EXAM
Exam Solution vc
NUR 131 Exam 4 2026 A+ GRADE ASSURED COMPLETE S
vc vc vc vc vc vc vc vc vc
OLUTIONS AND VERIFIED ANSWERS (51706) vc vc vc vc
QUESTION 1 vc
The nurses notes on the admission form that the patient has indication "no religious pref
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
erence." What does this indicate to the nurse about the patient?
vc vc vc vc vc vc vc vc vc vc
a) does not follow the tenets of a specific faith
vc vc vc vc vc vc vc vc vc
b) is in denial about his religious beliefs
vc vc vc vc vc vc vc
c) doesn't believe in God or a "higher power"
vc vc vc vc vc vc vc vc
d) will not want to pray or visit with the chaplain
vc vc vc vc vc vc vc vc vc vc
ANSWER
a) does not follow the tenets of a specific faith
vc vc vc vc vc vc vc vc vc
QUESTION 2 vc
The student nurse has earned A's in all of her prerequisite courses. For the first exam in
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
a nursing course, she earns a D and now feels that she may not be smart enough to beco
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
me a nurse. What type of "loss" is the student experiencing?
vc vc vc vc vc vc vc vc vc vc
a) actual
vc
b) external
vc
c) physical
vc
d) perceived
vc
ANSWER
d) perceived
vc
QUESTION 3 vc
A pt who is taking atenolol (Tenormin) may not exhibit a rise in blood pressure & pulse
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
during the alarm stage of the general adaptation syndrome
vc vc vc vc vc vc vc vc
a) truevc
b) false
vc
ANSWER
,a) true Tenormin is a beta-blocker (or otherwise a anti-hypertensive medication)
vc vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
The nurse should assess every pt to determine if stress reduction interventions should b
vc vc vc vc vc vc vc vc vc vc vc vc vc
e part of the plan of care. The rationale for this action is that:
vc vc vc vc vc vc vc vc vc vc vc vc vc
a) there are more persons experiencing mental illness now than in the past
vc vc vc vc vc vc vc vc vc vc vc vc
b) life is so much more stressful than it has ever been
vc vc vc vc vc vc vc vc vc vc vc
c) the occurrence of stress in pts is unpredictable
vc vc vc vc vc vc vc vc
d) pts often develop maladaptive coping strategies
vc vc vc vc vc vc
ANSWER
c) the occurrence of stress in pts is unpredictable
vc vc vc vc vc vc vc vc
QUESTION 5 vc
For any patient with an altered level of consciousness, the Glasgow Coma Scale score will
vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
help the nurse in planning care.
c vc vc vc vc vc
a) true vc
b) false vc
ANSWER
a) true GCS correlates to the patient's ability to function. The lower the score, the more nursing interven
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
tion required. vc
QUESTION 6 vc
A 4 year old patient resists going to sleep. To assist this pt, the best action to take would
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
be:
a) adding a daytime nap
vc vc vc vc
b) allowing the child to sleep longer in the morning
vc vc vc vc vc vc vc vc vc
c) maintaining the child's home sleep routine
vc vc vc vc vc vc
d) offering the child a bedtime snack
vc vc vc vc vc vc
ANSWER
c) maintaining the child's home sleep routine
vc vc vc vc vc vc
QUESTION 7 vc
During rounds on the night shift, you note that a pt stops breathing for 1-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
2 minutes several times during the shift. This condition is known as:
vc vc vc vc vc vc vc vc vc vc vc
a) cataplexy
vc
b) insomnia
vc
,c) narcolepsy
vc
d) sleep apnea
vc vc
ANSWER
d) sleep apnea
vc vc
QUESTION 8 vc
What is missing from the documentation regarding the emptying of draining from a wou
vc vc vc vc vc vc vc vc vc vc vc vc vc
nd? "03/12/16 07:50: Hemovac drained serosanguinous fluid over 12 hours. No odor or
vc vc vc vc vc vc vc vc vc vc vc vc vc
perulent material noted at drainage site."
vc vc vc vc vc
a) amount drained
vc vc
b) AM or PM
vc vc vc
c) description of color at the drainage site
vc vc vc vc vc vc vc
d) materials used
vc vc
ANSWER
a) amount drained
vc vc
QUESTION 9 vc
The nurse is working with a patient with low total protein & serum albumin levels. The p
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
atient presents with bilateral pitting lower extremity edema. Which education should th
vc vc vc vc vc vc vc vc vc vc vc
e nurse provide to decrease and prevent edema formation?
vc vc vc vc vc vc vc vc
a) increase cholesterol in the diet
vc vc vc vc vc
b) increase protein in the diet
vc vc vc vc vc
c) increase vitamin C in the diet
vc vc vc vc vc vc
d) increase fluid intake during the day
vc vc vc vc vc vc
ANSWER
b) increase protein foods in the diet
vc vc vc vc vc vc
QUESTION 10 vc
3 days after abdominal surgery, the nurse notes a 2cm area of erythema & swelling at th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e proximal end of the incision. The area is tender & warm to the touch. Staples are in tac
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
t along the incision, no obvious drainage. Temp 100.8 F. The nurse suspects:
vc vc vc vc vc vc vc vc vc vc vc vc
a) infection at the incisional site
vc vc vc vc vc
b) dehiscence of the wound
vc vc vc vc
c) hematoma under the skin
vc vc vc vc
d) formation of granulation tissue
vc vc vc vc
ANSWER
a) infection at the incisional site
vc vc vc vc vc
, QUESTION 11 vc
The nurse avoid placing a dressing that wraps around an extremity to prevent what com
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
plication?
ANSWER
to prevent cutting off circulation
vc vc vc vc
QUESTION 12 vc
The nurse irrigates top to bottom to prevent what complication?
vc vc vc vc vc vc vc vc vc
ANSWER
to prevent cross-contamination of infection in other areas of the wound
vc vc vc vc vc vc vc vc vc vc
QUESTION 13 vc
Why should the nurse prevent packing the gauze tightly into the wound?
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
to promote blood flow
vc vc vc
QUESTION 14 vc
What assessments can you make for a dying patient?
vc vc vc vc vc vc vc vc
ANSWER
- determine funeral plans when ready for that conversation - determine if pt has advanced directives
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 15 vc
What nursing diagnoses could be used for someone experiencing loss, death, or grief?
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
- caregiver role strain - risk for grieving
vc vc vc vc vc vc vc
QUESTION 16 vc
As a nurse, how can you support your patient's loved ones when the patient is terminally
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ill?
vc
ANSWER
Exam Solution vc
NUR 131 Exam 4 2026 A+ GRADE ASSURED COMPLETE S
vc vc vc vc vc vc vc vc vc
OLUTIONS AND VERIFIED ANSWERS (51706) vc vc vc vc
QUESTION 1 vc
The nurses notes on the admission form that the patient has indication "no religious pref
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
erence." What does this indicate to the nurse about the patient?
vc vc vc vc vc vc vc vc vc vc
a) does not follow the tenets of a specific faith
vc vc vc vc vc vc vc vc vc
b) is in denial about his religious beliefs
vc vc vc vc vc vc vc
c) doesn't believe in God or a "higher power"
vc vc vc vc vc vc vc vc
d) will not want to pray or visit with the chaplain
vc vc vc vc vc vc vc vc vc vc
ANSWER
a) does not follow the tenets of a specific faith
vc vc vc vc vc vc vc vc vc
QUESTION 2 vc
The student nurse has earned A's in all of her prerequisite courses. For the first exam in
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
a nursing course, she earns a D and now feels that she may not be smart enough to beco
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
me a nurse. What type of "loss" is the student experiencing?
vc vc vc vc vc vc vc vc vc vc
a) actual
vc
b) external
vc
c) physical
vc
d) perceived
vc
ANSWER
d) perceived
vc
QUESTION 3 vc
A pt who is taking atenolol (Tenormin) may not exhibit a rise in blood pressure & pulse
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
during the alarm stage of the general adaptation syndrome
vc vc vc vc vc vc vc vc
a) truevc
b) false
vc
ANSWER
,a) true Tenormin is a beta-blocker (or otherwise a anti-hypertensive medication)
vc vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
The nurse should assess every pt to determine if stress reduction interventions should b
vc vc vc vc vc vc vc vc vc vc vc vc vc
e part of the plan of care. The rationale for this action is that:
vc vc vc vc vc vc vc vc vc vc vc vc vc
a) there are more persons experiencing mental illness now than in the past
vc vc vc vc vc vc vc vc vc vc vc vc
b) life is so much more stressful than it has ever been
vc vc vc vc vc vc vc vc vc vc vc
c) the occurrence of stress in pts is unpredictable
vc vc vc vc vc vc vc vc
d) pts often develop maladaptive coping strategies
vc vc vc vc vc vc
ANSWER
c) the occurrence of stress in pts is unpredictable
vc vc vc vc vc vc vc vc
QUESTION 5 vc
For any patient with an altered level of consciousness, the Glasgow Coma Scale score will
vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
help the nurse in planning care.
c vc vc vc vc vc
a) true vc
b) false vc
ANSWER
a) true GCS correlates to the patient's ability to function. The lower the score, the more nursing interven
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
tion required. vc
QUESTION 6 vc
A 4 year old patient resists going to sleep. To assist this pt, the best action to take would
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
be:
a) adding a daytime nap
vc vc vc vc
b) allowing the child to sleep longer in the morning
vc vc vc vc vc vc vc vc vc
c) maintaining the child's home sleep routine
vc vc vc vc vc vc
d) offering the child a bedtime snack
vc vc vc vc vc vc
ANSWER
c) maintaining the child's home sleep routine
vc vc vc vc vc vc
QUESTION 7 vc
During rounds on the night shift, you note that a pt stops breathing for 1-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
2 minutes several times during the shift. This condition is known as:
vc vc vc vc vc vc vc vc vc vc vc
a) cataplexy
vc
b) insomnia
vc
,c) narcolepsy
vc
d) sleep apnea
vc vc
ANSWER
d) sleep apnea
vc vc
QUESTION 8 vc
What is missing from the documentation regarding the emptying of draining from a wou
vc vc vc vc vc vc vc vc vc vc vc vc vc
nd? "03/12/16 07:50: Hemovac drained serosanguinous fluid over 12 hours. No odor or
vc vc vc vc vc vc vc vc vc vc vc vc vc
perulent material noted at drainage site."
vc vc vc vc vc
a) amount drained
vc vc
b) AM or PM
vc vc vc
c) description of color at the drainage site
vc vc vc vc vc vc vc
d) materials used
vc vc
ANSWER
a) amount drained
vc vc
QUESTION 9 vc
The nurse is working with a patient with low total protein & serum albumin levels. The p
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
atient presents with bilateral pitting lower extremity edema. Which education should th
vc vc vc vc vc vc vc vc vc vc vc
e nurse provide to decrease and prevent edema formation?
vc vc vc vc vc vc vc vc
a) increase cholesterol in the diet
vc vc vc vc vc
b) increase protein in the diet
vc vc vc vc vc
c) increase vitamin C in the diet
vc vc vc vc vc vc
d) increase fluid intake during the day
vc vc vc vc vc vc
ANSWER
b) increase protein foods in the diet
vc vc vc vc vc vc
QUESTION 10 vc
3 days after abdominal surgery, the nurse notes a 2cm area of erythema & swelling at th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e proximal end of the incision. The area is tender & warm to the touch. Staples are in tac
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
t along the incision, no obvious drainage. Temp 100.8 F. The nurse suspects:
vc vc vc vc vc vc vc vc vc vc vc vc
a) infection at the incisional site
vc vc vc vc vc
b) dehiscence of the wound
vc vc vc vc
c) hematoma under the skin
vc vc vc vc
d) formation of granulation tissue
vc vc vc vc
ANSWER
a) infection at the incisional site
vc vc vc vc vc
, QUESTION 11 vc
The nurse avoid placing a dressing that wraps around an extremity to prevent what com
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
plication?
ANSWER
to prevent cutting off circulation
vc vc vc vc
QUESTION 12 vc
The nurse irrigates top to bottom to prevent what complication?
vc vc vc vc vc vc vc vc vc
ANSWER
to prevent cross-contamination of infection in other areas of the wound
vc vc vc vc vc vc vc vc vc vc
QUESTION 13 vc
Why should the nurse prevent packing the gauze tightly into the wound?
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
to promote blood flow
vc vc vc
QUESTION 14 vc
What assessments can you make for a dying patient?
vc vc vc vc vc vc vc vc
ANSWER
- determine funeral plans when ready for that conversation - determine if pt has advanced directives
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 15 vc
What nursing diagnoses could be used for someone experiencing loss, death, or grief?
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
- caregiver role strain - risk for grieving
vc vc vc vc vc vc vc
QUESTION 16 vc
As a nurse, how can you support your patient's loved ones when the patient is terminally
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ill?
vc
ANSWER
