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    Exam Review

    1. A nurse is providing presence to a patient and the family. Which nursing action does this involve?
      A)Jumping in to provide patient comfort.
      B)Being there without an identified goal.
      C)Focusing on the task that needs to be done.
      D)Providing closeness and a sense of caring.
    2. A trauma survivor is requesting sleep medication because of "bad dreams." The nurse is concerned that the patient may be experiencing posttraumatic stress disorder (PTSD). Which question is a priority for the nurse to ask the patient?
      A)Are you reliving your trauma?
      B)Can you tell me when you wake up?
      C)Can you describe your phobias?
      D)Are you having chest pain?
    3. A nurse is assessing cognitive functioning of a patient. Which action will the nurse take?
      A)Ask the patient’s family if the patient is behaving normally.
      B)Ask the patient to state name, location, and what month it is.
      C)Administer the Hearing Handicap Inventory for the Elderly (HHIE-S).
      D)Administer a Mini-Mental State Examination (MMSE).
    4. A nurse is documenting end-of-life care. Which information will the nurse include in the patient’s electronic medical record? (Select all that apply)(SATA)
      A)Time of body transfer and destination.
      B)Special preparations of the body.
      C)Time and date of death.
      D)Location of body identification tags.
      E)Reason for the death.
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    Exam Review

    1. A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate, he is very lethargic and his respirations are shallow, with a rate of 7 breaths/minute. The nurse prepares for which priority action at this time?
      A)Immediate intubation and artificial ventilation.
      B)Administration of naloxone (Narcan).
      C)Close observation of signs of opioid tolerance.
      D)Assessment of the patient’s pain level.
    2. The nurse is caring for a patient and is focusing on modifiable factors that contribute to pain. Which areas does the nurse focus on with this patient?
      A)Culture and ethnicity.
      B)Previous pain experiences and cognitive abilities.
      C)Age and gender.
      D)Anxiety and fear.
    3. A nurse is using Watson’s model to provide care to patients. Which carative factor will the nurse use?
      A)Maintaining belief.
      B)Instilling faith-hope.
      C)Maintaining ethics.
      D)Instilling values.
    4. The patient has just been diagnosed with narcolepsy. The nurse teaches the patient about management of the condition. Which information from the patient will cause the nurse to intervene?
      A)Naps shorter than 20 minutes.
      B)Takes antidepressant medications.
      C)Chews gum regularly.
      D)Sleeps in a hot, stuffy room.
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    Exam Review

    1. In caring for the patient’s spiritual needs, the nurse asks 20 questions to assess the patient’s relationship with God and a sense of life purpose and satisfaction. Which method is the nurse using?
      A)Belief tool.
      B)The spiritual well-being scale.
      C)The FICA assessment tool.
      D)Hope scale.
    2. The patient has a colostomy but has not yet been able to look at it. The nurse teaches the patient how to care for the colostomy. The nurse sits with the patient and together they form a plan on how to approach dealing with colostomy care. Which caring process is the nurse performing?
      A)Knowing.
      B)Doing for.
      C)Enabling.
      D)Maintaining belief.
    3. Which nursing observation of the patient in intensive care indicates the patient is sleeping comfortably during NREM sleep?
      A)Eyes closed, lying supine in bed, respirations 22, heart rate 66.
      B)Eyes closed, mumbling to self, respirations 16, heart rate 68.
      C)Eyes closed, tossing in bed, respirations 18, heart rate 80.
      D)Eyes closed, lying quietly, respirations 12, heart rate 60.
    4. A nurse implementing the principles of intersectionality will focus on what patient characteristic?
      A)Experiences.
      B)Illness.
      C)Values.
      D)Health.
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    Exam Review

    1. The nurse caring for a terminally ill patient sits down and lightly touches the patient’s hand. Which technique is the nurse using?
      A)Providing health promotion.
      B)Offering transcendence.
      C)Establishing presence.
      D)Doing for.
    2. A parent is discussing the sleep needs of a preschooler with the nurse. Which information will the nurse share with the parent?
      A)Most preschoolers sleep soundly all night long.
      B)Preschoolers may have trouble settling down after a busy day.
      C)On average, the preschooler needs to sleep 10 hours a night.
      D)It is important that the 5-year-old get a nap every day.
    3. The nurse is caring for a patient who is having difficulty understanding the written and spoken word. Which type of aphasia will the nurse report to the oncoming shift?
      A)Expressive.
      B)Motor.
      C)Receptive.
      D)Global.
    4. The nurse is caring for a 4-year-old child who is demonstrating signs of pain. Which technique will the nurse use to best assess pain in this child?
      A)Use the FACES scale.
      B)Check to see what previous nurses have charted.
      C)Have the child rate the level of pain on a 0 to 10 pain scale.
      D)Ask the parents if they think their child is in pain.
    Page 4 of 13

    Exam Review

    1. A nurse is teaching the staff about the sleep cycle. Which period lasts 10 to 30 minutes?
      A)Pre-sleep.
      B)NREM Stage 2.
      C)REM.
      D)NREM Stage 1.
    2. A severely depressed patient cannot state any positive attributes to life. The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life. Which spiritual concept is the nurse trying to promote?
      A)Hope.
      B)Time management.
      C)Reminiscence.
      D)Faith.
    3. Family members gather in the emergency department after learning that a family member was involved in a motor vehicle accident. After learning of the family member’s unexpected death, the surviving family members begin to cry and scream in despair. Which phase does the nurse determine the family is in according to the Attachment Theory?
      A)Reorganization.
      B)Disorganization and despair.
      C)Yearning and searching.
      D)Numbing.
    4. A patient has both hearing and visual sensory impairments. Which psychological nursing diagnosis will the nurse add to the care plan?
      A)Self-care deficit.
      B)Risk for falls.
      C)Impaired socialization.
      D)Impaired physical mobility.
    Page 5 of 13

    Exam Review

    1. A nurse is caring for an older adult. Which sensory change will the nurse identify as normal during the assessment?
      A)Difficulty hearing low pitch
      B)Increased taste discrimination
      C)Impaired night vision
      D)Heightened sense of smell
    2. The patient is admitted with a diagnosis of chronic anxiety. Which action is most appropriate for the nurse to take when providing holistic care?
      A)Looking at how worry influences the patient's ability to function
      B)Focusing on finding quick remedies for the anxiety
      C)Realizing that the patient’s only goal is relief of the anxiety
      D)Helping the patient realize that there is little hope of relief from anxiety
    3. The nurse is caring for a patient who has been diagnosed with a terminal illness. The patient states, “I just don’t feel like going to work. I have no energy, and I can’t eat or sleep.” The patient shows no interest in taking part in the care by saying, “What’s the use?” Which response by the nurse is best?
      A)It sounds like you have lost energy.
      B)It sounds like you have lost hope.
      C)It sounds like you have lost the ability to sleep.
      D)It sounds like you have lost your appetite.
    4. A nurse is discussing the changing demographics of the US population. What is expected to be the fastest growing racial/ethnic group by 2060?
      A)Non-Hispanic Blacks
      B)Multiracial
      C)Asian
      D)Hispanic
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