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NURS 251 Exam 4 Review 2026/2027 | Verified Q&A | Latest Update | Graded A+

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Comprehensive NURS 251 Exam 4 Review 2026/2027 featuring verified questions and answers covering patient assessment, pharmacology, pathophysiology, nursing interventions, clinical judgment, care planning, patient safety, and evidence-based nursing practice.

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NURS 251 Exam 4 Review 2026 | Verified Q&A | Graded A+
1. Which formula is used to calculate the body mass index (BMI)?

Weight (kg) / height (in X in)

Weight (lb) / height (in X in) X 703

Weight (kg) / height (m)

Weight (kg) / height (in X in) X 703

2. If a patient is experiencing excessive sweating, which mechanism of heat loss
is primarily at work, and how might this affect their overall health?

Diaphoresis; it can lead to dehydration and electrolyte imbalance.

Evaporation; it helps maintain body temperature.

Conduction; it can cause an increase in body temperature.

Radiation; it has no significant effect on health.

3. Interpersonal communication is:

paid communication placed in personal media.

direct face-to-face communication between two or more people.

noise-free communication.

nonpaid information such as publicity.

4. Describe the significance of Body Mass Index (BMI) in nursing assessments.

BMI is significant in nursing assessments as it provides information
about a patient's muscle mass.

, BMI is significant in nursing assessments as it is solely used to assess
dietary habits.

BMI is significant in nursing assessments as it only measures a patient's
height.

BMI is significant in nursing assessments as it helps determine if a
patient is underweight, normal weight, overweight, or obese, which
can influence health risks and care plans.

5. In a scenario where a patient comes from a low socioeconomic background,
what specific assessment considerations should a nurse prioritize?

Only the patient's medical history and current medications.

Access to healthcare resources and potential barriers to treatment.

The patient's family history of diseases.

The patient's dietary habits and exercise routine.

6. What is the definition of interpersonal communication?

Interpersonal communication is the exchange of information through
written documents.

Interpersonal communication is the interaction between a person and
a large audience.

Interpersonal communication is the interaction between two people
or a small group that allows for problem-solving and sharing of
ideas.

Interpersonal communication is the communication that occurs within
an individual.

7. Describe the role of intrapersonal communication in the nursing process.

, Intrapersonal communication helps nurses reflect on their thoughts
and feelings, which can influence their decision-making and patient
interactions.

Intrapersonal communication only occurs during patient assessments.

Intrapersonal communication is primarily used for documenting
patient care.

Intrapersonal communication is not relevant to the nursing process.

8. What part of the brain is responsible for regulating body temperature?

Cerebellum

Medulla Oblongata

Thalamus

Hypothalamus

9. A patient is admitted with a respiratory condition. When should the nurse
assess the patient's vital signs to ensure proper monitoring?

Once a day, regardless of condition.

Only before medication administration.

Only when the patient requests it.

Upon admission, with changes in patient condition,
before/during/after procedures, and before/after medications.

10. List the seven facets of health as defined in nursing.

Spiritual, Physical, Mental, Social, Environmental, Cultural, and
Developmental.

Spiritual, Physical, Mental, Social, Environmental, Cultural, and
Nutritional.

, Spiritual, Physical, Emotional, Social, Environmental, Cultural, and
Psychological.

Physical, Emotional, Social, Environmental, Cultural, Developmental,
and Financial.


11. In a scenario where a patient is anxious about a procedure, how should a
nurse utilize therapeutic communication to address the patient's concerns?

By focusing only on the medical aspects of the procedure.

By explaining the procedure in technical terms to ensure
understanding.

By avoiding the topic to prevent further anxiety.

By actively listening and providing reassurance to alleviate the
patient's anxiety.

12. Describe the role of therapeutic communication in the nurse-patient
relationship.

Therapeutic communication is primarily used for documenting patient
information.

Therapeutic communication focuses solely on delivering medical
instructions.

Therapeutic communication is a method for assessing vital signs.

Therapeutic communication fosters trust and understanding,
enabling nurses to effectively meet the emotional and physical
needs of patients.

13. Describe the significance of the principle of Autonomy in nursing practice.

Autonomy requires nurses to prioritize their own ethical beliefs over
patient choices.

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