NSG 233 MED SURG 2 EXAM 2 DETAILED
PREPARATION PACK 2026
◉ A postsurgical patient is admitted to a palliative care facility due
to physiological complications. The patient develops respiratory
distress during the active dying phase. What is the first step that the
nurse should take in this situation?
The nurse should elevate the head of the bed.
The nurse should administer opiates such as morphine.
The nurse should surround the patient with familiar sights, sounds,
and smells.
The nurse should notify the family members since the patient is in
end-of-life care.. Answer: The nurse should elevate the head of the
bed.
◉ A patient dies postsurgery due to cardiac failure. What step
should the nurse adhere to when providing postmortem care?
Remove any tubes and catheters from the body before the autopsy is
performed.
Treat the body with respect, and incorporate any applicable
religious or cultural practices.
Refrain from including other nursing staff in the process.
Refrain from removing any tubes and cleaning soiled areas of the
body, if an autopsy is not required.. Answer: Treat the body with
,respect, and incorporate any applicable religious or cultural
practices.
◉ Which statement made by a patient is an example of "Cultural
Aspects of Care" domain of palliative care? Select all that apply.
"I am anxious because I don't know what will happen to my family
after my death."
"Our community does not believe in blood transfusion."
"I am suffering because God is angry with me."
"Please do not include nonvegetarian items in my diet as it is against
my tradition."
"In our community, we do not burden children with medical
information.". Answer: "Our community does not believe in blood
transfusion."
"Please do not include nonvegetarian items in my diet as it is against
my tradition."
"In our community, we do not burden children with medical
information."
◉ After undergoing an unsuccessful open-heart surgery, a patient is
admitted into the hospice care unit. The nurse notices that the
patient's partner appears anxious and nervous. Which statement is
most appropriate for the nurse to use to provide comfort to the
partner?
,"It is good that your partner is not on the life support system.
Otherwise it could have been really bad."
"Do not worry; your partner will be fine."
"I understand that you are worried about your partner, do you have
any questions that I can help answer?"
"Pray to God so that your partner can get well soon.". Answer: "I
understand that you are worried about your partner, do you have
any questions that I can help answer?"
◉ Which is true regarding stress-reducing strategies that nurses can
implement when providing end-of-life care to patients? Select all
that apply.
Perform postmortem care as a team.
Refrain from discussing concerns with nursing colleagues when
involved in stressful care situations.
Pause for a moment of silence during the monthly staff meeting to
remember those who have died on the ward.
Refrain from sending a bereavement card to the family member.
Take part in any employer-provided counseling services.. Answer:
Perform postmortem care as a team.
Pause for a moment of silence during the monthly staff meeting to
remember those who have died on the ward.
Take part in any employer-provided counseling services.
, ◉ A patient is admitted to the palliative care unit after undergoing
multiple bowel resection surgeries. The patient tells the nurse, "I
wish to speak to a priest as my soul needs cleansing." Which
statement made by the nurse in answer to the patient's request
needs correction?
"I will engage the services of the priest from the local church."
"A priest does not provide scientific solutions to health problems."
"What kind of priest would you like to consult with?"
"Please share your spiritual distress with me. Maybe I will be able to
help.". Answer: "A priest does not provide scientific solutions to
health problems."
◉ A nurse is attending to the caregivers of a patient in the palliative
care unit who has just died. The nurse notes that the patient belongs
to a different culture than he or she. Which statements made by the
nurse conform to the appropriate method of communicating with
the patient's caregivers? Select all that apply.
"Please tell me about your funeral practices."
"Would you like to share anything about the process of grieving in
your community?"
"Tell me about the way in which suffering is dealt with in your
community."
"Please share the dietary preferences of your community."
PREPARATION PACK 2026
◉ A postsurgical patient is admitted to a palliative care facility due
to physiological complications. The patient develops respiratory
distress during the active dying phase. What is the first step that the
nurse should take in this situation?
The nurse should elevate the head of the bed.
The nurse should administer opiates such as morphine.
The nurse should surround the patient with familiar sights, sounds,
and smells.
The nurse should notify the family members since the patient is in
end-of-life care.. Answer: The nurse should elevate the head of the
bed.
◉ A patient dies postsurgery due to cardiac failure. What step
should the nurse adhere to when providing postmortem care?
Remove any tubes and catheters from the body before the autopsy is
performed.
Treat the body with respect, and incorporate any applicable
religious or cultural practices.
Refrain from including other nursing staff in the process.
Refrain from removing any tubes and cleaning soiled areas of the
body, if an autopsy is not required.. Answer: Treat the body with
,respect, and incorporate any applicable religious or cultural
practices.
◉ Which statement made by a patient is an example of "Cultural
Aspects of Care" domain of palliative care? Select all that apply.
"I am anxious because I don't know what will happen to my family
after my death."
"Our community does not believe in blood transfusion."
"I am suffering because God is angry with me."
"Please do not include nonvegetarian items in my diet as it is against
my tradition."
"In our community, we do not burden children with medical
information.". Answer: "Our community does not believe in blood
transfusion."
"Please do not include nonvegetarian items in my diet as it is against
my tradition."
"In our community, we do not burden children with medical
information."
◉ After undergoing an unsuccessful open-heart surgery, a patient is
admitted into the hospice care unit. The nurse notices that the
patient's partner appears anxious and nervous. Which statement is
most appropriate for the nurse to use to provide comfort to the
partner?
,"It is good that your partner is not on the life support system.
Otherwise it could have been really bad."
"Do not worry; your partner will be fine."
"I understand that you are worried about your partner, do you have
any questions that I can help answer?"
"Pray to God so that your partner can get well soon.". Answer: "I
understand that you are worried about your partner, do you have
any questions that I can help answer?"
◉ Which is true regarding stress-reducing strategies that nurses can
implement when providing end-of-life care to patients? Select all
that apply.
Perform postmortem care as a team.
Refrain from discussing concerns with nursing colleagues when
involved in stressful care situations.
Pause for a moment of silence during the monthly staff meeting to
remember those who have died on the ward.
Refrain from sending a bereavement card to the family member.
Take part in any employer-provided counseling services.. Answer:
Perform postmortem care as a team.
Pause for a moment of silence during the monthly staff meeting to
remember those who have died on the ward.
Take part in any employer-provided counseling services.
, ◉ A patient is admitted to the palliative care unit after undergoing
multiple bowel resection surgeries. The patient tells the nurse, "I
wish to speak to a priest as my soul needs cleansing." Which
statement made by the nurse in answer to the patient's request
needs correction?
"I will engage the services of the priest from the local church."
"A priest does not provide scientific solutions to health problems."
"What kind of priest would you like to consult with?"
"Please share your spiritual distress with me. Maybe I will be able to
help.". Answer: "A priest does not provide scientific solutions to
health problems."
◉ A nurse is attending to the caregivers of a patient in the palliative
care unit who has just died. The nurse notes that the patient belongs
to a different culture than he or she. Which statements made by the
nurse conform to the appropriate method of communicating with
the patient's caregivers? Select all that apply.
"Please tell me about your funeral practices."
"Would you like to share anything about the process of grieving in
your community?"
"Tell me about the way in which suffering is dealt with in your
community."
"Please share the dietary preferences of your community."
