TEST BANK FOR ADULT
HEALTH NURSING ADVANCED
EXAM QUESTIONS AND
ANSWERS
1. Inmthempastmthreemtomfourmdecades,mnursingmhasmmovedmintomthemforefrontminmprovidingmcaremformthe
mdying.mWhichmphenomenonmhasmmostmcontributedmtomthismincreasedmfocusmofmcaremofmthemdying?
A) Increasedmincidencemofminfectionsmandmacutemillnesses
B) Increasedmfocusmofmhealthmcaremprovidersmonmdiseasemprevention
C) Largermnumbersmofmpeoplemdyingminmhospitalmsettings
D) Demographicmchangesminmthempopulationm-mCORRECTmANSWERm-D
2. Amnursemwhomworksminmthemspecialtymofmpalliativemcaremfrequentlymencountersmissuesmandmsituations
mthatmconstitutemethicalmdilemmas.mWhatmissuemhasmmostmoftenmpresentedmchallengingmethicalmissues,m
especiallyminmthemcontextmofmpalliativemcare?mA)mThemincreaseminmculturalmdiversityminmthemUnitedmState
smB)mStaffingmshortagesminmhealthmcaremandmquestionsmconcerningmqualitymofmcaremC)mIncreasedmcostsm
ofmhealthmcaremcoupledmwithminequalitiesminmaccessmD)mAbilitymofmtechnologymtomprolongmlifembeyondm
meaningfulmqualitymofmlifem-mCORRECTmANSWERm-D
Themnursemismcaringmformampatientmwhomhasmbeenmrecentlymdiagnosedmwithmlatemstagempancreaticmcance
r.mThempatientmrefusesmtomacceptmthemdiagnosismandmrefusesmtomadheremtomtreatment.mWhatmismthemmos
tmlikelympsychosocialmpurposemofmthismpatientsmstrategy?mA)mThempatientmmaymbemtryingmtomprotectmlove
dmonesmfrommthememotionalmeffectsmofmthemillness.mB)mThempatientmismbeingmnoncompliantminmordermtoma
ssertmpowermovermcaregivers.mC)mThempatientmmaymbemskepticalmofmthembenefitsmofmthemWesternmbiome
dicalmmodelmofmhealth.
D)mThempatientmthinksmthatmtreatmentmdoesmnotmprovidemhimmcomfort.m-mCORRECTmANSWERm-A
,4. Amnursemwhomsitsmonmthemhospitalsmethicsmcommitteemismreviewingmamcomplexmcasemthatmhasmmanymo
fmthemhallmarksmofmassistedmsuicide.mWhichmofmthemfollowingmwouldmbemanmexamplemofmassistedmsuicide
?mA)mAdministeringmamlethalmdosemofmmedicationmtomampatientmwhosemdeathmismimminentmB)mAdminister
ingmammorphineminfusionmwithoutmassessingmformrespiratorymdepressionmC)mGrantingmampatientsmrequest
mnotmtominitiatementeralmfeedingmwhenmthempatientmismunablemtomeatmD)mNeglectingmtomresuscitatemampati
entmwithmamdomnotmresuscitatemorderm-mCORRECTmANSWERm-A
5. Ammedicalmnursemismprovidingmpalliativemcaremtomampatientmwithmamdiagnosismofmend-
stagemchronicmobstructivempulmonarymdiseasem(COPD).mWhatmismthemprimarymgoalmofmthismnursesmcare?m
A)mTomimprovemthempatientsmandmfamilysmqualitymofmlifemTestmBankm-
mBrunnerm&mSuddarth'smTextbookmofmMedical-
SurgicalmNursingm14em(Hinklem2017)m320mB)mTomsupportmaggressivemandminnovativemtreatmentsmformcure
mC)mTomprovidemphysicalmsupportmformthempatientmD)mTom helpmthem patientmdevelopmamseparatem planmwithm
eachmdisciplinemofmthemhealthmcaremteamm-mCORRECTmANSWERm-A
Aftermcontributingmtomthemcaremofmseveralmpatientsmwhomdiedminmthemhospital,mthemnursemhasmidentified
msomemlapsesminmthemcaremthatmmanymofmthesempatientsmreceivedmtowardmthemendmofmtheirmlives.mWhatm
havemresearchmstudiesmidentifiedmasmampotentialmdeficiencyminmthemcaremofmthemdyingminmhospitalmsetting
s?mA)mFamiliesmneedsmforminformationmandmsupportmoftenmgomunmet.mB)mPatientsmaremtoomsedatedmtoma
chievemadequatempainmcontrol.mC)mPatientsmaremnotmgivenmopportunitiesmtomcommunicatemwithmcaregiv
ers.mD)mPatientsmaremignoredmbymthemcaremteammtowardmthemendmofmlife.m-mCORRECTmANSWERm-A
Anmadultmoncologympatientmhasmamdiagnosismofmbladdermcancermwithmmetastasismandmthempatientmhasmas
kedmthemnursemaboutmthempossibilitymofmhospicemcare.mWhichmprinciplemismcentralmtomamhospicemsetting?m
A)mThempatientmandmfamilymshouldmbemviewedmasmamsinglemunitmofmcare.mB)mPersistentmsymptomsmofmter
minalmillnessmshouldmnotmbemtreated.mC)mEachmmembermofmtheminterdisciplinarymteammshouldmdevelopma
nmindividualmplanmofmcare.mTestmBankm-mBrunnerm&mSuddarth'smTextbookmofmMedical-
SurgicalmNursingm14em(Hinklem2017)m321mD)mTerminallymillmpatientsmshouldmdieminmthemhospitalmwhenever
mpossible.m-mCORRECTmANSWERm-A
Amclinicmnursemismprovidingmpatientmeducationmpriormtomampatientsmscheduledmpalliativemradiotherapymtom
hermspine.mAtmthemcompletionmofmthempatientmteaching,mthempatientmcontinuesmtomaskmthemsamemquestio
nsmthatmthemnursemhasmalreadymaddressed.mWhatmismthemplausiblemconclusionmthatmthemnursemshouldmdra
wmfrommthis?
A)mThempatientmismnotmlisteningmeffectively.mB)mThempatientmismnoncompliantmwithmthemplanmofmcare.mC)
mThempatientmmaymhavemamlowmintelligencemquotientmormamcognitivemdeficit.mD)mThempatientmhasmnotma
chievedmthemdesiredmlearningmoutcomes.m-mCORRECTmANSWERm-D
, Themnursemismpartmofmthemhealthmcaremteammatmanmoncologymcenter.mAmpatientmhasmbeenmdiagnosedmwit
hmleukemiamandmthemprognosismismpoor,mbutmthempatientmismnotmyetmawaremofmthemprognosis.mHowmcanmt
hembadmnewsmbestmbemconveyedmtomthempatient?mA)mFamilymshouldmbemgivenmthemprognosismfirst.mB)mThe
mprognosismshouldmbemdeliveredmwithmthempatientmatmeyemlevel.mC)mThemphysicianmshouldmdelivermthemne
wsmtomthempatientmalone.mD)mThemappointmentmshouldmbemscheduledmatmthemendmofmthemdaym-
mCORRECTmANSWERm -B
Ampatientmhasmjustmbeenmtoldmthatmhermillnessmismterminal.mThempatientmtearfullymstates,mImcantmbeliev
emImammgoingmtomdie.mWhymme?mWhatmismyourmbestmresponse?mA)mImknowmhowmyoumaremfeeling.mB)mYo
umhavemlivedmamlongmlife.mC)mThismmustmbemverymdifficultmformyou.mD)mLifemcanmbemsomunfair.m-
mCORRECTmANSWERm-C
Themnursemhasmobservedmthatmanmoldermadultmpatientmwithmamdiagnosismofmend-
stagemrenalmfailuremseemsmtomprefermtomhavemhismeldestmsonmmakemallmofmhismhealthmcaremdecisions.mWhil
emthemfamilymismvisiting,mthempatientmexplainsmtomyoumthatmthismismamculturalmpracticemandmverymimportant
mtomhim.mHowmshouldmyoumrespond?mA)mPrivatelymaskmthemsonmtomallowmthempatientmtommakemhismownmh
ealthmcaremdecisions.mB)mExplainmtomthempatientmthatmhemismresponsiblemformhismownmdecisions.mC)mWorkm
withmthemteammtomnegotiateminformedmconsent.mD)mAvoidmdivulgingminformationmtomthemeldestmsonm-
mCORRECTmANSWERm-C
Onemaspectmofmthemnursesmcomprehensivemassessmentmwhenmcaringmformthemterminallymillmismthemassess
mentmofmhope.mThemnursemismassessingmampatientmwithmlivermfailuremformthempresencemofmhope.mWhatmwo
uldmthemnursemidentifymasmamhope-
fosteringmcategory?mA)mUpliftingmmemoriesmB)mIgnoringmnegativemoutcomesmC)mEnvisioningmonemspecific
moutcomemD)mAvoidingmanmactualmormpotentialmthreatm-mCORRECTmANSWERm-A
Ammedicalmnursemismprovidingmend-of-
lifemcaremformampatientmwithmmetastaticmbonemcancer.mThemnursemnotesmthatmthempatientmhasmbeenmrecei
vingmoralmanalgesicsmformhermpainmwithmadequatemeffect,mbutmismnowmhavingmdifficultymswallowingmthem
medication.mWhatmshouldmthemnursemdo?mA)mRequestmthemphysicianmtomordermanalgesicsmbymanmalternati
vemroute.mB)mCrushmthemmedicationminmordermtomaidmswallowingmandmabsorption.mC)mAdministermthempati
entsmmedicationmwithmthemmealmtray.mD)mAdministermthemmedicationmrectallym-mCORRECTmANSWERm-A
Am66-year-
oldmpatientmisminmamhospicemreceivingmpalliativemcaremformlungmcancermwhichmhasmmetastasizedmtomthem
patientsmlivermandmbones.mFormthempastmseveralmhours,mthempatientmhasmbeenmexperiencingmdyspnea.
Whatmnursingmactionmismmostmappropriatemtomhelpmtomrelivemthemdyspneamthempatientmismexperiencing?m
TestmBankm-mBrunnerm&mSuddarth'smTextbookmofmMedical-
SurgicalmNursingm14em(Hinklem2017)m324mA)mAdministermambolusmofmnormalmsaline,masmordered.mB)mInitiate
HEALTH NURSING ADVANCED
EXAM QUESTIONS AND
ANSWERS
1. Inmthempastmthreemtomfourmdecades,mnursingmhasmmovedmintomthemforefrontminmprovidingmcaremformthe
mdying.mWhichmphenomenonmhasmmostmcontributedmtomthismincreasedmfocusmofmcaremofmthemdying?
A) Increasedmincidencemofminfectionsmandmacutemillnesses
B) Increasedmfocusmofmhealthmcaremprovidersmonmdiseasemprevention
C) Largermnumbersmofmpeoplemdyingminmhospitalmsettings
D) Demographicmchangesminmthempopulationm-mCORRECTmANSWERm-D
2. Amnursemwhomworksminmthemspecialtymofmpalliativemcaremfrequentlymencountersmissuesmandmsituations
mthatmconstitutemethicalmdilemmas.mWhatmissuemhasmmostmoftenmpresentedmchallengingmethicalmissues,m
especiallyminmthemcontextmofmpalliativemcare?mA)mThemincreaseminmculturalmdiversityminmthemUnitedmState
smB)mStaffingmshortagesminmhealthmcaremandmquestionsmconcerningmqualitymofmcaremC)mIncreasedmcostsm
ofmhealthmcaremcoupledmwithminequalitiesminmaccessmD)mAbilitymofmtechnologymtomprolongmlifembeyondm
meaningfulmqualitymofmlifem-mCORRECTmANSWERm-D
Themnursemismcaringmformampatientmwhomhasmbeenmrecentlymdiagnosedmwithmlatemstagempancreaticmcance
r.mThempatientmrefusesmtomacceptmthemdiagnosismandmrefusesmtomadheremtomtreatment.mWhatmismthemmos
tmlikelympsychosocialmpurposemofmthismpatientsmstrategy?mA)mThempatientmmaymbemtryingmtomprotectmlove
dmonesmfrommthememotionalmeffectsmofmthemillness.mB)mThempatientmismbeingmnoncompliantminmordermtoma
ssertmpowermovermcaregivers.mC)mThempatientmmaymbemskepticalmofmthembenefitsmofmthemWesternmbiome
dicalmmodelmofmhealth.
D)mThempatientmthinksmthatmtreatmentmdoesmnotmprovidemhimmcomfort.m-mCORRECTmANSWERm-A
,4. Amnursemwhomsitsmonmthemhospitalsmethicsmcommitteemismreviewingmamcomplexmcasemthatmhasmmanymo
fmthemhallmarksmofmassistedmsuicide.mWhichmofmthemfollowingmwouldmbemanmexamplemofmassistedmsuicide
?mA)mAdministeringmamlethalmdosemofmmedicationmtomampatientmwhosemdeathmismimminentmB)mAdminister
ingmammorphineminfusionmwithoutmassessingmformrespiratorymdepressionmC)mGrantingmampatientsmrequest
mnotmtominitiatementeralmfeedingmwhenmthempatientmismunablemtomeatmD)mNeglectingmtomresuscitatemampati
entmwithmamdomnotmresuscitatemorderm-mCORRECTmANSWERm-A
5. Ammedicalmnursemismprovidingmpalliativemcaremtomampatientmwithmamdiagnosismofmend-
stagemchronicmobstructivempulmonarymdiseasem(COPD).mWhatmismthemprimarymgoalmofmthismnursesmcare?m
A)mTomimprovemthempatientsmandmfamilysmqualitymofmlifemTestmBankm-
mBrunnerm&mSuddarth'smTextbookmofmMedical-
SurgicalmNursingm14em(Hinklem2017)m320mB)mTomsupportmaggressivemandminnovativemtreatmentsmformcure
mC)mTomprovidemphysicalmsupportmformthempatientmD)mTom helpmthem patientmdevelopmamseparatem planmwithm
eachmdisciplinemofmthemhealthmcaremteamm-mCORRECTmANSWERm-A
Aftermcontributingmtomthemcaremofmseveralmpatientsmwhomdiedminmthemhospital,mthemnursemhasmidentified
msomemlapsesminmthemcaremthatmmanymofmthesempatientsmreceivedmtowardmthemendmofmtheirmlives.mWhatm
havemresearchmstudiesmidentifiedmasmampotentialmdeficiencyminmthemcaremofmthemdyingminmhospitalmsetting
s?mA)mFamiliesmneedsmforminformationmandmsupportmoftenmgomunmet.mB)mPatientsmaremtoomsedatedmtoma
chievemadequatempainmcontrol.mC)mPatientsmaremnotmgivenmopportunitiesmtomcommunicatemwithmcaregiv
ers.mD)mPatientsmaremignoredmbymthemcaremteammtowardmthemendmofmlife.m-mCORRECTmANSWERm-A
Anmadultmoncologympatientmhasmamdiagnosismofmbladdermcancermwithmmetastasismandmthempatientmhasmas
kedmthemnursemaboutmthempossibilitymofmhospicemcare.mWhichmprinciplemismcentralmtomamhospicemsetting?m
A)mThempatientmandmfamilymshouldmbemviewedmasmamsinglemunitmofmcare.mB)mPersistentmsymptomsmofmter
minalmillnessmshouldmnotmbemtreated.mC)mEachmmembermofmtheminterdisciplinarymteammshouldmdevelopma
nmindividualmplanmofmcare.mTestmBankm-mBrunnerm&mSuddarth'smTextbookmofmMedical-
SurgicalmNursingm14em(Hinklem2017)m321mD)mTerminallymillmpatientsmshouldmdieminmthemhospitalmwhenever
mpossible.m-mCORRECTmANSWERm-A
Amclinicmnursemismprovidingmpatientmeducationmpriormtomampatientsmscheduledmpalliativemradiotherapymtom
hermspine.mAtmthemcompletionmofmthempatientmteaching,mthempatientmcontinuesmtomaskmthemsamemquestio
nsmthatmthemnursemhasmalreadymaddressed.mWhatmismthemplausiblemconclusionmthatmthemnursemshouldmdra
wmfrommthis?
A)mThempatientmismnotmlisteningmeffectively.mB)mThempatientmismnoncompliantmwithmthemplanmofmcare.mC)
mThempatientmmaymhavemamlowmintelligencemquotientmormamcognitivemdeficit.mD)mThempatientmhasmnotma
chievedmthemdesiredmlearningmoutcomes.m-mCORRECTmANSWERm-D
, Themnursemismpartmofmthemhealthmcaremteammatmanmoncologymcenter.mAmpatientmhasmbeenmdiagnosedmwit
hmleukemiamandmthemprognosismismpoor,mbutmthempatientmismnotmyetmawaremofmthemprognosis.mHowmcanmt
hembadmnewsmbestmbemconveyedmtomthempatient?mA)mFamilymshouldmbemgivenmthemprognosismfirst.mB)mThe
mprognosismshouldmbemdeliveredmwithmthempatientmatmeyemlevel.mC)mThemphysicianmshouldmdelivermthemne
wsmtomthempatientmalone.mD)mThemappointmentmshouldmbemscheduledmatmthemendmofmthemdaym-
mCORRECTmANSWERm -B
Ampatientmhasmjustmbeenmtoldmthatmhermillnessmismterminal.mThempatientmtearfullymstates,mImcantmbeliev
emImammgoingmtomdie.mWhymme?mWhatmismyourmbestmresponse?mA)mImknowmhowmyoumaremfeeling.mB)mYo
umhavemlivedmamlongmlife.mC)mThismmustmbemverymdifficultmformyou.mD)mLifemcanmbemsomunfair.m-
mCORRECTmANSWERm-C
Themnursemhasmobservedmthatmanmoldermadultmpatientmwithmamdiagnosismofmend-
stagemrenalmfailuremseemsmtomprefermtomhavemhismeldestmsonmmakemallmofmhismhealthmcaremdecisions.mWhil
emthemfamilymismvisiting,mthempatientmexplainsmtomyoumthatmthismismamculturalmpracticemandmverymimportant
mtomhim.mHowmshouldmyoumrespond?mA)mPrivatelymaskmthemsonmtomallowmthempatientmtommakemhismownmh
ealthmcaremdecisions.mB)mExplainmtomthempatientmthatmhemismresponsiblemformhismownmdecisions.mC)mWorkm
withmthemteammtomnegotiateminformedmconsent.mD)mAvoidmdivulgingminformationmtomthemeldestmsonm-
mCORRECTmANSWERm-C
Onemaspectmofmthemnursesmcomprehensivemassessmentmwhenmcaringmformthemterminallymillmismthemassess
mentmofmhope.mThemnursemismassessingmampatientmwithmlivermfailuremformthempresencemofmhope.mWhatmwo
uldmthemnursemidentifymasmamhope-
fosteringmcategory?mA)mUpliftingmmemoriesmB)mIgnoringmnegativemoutcomesmC)mEnvisioningmonemspecific
moutcomemD)mAvoidingmanmactualmormpotentialmthreatm-mCORRECTmANSWERm-A
Ammedicalmnursemismprovidingmend-of-
lifemcaremformampatientmwithmmetastaticmbonemcancer.mThemnursemnotesmthatmthempatientmhasmbeenmrecei
vingmoralmanalgesicsmformhermpainmwithmadequatemeffect,mbutmismnowmhavingmdifficultymswallowingmthem
medication.mWhatmshouldmthemnursemdo?mA)mRequestmthemphysicianmtomordermanalgesicsmbymanmalternati
vemroute.mB)mCrushmthemmedicationminmordermtomaidmswallowingmandmabsorption.mC)mAdministermthempati
entsmmedicationmwithmthemmealmtray.mD)mAdministermthemmedicationmrectallym-mCORRECTmANSWERm-A
Am66-year-
oldmpatientmisminmamhospicemreceivingmpalliativemcaremformlungmcancermwhichmhasmmetastasizedmtomthem
patientsmlivermandmbones.mFormthempastmseveralmhours,mthempatientmhasmbeenmexperiencingmdyspnea.
Whatmnursingmactionmismmostmappropriatemtomhelpmtomrelivemthemdyspneamthempatientmismexperiencing?m
TestmBankm-mBrunnerm&mSuddarth'smTextbookmofmMedical-
SurgicalmNursingm14em(Hinklem2017)m324mA)mAdministermambolusmofmnormalmsaline,masmordered.mB)mInitiate
