NURS 352 EXAM QUESTIONS AND 100% CORRECT
ANSWERS LATEST UPDATE
While caring for a dying client the Hospice nurse collaborates other professionals to
orchestrate the care of the client with the primary intent of:
A Pronouncing death
B Giving curative interventions
C Relieving the patient's pain
D Reassuring the family - ANSWER C
Which of the following statements about grief across the life span are true? (select all
that apply).
A Older adults may have experienced multiple losses.
B School aged (age 6-12 years) children may be preoccupied with fear.
C Adolescents may experience feelings of guilt and shame if a loved individual dies.
D Preschool (age 3-6 years) children may think they can resuscitate the loved one.
E Preschool (age 3-6 years) children understand the irreversibility with death.
F Adolescents may become fixated on the fear of death. - ANSWER A B C D
Which of the following are symptoms and signs that are characteristic of the dying
process?
A Periodic, shallow breathing
B Blood pressure markedly rises
C Mottling of the skin.
D Diaphoresis - ANSWER C
For the following question, select the pharmacologic therapies that are associated with
,an end of life symptom.
A Benzodiazepines for irregular respiratory rhythm.
B Morphine for respiratory distress.
C Opioids for seizures.
D Antibiotics for pressure ulcers. - ANSWER B
Mr. J - 78 yr old, presents to emergency room with hemoptysis, and diagnosed with
bacterial pneumonia. Past medical history includes osteoarthritis, exercises regularly,
and is a vegetarian. Which of the following would most likely be a predisposing risk
factor for the diagnosis of pneumonia?
A daily exercise
B osteoarthritis
C vegetarian diet
D age - ANSWER D
Mr. J is admitted with bacterial pneumonia and sent to the medical floor. The orders are
for intravenous antibiotics. Of the following diagnostic tests, which would be most
desirable to receive prior to the initiation of antibiotic therapy?
A Pulmonary Function Tests
B urinalysis
C red blood cell count
D sputum culture - ANSWER D
Mr. J is diaphoretic with a fever of 102.6 F (39.2C). He has rhonchi in all lung fields. He is
lethargic and unable to expectorate mucus. Which of the following is a priority in the
plan of care?
A Position changes every 4 hours
B Nasotracheal suctioning to clear secretions
C Frequent linen changes
D Frequent offering of bedpan -
,The client Mr. J is being treated by the nurse for every 4 hours with albuterol nebulizer.
This medication should be assessed by the nurse for its effectiveness through
A Decreased blood pressure
B Clear lung sounds
C Decreased pain with breathing
D Clear yellow color of sputum - ANSWER B
The nurse identifies that Mr. J suffers from activity intolerance. The nurse requests the
aids to give Mr. J periods of rest during ADL's. The rationale for giving periods of rest is
to
A Reduce the pain upon inspiration.
B Expectorate secretions more readily
C Reduce the oxygen demand.
D Reduce the number of episodes of coughing. - ANSWER C
Mr. J has a change in mental status and is confused as to place and time. The nurse
recognizes that the confusion is most likely an
A a late sign of delirium
B a late sign of hypoxia
C an early sign of hypoxia
D an early sign of delirium - ANSWER C
Which of the following would be an anticipated outcome for Mr. J when treated with
bacterial pneumonia?
A Mr. J lung sounds clear throughout.
A Mr. J has chest pain relieved by splinting rib cage.
C Mr. J has respiratory rate 25-20 breaths/minute
D Mr. J has limited weight loss to 5 pounds. - ANSWER A
, The nurse is teaching Mr. J how to promote airway clearance. Which of the following
patient statement requires the nurse to provide further clarification?
A "I will drink more fluids to 2 liters a day."
B "I will sit in the chair to do coughing and deep breathing exercises."
C "I will practice coughing and deep breathing regularly throughout the day".
D "I will use the incentive spirometer by placing my lips on it and exhaling
slowly"-ANSWER D
A Client is experiencing a physiologic response to stress at a panic level. The nurse
would assess the client for which of the following clinical manifestations?
A Feelings of butterflies in the stomach
B Dizziness, palpitations, and diaphoresis
C Feelings of fatigue and inability to remain awake
D Obsessive thoughts - ANSWER B
A client is told by the M.D. they need a heart transplant. Which of the following best
describes the client's reaction?
A Primary appraisal.
B Ineffective coping
C Secondary appraisal
D Reappraisal - ANSWER A
A client was just told they have Covid 19 and they need to be self isolated. Which of the
following coping responses is most effective?
A "This is all a bad dream."
B "It's not that bad!"
C "I'm not going to worry about this now."
D "I'll make the best of the situation." - ANSWER D
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