NSG 3130 EXAM 3
FUNDAMENTAL CONCEPTS AND SKILLS FOR
NURSING PRACTICE 2
A client is on complete bed rest and complains of back pain from lying "in the bed all the time." What
is a nursing intervention that uses a nonpharmacologic method to ease the discomfort? (Select all that
apply.)
1. Administering a dose of morphine for pain
2. Assisting the client to a bedside chair
3. Giving the client a back massage
4. Instructing the client that the health care provider will see him tomorrow night
5. Using music that contains no words
6. Instructing the client in guided imagery
3. Giving the client a back massage
5. Using music that contains no words
6. Instructing the client in guided imagery
A patient recently got pregnant and tells the nurse, "I don't understand, I have been on oral
contraceptive pills for years." The nurse reviews medical history with the patient and realizes that
what herbal substance could be to blame for the unintended pregnancy?
A. Milk Thistle
B. Echinacea
C. Ginseng
D. Valerian
A. Milk Thistle
,A patient with a terminal illness tells the nurse, "I have lived a long life. I am ready to go." What is the
nurse's best response?
a. Offer the patient a back rub
b. Sit quietly by the patient's bedside
c. Tell the family about the patient's statement
d. Discuss with the patient how dying is part of the life cycle
b. Sit quietly by the patient's bedside
A mother whose young daughter has died of leukemia is crying and is unable to talk about her
feelings. Which is the best response by the nurse?
a. "Everyone will remember her because she was so cute. She was one of our favorites."
b. "As hard as this is, it is probably for the best because she was in a lot of pain."
c. "She put up the good fight but now she is out of pain and in heaven."
d. "It must be hard to deal with such a precious loss."
d. "It must be hard to deal with such a precious loss."
The nurse is preparing to care for a dying client, and several family members are at the
client'sbedside. Which therapeutic technique should the nurse use when communicating with the
family?
Select all that apply.
a. Discourage reminiscing.
b. Make the decisions for the family.
c. Encourage expression of feelings, concerns, and fears.
d. Explain everything that is happening to all family members.
,e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the nurse.
c. Encourage expression of feelings, concerns, and fears.
e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the nurse.
A client is close to death and the family asks how the nurse will know when their father has died.
What is the best response the nurse can state to the family?
a. Your loved one will quit breathing and the machine will alarm.
b. Your father's blood pressure will drop.
c. Your father will quit breathing, his heart will quit pumping and he will have no blood pressure when I
take it.
d. It should be shortly as his blood pressure has already dropped. I am just waiting for him to stop
breathing.
c. Your father will quit breathing, his heart will quit pumping and he will have no blood pressure when I
take it.
The nurse's patient has just died and the nurse is preparing him for viewing by the family. What
preparations should the nurse make first for the viewing?
a. Give the patient a bath, change the bed, and put on a fresh gown.
b. Position the patient with his arms to his side, close his eyes, close his mouth, and remove all the
jewelry.
c. Check the patient's religious beliefs and discuss with the family member how they would like to have
the body prepared.
d. Tape all tubes per protocol, clean the room, remove supplies from the bedside, and lower the lights.
c. Check the patient's religious beliefs and discuss with the family member how they would like to have
the body prepared.
, nurse is guiding her patient's family through the death of their grandmother. She asks what religion
the family is and they reply that they are Hindu. What is a Hindu's belief on cremation?
a. Cremation is opposed as is autopsies.
b. Cremation is preferred.
c. All parts of the body need to be buried, not cremated.
d. The patient needs to be dressed in their "temple clothes" before cremation.
b. Cremation is preferred.
Which is an important concept to consider about anxiety to provide appropriate nursing care?
a. Panic attacks generally have a slower onset that can be prevented if identified early.
b. One can conceptualize anxiety as being similar to the health-illness continuum.
c. People who lead healthy lifestyles rarely experience anxiety.
d. Anxiety is an abnormal reaction to realistic danger.
b. One can conceptualize anxiety as being similar to the health-illness continuum.
A patient is told that surgery is necessary, and the patient begins to experience elevations in pulse,
respirations, and blood pressure. Which stage of anxiety is indicated by these nursing assessments?
a. Mild-the vital signs remain the same as at resting stage
b. Moderate-the pulse, respirations, and blood pressure are slightly elevated
c. Severe-pulse and respirations are rapid, blood pressure is high
d. Panic-pulse and respirations are very rapid, blood pressure is high, pt may hyperventilate
b. Moderate-the pulse, respirations, and blood pressure are slightly elevated
FUNDAMENTAL CONCEPTS AND SKILLS FOR
NURSING PRACTICE 2
A client is on complete bed rest and complains of back pain from lying "in the bed all the time." What
is a nursing intervention that uses a nonpharmacologic method to ease the discomfort? (Select all that
apply.)
1. Administering a dose of morphine for pain
2. Assisting the client to a bedside chair
3. Giving the client a back massage
4. Instructing the client that the health care provider will see him tomorrow night
5. Using music that contains no words
6. Instructing the client in guided imagery
3. Giving the client a back massage
5. Using music that contains no words
6. Instructing the client in guided imagery
A patient recently got pregnant and tells the nurse, "I don't understand, I have been on oral
contraceptive pills for years." The nurse reviews medical history with the patient and realizes that
what herbal substance could be to blame for the unintended pregnancy?
A. Milk Thistle
B. Echinacea
C. Ginseng
D. Valerian
A. Milk Thistle
,A patient with a terminal illness tells the nurse, "I have lived a long life. I am ready to go." What is the
nurse's best response?
a. Offer the patient a back rub
b. Sit quietly by the patient's bedside
c. Tell the family about the patient's statement
d. Discuss with the patient how dying is part of the life cycle
b. Sit quietly by the patient's bedside
A mother whose young daughter has died of leukemia is crying and is unable to talk about her
feelings. Which is the best response by the nurse?
a. "Everyone will remember her because she was so cute. She was one of our favorites."
b. "As hard as this is, it is probably for the best because she was in a lot of pain."
c. "She put up the good fight but now she is out of pain and in heaven."
d. "It must be hard to deal with such a precious loss."
d. "It must be hard to deal with such a precious loss."
The nurse is preparing to care for a dying client, and several family members are at the
client'sbedside. Which therapeutic technique should the nurse use when communicating with the
family?
Select all that apply.
a. Discourage reminiscing.
b. Make the decisions for the family.
c. Encourage expression of feelings, concerns, and fears.
d. Explain everything that is happening to all family members.
,e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the nurse.
c. Encourage expression of feelings, concerns, and fears.
e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the nurse.
A client is close to death and the family asks how the nurse will know when their father has died.
What is the best response the nurse can state to the family?
a. Your loved one will quit breathing and the machine will alarm.
b. Your father's blood pressure will drop.
c. Your father will quit breathing, his heart will quit pumping and he will have no blood pressure when I
take it.
d. It should be shortly as his blood pressure has already dropped. I am just waiting for him to stop
breathing.
c. Your father will quit breathing, his heart will quit pumping and he will have no blood pressure when I
take it.
The nurse's patient has just died and the nurse is preparing him for viewing by the family. What
preparations should the nurse make first for the viewing?
a. Give the patient a bath, change the bed, and put on a fresh gown.
b. Position the patient with his arms to his side, close his eyes, close his mouth, and remove all the
jewelry.
c. Check the patient's religious beliefs and discuss with the family member how they would like to have
the body prepared.
d. Tape all tubes per protocol, clean the room, remove supplies from the bedside, and lower the lights.
c. Check the patient's religious beliefs and discuss with the family member how they would like to have
the body prepared.
, nurse is guiding her patient's family through the death of their grandmother. She asks what religion
the family is and they reply that they are Hindu. What is a Hindu's belief on cremation?
a. Cremation is opposed as is autopsies.
b. Cremation is preferred.
c. All parts of the body need to be buried, not cremated.
d. The patient needs to be dressed in their "temple clothes" before cremation.
b. Cremation is preferred.
Which is an important concept to consider about anxiety to provide appropriate nursing care?
a. Panic attacks generally have a slower onset that can be prevented if identified early.
b. One can conceptualize anxiety as being similar to the health-illness continuum.
c. People who lead healthy lifestyles rarely experience anxiety.
d. Anxiety is an abnormal reaction to realistic danger.
b. One can conceptualize anxiety as being similar to the health-illness continuum.
A patient is told that surgery is necessary, and the patient begins to experience elevations in pulse,
respirations, and blood pressure. Which stage of anxiety is indicated by these nursing assessments?
a. Mild-the vital signs remain the same as at resting stage
b. Moderate-the pulse, respirations, and blood pressure are slightly elevated
c. Severe-pulse and respirations are rapid, blood pressure is high
d. Panic-pulse and respirations are very rapid, blood pressure is high, pt may hyperventilate
b. Moderate-the pulse, respirations, and blood pressure are slightly elevated
