NUR 212 FINALS EXAM STUDY GUIDE 2026
FULL QUESTIONS WITH VERIFIED
SOLUTIONS
⩥ A couple is informed that their fetus condition is incompatible with
life after birth. Nurses can best help the couple with their end-of-life
decision making by offering them which of the following?
a.
An advance directive to complete
b.
Brief discussion and funeral guidance
c.
Time and careful explanations
d.
Instructions on how to proceed. Answer: c.
Time and careful explanations
Families can have limited knowledge when asked to make important
ethical decisions. Nurses have the time, patience, and knowledge base to
assist the family to understand their ethical situation and to help them
make their own educated decision. Advance directives are completed by
the person who is dying. Funeral guidance is best provided by a chaplain
or a caretaker.
,⩥ During a follow-up visit, a woman is describing new onset of marital
discord with her terminally ill spouse. Using the Kubler-Ross behavioral
theory, the nurse recognizes that the spouse is in which stage of dying?
a.
Denial
b.
Bargaining
c.
Anger
d.
Depression Answer: c.
Anger
Kbler-Ross traditional theory involves five stages of dying. The anger
stage of adjustment to an impending death can involve resistance, anger
at God, anger at people, and anger at the situation. Denial would involve
failure to accept death. Bargaining is an action to delay acceptance of
death by bartering. Depression would present as withdrawal from others.
⩥ Which safety measure is most important for the nurse to institute for a
client who has Cushings disease?
a.
Pad the side rails of the client's bed.
,b.
Assist the client to change positions slowly.
c.
Use a lift sheet to change the clients position.
d.
Keep suctioning equipment at the client's bedside. Answer: c.
Use a lift sheet to change the clients position.
Cushing's syndrome or disease greatly increases the serum levels of
cortisol, which contributes to excessive bone demineralization and
increases the risk for pathologic bone fracture. The client should not
require suctioning. Padding the side rails and assisting the client to
change position may be effective, but these measures will not protect
him or her as much as using a lift sheet.
⩥ Which dietary alterations does the nurse make for a client with
Cushing's disease?
a.
High carbohydrate, low potassium
b.
Low carbohydrate, low sodium
c.
Low protein, low calcium
d.
, High carbohydrate, low potassium Answer: b.
Low carbohydrate, low sodium
The client with Cushing's disease has weight gain, muscle loss,
hyperglycemia, and sodium retention. Dietary modifications need to
include reduction of total calories and carbohydrates to prevent or
reduce the degree of hyperglycemia. Sodium retention causes water
retention and hypertension. Clients are encouraged to restrict their
sodium intake moderately. Clients often have bone density loss and need
more calcium.
⩥ A client is brought to the emergency department via rescue squad in
acute adrenal crisis. Which action by the nurse is the priority?
a.
Start an IV line if the client does not already have one.
b.
Administer hydrocortisone sodium succinate (Solu-Cortef).
c.
Instruct the nursing assistant to check the client's blood glucose.
d.
Administer 20 units of insulin and 20 mg of dextrose in normal saline.
Answer: a.
Start an IV line if the client does not already have one.
FULL QUESTIONS WITH VERIFIED
SOLUTIONS
⩥ A couple is informed that their fetus condition is incompatible with
life after birth. Nurses can best help the couple with their end-of-life
decision making by offering them which of the following?
a.
An advance directive to complete
b.
Brief discussion and funeral guidance
c.
Time and careful explanations
d.
Instructions on how to proceed. Answer: c.
Time and careful explanations
Families can have limited knowledge when asked to make important
ethical decisions. Nurses have the time, patience, and knowledge base to
assist the family to understand their ethical situation and to help them
make their own educated decision. Advance directives are completed by
the person who is dying. Funeral guidance is best provided by a chaplain
or a caretaker.
,⩥ During a follow-up visit, a woman is describing new onset of marital
discord with her terminally ill spouse. Using the Kubler-Ross behavioral
theory, the nurse recognizes that the spouse is in which stage of dying?
a.
Denial
b.
Bargaining
c.
Anger
d.
Depression Answer: c.
Anger
Kbler-Ross traditional theory involves five stages of dying. The anger
stage of adjustment to an impending death can involve resistance, anger
at God, anger at people, and anger at the situation. Denial would involve
failure to accept death. Bargaining is an action to delay acceptance of
death by bartering. Depression would present as withdrawal from others.
⩥ Which safety measure is most important for the nurse to institute for a
client who has Cushings disease?
a.
Pad the side rails of the client's bed.
,b.
Assist the client to change positions slowly.
c.
Use a lift sheet to change the clients position.
d.
Keep suctioning equipment at the client's bedside. Answer: c.
Use a lift sheet to change the clients position.
Cushing's syndrome or disease greatly increases the serum levels of
cortisol, which contributes to excessive bone demineralization and
increases the risk for pathologic bone fracture. The client should not
require suctioning. Padding the side rails and assisting the client to
change position may be effective, but these measures will not protect
him or her as much as using a lift sheet.
⩥ Which dietary alterations does the nurse make for a client with
Cushing's disease?
a.
High carbohydrate, low potassium
b.
Low carbohydrate, low sodium
c.
Low protein, low calcium
d.
, High carbohydrate, low potassium Answer: b.
Low carbohydrate, low sodium
The client with Cushing's disease has weight gain, muscle loss,
hyperglycemia, and sodium retention. Dietary modifications need to
include reduction of total calories and carbohydrates to prevent or
reduce the degree of hyperglycemia. Sodium retention causes water
retention and hypertension. Clients are encouraged to restrict their
sodium intake moderately. Clients often have bone density loss and need
more calcium.
⩥ A client is brought to the emergency department via rescue squad in
acute adrenal crisis. Which action by the nurse is the priority?
a.
Start an IV line if the client does not already have one.
b.
Administer hydrocortisone sodium succinate (Solu-Cortef).
c.
Instruct the nursing assistant to check the client's blood glucose.
d.
Administer 20 units of insulin and 20 mg of dextrose in normal saline.
Answer: a.
Start an IV line if the client does not already have one.
