, NSG 430 Exam 1-4 - Adult Health
Nursing II – Actual Questions & Answers
(GCU) 100% Guarantee Pass
Table of Contents:
• NUR 430 Exam 1
• NUR 430 Exam 2
• NUR 430 Exam 3
• NUR 430 Exam 4
NUR 430 Exam 1
Q1: A patient diagnosed with inoperable lung cancer and a poor prognosis plans a trip
to settle issues with family members. The nurse recognizes this as:
• A. Protesting the unfairness of death
• B. Anxiety about unfinished business
• C. Fear of having lived a meaningless life
• D. Restlessness about the uncertain prognosis
Answer: B. Anxiety about unfinished business
Rationale: The patient's statement indicates unfinished family business they want to
address before dying. There is no indication of protesting the prognosis or fearing life
has been meaningless .
Q2: A hospice patient manifests decreased body system functions except for a heart
rate of 124 bpm and respiratory rate of 28 breaths/min. Which statement to the family is
accurate?
, • A. "These vital signs will continue to increase until death occurs"
• B. "These vital signs demonstrate the body's ability to compensate"
• C. "These vital signs are expected now but will slow down later"
• D. "These vital signs may indicate improvement"
Answer: C. "These vital signs are expected now but will slow down later"
Rationale: Increased heart and respiratory rates may occur before these functions slow
in a dying patient. Heart and respiratory rates typically slow as the patient progresses
toward death .
Q3: A terminally ill patient experiencing continuous severe pain. How should the nurse
schedule opioid pain medications?
• A. Around-the-clock routine administration
• B. Whenever the patient requests it
• C. Small doses to avoid decreasing respiratory rate
• D. Enough to keep the patient sedated and unaware
Answer: A. Around-the-clock routine administration
Rationale: The goal of pain management in a terminally ill patient is adequate pain
relief. PRN administration will not provide consistent analgesia. Adequate pain relief
may require a dosage that decreases respiratory rate .
Q4: A hospice nurse who has become close to a terminally ill patient is present when
the patient dies and feels tearful. Which action should the nurse take?
• A. Contact a grief counselor immediately
• B. Cry along with the family members
• C. Leave quickly to allow private grieving
• D. Consider leaving hospice work
, Answer: B. Cry along with the family members
Rationale: It is appropriate for the nurse to cry and express sadness when a patient dies.
Expressing emotion is a normal, healthy response to loss .
Diabetic Ketoacidosis (DKA)
Q5: What is the classic triad of DKA?
• A. Hyperglycemia, ketones, metabolic acidosis
• B. Hyperglycemia, polyuria, polydipsia
• C. Ketones, polyphagia, weight loss
• D. Metabolic acidosis, hypotension, bradycardia
Answer: A. Hyperglycemia, ketones, and metabolic acidosis
Rationale: DKA results from absolute insulin deficiency causing hyperglycemia (≥250
mg/dL), ketone production, and metabolic acidosis (pH ≤7.30) .
Q6: Which labs are associated with DKA? (SATA)
• A. Low bicarbonate (<16 mEq/L)
• B. Low pH (<7.30)
• C. High blood glucose (>250 mg/dL)
• D. Moderate to high ketones in urine or serum
• E. High bicarbonate (>26 mEq/L)
Answer: A, B, C, D
Rationale: DKA is characterized by low bicarbonate, low pH, high blood glucose, and
moderate to high ketones. High bicarbonate would indicate metabolic alkalosis, not
DKA .
Q7: A DKA patient arrives in the ED. What is the priority action?
Nursing II – Actual Questions & Answers
(GCU) 100% Guarantee Pass
Table of Contents:
• NUR 430 Exam 1
• NUR 430 Exam 2
• NUR 430 Exam 3
• NUR 430 Exam 4
NUR 430 Exam 1
Q1: A patient diagnosed with inoperable lung cancer and a poor prognosis plans a trip
to settle issues with family members. The nurse recognizes this as:
• A. Protesting the unfairness of death
• B. Anxiety about unfinished business
• C. Fear of having lived a meaningless life
• D. Restlessness about the uncertain prognosis
Answer: B. Anxiety about unfinished business
Rationale: The patient's statement indicates unfinished family business they want to
address before dying. There is no indication of protesting the prognosis or fearing life
has been meaningless .
Q2: A hospice patient manifests decreased body system functions except for a heart
rate of 124 bpm and respiratory rate of 28 breaths/min. Which statement to the family is
accurate?
, • A. "These vital signs will continue to increase until death occurs"
• B. "These vital signs demonstrate the body's ability to compensate"
• C. "These vital signs are expected now but will slow down later"
• D. "These vital signs may indicate improvement"
Answer: C. "These vital signs are expected now but will slow down later"
Rationale: Increased heart and respiratory rates may occur before these functions slow
in a dying patient. Heart and respiratory rates typically slow as the patient progresses
toward death .
Q3: A terminally ill patient experiencing continuous severe pain. How should the nurse
schedule opioid pain medications?
• A. Around-the-clock routine administration
• B. Whenever the patient requests it
• C. Small doses to avoid decreasing respiratory rate
• D. Enough to keep the patient sedated and unaware
Answer: A. Around-the-clock routine administration
Rationale: The goal of pain management in a terminally ill patient is adequate pain
relief. PRN administration will not provide consistent analgesia. Adequate pain relief
may require a dosage that decreases respiratory rate .
Q4: A hospice nurse who has become close to a terminally ill patient is present when
the patient dies and feels tearful. Which action should the nurse take?
• A. Contact a grief counselor immediately
• B. Cry along with the family members
• C. Leave quickly to allow private grieving
• D. Consider leaving hospice work
, Answer: B. Cry along with the family members
Rationale: It is appropriate for the nurse to cry and express sadness when a patient dies.
Expressing emotion is a normal, healthy response to loss .
Diabetic Ketoacidosis (DKA)
Q5: What is the classic triad of DKA?
• A. Hyperglycemia, ketones, metabolic acidosis
• B. Hyperglycemia, polyuria, polydipsia
• C. Ketones, polyphagia, weight loss
• D. Metabolic acidosis, hypotension, bradycardia
Answer: A. Hyperglycemia, ketones, and metabolic acidosis
Rationale: DKA results from absolute insulin deficiency causing hyperglycemia (≥250
mg/dL), ketone production, and metabolic acidosis (pH ≤7.30) .
Q6: Which labs are associated with DKA? (SATA)
• A. Low bicarbonate (<16 mEq/L)
• B. Low pH (<7.30)
• C. High blood glucose (>250 mg/dL)
• D. Moderate to high ketones in urine or serum
• E. High bicarbonate (>26 mEq/L)
Answer: A, B, C, D
Rationale: DKA is characterized by low bicarbonate, low pH, high blood glucose, and
moderate to high ketones. High bicarbonate would indicate metabolic alkalosis, not
DKA .
Q7: A DKA patient arrives in the ED. What is the priority action?
