JMU - NSG 451 FINAL EXAM NEWEST
TESTBANK ACTUAL EXAM 2025
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES | A+
GRADE
An 8-year-old girl has been uncooperative and angry since
the diagnosis of cancer was made. Her parents tell the
nurse that they do not know what to do because she is
always so mad at us. What nursing action is most
appropriate at this time?
a. Explain to child that anger is not helpful.
b. Help the parents deal with her anger constructively.
c. Ask the parents to find out what she is angry about.
d. Encourage the parents to ignore the anger at this time.
Correct Answer b. Help the parents deal with her anger
constructively.
The family and child have decided that hospice care best
meets their needs during the terminal phase of illness. The
nurse recognizes that the parents understand the
principles of this care when they make which statement?
a. It will be good to be at home and care for our child.
b. What a relief it will be not to need any more medicines.
c. We are going to miss the support of the hospice team
when our child dies.
d. We know that once hospice care starts, we will not be
able to return to the hospital if the care is difficult. Correct
,Answer a. It will be good to be at home and care for our
child.
A child in the terminal stage of cancer has frequent
breakthrough pain. Nonpharmacologic methods are not
helpful, and the child is exceeding the maximum safe dose
for opiate administration. What approach should the nurse
implement?
a. Add acetaminophen for the breakthrough pain.
b. Titrate the opioid medications to control the childs pain
as specified in the protocol.
c. Notify the practitioner that immediate hospitalization is
indicated for pain management.
d. Help the parents and child understand that no additional
medication can be given because of the risk of respiratory
depression. Correct Answer b. Titrate the opioid
medications to control the childs pain as specified in the
protocol.
A 7-year-old child is in the end stages of cancer. The
parents ask you how they will know when death is
imminent. What physical sign is indicative of approaching
death?
a. Hunger
b. Tachycardia
c. Increased thirst
d. Difficulty swallowing Correct Answer d. Difficulty
swallowing
,What nursing intervention is most appropriate when
providing comfort and support for a child when death is
imminent?
a. Limit care to essentials.
b. Avoid playing music near the child.
c. Whisper to the child instead of using a normal voice.
d. Explain to the child the need for constant measurement
of vital signs. Correct Answer a. Limit care to essentials.
A 12-year-old boy is in the final phase of dying from
leukemia. He tells the nurse who is giving him opiates for
pain that his grandfather is waiting for him. How should the
nurse interpret this situation?
a. The boy is experiencing side effects of the opiates.
b. The boy is making an attempt to comfort his parents.
c. He is experiencing hallucinations resulting from brain
anoxia.
d. He is demonstrating readiness and acceptance that
death is near. Correct Answer d. He is demonstrating
readiness and acceptance that death is near.
The nurse is making a home visit 48 hours after the death
of an infant from sudden infant death syndrome (SIDS).
What intervention is an appropriate objective for this visit?
a. Give contraceptive information.
b. Provide information on the grief process.
c. Reassure parents that SIDS is not likely to occur again.
d. Thoroughly investigate the home situation to verify
SIDS as the cause of death. Correct Answer b. Provide
information on the grief process.
, A critically injured child has died and is being removed
from a ventilator in the pediatric intensive care unit. What
is a priority nursing intervention for the family at this time?
a. Ensure that parents are in the waiting room while the
ventilator is removed.
b. Help the parents understand that the child is already
dead and no further interventions are necessary.
c. Control the environment around the child and family to
provide privacy.
d. Encourage them to wait to see their child until the
funeral home has prepared the body. Correct Answer c.
Control the environment around the child and family to
provide privacy.
The nurse is often the individual who is in the optimum
position to suggest tissue donation to a family (after
consultation with the practitioner). What will occur if a
family chooses organ or tissue donation?
a. The funeral will be delayed.
b. Cremation is the preferred method of burial.
c. Written consent is required for tissue or organ donation.
d. An open casket cannot be used subsequent to this
procedure. Correct Answer c. Written consent is required
for tissue or organ donation.
When is an autopsy required?
a. In the case of a suspected suicide
b. When a person has a known terminal illness
c. With a hospice patient who dies at home
d. With the victim of a motor vehicle collision Correct
Answer a. In the case of a suspected suicide
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