• NURS 5461 Exam 09/13/2026
NURS 5461 Quiz 2 UPDATED ACTUAL Exam
| Actual Q&A with Rationale (NURS6521 Exam 1) |
Walden University
1. A nurse on a geriatric medical care unit consults hospice for a client. Which of the following nursing
interventions should the nurse anticipate after the client begins hospice care?
A) Administering chemotherapy to a client with a diagnosis of pancreatic cancer
B) Assessing the deep tendon reflexes of a client with neurologic impairment
C) Infusing total parenteral nutrition to a client with dysphagia
D) Providing an opioid analgesic to a client with bone metastases - Correct Answer :Ans: D
P 1
, • NURS 5461 Exam 09/13/2026
The focus of hospice care is on the relief of suffering rather than cure of disease. Relief of suffering often
encompasses providing pain relief to clients. Active curative treatments, such as chemotherapy, and parenteral
feeding often are forgone. Health assessments that do not assess the client's comfort, such as the assessment
of deep tendon reflexes, are not the priority of palliative/hospice care
2. A nurse cares for an 87-year-old client from India who has noted Hinduism as religious preference on admission
records. This client is transferred to the hospice unit. Which of the following actions by the nurse best shows
caring?
A) Ask the family to tell you about Hinduism.
B) Assess the client's spiritual needs.
C) Notify the family's pastor.
D) Pray with the client and family. - Correct Answer :Ans: B
Spiritual assessment should take place on admission and throughout the client's time in palliative care. Spiritual
care is within the scope of nursing, and prayer would be appropriate if it were chosen based on a sound
assessment of the client's needs and belief system. Nurses should be prepared to refer to whatever spiritual
leader the client expresses a desire to speak with. Now is not the time to query, it is the time to listen.
3. A nurse explores resources available to assist a client. Which of the following older adults meets the eligibility
requirements for hospice care?
A) A client who is immobilized and unable to afford specialized nursing care
B) A client who has experienced a stroke and been given 3 months to live
C) A client with cancer who is living with uncontrolled persistent pain
P 2
, • NURS 5461 Exam 09/13/2026
D) A client with acquired immunodeficiency syndrome who lacks family support to provide needed care - Correct
Answer :Ans: B
The eligibility requirements for hospice care include physician referral and a life expectancy of less than 6
months. Financial need, high pain levels, and lack of family support are not explicit qualifiers for hospice care
4. A nurse cares for an older adult who is nonresponsive and surrounded by family. Which of the following
statements by the nurse is most appropriate?
A) "I am here for you, how can I be helpful?"
B) "I know just how you feel, my mother died last month."
C) "I'll leave you alone so that you can grieve in private."
D) "She was a really nice lady; she did a good job raising you." - Correct Answer :Ans: A
Nurses can help people who are dying and their caregivers express their needs by using open, honest, direct,
and empathetic communication. Nurses use ongoing assessment to meet the needs of their clients. The
statements by the nurse should center on the client and not the nurse. Presence is an appropriate intervention;
the nurse should not assume that they desire to be alone
5. An older adult client on a palliative care unit divulges to his nurse that he fears being in pain during the dying
process. How can the nurse best respond to the client's admission?
A) "It sounds like you're understandably anxious about this. How can I help you to relax?"
B) "A lot of clients do have pain at the end, and we will do all we can to control it for you."
C) "We will do all we can to address it, and you'll be able to have a peaceful passing."
P 3
, • NURS 5461 Exam 09/13/2026
D) "Pain during the dying process actually is not nearly as common as many people believe." - Correct Answer
:Ans: B
Acknowledging that a lot of clients do have pain at the end and that staff will do all they can to control it both
acknowledges the client's specific concern and provides a realistic response that the pain will be treated as
effectively as possible, but does not guarantee a pain-free dying process. Acknowledging the anxiety and
offering relaxation assistance do not address the specific concern about pain. Stating that the client will have a
peaceful passing makes a promise that is not possible to guarantee. Pain is a common accompaniment to the
dying process
6. A nurse cares for a 100-year-old man in hospice. The client contemplates his perspectives regarding end-of-life
care. Which of the following historical perspectives most likely represent how this client's life experiences have
had a formative influence on his views on death and dying? (Select all that apply.)
A) I never thought that I would be this old.
B) My brother died in a work-related accident.
C) I outlived my children and my two wives.
D) My family shouldn't have to take care of me.
E) I lost an infant to small pox. - Correct Answer :Ans: A, B, C, E
Concepts related to death, dying, and end of life have changed since the early 1900s. At that time, death was a
common occurrence in infants, children, youth, and young adults. Communicable diseases were common.
Families provided care. Accidental deaths were common, and death was accepted as an inevitable and normal
part of life
7. A nurse in an intensive care unit prepares to perform postmortem care on an older Jewish client. Family
members are at his bedside. Which of the following actions by the nurse is appropriate?
A) Allow the family to remain with the client.
P 4
NURS 5461 Quiz 2 UPDATED ACTUAL Exam
| Actual Q&A with Rationale (NURS6521 Exam 1) |
Walden University
1. A nurse on a geriatric medical care unit consults hospice for a client. Which of the following nursing
interventions should the nurse anticipate after the client begins hospice care?
A) Administering chemotherapy to a client with a diagnosis of pancreatic cancer
B) Assessing the deep tendon reflexes of a client with neurologic impairment
C) Infusing total parenteral nutrition to a client with dysphagia
D) Providing an opioid analgesic to a client with bone metastases - Correct Answer :Ans: D
P 1
, • NURS 5461 Exam 09/13/2026
The focus of hospice care is on the relief of suffering rather than cure of disease. Relief of suffering often
encompasses providing pain relief to clients. Active curative treatments, such as chemotherapy, and parenteral
feeding often are forgone. Health assessments that do not assess the client's comfort, such as the assessment
of deep tendon reflexes, are not the priority of palliative/hospice care
2. A nurse cares for an 87-year-old client from India who has noted Hinduism as religious preference on admission
records. This client is transferred to the hospice unit. Which of the following actions by the nurse best shows
caring?
A) Ask the family to tell you about Hinduism.
B) Assess the client's spiritual needs.
C) Notify the family's pastor.
D) Pray with the client and family. - Correct Answer :Ans: B
Spiritual assessment should take place on admission and throughout the client's time in palliative care. Spiritual
care is within the scope of nursing, and prayer would be appropriate if it were chosen based on a sound
assessment of the client's needs and belief system. Nurses should be prepared to refer to whatever spiritual
leader the client expresses a desire to speak with. Now is not the time to query, it is the time to listen.
3. A nurse explores resources available to assist a client. Which of the following older adults meets the eligibility
requirements for hospice care?
A) A client who is immobilized and unable to afford specialized nursing care
B) A client who has experienced a stroke and been given 3 months to live
C) A client with cancer who is living with uncontrolled persistent pain
P 2
, • NURS 5461 Exam 09/13/2026
D) A client with acquired immunodeficiency syndrome who lacks family support to provide needed care - Correct
Answer :Ans: B
The eligibility requirements for hospice care include physician referral and a life expectancy of less than 6
months. Financial need, high pain levels, and lack of family support are not explicit qualifiers for hospice care
4. A nurse cares for an older adult who is nonresponsive and surrounded by family. Which of the following
statements by the nurse is most appropriate?
A) "I am here for you, how can I be helpful?"
B) "I know just how you feel, my mother died last month."
C) "I'll leave you alone so that you can grieve in private."
D) "She was a really nice lady; she did a good job raising you." - Correct Answer :Ans: A
Nurses can help people who are dying and their caregivers express their needs by using open, honest, direct,
and empathetic communication. Nurses use ongoing assessment to meet the needs of their clients. The
statements by the nurse should center on the client and not the nurse. Presence is an appropriate intervention;
the nurse should not assume that they desire to be alone
5. An older adult client on a palliative care unit divulges to his nurse that he fears being in pain during the dying
process. How can the nurse best respond to the client's admission?
A) "It sounds like you're understandably anxious about this. How can I help you to relax?"
B) "A lot of clients do have pain at the end, and we will do all we can to control it for you."
C) "We will do all we can to address it, and you'll be able to have a peaceful passing."
P 3
, • NURS 5461 Exam 09/13/2026
D) "Pain during the dying process actually is not nearly as common as many people believe." - Correct Answer
:Ans: B
Acknowledging that a lot of clients do have pain at the end and that staff will do all they can to control it both
acknowledges the client's specific concern and provides a realistic response that the pain will be treated as
effectively as possible, but does not guarantee a pain-free dying process. Acknowledging the anxiety and
offering relaxation assistance do not address the specific concern about pain. Stating that the client will have a
peaceful passing makes a promise that is not possible to guarantee. Pain is a common accompaniment to the
dying process
6. A nurse cares for a 100-year-old man in hospice. The client contemplates his perspectives regarding end-of-life
care. Which of the following historical perspectives most likely represent how this client's life experiences have
had a formative influence on his views on death and dying? (Select all that apply.)
A) I never thought that I would be this old.
B) My brother died in a work-related accident.
C) I outlived my children and my two wives.
D) My family shouldn't have to take care of me.
E) I lost an infant to small pox. - Correct Answer :Ans: A, B, C, E
Concepts related to death, dying, and end of life have changed since the early 1900s. At that time, death was a
common occurrence in infants, children, youth, and young adults. Communicable diseases were common.
Families provided care. Accidental deaths were common, and death was accepted as an inevitable and normal
part of life
7. A nurse in an intensive care unit prepares to perform postmortem care on an older Jewish client. Family
members are at his bedside. Which of the following actions by the nurse is appropriate?
A) Allow the family to remain with the client.
P 4
