NSG 430 EXAM 1 2026 || MOST RECENT EXAM
2026|2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST RELEASED!!
A nurse is explaining palliative care to a patient with advanced cancer.
Which statement best describes the purpose of palliative care?
A. It focuses exclusively on eliminating the underlying disease.
B. It focuses on relieving symptoms and improving quality of life, and
curative treatment may continue.
C. It is provided only during the final hours of life.
D. It requires discontinuation of all disease-directed treatments.
Answer: B
Rationale: Palliative care focuses on relieving pain and other
distressing symptoms while improving quality of life. It can be
provided concurrently with curative or disease-directed treatment.
Hospice care is more specifically associated with end-of-life care when
the focus shifts primarily toward comfort rather than cure.
A patient receiving hospice care asks what the primary goal of hospice
is. Which response by the nurse is most appropriate?
A. “The goal is to provide comfort and quality of life rather than
pursue curative treatment.”
B. “The goal is to reverse the terminal illness.”
C. “The goal is to prolong life through aggressive treatment.”
D. “The goal is to eliminate the need for family involvement.”
,Answer: A
Rationale: Hospice emphasizes comfort, symptom management,
dignity, and quality of life for a person approaching the end of life.
Curative treatment is generally forgone when hospice goals are
established.
A patient receiving comfort-focused end-of-life care develops noisy
respiratory secretions. Which nursing intervention is most
appropriate?
A. Provide gentle repositioning and secretion management for comfort.
B. Perform deep suctioning every 15 minutes.
C. Encourage the patient to drink large amounts of fluid.
D. Initiate aggressive chest percussion.
Answer: A
Rationale: Terminal respiratory secretions, sometimes called the death
rattle, commonly occur as the ability to swallow and clear secretions
decreases. Repositioning, gentle oral care, and medications when
prescribed may improve comfort. Aggressive suctioning can cause
discomfort and is generally avoided unless specifically indicated.
A family member asks why a dying patient is becoming increasingly
cool and mottled. Which response is most appropriate?
A. “This usually indicates that the patient has developed an infection.”
B. “This occurs because circulation to the extremities is decreasing as
death approaches.”
C. “This means the patient is experiencing severe hypoglycemia.”
D. “This indicates that the patient will immediately recover.”
,Answer: B
Rationale: Peripheral circulation decreases as death approaches,
causing cool extremities, mottling, and changes in skin color. These
findings are common physiologic changes during the dying process.
Which nursing action best supports a patient's autonomy at the end of
life?
A. Allow the family to make all decisions regardless of the patient's
wishes.
B. Require the patient to accept recommended treatment.
C. Respect the patient's informed decisions regarding treatment and
care.
D. Withhold information to prevent anxiety.
Answer: C
Rationale: Autonomy is the patient's right to make informed decisions
about healthcare, including accepting or refusing treatment. Nurses
advocate for the patient's expressed wishes and preferences when the
patient has decision-making capacity.
Which finding would indicate that a patient may require additional
symptom management during end-of-life care?
A. Relaxed facial expression
B. Regular, comfortable respirations
C. Absence of distress
D. Grimacing, restlessness, and increased respiratory effort
Answer: D
, Rationale: Grimacing, restlessness, guarding, moaning, and increased
respiratory effort may indicate pain or dyspnea. The nurse should
assess the patient and implement appropriate comfort measures.
A nurse is discussing tissue donation with the family of a deceased
patient. Which action is appropriate?
A. Notify the appropriate organ or tissue donation service according to
institutional policy.
B. Tell the family that donation is never possible after death.
C. Remove organs independently without authorization.
D. Delay notification until several days after death.
Answer: A
Rationale: Potential organ and tissue donors should be referred
promptly according to applicable laws and institutional policies.
Specialized donation personnel determine eligibility and coordinate the
donation process.
A patient with DKA has a serum potassium level of 3.0 mEq/L. Which
action should the nurse anticipate?
A. Immediately administer additional insulin without addressing
potassium.
B. Anticipate potassium replacement according to the treatment
protocol before or with insulin therapy as appropriate.
C. Restrict all IV fluids.
D. Administer sodium bicarbonate routinely.
Answer: B
2026|2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST RELEASED!!
A nurse is explaining palliative care to a patient with advanced cancer.
Which statement best describes the purpose of palliative care?
A. It focuses exclusively on eliminating the underlying disease.
B. It focuses on relieving symptoms and improving quality of life, and
curative treatment may continue.
C. It is provided only during the final hours of life.
D. It requires discontinuation of all disease-directed treatments.
Answer: B
Rationale: Palliative care focuses on relieving pain and other
distressing symptoms while improving quality of life. It can be
provided concurrently with curative or disease-directed treatment.
Hospice care is more specifically associated with end-of-life care when
the focus shifts primarily toward comfort rather than cure.
A patient receiving hospice care asks what the primary goal of hospice
is. Which response by the nurse is most appropriate?
A. “The goal is to provide comfort and quality of life rather than
pursue curative treatment.”
B. “The goal is to reverse the terminal illness.”
C. “The goal is to prolong life through aggressive treatment.”
D. “The goal is to eliminate the need for family involvement.”
,Answer: A
Rationale: Hospice emphasizes comfort, symptom management,
dignity, and quality of life for a person approaching the end of life.
Curative treatment is generally forgone when hospice goals are
established.
A patient receiving comfort-focused end-of-life care develops noisy
respiratory secretions. Which nursing intervention is most
appropriate?
A. Provide gentle repositioning and secretion management for comfort.
B. Perform deep suctioning every 15 minutes.
C. Encourage the patient to drink large amounts of fluid.
D. Initiate aggressive chest percussion.
Answer: A
Rationale: Terminal respiratory secretions, sometimes called the death
rattle, commonly occur as the ability to swallow and clear secretions
decreases. Repositioning, gentle oral care, and medications when
prescribed may improve comfort. Aggressive suctioning can cause
discomfort and is generally avoided unless specifically indicated.
A family member asks why a dying patient is becoming increasingly
cool and mottled. Which response is most appropriate?
A. “This usually indicates that the patient has developed an infection.”
B. “This occurs because circulation to the extremities is decreasing as
death approaches.”
C. “This means the patient is experiencing severe hypoglycemia.”
D. “This indicates that the patient will immediately recover.”
,Answer: B
Rationale: Peripheral circulation decreases as death approaches,
causing cool extremities, mottling, and changes in skin color. These
findings are common physiologic changes during the dying process.
Which nursing action best supports a patient's autonomy at the end of
life?
A. Allow the family to make all decisions regardless of the patient's
wishes.
B. Require the patient to accept recommended treatment.
C. Respect the patient's informed decisions regarding treatment and
care.
D. Withhold information to prevent anxiety.
Answer: C
Rationale: Autonomy is the patient's right to make informed decisions
about healthcare, including accepting or refusing treatment. Nurses
advocate for the patient's expressed wishes and preferences when the
patient has decision-making capacity.
Which finding would indicate that a patient may require additional
symptom management during end-of-life care?
A. Relaxed facial expression
B. Regular, comfortable respirations
C. Absence of distress
D. Grimacing, restlessness, and increased respiratory effort
Answer: D
, Rationale: Grimacing, restlessness, guarding, moaning, and increased
respiratory effort may indicate pain or dyspnea. The nurse should
assess the patient and implement appropriate comfort measures.
A nurse is discussing tissue donation with the family of a deceased
patient. Which action is appropriate?
A. Notify the appropriate organ or tissue donation service according to
institutional policy.
B. Tell the family that donation is never possible after death.
C. Remove organs independently without authorization.
D. Delay notification until several days after death.
Answer: A
Rationale: Potential organ and tissue donors should be referred
promptly according to applicable laws and institutional policies.
Specialized donation personnel determine eligibility and coordinate the
donation process.
A patient with DKA has a serum potassium level of 3.0 mEq/L. Which
action should the nurse anticipate?
A. Immediately administer additional insulin without addressing
potassium.
B. Anticipate potassium replacement according to the treatment
protocol before or with insulin therapy as appropriate.
C. Restrict all IV fluids.
D. Administer sodium bicarbonate routinely.
Answer: B
