NUR 134 Final Exam Review UPDATED
ACTUAL Exam Questions and CORRECT
Answers
1. A 35 year old patient who is 4 days post hysterectomy days to the nurse "I wonder if after all
this surgery, I will still feel like a woman?" Which of the following responses would most likely
encourage the patient to expand on this and express her concern in more specific terms?
A. "When did you begin to wonder about this?"
B. "Do you want more children?"
C. "Feel like a woman..."
D. Remaining Silent - CORRECT ANSWER C
The nurse is paraphrasing what was said in their own words to make sure information has been
accurately received. It allows the patient the opportunity to continue to discuss what they are
really thinking.
2. A visitor asks the nurse about the patient in the next room, who cries out frequently. " That
person must have a terrible disease. What is the matter with him?" The most appropriate
response would be:
A. "That patient has cancer and is quite uncomfortable."
B. "Mr. Jones is being kept as comfortable as possible."
C. Is the noise from the room bothering you?"
D. " I cannot reveal anything about his diagnosis. Why don't you ask his family when they visit?
I'm sure they would appreciate your concerns. - CORRECT ANSWER C
The option states the obvious and focus on the visitors feelings, rather than on confidential
information concerning the uncomfortable person
3. "The patients son tells the nurse, "You people can't do anything right. Ever since my father
was admitted to this hospital, it has been one mistake after another. I am taking him out of here
before you kill him." The appropriate response by the nurse is:
,A. "You feel that your father is not being well taken care of?"
B. "We have the best intentions for the patient."
C. "I'll get the supervisor."
D. "Your father hasn't complained about the care. What specifically is the problem?" -
CORRECT ANSWER A
The nurse wants to clarify whether the message was interpreted correctly. This statement gives
the person an opportunity to continue talking
4. When nurse is making morning rounds, a client says, "I almost died last night." Which of the
following is a therapeutic response by the nurse?
a. "Are you feeling okay now?"
b. "Clients do have dreams that they die when they are hospitalized."
c. "That must have been frightening for you. Tell me more about it."
d. "You made it through the night." - CORRECT ANSWER C
This response directly addresses the concern of the patient. The nurse uses communication tool
of empathy in responding to the patients concerns and encourages further communication with
the patient about them.
5. The patient who has just been diagnosed with cancer tells the nurse that he would rather be
dead than go through the treatment for cancer. The most appropriate nursing response would be
which of the following?
A. "If you don't receive the treatment, you will get your wish."
B. "What is it about the cancer treatment that concerns you?"
C. "Why don't you talk to your doctor about your feelings?"
D. "That wouldn't be fair to your family, would it?" - CORRECT ANSWER B
This response is therapeutic because it focuses on the patients feelings and concerns. It
encourages the patient to further express his feelings about cancer treatments
, 6. A 7-year-old girl is scheduled for a tonsillectomy. She asks the nurse if she will have pain.
Desiring to reassure the child the nurse may appropriately reply in which of the following ways?
A. "It will not hurt because of the medication."
B. "You're a big girl, you can take a little pain."
C. "Think about something else now and let the doctor worry about the operation"
D. "There may be pain, but steps will be taken to control it." - CORRECT ANSWER D
Be truthful with the patient. By telling the patient it will hurt, the patient will trust you later when
they need to ask you about something else
7. The nurse is caring for a patient who is obese and has hypertension. Which statement by the
nurse will promote effective communication?
A. "Why haven't you stayed on your diet in the past?"
B. "From what you've told me it seems that cutting out fried foods was the hardest part of your
diet plan. Is that right?"
C. "The best thing for you to do would be to join Weight watchers."
D. "It's really not good for your weight to keep going up and down like this." - CORRECT
ANSWER B
The nurse is clarifying what the patient has said without judgment
8. The nurse checks the patient's blood pressure and notices the first sound at 186, cessation of
sound at 160, recurrence of sound at 138 significant muffling of sound at 88 with very soft
sounds continuing until cessation at 50. Using the BP listen in the situation above, what is the
nurses best action to take regarding th patients blood pressure reading?
A. Place the patient in the bed with side rails raised to prevent falls from dizziness
B. Check the patients record for previous readings and medication orders
C. Tell the nursing assistant to monitor the patient closely
D. Call and notify the physician - CORRECT ANSWER B
ACTUAL Exam Questions and CORRECT
Answers
1. A 35 year old patient who is 4 days post hysterectomy days to the nurse "I wonder if after all
this surgery, I will still feel like a woman?" Which of the following responses would most likely
encourage the patient to expand on this and express her concern in more specific terms?
A. "When did you begin to wonder about this?"
B. "Do you want more children?"
C. "Feel like a woman..."
D. Remaining Silent - CORRECT ANSWER C
The nurse is paraphrasing what was said in their own words to make sure information has been
accurately received. It allows the patient the opportunity to continue to discuss what they are
really thinking.
2. A visitor asks the nurse about the patient in the next room, who cries out frequently. " That
person must have a terrible disease. What is the matter with him?" The most appropriate
response would be:
A. "That patient has cancer and is quite uncomfortable."
B. "Mr. Jones is being kept as comfortable as possible."
C. Is the noise from the room bothering you?"
D. " I cannot reveal anything about his diagnosis. Why don't you ask his family when they visit?
I'm sure they would appreciate your concerns. - CORRECT ANSWER C
The option states the obvious and focus on the visitors feelings, rather than on confidential
information concerning the uncomfortable person
3. "The patients son tells the nurse, "You people can't do anything right. Ever since my father
was admitted to this hospital, it has been one mistake after another. I am taking him out of here
before you kill him." The appropriate response by the nurse is:
,A. "You feel that your father is not being well taken care of?"
B. "We have the best intentions for the patient."
C. "I'll get the supervisor."
D. "Your father hasn't complained about the care. What specifically is the problem?" -
CORRECT ANSWER A
The nurse wants to clarify whether the message was interpreted correctly. This statement gives
the person an opportunity to continue talking
4. When nurse is making morning rounds, a client says, "I almost died last night." Which of the
following is a therapeutic response by the nurse?
a. "Are you feeling okay now?"
b. "Clients do have dreams that they die when they are hospitalized."
c. "That must have been frightening for you. Tell me more about it."
d. "You made it through the night." - CORRECT ANSWER C
This response directly addresses the concern of the patient. The nurse uses communication tool
of empathy in responding to the patients concerns and encourages further communication with
the patient about them.
5. The patient who has just been diagnosed with cancer tells the nurse that he would rather be
dead than go through the treatment for cancer. The most appropriate nursing response would be
which of the following?
A. "If you don't receive the treatment, you will get your wish."
B. "What is it about the cancer treatment that concerns you?"
C. "Why don't you talk to your doctor about your feelings?"
D. "That wouldn't be fair to your family, would it?" - CORRECT ANSWER B
This response is therapeutic because it focuses on the patients feelings and concerns. It
encourages the patient to further express his feelings about cancer treatments
, 6. A 7-year-old girl is scheduled for a tonsillectomy. She asks the nurse if she will have pain.
Desiring to reassure the child the nurse may appropriately reply in which of the following ways?
A. "It will not hurt because of the medication."
B. "You're a big girl, you can take a little pain."
C. "Think about something else now and let the doctor worry about the operation"
D. "There may be pain, but steps will be taken to control it." - CORRECT ANSWER D
Be truthful with the patient. By telling the patient it will hurt, the patient will trust you later when
they need to ask you about something else
7. The nurse is caring for a patient who is obese and has hypertension. Which statement by the
nurse will promote effective communication?
A. "Why haven't you stayed on your diet in the past?"
B. "From what you've told me it seems that cutting out fried foods was the hardest part of your
diet plan. Is that right?"
C. "The best thing for you to do would be to join Weight watchers."
D. "It's really not good for your weight to keep going up and down like this." - CORRECT
ANSWER B
The nurse is clarifying what the patient has said without judgment
8. The nurse checks the patient's blood pressure and notices the first sound at 186, cessation of
sound at 160, recurrence of sound at 138 significant muffling of sound at 88 with very soft
sounds continuing until cessation at 50. Using the BP listen in the situation above, what is the
nurses best action to take regarding th patients blood pressure reading?
A. Place the patient in the bed with side rails raised to prevent falls from dizziness
B. Check the patients record for previous readings and medication orders
C. Tell the nursing assistant to monitor the patient closely
D. Call and notify the physician - CORRECT ANSWER B
