Questions and Correct Answers
(Verified Solutions) A Grade - Galen
College of Nursing - GCU
This NSG-430 Exam 1 (Adult Health Nursing II) focuses on complex,
high-acuity patient care, including palliative/hospice care, end-of-life
(EOL) manifestations, and nursing roles in critical care. Key topics cover
ethical issues, rapid response strategies, psychosocial responses,
postmortem care, and diabetes management (DKA).
Key Exam 1 Content & Themes
Introduction to Advanced Adult Health Nursing (approx. 18%): Focuses
on managing medically complex clients, implementing rapid response
strategies, and ensuring patient safety.
Palliative and End-of-Life (EOL) Care:
Physical Manifestations: Recognising Cheyne-Stokes respirations, "death
rattle," terminal secretions, and skin mottling (cyanosis).
Nursing Care: Managing pain/symptoms, providing postmortem care
(closing eyes, placing dentures), and facilitating communication.
Psychosocial & Spiritual: Assessing family needs and addressing grief.
Complex Care Management:
Ethical/Legal: Decisional capacity, Advance Directives, and DNR orders.
Clinical Scenarios: Managing Diabetic Ketoacidosis (DKA) with fluids and
insulin, as well as trauma/fracture care.
Safety and Quality: Emphasizes medication calculations and
environment preparation for high-acuity patients. (Ultimate guide for YR.
2026/2027)
1
, Quiz_________________?
brain death -
Answer
when the whole brain (brainstem and cortex) cease activity OR
when the cortex ceases activity
Quiz_________________?
Cheyne stokes respirations -
Answer
alternating rapid & apnea
Quiz_________________?
death rattle -
Answer
stuck secretions, unable to cough
Quiz_________________?
which sense stays the longest -
2
, Answer
hearing
Quiz_________________?
1 notable skin finding prior to death -
Answer
waxlike skin
Quiz_________________?
1 notable musculoskeletal finding prior to death -
Answer
slow flaccid paralysis
Quiz_________________?
implications of med admin nearing death -
Answer
delayed absorption of IM and SQ meds
3
, Quiz_________________?
double effect in palliative care -
Answer
it is okay to give a med that causes harm if it is relieving pain
Quiz_________________?
4 common fears -
Answer
pain
shortness of rbeath
loneliness
meaningless
Quiz_________________?
SaO2 -
Answer
oxygen saturation of arterial blood
4