NR 226/ NR226 (NEW 2025/ 2026 UPDATE) EXAM 2:
FUNDAMENTALS: PATIENT CARE REVIEW | QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT
1. What are the dying patients bill of rights? - ANS ✓- Right to be treated as a
living human until death
- Right to maintain sense of hopefulness
- Right to be cared by those who maintain a sense of hopefulness
- Right to express feelings and emotions about approaching death
- Right to participate in decisions concerning care
- Right to not die alone
- Right to be free of pain
- Right to expect continuing medical / nursing attention
- Right to retain my individuality
- Right to expect the sanctity of human body will be respected after death
- Right to be cared for by caring, sensitive, and knowledgeable people
2. What is the objective of teaching maintaining self-care (dying patient)? -
ANS ✓- Patient will participate in activities to manage symptoms
3. What is the definition of palliative care? - ANS ✓- Focuses on the
prevention, relief, reduction, or soothing of symptoms of disease or
disorders throughout the entire course of an illness
4. What is the primary goal of Palliative care? - ANS ✓- To help patient and
families achieve the best possible quality of life
5. What is the definition of Hospice care? - ANS ✓- A philosophy and model
for the care of redundant patients and their families and the End of Life
(EOL)
6. What does hospice care manage? - ANS ✓Patients:
- pain
- symptoms
- QOL
- attention to the physical, psychological, social and spiritual needs / resources
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7. What are the steps to promote comfort in the terminally ill patient - ANS
✓- pain
- Skin discomfort
- Corneal irritation
- fatigue
- anxiety
- Nausea
- Constipation
- Diarrhea
- Urinary incontinence
- Altered nutrition
- Dehydration
- ineffective breathing patterns
- Noisy breathing (death rattle)
8. What respiratory changes occur when an individual is dying? - ANS ✓-
death rattle may occur
9. What color changes occur to the body as death occurs? - ANS ✓- Pallor
- Cyanosis
- Mottling
10.What is the last sense to go during impending death? - ANS ✓- Hearing
11.How does culture influence death / rituals involving death? - ANS ✓-
Vastly influences which behaviors and rituals should be expected at the
time of death
12.What is fluid balance? - ANS ✓transport of fluid from interstitial spaces in
blood
13.What is fluid imbalance? - ANS ✓The body's water is not in the proper
volume or location
14.What are the types of Fluid imbalances? - ANS ✓- Volume imbalance
- Osmolality imbalance
- Extracellular volume deficits
15.What is the definition of Volume imbalance? - ANS ✓- Disturbance of the
amount of fluid in the extracellular compartment
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