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NURS 104 EXAM 2 QUESTION AND ANSWERS (VERIFIED ANSWERS)
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NURS 104 EXAM 2 QUESTION AND ANSWERS (VERIFIED ANSWERS)
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ESTUDYNURS 104 EXAM 2 QUESTION AND ANSWERS
(VERIFIED ANSWERS)
### 1. Which of the following statements about comfort care is accurate?
- A) Withholding and withdrawing life-sustaining treatment are distinctly different in the eyes of the
legal community.
- B) Each procedure should be evaluated for its effect on the patient's comfort before being
implemented.
- C) Only the patient can determine what constitutes comfort care for him or her.
- D) Withdrawing life-sustaining treatments is considered euthanasia in most states.
**Answer:** B) Each procedure should be evaluated for its effect on the patient's comfort before being
implemented.
---
### 2. _____ is a powerful influence when the decision-making process is dealing with recovery or a
peaceful death.
- A) Hope
- B) Religion
- C) Culture
- D) Ethics
**Answer:** A) Hope
---
,ESTUDY
### 3. The patient's condition has deteriorated to the point where she can no longer make decisions
about her own care. Which nursing intervention would be most appropriate?
- A) Obtain a verbal DNR order from the physician.
- B) Continue caring for the patient as originally ordered because she obviously wanted this.
- C) Consult the hospital attorney for recommendations on how to proceed.
- D) Discuss with the family what the patient's wishes would be if she could make those decisions
herself.
**Answer:** D) Discuss with the family what the patient's wishes would be if she could make those
decisions herself.
---
### 4. The two basic ethical principles underlying the provision of health care are:
- A) Beneficence and nonmaleficence.
- B) Veracity and beneficence.
- C) Fidelity and nonmaleficence.
- D) Veracity and fidelity.
**Answer:** A) Beneficence and nonmaleficence.
---
### 5. A patient has been unresponsive after a cardiac arrest. What is the best way to approach the
family regarding ongoing care?
,ESTUDY
- A) "I will refer this case to the hospital ethics committee, and they will contact you when they have a
decision."
- B) "What do you want to do about the patient's care at this point?"
- C) "Dr. Smith believes that there is no hope at this point and recommends DNR status."
- D) "What would the patient want if he knew he were in this situation?"
**Answer:** D) "What would the patient want if he knew he were in this situation?"
---
### 6. After a DNR order is established, palliative care means:
- A) The patient will continue to receive the same aggressive treatment short of resuscitation.
- B) All treatment will be stopped, and the patient will be allowed to die.
- C) All attempts will be made to keep the patient comfortable without prolonging his life.
- D) The patient will be immediately transferred to hospice.
**Answer:** C) All attempts will be made to keep the patient comfortable without prolonging his life.
---
### 7. What nursing intervention is appropriate for a patient on a morphine drip who continues to show
signs of pain?
- A) Increase the morphine dosage until no signs of pain or discomfort are present.
- B) Increase the morphine drip, but if the patient's respiratory rate drops below 10 breaths/min, return
to the original dosage.
- C) Gradually decrease the morphine and switch to Versed to avoid respiratory depression.
, ESTUDY
- D) Ask the family to leave the room because their presence is causing undue stress to the patient.
**Answer:** A) Increase the morphine dosage until no signs of pain or discomfort are present.
---
### 8. The decision to remove a patient from the ventilator should be discussed with:
- A) The cardiac monitor should be left on so everyone will know when the patient has died.
- B) Opioids, sedatives, and neuromuscular blocking agents should be discontinued just before removing
the ventilator.
- C) The family and health care team should decide the best method for removing the ventilator:
terminal wean versus immediate extubation.
- D) If terminal weaning is selected, the family should be sent to the waiting room until the ventilator has
actually been removed.
**Answer:** C) The family and health care team should decide the best method for removing the
ventilator: terminal wean versus immediate extubation.
---
### 9. Who should the physician approach to discuss decisions of care and possible DNR status?
- A) The patient
- B) The family
- C) The hospital legal system
- D) The hospital ethics committee
**Answer:** A) The patient
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