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NUR 446 Nursing Practice Pediatrics and Complex Care of Adults, Arizona State University, Summer 2025 – Practice Final Exam Questions and Answers

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This document contains a comprehensive set of practice final exam questions and answers for NUR 446: Nursing Practice Pediatrics and Complex Care of Adults at Arizona State University. It covers key topics including patient communication, vital signs, infection control, dementia care, emergency procedures, and clinical skills. The material is structured to support exam preparation and reinforce essential nursing concepts across pediatric and adult complex care settings. It aligns closely with course modules and practical caregiving scenarios.

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NUR 446 - NURSING PRACTICE PEDIATRICS AND COMPLEX CARE OF ADULTS-
PRACTICE FINAL EXAM QUESTIONS AND ANSWERS SUMMER 2025

Arizona State University

Summer 2025

Student: Ezra Kozy

PRACTICE FINAL EXAM QUESTIONS AND ANSWERS

Question 1

Which one of the following is an example of active listening?
Answer: Speaking clearly, avoiding jargon, maintaining eye contact and actually listening.

Question 2
What is the best way to speak to an older adult with hearing problems?

Answer: Speak clearly, slowly, and face the person; use simple language and check for
understanding.

Question 3
Which one of the following is an example of "people-first language"?

Answer: “A person with diabetes” (instead of "a diabetic").

Question 4
Which one of the following would show a client that you are a good listener?

Answer: Affirmative gestures such as nodding, sustained direct eye contact, and briefly
reformulating their statements in your own words…

Question 5
Which one of the following is likely to encourage open communication?

Answer: Asking open-ended questions as well as demonstrating genuine curiosity.

, 2


Question 6
What is one thing you might do to improve communication when speaking with a client who has
a different first language than you?

Answer: Break down information and present concepts in a straightforward manner. Explain
clearly and ensure that people understand by using pictures or asking them to repeat information
back.

Feedback
This material is covered in CARE0202 - Clients' Rights, HIPAA & Elder Abuse Prevention,
Lesson 3: Client Confidentiality & Privacy.

Question 8
A caregiver is responsible for reporting:
Feedback
This material is covered in CARE0203 - Observation, Reporting & Documentation: Part 1,
Lesson 3: Reporting the Client's Condition.

Answer: Changes in the client’s condition, behavior, or needs.

Question 9
Jolene notices that her client has an unusual rash. She calls to report it to her supervisor.
What kind of report is she making?
Feedback
This material is covered in CARE0205 - Observation, Reporting & Documentation: Part 3,
Lesson 1: Accurate Reporting.

Answer: An incident report or abnormal finding report.

Question 10
Which of the following is true about reporting on the client's condition?
Feedback
This material is covered in CARE0203 - Observation, Reporting & Documentation: Part 1,
Lesson 3: Reporting the Client's Condition.

, 3


Answer: Reports should be timely, accurate, objective, and complete.

Question 11
Your client is agitated and runs into the garden. It's a chilly day, and the client isn't wearing a
sweater or coal.
What would be an appropriate response?
Feedback
This material is covered in CARE0103 - Communicating with Older Adults, Lesson 3: Managing
Cognitive Problems.

Answer: Walk up to the client in a relaxed manner. Show understanding and escort the client
back inside.

Question 12
When communicating with a client in early-stage dementia, you should:
Feedback
This material is covered in CARE1201 - Communicating with a Person with Dementia, Lesson
1: Communication with an Older Adult I brian with Early Stage Dementia.

Answer: Maintain eye contact while using straightforward vocabulary and offering simple
phrases. Allow the person adequate time to respond.

Question 13
How should you approach a client with dementia?
Feedback
This material is covered in CARE1201 - Communicating with a Person with Dementia, Lesson
1: Communicating with an Older Adult Living with Early Stage Dementia.

Answer: Assure them that everything will be fine, maintaining a gentle voice, eye contact, and a
calm demeanour.

Question 14
If a client with dementia becomes angry, what should you do:
Feedback

, 4


This material is covered in CARE1203 - Managing Agitation & Aggression in Dementia, Lesson
2: Aggression in Dementia.

Answer: Provide a gentle voice with steady eye contact as well as a calm demeanor to explain
that every aspect will indeed be alright.

Question 15
You have a client with dementia who becomes agitated and starts yelling at you when you ask
him to remove his clothing so he can take a shower. What would be the best action to take in this
situation?
Feedback
This material is covered in CARE1203 - Managing Agitation & Aggression in Dementia, Lesson
4: Managing Agitated or Aggressive Behaviors in Older Adults with Dementia.

Answer: Put the request on hold, evaluate again later, and take a different strategy or timetable
for the shower.

Question 16
What might be an abnormal observation of a client's mental status?
Feedback
This material is covered in CARE0204 - Observation, Reporting & Documentation: Part 2,
Lesson 1: Determining Normal vs. Abnormal Conditions.

Answer: An abrupt change in one's cognitive functions, amnesia, or alterations in emotions and
actions.

Question 17
Sheila notices that her client is pale, his blood pressure is higher than normal, and he grimaces
occasionally. What should Sheila do?
Feedback
This material is covered in CARE0206 - Vital Signs; Part 1, Lesson 5: Blood Pressure.

Answer: Inform the supervisor promptly regarding the observations.

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