NUR 163 FINAL EXAM ACTUAL QUESTIONS AND ANSWERS
RATED A+
✔✔The nurse is making a home visit to a patient diagnosed with hypertension. The
patient's spouse died 3 months ago. Which behavior by the patient suggests ineffective
coping? - ✔✔Neglecting personal grooming
✔✔The nurse is doing an assessment on a newly admitted elderly patient. The patient
states, "I don't have the funds to pay for this hospital, and I need to leave." The nurse
understands the elderly patient is having trouble coping with this new situation. Which
should be the best response by the nurse? - ✔✔will notify Social Services and they can
help you with getting assistance"
✔✔The LPN recognizes there are two steps to an older adult's ability to assess a
stressor. The older adult must be able to evaluate the potential for harm (primary
appraisal) and decide how to overcome the stressor secondary appraisal.) this requires
which skill? - ✔✔Cognitive skills
✔✔An elderly patient states, "I have been using spiritual counseling in one way or
another to cope with stress since I was in college." The LPN knows that coping
mechanisms correlate with which of the following statement? - ✔✔Are adapted
throughout our life; we identify a coping mechanism and adjust it as we age and grow to
meet each new demands.
✔✔The LPN knows in problem- focused coping and elderly patient faced with a
stressful event, is most likely to do which of the following? - ✔✔Seek as much
information about the situation they can
✔✔The LPN knows in emotion- focused coping, when faced with a stressful event, an
elderly patient may do which of the following? - ✔✔Attempt to control their emotional
response
✔✔Which of these is a key factor for poor coping in older adult patients? - ✔✔Limited
cognitive functioning
✔✔The LPN knows that not all coping behaviors are healthy, some are maladaptive.
Which of the following coping behaviors are considered maladaptive? SELECT ALL
THAT APPLY - ✔✔- Alcohol use
- Excessive eating
- Denial
✔✔The LPN knows when an elderly patient experiences chronic stress, there may be a
response in the cardiovascular system. Which one of the following represents the best
, response to chronic stress related to the cardiovascular system? - ✔✔Increased heart
rate and blood pressure
✔✔The LPN knows primary prevention in stress management includes which of the
following? - ✔✔Activities to promote health and well-being
✔✔The LPN assessing a group of elderly patients at a community center chose the best
complementary and alternative therapies to manage stress. The LPN knows which of
the following are complimentary therapies? SELECT ALL THAT APPLY - ✔✔Aroma
therapy
- Guided imagery
- Massage therapy
- Acupuncture
✔✔The LPN knows stress causes the release of the stress hormone cortisol in the
body. Cortisol is known as the stress hormone. Long-term exposure to cortisol can have
which effect on the body? - ✔✔Immunosuppression
✔✔The LPN should do which of the following interventions to decrease the risk of ulcers
for a patient on bedrest? SELECT ALL THAT APPLY - ✔✔Place an air mattress on the
bed
- Remove wrinkles from cloths and sheets
- Apply moisture barrier to the sacral area
- Monitor nutritional intake
✔✔patient has been hospitalized after an automobile accident. The patient is
complaining of leg pain on assessment in the emergency room (ER). The LPN is aware
the assessment includes which of the following objective interventions? SELECT ALL
THAT APPLY - ✔✔Check for deep vein thrombosis (DVT)
- Evaluate for pallor
- Ask the patient to raise their extremity
for range of motion (ROM)
- Assess for erythema (redness) and edema
✔✔The LPN is conducting a head-to-toe assessment on the patient prior to sending
them to physical therapy. The patient reports a pain level of 1/10. The LPN knows which
of the following nursing intervention would be appropriate prior to the patient attending
physical therapy? - ✔✔- Document the assessment findings
- Give the patient the prescribed as needed (PRN) painmedication
- Provide a nursing report the physical therapy department
RATED A+
✔✔The nurse is making a home visit to a patient diagnosed with hypertension. The
patient's spouse died 3 months ago. Which behavior by the patient suggests ineffective
coping? - ✔✔Neglecting personal grooming
✔✔The nurse is doing an assessment on a newly admitted elderly patient. The patient
states, "I don't have the funds to pay for this hospital, and I need to leave." The nurse
understands the elderly patient is having trouble coping with this new situation. Which
should be the best response by the nurse? - ✔✔will notify Social Services and they can
help you with getting assistance"
✔✔The LPN recognizes there are two steps to an older adult's ability to assess a
stressor. The older adult must be able to evaluate the potential for harm (primary
appraisal) and decide how to overcome the stressor secondary appraisal.) this requires
which skill? - ✔✔Cognitive skills
✔✔An elderly patient states, "I have been using spiritual counseling in one way or
another to cope with stress since I was in college." The LPN knows that coping
mechanisms correlate with which of the following statement? - ✔✔Are adapted
throughout our life; we identify a coping mechanism and adjust it as we age and grow to
meet each new demands.
✔✔The LPN knows in problem- focused coping and elderly patient faced with a
stressful event, is most likely to do which of the following? - ✔✔Seek as much
information about the situation they can
✔✔The LPN knows in emotion- focused coping, when faced with a stressful event, an
elderly patient may do which of the following? - ✔✔Attempt to control their emotional
response
✔✔Which of these is a key factor for poor coping in older adult patients? - ✔✔Limited
cognitive functioning
✔✔The LPN knows that not all coping behaviors are healthy, some are maladaptive.
Which of the following coping behaviors are considered maladaptive? SELECT ALL
THAT APPLY - ✔✔- Alcohol use
- Excessive eating
- Denial
✔✔The LPN knows when an elderly patient experiences chronic stress, there may be a
response in the cardiovascular system. Which one of the following represents the best
, response to chronic stress related to the cardiovascular system? - ✔✔Increased heart
rate and blood pressure
✔✔The LPN knows primary prevention in stress management includes which of the
following? - ✔✔Activities to promote health and well-being
✔✔The LPN assessing a group of elderly patients at a community center chose the best
complementary and alternative therapies to manage stress. The LPN knows which of
the following are complimentary therapies? SELECT ALL THAT APPLY - ✔✔Aroma
therapy
- Guided imagery
- Massage therapy
- Acupuncture
✔✔The LPN knows stress causes the release of the stress hormone cortisol in the
body. Cortisol is known as the stress hormone. Long-term exposure to cortisol can have
which effect on the body? - ✔✔Immunosuppression
✔✔The LPN should do which of the following interventions to decrease the risk of ulcers
for a patient on bedrest? SELECT ALL THAT APPLY - ✔✔Place an air mattress on the
bed
- Remove wrinkles from cloths and sheets
- Apply moisture barrier to the sacral area
- Monitor nutritional intake
✔✔patient has been hospitalized after an automobile accident. The patient is
complaining of leg pain on assessment in the emergency room (ER). The LPN is aware
the assessment includes which of the following objective interventions? SELECT ALL
THAT APPLY - ✔✔Check for deep vein thrombosis (DVT)
- Evaluate for pallor
- Ask the patient to raise their extremity
for range of motion (ROM)
- Assess for erythema (redness) and edema
✔✔The LPN is conducting a head-to-toe assessment on the patient prior to sending
them to physical therapy. The patient reports a pain level of 1/10. The LPN knows which
of the following nursing intervention would be appropriate prior to the patient attending
physical therapy? - ✔✔- Document the assessment findings
- Give the patient the prescribed as needed (PRN) painmedication
- Provide a nursing report the physical therapy department
