PNE 161 TEST 1 QUESTIONS AND ANSWERS
If your patient has a mental impairment or disability, the most appropriate strategy for
effective communication would be? - Answer -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 - Answer -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. - Answer -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?" - Answer -"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? - Answer -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 - Answer -sudden onset of shortness of
breath
A patient diagnosed with terminal pancreatic cancer is crying in her room. What
response, if made by the nurse, indicates the need for additional teaching about
therapeutic communication?
- "What can I do to help?"
-"Is it ok if I sit here with you for a while?"
-"Do you want me to call your husband so you two can talk?"
- "Don't be sad, let's find something positive to think about." - Answer -- "Don't be sad,
let's find something positive to think about."
Mrs. Jones tells the nurse, "I'm not sure whether I should have this surgery. What would
you do in my situation?" What is most therapeutic response by the nurse?
-"Mrs. Jones, I think you should listen to your providers. They know what is best for
you."
-"Mrs. Jones, each person is different and living with different circumstances. Let's talk
about your concerns regarding this surgery."
-"I am not sure what I would do either. I'll call the Chaplain so you can discuss your
feelings."
-"Mrs. Jones, I am not sure why you are asking me that. I think you should talk to your
family." - Answer -"Mrs. Jones, each person is different and living with different
circumstances. Let's talk about your concerns regarding this surgery."
The nurse is admitting an elderly male patient who appears agitated, slightly confused,
and hard of hearing. What is the best action by the nurse?
-delay contact with the patient until he is calm
-direct questions to the family instead of the patient
-offer the patient medication for anxiety before asking any other questions
-face the patient and speak slowly and clearly - Answer -face the patient and speak
slowly and clearly
The nurse is calling the doctor to report a change in the patient's condition. What
reporting format should she follow? - Answer -SBARR
If your patient has a mental impairment or disability, the most appropriate strategy for
effective communication would be? - Answer -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 - Answer -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. - Answer -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?" - Answer -"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? - Answer -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 - Answer -sudden onset of shortness of
breath
A patient diagnosed with terminal pancreatic cancer is crying in her room. What
response, if made by the nurse, indicates the need for additional teaching about
therapeutic communication?
- "What can I do to help?"
-"Is it ok if I sit here with you for a while?"
-"Do you want me to call your husband so you two can talk?"
- "Don't be sad, let's find something positive to think about." - Answer -- "Don't be sad,
let's find something positive to think about."
Mrs. Jones tells the nurse, "I'm not sure whether I should have this surgery. What would
you do in my situation?" What is most therapeutic response by the nurse?
-"Mrs. Jones, I think you should listen to your providers. They know what is best for
you."
-"Mrs. Jones, each person is different and living with different circumstances. Let's talk
about your concerns regarding this surgery."
-"I am not sure what I would do either. I'll call the Chaplain so you can discuss your
feelings."
-"Mrs. Jones, I am not sure why you are asking me that. I think you should talk to your
family." - Answer -"Mrs. Jones, each person is different and living with different
circumstances. Let's talk about your concerns regarding this surgery."
The nurse is admitting an elderly male patient who appears agitated, slightly confused,
and hard of hearing. What is the best action by the nurse?
-delay contact with the patient until he is calm
-direct questions to the family instead of the patient
-offer the patient medication for anxiety before asking any other questions
-face the patient and speak slowly and clearly - Answer -face the patient and speak
slowly and clearly
The nurse is calling the doctor to report a change in the patient's condition. What
reporting format should she follow? - Answer -SBARR
