SNHU NUR 681: NURSING CARE DECISION- MAKING
EXAM 2025 |170 QUESTIONS WITH VERIFIED
ACCURATE SOLUTIONS
1. A patient with a history of liver disease presents with new-onset seizures.
What should the nurse prioritize in their assessment?
Monitoring for signs of dehydration
Assessing for signs of hepatic encephalopathy
Checking for medication side effects
Evaluating for a history of head trauma
2. A nurse working on a busy medical unit has noticed an increase in the
incidence of pressure ulcers in the patient population. Which action
demonstrates the principles of evidence-based practice (EBP)?
reviewing patient charts to audit nursing interventions to prevent
pressure ulcers
reviewing the literature for current best evidence pressure ulcer
prevention.
reviewing hospital policy and procedures to make sure they are
being followed correctly
reviewing the literature for informational articles on best methods
to prevent pressure ulcers
3. If a patient with a subarachnoid hemorrhage continues to refuse the
bedpan and shows signs of increased agitation, what should the nurse
prioritize in their care plan?
Using restraints to prevent the patient from getting up.
Sedation to manage agitation and prevent complications.
,Waiting for the physician's orders without intervention.
Encouraging the patient to walk to the bathroom.
,4. If a patient arrives at the emergency department with stroke symptoms
and is assessed at 70 minutes after arrival, what is the most appropriate
course of action regarding tPA administration?
Consult a neurologist for alternative treatments.
tPA should not be administered due to the time limit.
Administer tPA and monitor for side effects.
tPA should be administered immediately regardless of the time.
5. In a scenario where a patient presents with sudden vision changes, how
would the nurse utilize the Snellen chart in the assessment process?
The nurse would use the Snellen chart to check the patient's
reflexes.
The nurse would use the Snellen chart to measure the patient's
visual acuity and determine the extent of vision impairment.
The nurse would use the Snellen chart to evaluate the patient's
respiratory function.
The nurse would use the Snellen chart to assess the patient's
blood glucose levels.
6. The Snellen chart is used in examinations of the
eyes
urine
bile
blood
7. If a patient refuses a recommended evidence-based treatment, what is
the best course of action for the nurse?
Insist on the recommended treatment due to its evidence-based
support.
, Document the refusal and proceed with the treatment anyway.
Consult with other healthcare professionals to override the
patient's decision.
Discuss alternative options that align with the patient's values
and preferences.
8. A patient arrives at the emergency department with symptoms of an
ischemic CVA that began 4 hours ago. What should the nursing team
consider regarding thrombolytic therapy?
Thrombolytic therapy should not be administered due to the 3-
hour time limit.
The nursing team should consult with a neurologist for possible
exceptions.
Thrombolytic therapy should be administered immediately
regardless of the time elapsed.
Thrombolytic therapy can still be given as it is within the
acceptable time frame.
9. The nurse is performing a vision examination. Which of these charts is
most widely used for vision examinations?
Snellen
Smoollen
Schwellon
Shetllen
10. An elderly female client who resides in the community tends to defer
decisions regarding her care to her eldest son. How should the
community health nurse respond to the clients reluctance to make
independent decisions?
EXAM 2025 |170 QUESTIONS WITH VERIFIED
ACCURATE SOLUTIONS
1. A patient with a history of liver disease presents with new-onset seizures.
What should the nurse prioritize in their assessment?
Monitoring for signs of dehydration
Assessing for signs of hepatic encephalopathy
Checking for medication side effects
Evaluating for a history of head trauma
2. A nurse working on a busy medical unit has noticed an increase in the
incidence of pressure ulcers in the patient population. Which action
demonstrates the principles of evidence-based practice (EBP)?
reviewing patient charts to audit nursing interventions to prevent
pressure ulcers
reviewing the literature for current best evidence pressure ulcer
prevention.
reviewing hospital policy and procedures to make sure they are
being followed correctly
reviewing the literature for informational articles on best methods
to prevent pressure ulcers
3. If a patient with a subarachnoid hemorrhage continues to refuse the
bedpan and shows signs of increased agitation, what should the nurse
prioritize in their care plan?
Using restraints to prevent the patient from getting up.
Sedation to manage agitation and prevent complications.
,Waiting for the physician's orders without intervention.
Encouraging the patient to walk to the bathroom.
,4. If a patient arrives at the emergency department with stroke symptoms
and is assessed at 70 minutes after arrival, what is the most appropriate
course of action regarding tPA administration?
Consult a neurologist for alternative treatments.
tPA should not be administered due to the time limit.
Administer tPA and monitor for side effects.
tPA should be administered immediately regardless of the time.
5. In a scenario where a patient presents with sudden vision changes, how
would the nurse utilize the Snellen chart in the assessment process?
The nurse would use the Snellen chart to check the patient's
reflexes.
The nurse would use the Snellen chart to measure the patient's
visual acuity and determine the extent of vision impairment.
The nurse would use the Snellen chart to evaluate the patient's
respiratory function.
The nurse would use the Snellen chart to assess the patient's
blood glucose levels.
6. The Snellen chart is used in examinations of the
eyes
urine
bile
blood
7. If a patient refuses a recommended evidence-based treatment, what is
the best course of action for the nurse?
Insist on the recommended treatment due to its evidence-based
support.
, Document the refusal and proceed with the treatment anyway.
Consult with other healthcare professionals to override the
patient's decision.
Discuss alternative options that align with the patient's values
and preferences.
8. A patient arrives at the emergency department with symptoms of an
ischemic CVA that began 4 hours ago. What should the nursing team
consider regarding thrombolytic therapy?
Thrombolytic therapy should not be administered due to the 3-
hour time limit.
The nursing team should consult with a neurologist for possible
exceptions.
Thrombolytic therapy should be administered immediately
regardless of the time elapsed.
Thrombolytic therapy can still be given as it is within the
acceptable time frame.
9. The nurse is performing a vision examination. Which of these charts is
most widely used for vision examinations?
Snellen
Smoollen
Schwellon
Shetllen
10. An elderly female client who resides in the community tends to defer
decisions regarding her care to her eldest son. How should the
community health nurse respond to the clients reluctance to make
independent decisions?
