NSG 430 (Exams 1–4) Complete Full Course Study
Bundle
Below is a comprehensive study resource covering NSG 430 Adult Health Nursing
II Exams 1 through 4. This content is formatted for easy copying into a document
for printing or digital study.
# NSG 430 EXAM 1 – Endocrine & Respiratory Emergencies
Exam 1 Blueprint Overview
| Topic | Percentage |
|-||
| Introduction to Advanced Adult Health Nursing | 18% |
| Management of Acute Endocrine Disorders | 36–38% |
| Management of Acute Respiratory Disorders | 36–40% |
| SATA Questions | 4 questions |
| Dosage Calculation | 4 questions |
1
,Section 1: Palliative & End-of-Life Care
Q1. What is palliative care?
- Correct Answer: Care or treatment focusing on reducing the severity of
symptoms; curative treatment can still be involved
- Rationale: Palliative care focuses on symptom management and quality of life
regardless of prognosis. It can be provided concurrently with curative treatment .
Q2. What is hospice care?
- Correct Answer: Treatment of the terminally ill with the goal of helping them
die comfortably without pain; curative care is forgone
- Rationale: Hospice care is appropriate for patients with a prognosis of 6 months
or less. It focuses on comfort measures only, not curative treatment .
Q3. What are the physical manifestations of end of life – respiratory?
- Correct Answer: Cheyne-Stokes respirations, death rattle, terminal
secretions, loss of gag reflex (risk for aspiration)
- Rationale: These changes occur as the body begins to shut down. Cheyne-Stokes
respirations involve cycles of deep breathing followed by apnea .
Q4. What are the physical manifestations of end of life – integumentary?
- Correct Answer: Mottling, cyanosis in nail beds, cold/clammy skin, and
"waxlike" skin very near death
2
, - Rationale: These changes result from decreased peripheral perfusion and reduced
cardiac output as death approaches .
Q5. What is decisional capacity?
- Correct Answer: The ability to consent to or refuse care
- Rationale: Patients must demonstrate understanding, appreciation, reasoning, and
ability to express a choice to have decisional capacity .
Q6. What guides nursing care at end of life?
- Correct Answer: Code of Ethics (relieve suffering), Principle of Beneficence
(care is provided to benefit), Standard of Care (define nursing acts required for safe
and competent care)
- Rationale: These ethical and professional guidelines direct nurses in providing
compassionate end-of-life care .
Q7. What is the difference between palliative care and hospice care?
- Correct Answer: Palliative care focuses on comfort and quality of life at any
stage of illness, while hospice care is specifically for patients with a life
expectancy of 6 months or less
- Rationale: Palliative care is a multidisciplinary approach for any stage of serious
illness. Hospice care is a specific type of palliative care for end-of-life (6 months
or less) focused on comfort rather than curative treatment .
Q8. What assessments are appropriate in the last hours of life?
- Correct Answer: Limit to comfort measures; concerns about pain and
respiratory should be addressed; provide emotional/comfort support
3
Bundle
Below is a comprehensive study resource covering NSG 430 Adult Health Nursing
II Exams 1 through 4. This content is formatted for easy copying into a document
for printing or digital study.
# NSG 430 EXAM 1 – Endocrine & Respiratory Emergencies
Exam 1 Blueprint Overview
| Topic | Percentage |
|-||
| Introduction to Advanced Adult Health Nursing | 18% |
| Management of Acute Endocrine Disorders | 36–38% |
| Management of Acute Respiratory Disorders | 36–40% |
| SATA Questions | 4 questions |
| Dosage Calculation | 4 questions |
1
,Section 1: Palliative & End-of-Life Care
Q1. What is palliative care?
- Correct Answer: Care or treatment focusing on reducing the severity of
symptoms; curative treatment can still be involved
- Rationale: Palliative care focuses on symptom management and quality of life
regardless of prognosis. It can be provided concurrently with curative treatment .
Q2. What is hospice care?
- Correct Answer: Treatment of the terminally ill with the goal of helping them
die comfortably without pain; curative care is forgone
- Rationale: Hospice care is appropriate for patients with a prognosis of 6 months
or less. It focuses on comfort measures only, not curative treatment .
Q3. What are the physical manifestations of end of life – respiratory?
- Correct Answer: Cheyne-Stokes respirations, death rattle, terminal
secretions, loss of gag reflex (risk for aspiration)
- Rationale: These changes occur as the body begins to shut down. Cheyne-Stokes
respirations involve cycles of deep breathing followed by apnea .
Q4. What are the physical manifestations of end of life – integumentary?
- Correct Answer: Mottling, cyanosis in nail beds, cold/clammy skin, and
"waxlike" skin very near death
2
, - Rationale: These changes result from decreased peripheral perfusion and reduced
cardiac output as death approaches .
Q5. What is decisional capacity?
- Correct Answer: The ability to consent to or refuse care
- Rationale: Patients must demonstrate understanding, appreciation, reasoning, and
ability to express a choice to have decisional capacity .
Q6. What guides nursing care at end of life?
- Correct Answer: Code of Ethics (relieve suffering), Principle of Beneficence
(care is provided to benefit), Standard of Care (define nursing acts required for safe
and competent care)
- Rationale: These ethical and professional guidelines direct nurses in providing
compassionate end-of-life care .
Q7. What is the difference between palliative care and hospice care?
- Correct Answer: Palliative care focuses on comfort and quality of life at any
stage of illness, while hospice care is specifically for patients with a life
expectancy of 6 months or less
- Rationale: Palliative care is a multidisciplinary approach for any stage of serious
illness. Hospice care is a specific type of palliative care for end-of-life (6 months
or less) focused on comfort rather than curative treatment .
Q8. What assessments are appropriate in the last hours of life?
- Correct Answer: Limit to comfort measures; concerns about pain and
respiratory should be addressed; provide emotional/comfort support
3
