Test 1 PNE 161 Questions with Correct Answers Latest Update 2025-2026
If your patient has a mental impairment or disability, the most appropriate strategy for effective
communication would be? - Answers Using simple sentences and avoiding long detailed
explanations
A 68 year old patient with lung cancer has signed a Do Not Resuscitate (DNR) request before
starting treatment. After 2 months of chemotherapy, his condition worsens and he suffers a
cardiac arrest. His daughter is present and yells at the staff to "DO SOMETHING". She wants the
nurses to perform CPR. What is the appropriate action in this situation?
-Pretend to perform CPR without compressing very deeply
-Perform CPR for the benefit of the daughter
-Remove the daughter from the room and tell her you will perform the CPR when she leaves
-Do not perform CPR - Answers Do not perform CPR
A nurse is working in the clinic when a 36 year old woman presents for pain in her abdomen.
While performing her examination, the nurse notes she has dark bruising around both eyes, a
swollen lip and bruises that appear to be in the shape of hand prints on both upper arms. What
is the best action by the nurse in this situation?
-Ask the patient how she got the bruises and follow facility procedure for reporting suspected
abuse.
-Document the bruising in the patient record and tell the patient she needs to report this abuse.
-Tell the patient that it is obvious she is being abused and contact the police and social services
right away.
-Invite the significant other into the room and make him explain why the patient has these
bruises. - Answers Ask the patient how she got the bruises and follow facility procedure for
reporting suspected abuse.
A patient states, "I'm really upset and stressed out about this pregnancy." Which would be the
best open-ended response by the nurse?
, -"What about this pregnancy has you so upset?"
-"Pregnancy should be an exciting time. You shouldn't be upset."
-"Don't worry. Everything is going to be alright."
-"Why are you upset?" - Answers "What about this pregnancy has you so upset?"
A patient with a terminal illness tells the nurse he wants his feeding tube removed and doesn't
want any more feedings. The nurse, in thinking about this decision realizes the patient has the
right to make this choice. Which ethical principle does the nurse use in coming to this
conclusion? - Answers autonomy
Based on Maslow's Hierarchy of Needs, which patient problem should the nurse address first?
-sudden onset of shortness of breath
-Dull, achy pain rated at 7/10
-social isolation related to depressed state
-complaint of fear related to surgical procedure - Answers sudden onset of shortness of breath
Which identified problem should the nurse address first?
-impaired mobility
-acute pain
-shortness of breath
-social isolation - Answers shortness of breath
Mr. Roberts tells the nurse he feels so stressed that he can't function, then he begins to cry.
Which response would be best to encourage the patient to continue talking?
-"Don't cry, things happen for a reason. God won't give you more than you can handle"
-"I know how you feel. I have felt this way before, too."
-"I don't think crying is the answer. Why don't you ask for help?"
- "I hear you saying you're so stressed you can't function. Please tell me more." - Answers "I hear
If your patient has a mental impairment or disability, the most appropriate strategy for effective
communication would be? - Answers Using simple sentences and avoiding long detailed
explanations
A 68 year old patient with lung cancer has signed a Do Not Resuscitate (DNR) request before
starting treatment. After 2 months of chemotherapy, his condition worsens and he suffers a
cardiac arrest. His daughter is present and yells at the staff to "DO SOMETHING". She wants the
nurses to perform CPR. What is the appropriate action in this situation?
-Pretend to perform CPR without compressing very deeply
-Perform CPR for the benefit of the daughter
-Remove the daughter from the room and tell her you will perform the CPR when she leaves
-Do not perform CPR - Answers Do not perform CPR
A nurse is working in the clinic when a 36 year old woman presents for pain in her abdomen.
While performing her examination, the nurse notes she has dark bruising around both eyes, a
swollen lip and bruises that appear to be in the shape of hand prints on both upper arms. What
is the best action by the nurse in this situation?
-Ask the patient how she got the bruises and follow facility procedure for reporting suspected
abuse.
-Document the bruising in the patient record and tell the patient she needs to report this abuse.
-Tell the patient that it is obvious she is being abused and contact the police and social services
right away.
-Invite the significant other into the room and make him explain why the patient has these
bruises. - Answers Ask the patient how she got the bruises and follow facility procedure for
reporting suspected abuse.
A patient states, "I'm really upset and stressed out about this pregnancy." Which would be the
best open-ended response by the nurse?
, -"What about this pregnancy has you so upset?"
-"Pregnancy should be an exciting time. You shouldn't be upset."
-"Don't worry. Everything is going to be alright."
-"Why are you upset?" - Answers "What about this pregnancy has you so upset?"
A patient with a terminal illness tells the nurse he wants his feeding tube removed and doesn't
want any more feedings. The nurse, in thinking about this decision realizes the patient has the
right to make this choice. Which ethical principle does the nurse use in coming to this
conclusion? - Answers autonomy
Based on Maslow's Hierarchy of Needs, which patient problem should the nurse address first?
-sudden onset of shortness of breath
-Dull, achy pain rated at 7/10
-social isolation related to depressed state
-complaint of fear related to surgical procedure - Answers sudden onset of shortness of breath
Which identified problem should the nurse address first?
-impaired mobility
-acute pain
-shortness of breath
-social isolation - Answers shortness of breath
Mr. Roberts tells the nurse he feels so stressed that he can't function, then he begins to cry.
Which response would be best to encourage the patient to continue talking?
-"Don't cry, things happen for a reason. God won't give you more than you can handle"
-"I know how you feel. I have felt this way before, too."
-"I don't think crying is the answer. Why don't you ask for help?"
- "I hear you saying you're so stressed you can't function. Please tell me more." - Answers "I hear
