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Exam (elaborations)

RN Adult Medical Surgical Proctored Exam with NGN Study Guide

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This study resource is designed for nursing students preparing for the RN Adult Medical Surgical Proctored Exam. It covers essential adult medical-surgical concepts aligned with ATI curriculum and Next Generation NCLEX (NGN) format requirements. Useful for comprehensive review and final test preparation in med-surg nursing courses.

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,NIGHTINGALE COLLEGE BSN 425
BSN425 02 GERONTOLOGICAL
NURSING 2025/2026 PALLIATIVE
LATEST MOCK PRACTICE SET
170 Questions with Answers and Detailed Rationales


100 PERCENT GUARANTEED PASS


INSTANT DOWNLOAD ANSWERS INCLUDED



IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NIGHTINGALE COLLEGE BSN 425 BSN425 02 GERONTOLOGICAL NURSING 2025/2026 PALLIATIVE CARE
QUIZ ANSWERED SCORE FOR THIS QUIZ: 100 OUT OF 100. (0) I X QUICK VIEW. It contains 170 carefully
selected questions that reflect the most current exam content and testing strategies. Each question is
accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.

Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas

Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions




Review Summary 170 Questions


Foundations - Application - Nightingale College BSN 425 Bsn425 02 Gerontological Nursing 2025/2026
Palliative CARE Answered Score FOR THIS 100 OUT OF 100 0 I X Quick VIEW Gerontological Nursing /
Palliative CARE Undergraduate YEAR 3
All answers with rationales

,Table of Contents

Content Area Questions Key Topics

Nightingale College BSN 425 1-29 Palliative, Sedation, Terminal, Intervention, Develops
Bsn425 02 Gerontological
Nursing 2025/2026 Palliative
CARE Answered Score FOR
THIS 100 OUT OF 100 0 I X
Quick VIEW Gerontological
Nursing / Palliative CARE
Undergraduate YEAR 3

Appropriate 30-58 Terminal, Palliative, Family, Older, Adult


Terminal 59-87 Appropriate, Palliative, Advanced, Older, Cancer


Advanced 88-116 Palliative, Terminal, Intervention, Requests, Family


Intervention 117-145 Palliative, Appropriate, Family, Death, Ethical


Family 146-170 Appropriate, Dyspnea, Advanced, Palliative, Requests


TOTAL 170 All questions include answers and detailed rationales

, Section A - Nightingale College BSN 425 Bsn425 02
Gerontological Nursing 2025/2026 Palliative CARE
Answered Score FOR THIS 100 OUT OF 100 0 I X Quick
VIEW Gerontological Nursing / Palliative CARE
Undergraduate YEAR 3

Q1.
A patient with advanced dementia develops recurrent fevers and is unable to swallow. The
family requests 'everything possible' but is open to discussion. Which approach aligns
with current palliative care guidelines?


A. Initiate parenteral antibiotics and B. Recommend a time-limited trial of
intravenous fluids to treat the infection. antibiotics while focusing on comfort
measures.

C. Withhold all life-sustaining treatment and D. Transfer to intensive care for aggressive
provide comfort care only. management of sepsis.
Correct: B - Recommend a time-limited trial of antibiotics while focusing on comfort
measures.


Rationale:Current guidelines recommend a time-limited trial of antibiotics for suspected
infections in advanced dementia, with reassessment of goals. This balances potential benefit
with the burdens of treatment, aligning with patient-centered care. Option A is overly
aggressive, C is too absolute without discussion, and D is inappropriate given the patient's
advanced condition.

Q2.
In the context of palliative sedation, which ethical principle primarily justifies the use of
continuous deep sedation for refractory suffering?


A. Autonomy, because the patient has the B. Beneficence, as the primary goal is relief
right to choose death. of suffering.

C. Non-maleficence, because it avoids D. Justice, as it ensures equal access to
hastening death. symptom control.
Correct: B - Beneficence, as the primary goal is relief of suffering.


Rationale:Palliative sedation is ethically grounded in beneficence—the duty to relieve
suffering when other interventions fail. It is not intended to hasten death, and autonomy alone
is insufficient without medical indication. Non-maleficence is considered, but the primary
justification is the positive duty to alleviate distress.




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