Advanced Test – CHAMBERLAIN UNIVERSITY –
2025–2026 EXAM 3 FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS .
A nurse working in a hospice is talking to a client's son who is distressed because his
mother cries frequently and says she wants to die. Which of the following responses by
the nurse is appropriate?
a. "I know this must be difficult, but your mother will calm down soon."
b. "Let's discuss some strategies you can use when this happens again."
c. "Individuals near death are ready to let go toward the end."
d. "Have you determined why she is crying and saying she is ready to die?"
<<<answer>>>b. "Let's discuss some strategies you can use when this happens
again."
A nurse is reinforcing teaching about client consent to treatment with a group of newly
licensed nurses. Which of the following statements by a newly licensed nurse indicates
a need for further teaching?
a. "It is necessary to have written consent for invasive procedures."
b. "Implied consent is appropriate for some aspects of nursing care."
c. "It is the responsibility of the provider to obtain express consent."
d. "Informed consent should be obtained separately for each surgical procedure."
<<<answer>>>c. "It is the responsibility of the provider to obtain express consent."
A nurse is reinforcing teaching with the caregiver of a client who has aphasia. The nurse
should include which of the following communication strategies in the teaching?
a. cue the client by providing picture cards that portray common needs
b. increase the volume of the voice when speaking to the client
c. encourage the client to limit hand gestures when communicating
, d. vary the use of phrases and terminology in discussions <<<answer>>>a. cue the
client by providing picture cards that portray common needs
A nurse at a long-term care facility is participating in a quality improvement project to
reduce the occurrence of pressure ulcers. Which of the following audits should be
conducted to determine the impact of a new skincare regimen on the incidence of
pressure ulcers among clients who are immobile?
a. prospective audit
b. outcome audit
c. process audit
d. structure audit <<<answer>>>b. outcome audit
A nurse is caring for a client who has an acid-base imbalance. For which of the
following manifestations is metabolic alkalosis a possible complication?
a. hyperkalemia
b. severe diarrhea
c. atelectasis
d. excessive vomiting <<<answer>>>d. excessive vomiting
A nurse has assigned four tasks to an assistive personnel (AP). Which of the following
should the nurse instruct the AP to perform first?
a. take an ABG specimen to the laboratory
b. transport a client to the radiology department for an x-ray
c. obtain a clean catch urine sample from a newly admitted client
d. pass fresh water to client <<<answer>>>a. take an ABG specimen to the laboratory
A nurse is caring for a child who has leukemia and is prescribed a transfusion of
platelets. Which of the following should the client experience as a result of the
transfusion?
a. reduced bleeding time
b. decreased plasma globulins
c. improved activity tolerance
d. increased immune functioning <<<answer>>>a. reduced bleeding time
A nurse is caring for a child who is 24 hr postoperative following a supratentorial
craniotomy. The nurse should maintain the child in which of the following positions?
a. prone with head of the bed flat
b. dorsal recumbent with head of the bed elevated to 15 degrees
c. supine with head of the bed elevated to 30 degrees
d. side-lying with head of the bed elevated to 45 degrees <<<answer>>>c. supine with
head of the bed elevated to 30 degrees