NUR 445 Final Exam Practice Test 2026 | Nursing Final Exam Review, Practice Questions & Answers

NUR../445:../FINAL../EXAM../(Practice../Final../Exam)

1. Hospice../care../is../not../appropriate../in../which../of../these../circumstances?

A. The. . / patient. . / decides. . / to. . / forego. . / curative. . / treatment.
B. The. . / patient's. . / prognosis. . / is. . / 3. . / to. . / 6. . / months.
C. The. . / patient. . / is. . / undergoing. . / experimental. . / chemotherapy.
D. The../patient../is../receiving../palliative../chemotherapy.:../C.../The../patient../is../undergoing../exper
i-mental../chemotherapy.
2. Mrs.../Jones../is../receiving../hospice../care../in../the../nursing../home.../During../the../as
-
sessment,../the../nurse../observes../the../patient../is../unconscious../and../has../wet,../noi
sy../respirations../and../cool,../mottled../extremities.../The../nurse../understands../whic
h../of../the../following../actions../are../indicated?../(Select../all../that../apply.)

A. Notifying../the../patient's../family.
B. Requesting. . / an. . / order. . / for. . / an. . / anticholinergic. . / medication.
C. Notifying../the../patient's../provider
D. Performing. . / a. . / sternal. . / rub. . / to. . / assess. . / the. . / patient's. . / response
E. Performing../a../full../systems../assessment:../A.../Notifying../the../patient's../family.
B.../Requesting../an../order../for../an../anticholinergic../medication.
C.../Notifying../the../patient's../provider

Note:../Wet,../noisy../respirations../and../cool,../mottled../extremities-../LATE../signs
3. Nursing../care../priorities../at../the../end../of../life../include../which../of../the../following?../(
Select../all../that../apply.)

A. Communication. . / with. . / the. . / patient. . / and. . / family
B. Encouraging. . / the. . / family. . / to. . / get. . / rest
C. Rationalizing. . / the. . / patient's. . / pain
D. Managing. . / pain. . / and. . / other. . / distressing. . / symptoms
E. Providing../education../about../the../dying../process:../A,../B,../D,../E
4. It../is../most../important../for../the../nurse../to../provide../education../regarding../hospice../
services../to../which../patient?

, NUR../445:../FINAL../EXAM../(Practice../Final../Exam)

A. The../patient../with../stage../4../liver../cancer../who../is../classified../as../terminal

, NUR../445:../FINAL../EXAM../(Practice../Final../Exam)

B. The../patient../with../stage../2../lung../cancer../who../is../receiving../radiation../therapy
C. The../patient../with../stage../4../brain../cancer../who../is../receiving../intraveno
us../chemotherapy
D. The. . / patient. . / with. . / stage. . / 4. . / breast. . / cancer. . / experiencing. . / bone. . / pain. . / a
nd. . / hor-
mone../therapy../treatment:../C.../The../patient../with../stage../4../brain../cancer../who../is../receiving../intraven
ous../chemotherapy.
5. The../nurse../is../providing../care../to../a../patient../who../is../approaching../death.../Which
../family../member../statement ../regarding../the../physical../and../psychological ../chang


es../associated../with../death../is../reflective../of../this../late../stage?

A. "A. . / loss. . / of. . / appetite. . / often. . / occurs. . / during. . / this. . / stage."
B. "Respirations. . / may. . / sound. . / loud. . / and. . / wet. . / during. . / this. . / stage."
C. "I../might../notice../that../he../will../begin../to../sleep../more../during../this../stage."
D. "Confusion. . / or. . / disorientation. . / may. . / begin. . / to. . / occur. . / during. . / this. . / stag
e.":. . / B.../"Respirations../may../sound../loud../and../wet../during../this../stage."
6. The. . / nurse. . / is. . / educating. . / the. . / family. . / of. . / a. . / patient. . / who. . / is. . / receiving. . / hos
pice. . / care../because../of../a../terminal../illness.../The../nurse../instructs../the../family../to../ad
minister../which../medication../for../this../patient../if../delirium../occurs?

A. Morphine
B. Haloperidol
C. Diphenhydramine
D. Docusate:../ B.../Haloperidol
7. A../competent../older../adult../patient../has../an../advance../directive../that../expresses../t
he. . / patient's. . / desire. . / to. . / avoid. . / resuscitation. . / and. . / heroic. . / life. . / support. . / meas
ures.. . / The../patient's../family,../however,../is../not../supportive../of../this../directive../and../pl
ans../to../contest../the../living../will.../Which../nursing../action../is../appropriate../based../o
n../the../current../situation?

A. Notify../the../hospital../attorney.
B. Contact../the../social../services../department.
C. Place. . / the. . / document. . / on. . / the. . / patient's. . / medical. . / record.

, NUR../445:../FINAL../EXAM../(Practice../Final../Exam)

D. Explain../to../the../patient../that../the../conflict../could../invalidate../the../document.:. . / C.../Pla
ce../the../document../on../the../patient's../medical../record.
8. The../nurse../recognizes../that../the../patient../with../dysfunction../of../the../posterior.
./pituitary../gland../is../at../risk../for../which../disorder?




A. Acromegaly
B. Osteoporosis
C. Diabetes../insipidus
D. Type. . / 1. . / diabetes. . / mellitus:. . / C.../Diabetes../insipidus
9. The../nurse../correlates../the../action../of../which../medication../to../the../treatment../of..
/diabetes ../insipidus ../(DI)?




A. Pitocin
B. Synthroid
C. Vitamin../ D
D. Desmopressin. . / (DDAVP):. . / D.../Desmopressin../(DDAVP)
10. A../patient../has../received../doses../of../prednisone../for../treatment../of../rheumatoid../ar
thritis../for../the../past../3../months.../If../this../medication../is../suddenly../discontinued,../th
e. . / nurse. . / assesses. . / for. . / which. . / complication?

A. Hypovolemia
B. Hypokalemia
C. Hypernatremia
D. Hyperglycemia:. . / A.. . / Hypovolemia

Note:../Loss../of../sodium
11. A../patient../being../treated../for../adrenal../insufficiency../has../a../serum../potassium../l
evel../of../5.9../mEq/L.../The../nurse../correlates../that../the../action../of../which../medication../i
s../indicated../in../this../situation?

A. Kayexalate
B. Hydrocortisone