• NUR 509 09/07/2026
NUR 509 - FNP ADULTS FINAL EXAM 3 PREP
NEWEST 2026/2027 ACTUAL EXAM COMPLETE
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALE
1. A nurse caring for older adult patients shows an understanding of the implementation of standards of care
when:
a. dialing the telephone when the patient wants to call his daughter.
b. requesting the patient's favorite dessert on his birthday.
c. closing the patient's door when he is praying.
d. reminding the patient to call for assistance before getting out of bed. –
P 1
, • NUR 509 09/07/2026
Correct Answer :D
A standard of care is a guideline for nursing practice and establishes an expectation for the nurse to provide safe
and appropriate care, such as reminding the patient to call for assistance before getting out of bed. Standards of
care may be established on national or regional levels. Dialing the phone for the patient, closing the patient's
door, and requesting a special dessert are not actions that conform to standards of care.
DIF: Applying (Application) REF: N/A OBJ: 3-1
2. A nurse new to geriatric nursing asks the nurse manager to clarify how to handle a patient's claim that she has
been physically abused. The nurse manager responds most appropriately when stating:
a. "I'll show you where you can find this state's reporting requirements."
b. "As a nurse you are considered a 'mandated reporter' of elder abuse."
c. "As long as you are reasonably sure abuse has occurred, report it."
d. "You need to report any such claims directly to me." –
Correct Answer :A
To be responsive to the legal obligation to report reasonably suspicious acts of abuse and because there is great
variation among the states, nurses should determine the specific reporting requirements of their jurisdictions,
including where reports and complaints are received and in what form they must be made. The statements that
the nurse is a mandatory reporter and that abuse should be reported if suspected are true, but they do not help
the nurse learn to handle the complaint. The manager may want to know about claims of abuse and it may be
facility policy to report up the chain of command, but the nurse is responsible for filing the formal complaint.
3. The nurse recognizes that a nursing aide likely to abuse an older patient is one who has:
a. ineffective verbal communication skills.
b. little experience working with the older population.
c. poor stress management skills.
d. been a victim of abuse. - Correct Answer :C
It has been shown that the primary abusers of nursing facility residents are nurse aides and orderlies who have
never received training in stress management.
P 2
, • NUR 509 09/07/2026
4. An older adult resident of a long-term care nursing facility frequently attempts to get out of bed and is at risk
of sustaining an injury. The nurse's planned intervention to minimize the patient's risk for injury is guided by:
a. the patient's right to self-determination and to be free to get out of bed.
b. an understanding that nondrug interventions must be tried before medications.
c. the knowledge that application of a vest restraint requires a physician's order.
d. the patient's cognitive ability to understand and follow directions. –
Correct Answer :B
The drug use guidelines are based on the principles that certain problems can be handled with nondrug
interventions and that such forms of treatment must be ruled out before drug therapy is initiated. The patient
does have the right to self-determination, but the staff must ensure the patient's safety. Vest restraints do
require an order, but environmental measures must be tried before chemical or physical restraints. The patient's
cognitive abilities do not allow for unjustified physical or chemical restraints.
5. During the state inspection of a skilled nursing facility, a surveyor notes suspicion that a particular nurse may
not be providing the proper standard of care. The nurse manager informs the nurse to expect:
a. a review of the situation by the state board of nursing.
b. termination of employment from the facility.
c. mandatory remediation related to the suspect care issues.
d. unannounced reevaluation of performance within the next 3 months. –
Correct Answer :A
In such cases, the surveyor may forward the record showing the relevant findings to the appropriate state
agency or board for review of the nurse's practice, requesting a determination of whether the nurse may have
violated the state's nurse practice act. Regulations do not specify that the nurse be terminated, have
remediation, or have an unannounced reevaluation.
6. An 87-year-old patient is unsure of the purpose of a living will. The nurse describes its purpose best when
stating:
a. "It's a legal document that Social Services can help you create."
b. "It designates a family member to make decisions if you become incompetent."
P 3
, • NUR 509 09/07/2026
c. "It provides a written description of your wishes in the event you become terminally ill."
d. "It assures you won't be subjected to treatments you don't want." –
Correct Answer :C
Living wills are intended to provide written expressions of a patient's wishes regarding the use of medical
treatments in the event of a terminal illness or condition.
7. The nurse is caring for an unresponsive patient who has terminal cancer with a Do Not Resuscitate order in
effect. A family member tells the nurse, "I'll sue you and every other nurse here if you don't do everything
possible to keep her alive." The nurse understands that protection from legal prosecution in this situation is
provided by:
a. legal immunity granted when acting according to the patient's expressed wishes.
b. the legal view that the duty to put into effect the patient's wishes falls to the physician.
c. knowledge of and compliance with facility policies and procedures regarding end-of-life care.
d. implementing interventions that preserve the patient's right to self-determination. –
Correct Answer :C
In this case, immunity applies only to the physician and not to the nurse because the physician is given the legal
duty to put into effect the patient's wishes. Consequently, the nurse must rely on effective communication with
the physician, patient, and family, and on the quality of the facility's policies and procedures, to be sure that his
or her actions are consistent with the legally required steps.
8. The nurse is caring for a terminally ill older patient who has a living will that excludes pulmonary and cardiac
resuscitation. The family expresses a concern that the patient may "change her mind." The nurse best reassures
the family by stating:
a. "The nursing staff will watch her very closely for any indication she has changed her mind."
b. "We will discuss her wishes with her regularly."
c. "She can change her mind about any provision in the document at any time."
d. "Your mother was very clear about her wishes when she signed the document." - Correct Answer :A
AMD provisions appropriately provide that people can change their minds at any time and by any means. Nurses
need to be alert to any indications from a patient. Based on the person's medical condition, subtle signs such as
a gesture or a nod of the head may be easily overlooked. The patient may or may not be able to discuss her
condition. Stating that the mother was very clear in her wishes does not take into account the fact that patients
can change their minds any time.
P 4
NUR 509 - FNP ADULTS FINAL EXAM 3 PREP
NEWEST 2026/2027 ACTUAL EXAM COMPLETE
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALE
1. A nurse caring for older adult patients shows an understanding of the implementation of standards of care
when:
a. dialing the telephone when the patient wants to call his daughter.
b. requesting the patient's favorite dessert on his birthday.
c. closing the patient's door when he is praying.
d. reminding the patient to call for assistance before getting out of bed. –
P 1
, • NUR 509 09/07/2026
Correct Answer :D
A standard of care is a guideline for nursing practice and establishes an expectation for the nurse to provide safe
and appropriate care, such as reminding the patient to call for assistance before getting out of bed. Standards of
care may be established on national or regional levels. Dialing the phone for the patient, closing the patient's
door, and requesting a special dessert are not actions that conform to standards of care.
DIF: Applying (Application) REF: N/A OBJ: 3-1
2. A nurse new to geriatric nursing asks the nurse manager to clarify how to handle a patient's claim that she has
been physically abused. The nurse manager responds most appropriately when stating:
a. "I'll show you where you can find this state's reporting requirements."
b. "As a nurse you are considered a 'mandated reporter' of elder abuse."
c. "As long as you are reasonably sure abuse has occurred, report it."
d. "You need to report any such claims directly to me." –
Correct Answer :A
To be responsive to the legal obligation to report reasonably suspicious acts of abuse and because there is great
variation among the states, nurses should determine the specific reporting requirements of their jurisdictions,
including where reports and complaints are received and in what form they must be made. The statements that
the nurse is a mandatory reporter and that abuse should be reported if suspected are true, but they do not help
the nurse learn to handle the complaint. The manager may want to know about claims of abuse and it may be
facility policy to report up the chain of command, but the nurse is responsible for filing the formal complaint.
3. The nurse recognizes that a nursing aide likely to abuse an older patient is one who has:
a. ineffective verbal communication skills.
b. little experience working with the older population.
c. poor stress management skills.
d. been a victim of abuse. - Correct Answer :C
It has been shown that the primary abusers of nursing facility residents are nurse aides and orderlies who have
never received training in stress management.
P 2
, • NUR 509 09/07/2026
4. An older adult resident of a long-term care nursing facility frequently attempts to get out of bed and is at risk
of sustaining an injury. The nurse's planned intervention to minimize the patient's risk for injury is guided by:
a. the patient's right to self-determination and to be free to get out of bed.
b. an understanding that nondrug interventions must be tried before medications.
c. the knowledge that application of a vest restraint requires a physician's order.
d. the patient's cognitive ability to understand and follow directions. –
Correct Answer :B
The drug use guidelines are based on the principles that certain problems can be handled with nondrug
interventions and that such forms of treatment must be ruled out before drug therapy is initiated. The patient
does have the right to self-determination, but the staff must ensure the patient's safety. Vest restraints do
require an order, but environmental measures must be tried before chemical or physical restraints. The patient's
cognitive abilities do not allow for unjustified physical or chemical restraints.
5. During the state inspection of a skilled nursing facility, a surveyor notes suspicion that a particular nurse may
not be providing the proper standard of care. The nurse manager informs the nurse to expect:
a. a review of the situation by the state board of nursing.
b. termination of employment from the facility.
c. mandatory remediation related to the suspect care issues.
d. unannounced reevaluation of performance within the next 3 months. –
Correct Answer :A
In such cases, the surveyor may forward the record showing the relevant findings to the appropriate state
agency or board for review of the nurse's practice, requesting a determination of whether the nurse may have
violated the state's nurse practice act. Regulations do not specify that the nurse be terminated, have
remediation, or have an unannounced reevaluation.
6. An 87-year-old patient is unsure of the purpose of a living will. The nurse describes its purpose best when
stating:
a. "It's a legal document that Social Services can help you create."
b. "It designates a family member to make decisions if you become incompetent."
P 3
, • NUR 509 09/07/2026
c. "It provides a written description of your wishes in the event you become terminally ill."
d. "It assures you won't be subjected to treatments you don't want." –
Correct Answer :C
Living wills are intended to provide written expressions of a patient's wishes regarding the use of medical
treatments in the event of a terminal illness or condition.
7. The nurse is caring for an unresponsive patient who has terminal cancer with a Do Not Resuscitate order in
effect. A family member tells the nurse, "I'll sue you and every other nurse here if you don't do everything
possible to keep her alive." The nurse understands that protection from legal prosecution in this situation is
provided by:
a. legal immunity granted when acting according to the patient's expressed wishes.
b. the legal view that the duty to put into effect the patient's wishes falls to the physician.
c. knowledge of and compliance with facility policies and procedures regarding end-of-life care.
d. implementing interventions that preserve the patient's right to self-determination. –
Correct Answer :C
In this case, immunity applies only to the physician and not to the nurse because the physician is given the legal
duty to put into effect the patient's wishes. Consequently, the nurse must rely on effective communication with
the physician, patient, and family, and on the quality of the facility's policies and procedures, to be sure that his
or her actions are consistent with the legally required steps.
8. The nurse is caring for a terminally ill older patient who has a living will that excludes pulmonary and cardiac
resuscitation. The family expresses a concern that the patient may "change her mind." The nurse best reassures
the family by stating:
a. "The nursing staff will watch her very closely for any indication she has changed her mind."
b. "We will discuss her wishes with her regularly."
c. "She can change her mind about any provision in the document at any time."
d. "Your mother was very clear about her wishes when she signed the document." - Correct Answer :A
AMD provisions appropriately provide that people can change their minds at any time and by any means. Nurses
need to be alert to any indications from a patient. Based on the person's medical condition, subtle signs such as
a gesture or a nod of the head may be easily overlooked. The patient may or may not be able to discuss her
condition. Stating that the mother was very clear in her wishes does not take into account the fact that patients
can change their minds any time.
P 4
