NUR 257 Exam 1 Practice Questions
What are the stages of grief according to Kiibler-Ross
How can a nurse support a patient who is facing termi: &
What are advanced directives, and why are they impor W%
Describe the role of palliative care in managing symptc
illness.
What is the difference between euthanasia and physicic
How does cultural background influence attitudes towaras aeath and dying?
‘What are some common spiritual needs of patients nearing the end of life?
‘What are some ethical considerations in end-of-life decision-making?
How can a nurse facilitate communication among family members during end-of-life
care?
. Describe the physical changes that may occur as death approaches.
1 How does the nurse assess pain in a terminally ill patient who is unable to communicate
verbally?
12: ‘What is the role of the interdiscipiinary team in providing end-of-life care?
13: How can a nurse help a patient cope with anticipatory grief?
14. What are the legal implications of withholding or withdrawing life-sustaining treatment?
15. Explain the concept of "dignity therapy" in end-of-life care.
,NUR 257 Exam 1 Practice Questions
16. Describe the grieving process for family members after the death of a loved one.
17. How can a nurse support a dying patient's family members?
18. What are some strategies for self-care for nurses working with dying patients?
19. Discuss the importance of effective communication between healthcare providers and
patients/families in end-of-life care.
MULTIPLE CHOICE
1. Which of the following is a common physical manifestation of impending death?
1. A) Increased appetite
2. B) Increased blood pressure
4. D) Increased level of consciousness
Answer: C) Decreased urine output
Rationale: Decreased urine output, also known as oliguria, is a common physical
manifestation of impending death due to decreased perfusion to the kidneys.
2. When providing care to a dying patient, the nurse understands that the priority is to:
1. A) Encourage the patient to discuss future plans.
2. B) Administer aggressive interventions to Erolong life.
4. D) Initiate discussions about organ donation.
Answer: C) Provide comfort and alleviate suffering
Rationale: The priority when caring for a dying patient is to provide comfort and alleviate
suffering, focusing on maintaining dignity and quality of life rather than prolonging life.
3. Which statement by a terminally ill patient indicates a need for further teaching about the
grieving process?
1. A) "I should expect to feel a wide range of emotions."
"
flA ' IE s important for me to express my !eelings to my !oved ones."
4. D) "It's normal for me to feel overwhelmed at times."
Answer: B) "Grief is something I can easily overcome with time."
Rationale: Grief is a complex process that varies from person to person and may not be
easily overcome with time. This statement indicates a need for further education about
the grieving process.
4. A patient's family member asks the nurse about advance directives. Which response by
the nurse is most appropriate?
2. B) "Advance directives are only for elderly patients."
3. C) "Advance directives are not legally binding."
, NUR 257 Exam 1 Practice Questions
4. D) "Advance directives can only be completed by the patient's physician."
Answer: A) "Advance directives are legal documents that outline your wishes for end-of-
life care."
Rationale: Advance directives are legal documents that allow individuals to specify the
type of medical treatment they would like to receive or refuse in the event they become
unable to make their own decisions.
5. Which intervention is appropriate when caring for a dying patient experiencing dyspnea?
1. A) Administering i enous antibiotics
3. C) Administering oxygen at a high flow rate
4. D) Encouraging the patient to take deep breaths
Answer: B) Positioning the patient in a semi-Fowler's position
Rationale: Positioning the patient in a semi-Fowler's position can help improve
respiratory function and ease breathing in a patient experiencing dyspnea.
1. Which of the following is a normal age-related change in the cardiovascular system?
2. B) Increased cardiac output
3. C) Decreased blood pressure
4. D) Increased elasticity of blood vessels
Answer: A) Decreased heart rate
Rationale: A decreased heart rate is a normal age-related change in the cardiovascular
system due to decreased automaticity of the sinoatrial node and reduced responsiveness
to sympathetic stimulation.
2. Older adults are at increased risk for falls due to:
1. A) Improved balance and coordination
2. B) Increased muscle strength
3. C) Decreased visual acuity and proprioception
4. D) Faster reaction time
Answer: C) Decreased visual acuity and proprioception
Rationale: Decreased visual acuity (vision) and proprioception (sensation of body
position) are common age-related changes that contribute to an increased risk of falls
among older adults.
3. Age-related changes in the gastrointestinal system commonly include:
1. A) Increased gastric acid secretion
2. B) Decreased absorption of nutrients
3. C) Improved gastrointestinal motility
4. D) Increased production of saliva
Answer: B) Decreased absorption of nutrients
Rationale: Age-related changes in the gastrointestinal system often result in decreased
absorption of nutrients due to reduced gastric acid secretion, slower gastrointestinal
motility, and decreased surface area for absorption in the intestines.
4. Which of the following age-related changes contributes to an increased risk of urinary
incontinence in older adults?
1. A) Increased bladder capacity
What are the stages of grief according to Kiibler-Ross
How can a nurse support a patient who is facing termi: &
What are advanced directives, and why are they impor W%
Describe the role of palliative care in managing symptc
illness.
What is the difference between euthanasia and physicic
How does cultural background influence attitudes towaras aeath and dying?
‘What are some common spiritual needs of patients nearing the end of life?
‘What are some ethical considerations in end-of-life decision-making?
How can a nurse facilitate communication among family members during end-of-life
care?
. Describe the physical changes that may occur as death approaches.
1 How does the nurse assess pain in a terminally ill patient who is unable to communicate
verbally?
12: ‘What is the role of the interdiscipiinary team in providing end-of-life care?
13: How can a nurse help a patient cope with anticipatory grief?
14. What are the legal implications of withholding or withdrawing life-sustaining treatment?
15. Explain the concept of "dignity therapy" in end-of-life care.
,NUR 257 Exam 1 Practice Questions
16. Describe the grieving process for family members after the death of a loved one.
17. How can a nurse support a dying patient's family members?
18. What are some strategies for self-care for nurses working with dying patients?
19. Discuss the importance of effective communication between healthcare providers and
patients/families in end-of-life care.
MULTIPLE CHOICE
1. Which of the following is a common physical manifestation of impending death?
1. A) Increased appetite
2. B) Increased blood pressure
4. D) Increased level of consciousness
Answer: C) Decreased urine output
Rationale: Decreased urine output, also known as oliguria, is a common physical
manifestation of impending death due to decreased perfusion to the kidneys.
2. When providing care to a dying patient, the nurse understands that the priority is to:
1. A) Encourage the patient to discuss future plans.
2. B) Administer aggressive interventions to Erolong life.
4. D) Initiate discussions about organ donation.
Answer: C) Provide comfort and alleviate suffering
Rationale: The priority when caring for a dying patient is to provide comfort and alleviate
suffering, focusing on maintaining dignity and quality of life rather than prolonging life.
3. Which statement by a terminally ill patient indicates a need for further teaching about the
grieving process?
1. A) "I should expect to feel a wide range of emotions."
"
flA ' IE s important for me to express my !eelings to my !oved ones."
4. D) "It's normal for me to feel overwhelmed at times."
Answer: B) "Grief is something I can easily overcome with time."
Rationale: Grief is a complex process that varies from person to person and may not be
easily overcome with time. This statement indicates a need for further education about
the grieving process.
4. A patient's family member asks the nurse about advance directives. Which response by
the nurse is most appropriate?
2. B) "Advance directives are only for elderly patients."
3. C) "Advance directives are not legally binding."
, NUR 257 Exam 1 Practice Questions
4. D) "Advance directives can only be completed by the patient's physician."
Answer: A) "Advance directives are legal documents that outline your wishes for end-of-
life care."
Rationale: Advance directives are legal documents that allow individuals to specify the
type of medical treatment they would like to receive or refuse in the event they become
unable to make their own decisions.
5. Which intervention is appropriate when caring for a dying patient experiencing dyspnea?
1. A) Administering i enous antibiotics
3. C) Administering oxygen at a high flow rate
4. D) Encouraging the patient to take deep breaths
Answer: B) Positioning the patient in a semi-Fowler's position
Rationale: Positioning the patient in a semi-Fowler's position can help improve
respiratory function and ease breathing in a patient experiencing dyspnea.
1. Which of the following is a normal age-related change in the cardiovascular system?
2. B) Increased cardiac output
3. C) Decreased blood pressure
4. D) Increased elasticity of blood vessels
Answer: A) Decreased heart rate
Rationale: A decreased heart rate is a normal age-related change in the cardiovascular
system due to decreased automaticity of the sinoatrial node and reduced responsiveness
to sympathetic stimulation.
2. Older adults are at increased risk for falls due to:
1. A) Improved balance and coordination
2. B) Increased muscle strength
3. C) Decreased visual acuity and proprioception
4. D) Faster reaction time
Answer: C) Decreased visual acuity and proprioception
Rationale: Decreased visual acuity (vision) and proprioception (sensation of body
position) are common age-related changes that contribute to an increased risk of falls
among older adults.
3. Age-related changes in the gastrointestinal system commonly include:
1. A) Increased gastric acid secretion
2. B) Decreased absorption of nutrients
3. C) Improved gastrointestinal motility
4. D) Increased production of saliva
Answer: B) Decreased absorption of nutrients
Rationale: Age-related changes in the gastrointestinal system often result in decreased
absorption of nutrients due to reduced gastric acid secretion, slower gastrointestinal
motility, and decreased surface area for absorption in the intestines.
4. Which of the following age-related changes contributes to an increased risk of urinary
incontinence in older adults?
1. A) Increased bladder capacity
