NUR 445 EXAM 1 2026 ACTUAL EXAM
COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS |
ALREADY GRADED A+
What are a few interventions nurses can do to promote
uninterrupted rest periods? Correct Answer Relaxing
music, ear plugs, control pain, silencing pagers and
alarms, lowering lights, limit visitation, help patient
mentally prepare for bedtime
What are some methods of nonverbal communication
used by high acuity patients? Correct Answer vitals, facial
expressions, hand gestures, written messages, computer
keyboards, pointing to letters, coded eye-blink system
What is palliative care? Correct Answer interdisciplinary
approach to relieve suffering and improve QOL
What are common symptoms addressed by the palliative
care team? Correct Answer shortness of breath, fatigue,
constipation, nausea, loss of appetite, difficulty sleeping
What is the goal of palliative care? Correct Answer to
improve quality of life
Who can initiate a consult to the palliative care team?
Correct Answer a nurse, physician, family member,
patient, social worker, or case manager
,What are the benefits of palliative care in the ICU? Correct
Answer decreased length of stay, decreased use of
ineffective treatments, decreased anxiety/depression,
increased family satisfaction and understanding, increased
symptom assessment, increased comfort
Who meets to formulate the palliative care plan? Correct
Answer palliative care team, ICU nurse, other team
members
What is included in a palliative care plan? Correct Answer
meet psychological, social, cultural, and spiritual needs
Who defines who is family to the patient? Correct Answer
The patient defines who they identify as family
What is the FICA Spiritual History Tool? Correct Answer
Faith and Belief, Importance, Community, Address in care
What are the 4 elements of decision-making capacity?
Correct Answer the ability to understand information about
options for care, ability to reason and consider options
being offered, ability to communicate a choice, ability to
describe consequences of the decision
What is the proxy decision maker "charged with?" Correct
Answer Making decisions that the patient would make if
they were able to make them
,What does offering a menu of choices for code status lead
to? Correct Answer Confusion and inconsistent choices
What is the goal of AND? Correct Answer to prevent
unnecessary suffering and allow nature to take its course
What is medical futility? Correct Answer extreme
measures to keep someone alive
What does preparation of withdrawal of life sustaining
therapies look like? Correct Answer Assess patient's
values, removing equipment, positioning chairs and
tissues, premedication, clamp all lines, cover patient with
blanket leaving arms out, turn off monitors, and provide
basic hygiene
Who must conduct conversations regarding organ
donation? Correct Answer an authorized organ
procurement organization (OPO) representative;
designated requestor
What can lead to moral distress for ICU nurses? Correct
Answer ethical dilemmas
What are some barriers to end-of-life care? Correct
Answer nursing time constraints, staffing patterns,
communication challenges, treatment decisions based on
physician and not patient needs
What are some nursing suggestions for improving care at
the end of life? Correct Answer change environment to
, accommodate needs, improve management of
pain/discomfort, knowing patient wishes, ceasing
treatment when seems futile
Who can facilitate discussions about treatment
preferences and management of s/s at end of life? Correct
Answer The nurse
How does the Uniform Determination of Death Act (UDDA)
define death? Correct Answer Total irreversible failure of
the cardiorespiratory system, or irreversible loss of all
brain functions (stem and neocortex)
What are the 3 methods for determining death? Correct
Answer clinical exam, cerebral perfusion study, or an EEG
What are 4 diagnostic criteria that must be met before a
clinical diagnosis of brain death? Correct Answer clinical
evidence of an acute CNS catastrophe, exclusion of
complicating medical conditions, no drug
intoxication/poisoning, core temp of 90*F
When is the clinical diagnosis of brain death unable to be
used? Correct Answer if the patient has a toxic or
metabolic CNS depression, or cannot initiate respiration
as a result of other injuries or pathology
What are the 3 cardinal signs of brain death? Correct
Answer coma/unresponsive, absence of brainstem
reflexes, and apnea
COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS |
ALREADY GRADED A+
What are a few interventions nurses can do to promote
uninterrupted rest periods? Correct Answer Relaxing
music, ear plugs, control pain, silencing pagers and
alarms, lowering lights, limit visitation, help patient
mentally prepare for bedtime
What are some methods of nonverbal communication
used by high acuity patients? Correct Answer vitals, facial
expressions, hand gestures, written messages, computer
keyboards, pointing to letters, coded eye-blink system
What is palliative care? Correct Answer interdisciplinary
approach to relieve suffering and improve QOL
What are common symptoms addressed by the palliative
care team? Correct Answer shortness of breath, fatigue,
constipation, nausea, loss of appetite, difficulty sleeping
What is the goal of palliative care? Correct Answer to
improve quality of life
Who can initiate a consult to the palliative care team?
Correct Answer a nurse, physician, family member,
patient, social worker, or case manager
,What are the benefits of palliative care in the ICU? Correct
Answer decreased length of stay, decreased use of
ineffective treatments, decreased anxiety/depression,
increased family satisfaction and understanding, increased
symptom assessment, increased comfort
Who meets to formulate the palliative care plan? Correct
Answer palliative care team, ICU nurse, other team
members
What is included in a palliative care plan? Correct Answer
meet psychological, social, cultural, and spiritual needs
Who defines who is family to the patient? Correct Answer
The patient defines who they identify as family
What is the FICA Spiritual History Tool? Correct Answer
Faith and Belief, Importance, Community, Address in care
What are the 4 elements of decision-making capacity?
Correct Answer the ability to understand information about
options for care, ability to reason and consider options
being offered, ability to communicate a choice, ability to
describe consequences of the decision
What is the proxy decision maker "charged with?" Correct
Answer Making decisions that the patient would make if
they were able to make them
,What does offering a menu of choices for code status lead
to? Correct Answer Confusion and inconsistent choices
What is the goal of AND? Correct Answer to prevent
unnecessary suffering and allow nature to take its course
What is medical futility? Correct Answer extreme
measures to keep someone alive
What does preparation of withdrawal of life sustaining
therapies look like? Correct Answer Assess patient's
values, removing equipment, positioning chairs and
tissues, premedication, clamp all lines, cover patient with
blanket leaving arms out, turn off monitors, and provide
basic hygiene
Who must conduct conversations regarding organ
donation? Correct Answer an authorized organ
procurement organization (OPO) representative;
designated requestor
What can lead to moral distress for ICU nurses? Correct
Answer ethical dilemmas
What are some barriers to end-of-life care? Correct
Answer nursing time constraints, staffing patterns,
communication challenges, treatment decisions based on
physician and not patient needs
What are some nursing suggestions for improving care at
the end of life? Correct Answer change environment to
, accommodate needs, improve management of
pain/discomfort, knowing patient wishes, ceasing
treatment when seems futile
Who can facilitate discussions about treatment
preferences and management of s/s at end of life? Correct
Answer The nurse
How does the Uniform Determination of Death Act (UDDA)
define death? Correct Answer Total irreversible failure of
the cardiorespiratory system, or irreversible loss of all
brain functions (stem and neocortex)
What are the 3 methods for determining death? Correct
Answer clinical exam, cerebral perfusion study, or an EEG
What are 4 diagnostic criteria that must be met before a
clinical diagnosis of brain death? Correct Answer clinical
evidence of an acute CNS catastrophe, exclusion of
complicating medical conditions, no drug
intoxication/poisoning, core temp of 90*F
When is the clinical diagnosis of brain death unable to be
used? Correct Answer if the patient has a toxic or
metabolic CNS depression, or cannot initiate respiration
as a result of other injuries or pathology
What are the 3 cardinal signs of brain death? Correct
Answer coma/unresponsive, absence of brainstem
reflexes, and apnea
