiate informed consent
p p p p p p p
d. avoid divulging info to the eldest son - correct answer - C
p p p p p p p p p p p p
2. One aspect of the nurses comprehensive assessment when caring for th
p p p p p p p p p p
e terminally ill is the assessment of hope. The nurse is assessing a patie
p p p p p p p p p p p p p
nt with liver failure for the presence of hope. What would the nurseidentif
p p p p p p p p p p p p p
y as a hope-fostering category?
p p p p
a. uplifting memories p
b. ignoring negative outcomes p p
c. envisioning one specific outcome p p p
d. avoiding any actual or potential threat - correct answer - A
p p p p p p p p p p
3. A patients rapid cancer metastases have prompted a shift from active tre
p p p p p p p p p p p
atment to palliative care. When planning this patients care, the nursesho
p p p p p p p p p p p
uld identify what primary aim?
p p p p
a. To prioritize emotional needs
p p p
b. To prevent and relieve suffering
p p p p
c. To bridge between curative care and hospice care
p p p p p p p
, Page |2 p p
d. To provide care while there is still hope - correct answer - B
p p p p p p p p p p p p
4. A patient with end-
p p p
stage heart failure has participated in a family meeting with the interdisc
p p p p p p p p p p p
iplinary team and opted for hospice care. Onwhat belief should the patie
p p p p p p p p p p p p
nts care in this setting be based?
p p p p p p
A) Meaningful living during terminal illness requires technologici p p p p p p p
nterventions.
B) Meaningful living during terminal illness is best supported ind p p p p p p p p p
esignated facilities. p
C) Meaningful living during terminal illness is best supported in theh p p p p p p p p p p
ome.
D) Meaningful living during terminal illness is best achieved byp p p p p p p p p p
rolonging physiologic dying. - correct answer - C p p p p p p p
5. A nurse who provides care on an acute medical unit has observed thatp
p p p p p p p p p p p p p
hysicians are frequently reluctant to refer patients to hospice care. What
p p p p p p p p p p p
are contributing factors that are known to underlie this tendency?Select
p p p p p p p p p p p
all that apply.
p p
A) Financial pressures on health care providers
p p p p p p p
B) Patient reluctance to accept this type of care
p p p p p p p p
C) Strong association of hospice care with prolonging death
p p p p p p p p p
D) Advances in curative treatment in late-stage illness
p p p p p p p
E) Ease of making a terminal diagnosis - correct answer - A, B, D
p p p p p p p p p p p p p
6. The nurse is admitting a 52-year-
p p p p p
old father of four into hospice care. Thepatient has a diagnosis of Parkinso
p p p p p p p p p p p p p
ns disease, which is progressing rapidly. The patient has made clear his pr
p p p p p p p p p p p p
eference to receive care at home. What interventions should the nurse pri
p p p p p p p p p p p
oritize in the plan of care?
p p p p p
A) Aggressively continuing to fight the disease process p p p p p p
, Page |3 p p
B) Moving the patient to a long- p p p p p
term care facility when it becomesnecessary
p p p p p p
C) Including the children in planning their fathers carep p p p p p p
D) Supporting the patients and familys values and choices - p p p p p p p p
correctanswer - D
p p p p
7. A patient is brought to the emergency department from the site of a chem
p p p p p p p p p p p p p
ical fire, where he suffered a burn that involves the epidermis, dermis, an
p p p p p p p p p p p p
d the muscle and bone of the right arm. On inspection, the skin appears c
p p p p p p p p p p p p p p
harred. Based on these assessment findings, what is thedepth of the bur
p p p p p p p p p p p p
n on the patients arm?
p p p p
A) Superficial partial-thickness p
B) Deep partial-thickness p
C) Full partial-thickness p
D) Full-thickness - correct answer - D p p p p p
8. The current phase of a patients treatment for a burn injury prioritizes woun
p p p p p p p p p p p p
d care, nutritional support, and prevention of complications such asinfectio
p p p p p p p p p p
n. Based on these care priorities, the patient is in what phase of burn care
p p p p p p p p p p p p p p
?
A) Emergent
B) Immediate resuscitative p p
C) Acute p
D) Rehabilitation - correct answer - C
p p p p p p
9. A patient in the emergent/resuscitative phase of a burn injury has hadbl
p p p p p p p p p p p p
ood work and arterial blood gases drawn. Upon analysis of the patients l
p p p p p p p p p p p p
aboratory studies, the nurse will expect the results to indicatewhat?
p p p p p p p p p p
, Page |4 p p
A) Hyperkalemia, hyponatremia, elevated hematocrit, and metabolic p p p p p p
acidosis
B) Hypokalemia, hypernatremia, decreased hematocrit, and p p p p p
metabolic acidosis p
C) Hyperkalemia, hypernatremia, decreased hematocrit, and p p p p p
metabolic alkalosis p
D) Hypokalemia, hyponatremia, elevated hematocrit, and metabolic p p p p p p
alkalosis - correct answer - A p p p p p
10. A patient has experienced an electrical burn and has developed thicke
p p p p p p p p p p p
schar over the burn site. Which of the following topical antibacterial agent
p p p p p p p p p p p
s will the nurse expect the physician to order for the wound?
p p p p p p p p p p p
A) Silver sulfadiazine 1% (Silvadene) water-soluble cream
p p p p p
B) Mafenide acetate 10% (Sulfamylon) hydrophilic-based cream
p p p p p
C) Silver nitrate 0.5% aqueous solution
p p p p
D) Acticoat - correct answer - B p p p p p
11. n occupational health nurse is called to the floor of a factory where aw
p p p p p p p p p p p p p p
orker has sustained a flash burn to the right arm. The nurse arrives and t
p p p p p p p p p p p p p p
he flames have been extinguished. The next step is to cool the burn. Ho
p p p p p p p p p p p p p
w should the nurse cool the burn?
p p p p p p
A) Apply ice to the site of the burn for 5 to 10 minutes.
p p p p p p p p p p p p
B) Wrap the patients affected extremity in ice until help arrives.
p p p p p p p p p
C) Apply an oil- p p
based substance or butter to the burned area untilhelp arrives.
p p p p p p p p p p
D) Wrap cool towels around the affected extremity intermittently. -
p p p p p p p p
correct answer - D p p p p
