NSG 430 Adult Health Nursing II
NSG 430 Exam 1, 2 & 3
Grand Canyon University
TABLE OF CONTENTS
NSG 430 Exam 1……………….02
NSG 430 Exam 2……………….
NSG 430 Exam 3……………….
, NSG 430 Exam 1
1. A patient who has been diagnosed with inoperable lung cancer
and has a poor prognosis plans a trip across the country to settle
some issues with family members. The nurse recognizes that the
patient is manifesting which psychosocial response?
a. Protesting the unfairness of death
b. Anxiety about unfinished business
c. Fear of having lived a meaningless life
d. Restlessness about the uncertain prognosis
Answer> Anxiety about unfinished busy- ness
The patient's statement indicates that there is some unfinished family
business that the patient would like to address before dying. There is no
indication that the patient is protesting the prognosis, feels uncertain
about the prognosis, or fears that life has been meaning- less.
2. A patient with terminal cancer is being admitted to a family-
centered nipa- tent hospice. The patient's spouse visits daily and
cheerfully talk with the patient about wedding anniversary plans
for the next year. When the nurse asks about any concerns, the
,spouse says, I’m busy at work, but otherwise things are fine.
Which issue would the nurse identify as a concern in
working with the patient's spouse?
a. Fear
b. Anxiety
c. Hopelessness
d. Difficulty coping
Answer> Difficulty coping
The spouse's behavior and statements indicate the absence of
anticipatory grieving, which may lead to impaired adjustment as the
patient progresses toward death. The spouse does not appear to feel
fearful, hopeless, or anxious
3. As the nurse admits a patient in end-stage renal disease to the
hospital, the patient tells the nurse, if my heart or breathing
stop, I do not want to be resuscitated. Which action should the
nurse take first?
a. Place a Do Not Resuscitate (DNR) notation in the patient's care
plan.
b. Invite the patient to add a notarized advance directive in the
health record.
c. Advise the patient to designate a person to make future
health care deco- sons.
d. Ask if the decision has been discussed with the patient's
, health care provider.
Answer> Ask if the decision has been discussed with the patient's
health care provider.
A health care provider's order should be written describing the actions
that the nurses should take if the patient requires CPR, but the
primary right to decide belongs to the patient or family. The nurse
should document the patient's request but does not have the authority
to place the DNR order in the care plan until it is prescribed by the
HCP. A notarized advance directive may be completed but is not
needed to establish the patient's wishes. The patient
may need a durable power of attorney for health care (or the
equivalent), but this
does not address the patient's current concern with possible
resuscitation.
4. The nurse is caring for an unresponsive terminally ill patient
who has
20-second periods of apnea followed by periods of deep and rapid
breathing. Which action would the nurse take?
a. Suction the patient's mouth.
b. Administer oxygen via face mask.
c. Document the patient's respiratory pattern.
d. Place the patient in high Fowler's position.
Answer> Document the patient's respiratory pattern
NSG 430 Exam 1, 2 & 3
Grand Canyon University
TABLE OF CONTENTS
NSG 430 Exam 1……………….02
NSG 430 Exam 2……………….
NSG 430 Exam 3……………….
, NSG 430 Exam 1
1. A patient who has been diagnosed with inoperable lung cancer
and has a poor prognosis plans a trip across the country to settle
some issues with family members. The nurse recognizes that the
patient is manifesting which psychosocial response?
a. Protesting the unfairness of death
b. Anxiety about unfinished business
c. Fear of having lived a meaningless life
d. Restlessness about the uncertain prognosis
Answer> Anxiety about unfinished busy- ness
The patient's statement indicates that there is some unfinished family
business that the patient would like to address before dying. There is no
indication that the patient is protesting the prognosis, feels uncertain
about the prognosis, or fears that life has been meaning- less.
2. A patient with terminal cancer is being admitted to a family-
centered nipa- tent hospice. The patient's spouse visits daily and
cheerfully talk with the patient about wedding anniversary plans
for the next year. When the nurse asks about any concerns, the
,spouse says, I’m busy at work, but otherwise things are fine.
Which issue would the nurse identify as a concern in
working with the patient's spouse?
a. Fear
b. Anxiety
c. Hopelessness
d. Difficulty coping
Answer> Difficulty coping
The spouse's behavior and statements indicate the absence of
anticipatory grieving, which may lead to impaired adjustment as the
patient progresses toward death. The spouse does not appear to feel
fearful, hopeless, or anxious
3. As the nurse admits a patient in end-stage renal disease to the
hospital, the patient tells the nurse, if my heart or breathing
stop, I do not want to be resuscitated. Which action should the
nurse take first?
a. Place a Do Not Resuscitate (DNR) notation in the patient's care
plan.
b. Invite the patient to add a notarized advance directive in the
health record.
c. Advise the patient to designate a person to make future
health care deco- sons.
d. Ask if the decision has been discussed with the patient's
, health care provider.
Answer> Ask if the decision has been discussed with the patient's
health care provider.
A health care provider's order should be written describing the actions
that the nurses should take if the patient requires CPR, but the
primary right to decide belongs to the patient or family. The nurse
should document the patient's request but does not have the authority
to place the DNR order in the care plan until it is prescribed by the
HCP. A notarized advance directive may be completed but is not
needed to establish the patient's wishes. The patient
may need a durable power of attorney for health care (or the
equivalent), but this
does not address the patient's current concern with possible
resuscitation.
4. The nurse is caring for an unresponsive terminally ill patient
who has
20-second periods of apnea followed by periods of deep and rapid
breathing. Which action would the nurse take?
a. Suction the patient's mouth.
b. Administer oxygen via face mask.
c. Document the patient's respiratory pattern.
d. Place the patient in high Fowler's position.
Answer> Document the patient's respiratory pattern
