NUR 445 FINAL EXAM NEWEST 2025 ACTUAL EXAM
NUR 445 FINAL EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE OF NURSING
The nurse is providing care to a patient 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."
B. "Respirations may sound loud and wet during this stage."
The nurse is educating the family of a 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
B. Haloperidol
A competent older adult patient has an 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.
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, NUR 445 FINAL EXAM NEWEST 2025 ACTUAL EXAM
C. Place the document on the patient's medical record.
D. Explain to the patient that the conflict could invalidate the document.
C. Place the document on the patient's medical record.
The nurse recognizes that the patient with dysfunction of the posterior pituitary
gland is at risk for which disorder?
A. Acromegaly
B. Osteoporosis
C. Diabetes insipidus
D. Type 1 diabetes mellitus
C. Diabetes insipidus
The nurse correlates the action of which medication to the treatment of diabetes
insipidus (DI)?
A. Pitocin
B. Synthroid
C. Vitamin D
D. Desmopressin (DDAVP)
D. Desmopressin (DDAVP)
A patient has received doses of prednisone for treatment of rheumatoid arthritis
for the past 3 months. If this medication is suddenly discontinued, the nurse
assesses for which complication?
A. Hypovolemia
B. Hypokalemia
C. Hypernatremia
D. Hyperglycemia
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, NUR 445 FINAL EXAM NEWEST 2025 ACTUAL EXAM
A. Hypovolemia
Note: Loss of sodium
A patient being treated for adrenal 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
A. Kayexalate
The nurse is visiting the home of a patient with adrenal insufficiency. Which
observations indicate that the patient needs to be seen by the healthcare provider
immediately? Select all that apply.
A. Fatigue
B. Poor skin turgor
C. Skin hyperpigmentation
D. Dry mucous membranes
E. Blood pressure 90/50 mm Hg
B, D, E
Note: Think of ABCs
A patient recovering from emergency surgery after a motor vehicle crash is
demonstrating clinical manifestations of adrenal insufficiency. What treatment is
indicated for this patient?
A. Regular insulin 10 units
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, NUR 445 FINAL EXAM NEWEST 2025 ACTUAL EXAM
B. Potassium chloride 20 mEq
C. Intravenous infusion 0.9% normal saline
D. Hydrocortisone sodium succinate (Solu-Cortef)
D. Hydrocortisone sodium succinate (Solu-Cortef)
A patient is admitted for treatment of Cushing's syndrome. The nurse correlates
this disease process to which alteration in endocrine function?
A. Elevated glucocorticoid level
B. Elevated aldosterone secretion
C. Decreased glucocorticoid level
D. Decreased aldosterone secretion
A. Elevated glucocorticoid level
Hospice care is not appropriate in which of 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.
C. The patient is undergoing experimental chemotherapy.
Mrs. Jones is receiving hospice care in the nursing home. During the assessment,
the nurse observes the patient is unconscious and has wet, noisy respirations and
cool, mottled extremities. The nurse understands 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
4|Page
NUR 445 FINAL EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE OF NURSING
The nurse is providing care to a patient 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."
B. "Respirations may sound loud and wet during this stage."
The nurse is educating the family of a 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
B. Haloperidol
A competent older adult patient has an 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.
1|Page
, NUR 445 FINAL EXAM NEWEST 2025 ACTUAL EXAM
C. Place the document on the patient's medical record.
D. Explain to the patient that the conflict could invalidate the document.
C. Place the document on the patient's medical record.
The nurse recognizes that the patient with dysfunction of the posterior pituitary
gland is at risk for which disorder?
A. Acromegaly
B. Osteoporosis
C. Diabetes insipidus
D. Type 1 diabetes mellitus
C. Diabetes insipidus
The nurse correlates the action of which medication to the treatment of diabetes
insipidus (DI)?
A. Pitocin
B. Synthroid
C. Vitamin D
D. Desmopressin (DDAVP)
D. Desmopressin (DDAVP)
A patient has received doses of prednisone for treatment of rheumatoid arthritis
for the past 3 months. If this medication is suddenly discontinued, the nurse
assesses for which complication?
A. Hypovolemia
B. Hypokalemia
C. Hypernatremia
D. Hyperglycemia
2|Page
, NUR 445 FINAL EXAM NEWEST 2025 ACTUAL EXAM
A. Hypovolemia
Note: Loss of sodium
A patient being treated for adrenal 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
A. Kayexalate
The nurse is visiting the home of a patient with adrenal insufficiency. Which
observations indicate that the patient needs to be seen by the healthcare provider
immediately? Select all that apply.
A. Fatigue
B. Poor skin turgor
C. Skin hyperpigmentation
D. Dry mucous membranes
E. Blood pressure 90/50 mm Hg
B, D, E
Note: Think of ABCs
A patient recovering from emergency surgery after a motor vehicle crash is
demonstrating clinical manifestations of adrenal insufficiency. What treatment is
indicated for this patient?
A. Regular insulin 10 units
3|Page
, NUR 445 FINAL EXAM NEWEST 2025 ACTUAL EXAM
B. Potassium chloride 20 mEq
C. Intravenous infusion 0.9% normal saline
D. Hydrocortisone sodium succinate (Solu-Cortef)
D. Hydrocortisone sodium succinate (Solu-Cortef)
A patient is admitted for treatment of Cushing's syndrome. The nurse correlates
this disease process to which alteration in endocrine function?
A. Elevated glucocorticoid level
B. Elevated aldosterone secretion
C. Decreased glucocorticoid level
D. Decreased aldosterone secretion
A. Elevated glucocorticoid level
Hospice care is not appropriate in which of 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.
C. The patient is undergoing experimental chemotherapy.
Mrs. Jones is receiving hospice care in the nursing home. During the assessment,
the nurse observes the patient is unconscious and has wet, noisy respirations and
cool, mottled extremities. The nurse understands 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
4|Page
