NUR 445: FINAL EXAM (Practice Final Exam) UPDATED ACTUAL Questions
and CORRECT Answers
Hospice care is not appropriate in which of C. The patient is undergoing experimental chemotherapy.
these circumstances?
A. The patient decides to forego curative
treatment.
B. The patient's prognosis is 3 to 6 months.
C. The patient is undergoing experimental
chemotherapy.
D. The patient is receiving palliative
chemotherapy.
Mrs. Jones is receiving hospice care in the A. Notifying the patient's family.
nursing home. During the assessment, the B. Requesting an order for an anticholinergic medication.
nurse observes the patient is unconscious C. Notifying the patient's provider
and has wet, noisy respirations and cool,
mottled extremities. The nurse understands Note: Wet, noisy respirations and cool, mottled extremities- LATE signs
which of the following actions are
indicated? (Select all that apply.)
A. Notifying the patient's family.
B. Requesting an order for an
anticholinergic medication.
C. Notifying the patient's provider
D. Performing a sternal rub to assess the
patient's response
E. Performing a full systems assessment
,Nursing care priorities at the end of life A, B, D, E
include which of the following? (Select all
that apply.)
A. Communication with the patient and
family
B. Encouraging the family to get rest
C. Rationalizing the patient's pain
D. Managing pain and other distressing
symptoms
E. Providing education about the dying
process
It is most important for the nurse to provide C. The patient with stage 4 brain cancer who is receiving intravenous chemotherapy.
education regarding hospice services to
which patient?
A. The patient with stage 4 liver cancer
who is classified as terminal
B. The patient with stage 2 lung cancer who
is receiving radiation therapy
C. The patient with stage 4 brain cancer
who is receiving intravenous chemotherapy
D. The patient with stage 4 breast cancer
experiencing bone pain and hormone
therapy treatment
The nurse is providing care to a patient B. "Respirations may sound loud and wet during this stage."
who is approaching death. Which family
member statement regarding the physical
and psychological changes associated with
death is reflective of this late stage?
A. "A loss of appetite often occurs during
this stage."
B. "Respirations may sound loud and wet
during this stage."
C. "I might notice that he will begin to sleep
more during this stage."
D. "Confusion or disorientation may begin
to occur during this stage."
The nurse is educating the family of a B. Haloperidol
patient who is receiving hospice care
because of a terminal illness. The nurse
instructs the family to administer which
medication for this patient if delirium
occurs?
A. Morphine
B. Haloperidol
C. Diphenhydramine
D. Docusate
, A competent older adult patient has an C. Place the document on the patient's medical record.
advance directive that expresses the
patient's desire to avoid resuscitation and
heroic life support measures. The patient's
family, however, is not supportive of this
directive and plans to contest the living
will. Which nursing action is appropriate
based on the current situation?
A. Notify the hospital attorney.
B. Contact the social services department.
C. Place the document on the patient's
medical record.
D. Explain to the patient that the conflict
could invalidate the document.
The nurse recognizes that the patient with C. Diabetes insipidus
dysfunction of the posterior pituitary gland
is at risk for which disorder?
A. Acromegaly
B. Osteoporosis
C. Diabetes insipidus
D. Type 1 diabetes mellitus
The nurse correlates the action of which D. Desmopressin (DDAVP)
medication to the treatment of diabetes
insipidus (DI)?
A. Pitocin
B. Synthroid
C. Vitamin D
D. Desmopressin (DDAVP)
A patient has received doses of prednisone A. Hypovolemia
for treatment of rheumatoid arthritis for the
past 3 months. If this medication is Note: Loss of sodium
suddenly discontinued, the nurse assesses
for which complication?
A. Hypovolemia
B. Hypokalemia
C. Hypernatremia
D. Hyperglycemia
A patient being treated for adrenal A. Kayexalate
insufficiency has a serum potassium level of
5.9 mEq/L. The nurse correlates that the
action of which medication is indicated in
this situation?
A. Kayexalate
B. Hydrocortisone
C. Dexamethasone
D. Dextrose 5% and 0.45% normal saline
and CORRECT Answers
Hospice care is not appropriate in which of C. The patient is undergoing experimental chemotherapy.
these circumstances?
A. The patient decides to forego curative
treatment.
B. The patient's prognosis is 3 to 6 months.
C. The patient is undergoing experimental
chemotherapy.
D. The patient is receiving palliative
chemotherapy.
Mrs. Jones is receiving hospice care in the A. Notifying the patient's family.
nursing home. During the assessment, the B. Requesting an order for an anticholinergic medication.
nurse observes the patient is unconscious C. Notifying the patient's provider
and has wet, noisy respirations and cool,
mottled extremities. The nurse understands Note: Wet, noisy respirations and cool, mottled extremities- LATE signs
which of the following actions are
indicated? (Select all that apply.)
A. Notifying the patient's family.
B. Requesting an order for an
anticholinergic medication.
C. Notifying the patient's provider
D. Performing a sternal rub to assess the
patient's response
E. Performing a full systems assessment
,Nursing care priorities at the end of life A, B, D, E
include which of the following? (Select all
that apply.)
A. Communication with the patient and
family
B. Encouraging the family to get rest
C. Rationalizing the patient's pain
D. Managing pain and other distressing
symptoms
E. Providing education about the dying
process
It is most important for the nurse to provide C. The patient with stage 4 brain cancer who is receiving intravenous chemotherapy.
education regarding hospice services to
which patient?
A. The patient with stage 4 liver cancer
who is classified as terminal
B. The patient with stage 2 lung cancer who
is receiving radiation therapy
C. The patient with stage 4 brain cancer
who is receiving intravenous chemotherapy
D. The patient with stage 4 breast cancer
experiencing bone pain and hormone
therapy treatment
The nurse is providing care to a patient B. "Respirations may sound loud and wet during this stage."
who is approaching death. Which family
member statement regarding the physical
and psychological changes associated with
death is reflective of this late stage?
A. "A loss of appetite often occurs during
this stage."
B. "Respirations may sound loud and wet
during this stage."
C. "I might notice that he will begin to sleep
more during this stage."
D. "Confusion or disorientation may begin
to occur during this stage."
The nurse is educating the family of a B. Haloperidol
patient who is receiving hospice care
because of a terminal illness. The nurse
instructs the family to administer which
medication for this patient if delirium
occurs?
A. Morphine
B. Haloperidol
C. Diphenhydramine
D. Docusate
, A competent older adult patient has an C. Place the document on the patient's medical record.
advance directive that expresses the
patient's desire to avoid resuscitation and
heroic life support measures. The patient's
family, however, is not supportive of this
directive and plans to contest the living
will. Which nursing action is appropriate
based on the current situation?
A. Notify the hospital attorney.
B. Contact the social services department.
C. Place the document on the patient's
medical record.
D. Explain to the patient that the conflict
could invalidate the document.
The nurse recognizes that the patient with C. Diabetes insipidus
dysfunction of the posterior pituitary gland
is at risk for which disorder?
A. Acromegaly
B. Osteoporosis
C. Diabetes insipidus
D. Type 1 diabetes mellitus
The nurse correlates the action of which D. Desmopressin (DDAVP)
medication to the treatment of diabetes
insipidus (DI)?
A. Pitocin
B. Synthroid
C. Vitamin D
D. Desmopressin (DDAVP)
A patient has received doses of prednisone A. Hypovolemia
for treatment of rheumatoid arthritis for the
past 3 months. If this medication is Note: Loss of sodium
suddenly discontinued, the nurse assesses
for which complication?
A. Hypovolemia
B. Hypokalemia
C. Hypernatremia
D. Hyperglycemia
A patient being treated for adrenal A. Kayexalate
insufficiency has a serum potassium level of
5.9 mEq/L. The nurse correlates that the
action of which medication is indicated in
this situation?
A. Kayexalate
B. Hydrocortisone
C. Dexamethasone
D. Dextrose 5% and 0.45% normal saline
