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NUR 210 Exam 4 (2026) – 119 Questions on Culture, Spirituality, Pain, Sleep & End-of-Life Care

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This document contains 119 comprehensive exam-style questions with verified correct answers for NUR 210 Exam 4 (2026). The content provides in-depth coverage of cultural competence, spirituality in nursing care, sensory perception, pain management, sleep disorders, stress and coping mechanisms, grief and loss, and end-of-life care. Early sections (pages 1–6) focus on health belief systems (scientific/biomedical, holistic, magico-religious, indigenous), culturally sensitive nursing care (Jehovah’s Witness refusal of blood transfusion, Islamic prayer practices, Kosher dietary laws, Mormon health practices), and barriers to spiritual care such as ethnocentrism and stereotyping. Core spiritual concepts including faith, hope, love, religion, and spiritual distress are thoroughly addressed (pages 41–44). The document extensively reviews sensory function and neurological assessment, including cranial nerves (CN I, III, IV, V), photoreceptors, thermoreceptors, reticular activating system (RAS), sensory deprivation versus overload, delirium versus dementia, aphasia, and age-related sensory changes such as xerostomia (pages 4–5, 18–22, 37–38). Pain management content is highly detailed, covering nociceptive, neuropathic, visceral, deep somatic, referred, and phantom pain; Gate-Control Theory; pain threshold versus pain tolerance; non-pharmacologic interventions (TENS, guided imagery, diaphragmatic breathing, acupuncture); opioid classifications (mu agonists), common side effects (respiratory depression, constipation, sedation), PCA safety, NSAID risks, adjuvant analgesics such as gabapentin, and re-evaluation timeframes after IV administration (pages 6–7, 25–29, 46–47). Sleep and stress physiology are also comprehensively reviewed, including NREM and REM stages, parasomnias (bruxism, nocturnal enuresis, sleepwalking), narcolepsy, sleep apnea, insomnia, circadian rhythms, General Adaptation Syndrome (alarm, resistance, exhaustion, recovery), fight-or-flight response, and adaptive versus maladaptive coping (pages 8–10, 23–24, 35–36). End-of-life care topics include Kubler-Ross stages of grief, chronic and disenfranchised grief, palliative versus hospice care, living wills, DPOA, DNR orders, Cheyne-Stokes respirations, death rattle, mottling, seizure precautions, oral care in unconscious patients, and communication with grieving families (pages 11–16, 26–27, 39–40). The structured question-and-answer format mirrors undergraduate medical-surgical and fundamentals of nursing examinations and strengthens clinical reasoning, cultural competence, patient safety prioritization, and NCLEX-style decision-making. This resource is particularly relevant for: NUR 210 students Fundamentals of Nursing courses Medical-Surgical Nursing courses ADN and BSN nursing programs Cultural competence and spiritual care modules NCLEX-RN preparation Keywords: NUR 210 Exam 4 2026, cultural competence nursing, magico religious health belief system, ethnocentrism vs stereotyping, spiritual distress nursing, cranial nerves assessment CN I III IV V, sensory deprivation vs overload, delirium vs dementia, nociceptive vs neuropathic pain, Gate Control Theory pain, phantom pain amputation, PCA safety teaching, mu agonist opioids morphine fentanyl codeine, NSAID gastrointestinal bleeding risk, gabapentin adjuvant analgesic, REM vs NREM sleep stages, parasomnias bruxism nocturnal enuresis, General Adaptation Syndrome stages, Kubler Ross five stages grief, palliative vs hospice care, DNR living will DPOA

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NUR210 Exam 4 2026 Exam
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Question 1: A nurse is caring for a patient who believes that their illness is

caused by a spiritual imbalance and the ill will of another person. This

patient's health belief system is best described as: A. Scientific/Biomedical

B. Holistic C. Magico-religious D. Indigenous - 🧠 ANSWER ✔✔Correct

Answer: C. Rationale: The magico-religious health belief system views

illness as being caused by supernatural forces, such as "voodoo,

witchcraft, or the evil eye." The scientific/biomedical system is based on

,cause-and-effect. The holistic system focuses on balance of the mind,

body, and spirit.

Question 2: A patient from a Jehovah's Witness faith is admitted after a

motor vehicle accident and requires surgery. The patient's hemoglobin is

critically low, but they refuse a blood transfusion. What is the nurse's

priority action? A. Explain to the patient that the transfusion is necessary to

save their life. B. Ask the patient's family to convince them to have the

transfusion. C. Notify the provider of the patient's refusal and explore

potential blood-conservation techniques. D. Document the refusal and

proceed with the transfusion based on implied consent. - 🧠 ANSWER

✔✔Correct Answer: C. Rationale: Patients of the Jehovah's Witness faith

often refuse blood transfusions. The nurse must respect the patient's

autonomy and spiritual beliefs. The priority is to notify the provider and

advocate for the patient by discussing medically acceptable alternatives,

such as blood-conservation methods or non-blood volume expanders.

Question 3: A nurse is assessing a patient's spirituality. Which question

best assesses the core spiritual issue of "Faith"? A. "Do you believe that

you will get better?" B. "Who do you turn to when you are in trouble?" C.

"What gives your life meaning and purpose?" D. "Do you have a religious

,preference?" - 🧠 ANSWER ✔✔Correct Answer: C. Rationale: Faith is the

core issue of spirituality and is often assessed by asking about what gives

a person's life meaning, purpose, and strength. The other questions relate

more to hope or religion.

Question 4: A patient who recently immigrated from China is refusing pain

medication after surgery, despite rating their pain as 8/10. The nurse

recognizes this may be due to a cultural belief that: A. Pain is a sign of

weakness and should be endured. B. Pain medication is not effective. C.

The medical staff is not trustworthy. D. Illness is a punishment from a

higher power. - 🧠 ANSWER ✔✔Correct Answer: A. Rationale: Some

cultures, including certain Asian cultures, may view the expression of pain

as a sign of weakness. The patient may be stoic and refuse medication

even when in significant pain. The nurse must assess this respectfully.

Question 5: A nurse is overheard stating, "All patients from that culture are

non-compliant because they don't value modern medicine." This is an

example of: A. Cultural competence B. Cultural stereotyping C.

Ethnocentrism D. Racism - 🧠 ANSWER ✔✔Correct Answer: B. Rationale:

Stereotyping is the unsubstantiated belief that all people of a certain racial

or ethnic group are alike in certain respects. Ethnocentrism is the belief that


COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, one's own culture is superior, and racism involves prejudice and

discrimination.

Question 6: A patient who is a devout Muslim is admitted to the hospital.

Which cultural consideration should the nurse prioritize in the plan of care?

A. Ensuring a Kosher diet is ordered. B. Asking if the patient needs to face

Mecca for prayer at certain times of the day. C. Removing all religious

symbols from the room. D. Offering a blood transfusion if needed. - 🧠

ANSWER ✔✔Correct Answer: B. Rationale: Patients of the Islamic faith

may pray five times a day facing Mecca. The nurse should assess the

patient's desire to maintain this practice and facilitate it. A Kosher diet is

associated with Judaism.

Question 7: A patient is admitted with an acute, reversible state of

confusion, disorientation, and agitation. The nurse recognizes these as

signs of: A. Dementia B. Depression C. Delirium D. Sensory deprivation - 🧠

ANSWER ✔✔Correct Answer: C. Rationale: Delirium is an acute,

reversible state of disorientation and confusion and is considered a medical

emergency. Dementia is a progressive, chronic, and irreversible decline in

mental function.

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