1st Semester Final Exam

The nurse is caring for a client who has been diagnosed with a terminal disease. The patient states to the nurse "What is the point of living anymore if I am going to die?" Which of the following is an appropriate response to address the patient's spiritual distress?

• Many people feel this way; just try to distract yourself.
• It's understandable to feel this way. Can you share what has been meaningful to you in your life?
• It's best to ignore these feelings and stay positive.
• You should focus on your treatment and not think about death.

The nurse is caring for a patient who is in the active phases of dying. Which of the following assessment findings would tell the nurse that the patient has weeks to days left to live?

• Increased appetite and decreased sleepiness.
• Stable vital signs and alertness.
• Cyclic breathing that slowing into periods of apnea lasting 15 seconds.

• Decreased appetite and increased sleepiness.

The nurse is caring for a patient who is having an asthma exacerbation. The patient is currently receiving supplmental oxygen via nasal cannula at 6L/min and stating at 88%. Which of the following actions should the nurse take next?

• Place the patient on a simple face mask and increase the oxygen flow rate.

• Administer a bronchodilator immediately.
• Decrease the supplemental oxygen flow rate.
• Place the patient on a nonrebreather and increase the oxygen flow rate.

A new graduate nurse is listening to a patient's lung sounds and hears a high-pitched whistling sound on inspiration. How should the nurse document this finding in the chart?

• Rhonchi

• Wheezing

• Stridor

• Crackles

A patient tells the nurse that she is super stressed about being in the hospital and that is why the bush outside her window is beginning to wilt. What model of stress is the patient portraying?

• Lazarus & Folkham

• Holmes & Rahe

• Hans Seyle

• Jane Piaget

A community health nurse is performing a needs-based assessment of the community for the next county fair. What is the purpose of a needs- based assessment?

• To identify the health needs and priorities of the community.
• To evaluate the financial status of the community.
• To determine the political affiliations of community members.
• To assess the environmental conditions of the area.

The nurse is caring for a patient who does not speak English. What should the nurse do to ensure that the patient intake is properly conducted?

• Use a professional interpreter or translation service.
• Use family members to translate the information.
• Ask the patient to write down their responses.
• Speak slowly and loudly to ensure understanding.

The nurse is providing education to the community about ways to prevent the spread of communicable diseases in children. Which level of prevention is the nurse exhibiting?

• Secondary prevention
• Tertiary prevention
• Quaternary prevention
• Primary prevention

The nurse is doing a triage on the patient who came in for shortness of breath, chest pain, and dizziness. Which of the following assessment findings would require the nurse to notify the doctor right away?

• Rash on the patient's back

• Slight cough with clear lungs on auscultation.
• Heart rate of 120

• Blood pressure of 190/110

The nurse is caring for a Catholic patient who is passing away. The nurse should inquire to the family if they would like which aspect of the Catholic religion to be observed?

• Final Rights

• Observance of the Sabath on Saturday

• Choir Singing

• Baptism of the Infant