NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse provides care to a terminal patient who states, "I don't need anything from you. Leave me alone!" Based on this information, the nurse documents that the patient is likely experiencing which stage of grief?
      A)
      Denial
      B)
      Bargaining
      C)
      Anger
      D)
      Acceptance
    2. A patient wants to use a nutritional approach to managing cardiac health. Which suggestion should the nurse make to help improve health outcomes for this patient?
      A)
      Limit unsaturated fat.
      B)
      Increase intake of fruits and vegetables.
      C)
      Increase intake of fluids.
      D)
      Increase intake of organic foods.
    3. A nurse is using the wellness-illness continuum model as the basis of a nursing assessment. Which statement best identifies this model?
      A)
      Measurement of objective data relative to a patient's health status
      B)
      Visual example of level of well-being
      C)
      A numeric scale used to describe level of well-being
      D)
      Statistical representation of health quality of a patient
    4. A nurse is monitoring a terminally ill patient after administration of pain medication in the hospital. The patient appears to be at peace with family members at the bedside. How would the nurse best document this finding?
      A)
      Respiratory rate declining
      B)
      Patient comforted by presence of family
      C)
      Pain medication effective
      D)
      End of life near
    Page 1 of 13

    Exam Review

    1. A nurse refuses to care for a patient in the hospital setting because the patient yelled at the nurse during a previous hospitalization. What is the best action for the charge nurse to take while there is short staffing?
      A)
      Tell the nurse that discriminatory behavior is being exhibited against the patient and reassign the care of the patient to another nurse.
      B)
      Assess the nurse for unconscious bias and reassign the patient to another nurse.
      C)
      Suggest to the nurse that it was due to stress of hospitalization and have the nurse take care of the patient.
      D)
      Have the nurse reflect on their own beliefs and values and the nurse care for the patient.
    2. A nurse is monitoring a terminally ill patient who is actively dying and is nonresponsive. Which action is not warranted?
      A)
      Turn the patient frequently.
      B)
      Provide a.m. care.
      C)
      Provide skin care.
      D)
      Perform a sternal rub.
    3. A terminally ill patient is nauseated and has already just received nausea medication but still voices complaints. The nausea medication is scheduled for every 4 to 6 hours. What is the best nursing action to help relieve the patient's nausea?
      A)
      Apply a cool compress to the patient's forehead.
      B)
      Administer pain medication.
      C)
      Contact the health-care provider (HCP) for additional nausea medication.
      D)
      Reposition the patient.
    4. A nurse is performing a nutrition assessment of a patient with cardiac disease. Which food selection is high in antioxidants?
      A)
      Lettuce
      B)
      Milk
      C)
      Sherbet
      D)
      Dark chocolate
    Page 2 of 13

    Exam Review

    1. A patient being seen in the clinic reports having pain on the right side of the abdomen. In which phase of illness is this patient?
      A)
      Symptomatic
      B)
      Seeking help
      C)
      Prodromal
      D)
      Dependency
    2. A patient inquires about chiropractic medicine and whether it would be a suitable option for relieving body aches and pain. What is the best nursing response?
      A)
      "This specialty of medicine may prove to be helpful."
      B)
      "Traditional Western medicine is more likely to provide pain relief."
      C)
      "Ask family members for their opinion about chiropractic medicine."
      D)
      "It is difficult to predict whether this type of therapy will help you."
    3. A nurse provides care to a patient who has died. Which priority action would the nurse implement when preforming postmortem care?
      A)
      Document the time when the patient stopped breathing and the heartbeat ceased.
      B)
      Notify the health-care provider (HCP) so that the patient will be legally pronounced dead.
      C)
      Bathe the patient's body and remove all tubes unless an autopsy is prescribed.
      D)
      Insist that the family bathe the patient so they can begin the grieving process.
    4. A nurse is reviewing the social health determinants of Healthy People 2030. Which findings would lead to decreased health disparity?
      A)
      Limited green space
      B)
      Few public housing developments
      C)
      Increased social protests
      D)
      Presence of local grocery stores
    Page 3 of 13

    Exam Review

    1. A nurse is caring for a patient who is being treated for chronic back pain. In addition to taking prescription pain medication, the patient sees a chiropractor several times a month. In this case, seeing a chiropractor would be considered which of the following?
      A)
      Conventional therapy
      B)
      Alternative therapy
      C)
      Conventional therapy
      D)
      Physical therapy
    2. A patient reports living in an apartment located in an area of high crime and drive-by shootings. Which leading health indicator most likely will affect this patient's health?
      A)
      Social determinants
      B)
      Access to health services
      C)
      Injury and violence
      D)
      Environmental quality
    3. A nurse is assisting family members who have recently suffered the loss of a parent. Which statement best represents a compassionate approach by the nurse?
      A)
      "You must continue to be strong."
      B)
      "I am here to listen to your stories."
      C)
      "This happens to everyone but our belief in God will sustain us."
      D)
      "Counseling services can be arranged."
    4. A nurse provides a patient with a label from an ice cream container and asks specific questions about the information on the label. What is the nurse assessing in this patient?
      A)
      Health literacy
      B)
      Ability to read
      C)
      Ability to hear
      D)
      Nutritional intake
    Page 4 of 13

    Exam Review

    1. Which of the following shows the use of integrative health care?
      A)
      A pregnant patient relieves her morning sickness with small amounts of ginger.
      B)
      A patient experiencing nausea after a tonsillectomy is given pain medication.
      C)
      A patient controls hypertension with prescription medication, dietary changes, and yoga.
      D)
      After a car accident, a patient receives acupressure and acupuncture to treat neck pain.
    2. A nurse provides care for a patient who is actively dying. The patient's spouse tells the nurse, "I am worried that my husband is not getting enough fluids." Which response by the nurse is most appropriate?
      A)
      "I will let the doctor know about your concern. Your husband may need an IV to keep him hydrated."
      B)
      "Your husband will drink when he gets thirsty. Don't worry about him."
      C)
      "Your husband signed a living will indicating he doesn't want to be given food and water."
      D)
      "It is natural to become dehydrated before death. It will actually make him more comfortable."
    3. A patient states that they have been seeing a reflexologist to treat ongoing stress. What type of health care belief is the patient exhibiting?
      A)
      Religious
      B)
      Folk healing
      C)
      Biomedical
      D)
      Naturalistic
    4. A patient with degenerative osteoporosis has increased pain and wants to know if massage therapy would be helpful. What is the best nursing response?
      A)
      Deep tissue massage would provide the best relief.
      B)
      This type of therapy would be contraindicated based on diagnosis.
      C)
      Any type of massage therapy would help stimulate a positive response.
      D)
      Massage therapy may decrease the need for additional pain medication.
    Page 5 of 13

    Exam Review

    1. A middle-aged female patient is being treated for anemia. In reviewing the patient's medical history, the nurse notes that the patient currently takes several supplements, including peppermint oil, melatonin, ginseng, and valerian. Based on the patient's new diagnosis, which of these supplements will most likely need to be discontinued?
      A)
      Melatonin
      B)
      Valerian
      C)
      Ginseng
      D)
      Peppermint oil
    2. A patient tells the nurse that yoga has helped to improve his well-being. The patient uses blocks to assist during the yoga sessions. What type of yoga is the patient using?
      A)
      Hot
      B)
      Bikram
      C)
      Ashtanga
      D)
      Iyengar
    3. A nurse observes another nurse laughing while talking about a patient in the hallway after patient care. What is the best nursing action of the observer?
      A)
      Join in the conversation
      B)
      Report the behavior to the charge nurse.
      C)
      Inform the patient
      D)
      Tell the nurses to discuss this elsewhere on the unit.
    4. A nurse provides care to a terminally ill patient. Assessment reveals periods of apnea followed by shallow breaths. What priority action should the nurse take?
      A)
      Continue to monitor.
      B)
      Contact health-care provider (HCP).
      C)
      Reposition the patient in bed.
      D)
      Administer oxygen.
    Page 6 of 13