Foundations EXAM NURSING FINAL
EXAM 2024 AND PRACTICE QUESTIONS
|ACCURATE ANSWERS| VERIFIED FOR
GUARANTEED PASS |GRADED A |NEW
VERSION WITH 150 QUESTIONS
A nurse is providing postmortem care. Which action will the nurse take?
a. Leave dentures in the mouth.
b. Lower the head of the bed.
c. Cover the body with a sterile sheet.
d. Remove all tubes for an autopsy.
- ANSWERS-ANS: A
Leave dentures in the mouth to maintain facial shape. Raise the head of the bed as soon as
possible after death to prevent discoloration of the face. Cover the body with a clean sheet.
Autopsy often does not allow removal of tubes, equipment, and indwelling lines.
. A nurse facilitates the transplant coordinator in make a request for organ and tissue donation
from the patient's family. What is the primary rationale for the nurse's action?
a. The nurse is not as knowledgeable as the coordinator.
b. The nurse is uncomfortable asking the family.
c. The nurse does not want to upset the family.
d. The nurse is following a federal law.
- ANSWERS-ANS: D
In accordance with federal law, a specially trained professional (e.g., transplant coordinator or
social worker) makes requests for organ and tissue donation at the time of every death. Given
the complex and sensitive nature of such requests, only specially trained personnel make the
requests. Although the nurse may be less knowledgeable than the coordinator, uncomfortable
,asking the family, or not wanting to upset the family, the primary rationale is to be in
accordance with federal law.
A patient's father died a week ago. Both the patient and the patient's spouse talk about the
death. The patient's spouse is experiencing headaches and fatigue. The patient is having trouble
sleeping, has no appetite, and gets choked up most of the time. How should the nurse interpret
these findings as the basis for a follow-up assessment?
a. The patient is dying and the spouse is angry.
b. The patient is ill and the spouse is malingering.
c. Both the patient and the spouse are likely in denial.
d. Both the patient and the spouse are likely grieving.
- ANSWERS-ANS: D
Both are likely grieving from the loss of the patient's father. Symptoms of normal grief include
headache, fatigue, insomnia, appetite disturbance, and choking sensation. Different people
manifest different symptoms. There is no data to support the spouse is angry or malingering.
There is no data to support the patient is dying or ill. Denial is assessed when the person cannot
accept the loss; both talked about the loss.
. A preadolescent patient is experiencing maturational stress. Which area will the nurse focus
on when planning care?
a. Identity issues
b. Self-esteem issues
c. Physical appearance
d. Major changing life events
- ANSWERS-ANS: B
Preadolescents experience stress related to self-esteem issues, changing family structure as a
result of divorce or death of a parent, or hospitalizations. Adolescent stressors include identity
issues with peer groups and separation from their families. Children identify stressors related to
physical appearance, families, friends, and school. Adult stressors centralize around major
changes in life circumstances.
, A nurse is caring for a patient experiencing stress and is in the evaluation stage of the critical
thinking model. Which actions will the nurse take?
a. Select nursing interventions and promote patient's adaptation to stress.
b. Establish short- and long-term goals with the patient experiencing stress.
c. Identify stress management interventions and achieve expected outcomes.
d. Reassess patient's stress-related symptoms and compare with expected outcomes. -
ANSWERS-ANS: D
During the evaluation stage, the nurse compares current stress-related symptoms against
established measurable outcomes to evaluate the effectiveness of the intervention. Selecting
appropriate interventions and establishing goals are part of the planning process.
An adult male reports new-onset, seizure-like activity. An EEG and a neurology consultant's
report rule out a seizure disorder. It is determined the patient is using conversion. Which action
should the nurse take next?
a. Suggest acupuncture.
b. Confront the patient on malingering.
c. Obtain history of any recent life stressors.
d. Recommend a regular exercise program.
- ANSWERS-ANS: C
Unconsciously repressing an anxiety-producing emotional conflict and transforming it into
nonorganic symptoms (e.g., difficulty sleeping, loss of appetite) describes conversion defense
mechanism. The nurse must assess the patient fully for emotional conflict and stress before
implementing any nursing interventions (acupuncture or exercise program). Although the
patient may be malingering, confrontation is nontherapeutic because the patient is using this
type of defense mechanism in response to some type of stressor.
Despite working in a highly stressful nursing unit and accepting additional shifts, a new nurse
has a strategy to prevent burnout. Which strategy will be best for the nurse to use?
a. Delegate complex nursing tasks to nursing assistive personnel.
b. Strengthen friendships outside the workplace.
c. Write for 10 minutes in a journal every day.
EXAM 2024 AND PRACTICE QUESTIONS
|ACCURATE ANSWERS| VERIFIED FOR
GUARANTEED PASS |GRADED A |NEW
VERSION WITH 150 QUESTIONS
A nurse is providing postmortem care. Which action will the nurse take?
a. Leave dentures in the mouth.
b. Lower the head of the bed.
c. Cover the body with a sterile sheet.
d. Remove all tubes for an autopsy.
- ANSWERS-ANS: A
Leave dentures in the mouth to maintain facial shape. Raise the head of the bed as soon as
possible after death to prevent discoloration of the face. Cover the body with a clean sheet.
Autopsy often does not allow removal of tubes, equipment, and indwelling lines.
. A nurse facilitates the transplant coordinator in make a request for organ and tissue donation
from the patient's family. What is the primary rationale for the nurse's action?
a. The nurse is not as knowledgeable as the coordinator.
b. The nurse is uncomfortable asking the family.
c. The nurse does not want to upset the family.
d. The nurse is following a federal law.
- ANSWERS-ANS: D
In accordance with federal law, a specially trained professional (e.g., transplant coordinator or
social worker) makes requests for organ and tissue donation at the time of every death. Given
the complex and sensitive nature of such requests, only specially trained personnel make the
requests. Although the nurse may be less knowledgeable than the coordinator, uncomfortable
,asking the family, or not wanting to upset the family, the primary rationale is to be in
accordance with federal law.
A patient's father died a week ago. Both the patient and the patient's spouse talk about the
death. The patient's spouse is experiencing headaches and fatigue. The patient is having trouble
sleeping, has no appetite, and gets choked up most of the time. How should the nurse interpret
these findings as the basis for a follow-up assessment?
a. The patient is dying and the spouse is angry.
b. The patient is ill and the spouse is malingering.
c. Both the patient and the spouse are likely in denial.
d. Both the patient and the spouse are likely grieving.
- ANSWERS-ANS: D
Both are likely grieving from the loss of the patient's father. Symptoms of normal grief include
headache, fatigue, insomnia, appetite disturbance, and choking sensation. Different people
manifest different symptoms. There is no data to support the spouse is angry or malingering.
There is no data to support the patient is dying or ill. Denial is assessed when the person cannot
accept the loss; both talked about the loss.
. A preadolescent patient is experiencing maturational stress. Which area will the nurse focus
on when planning care?
a. Identity issues
b. Self-esteem issues
c. Physical appearance
d. Major changing life events
- ANSWERS-ANS: B
Preadolescents experience stress related to self-esteem issues, changing family structure as a
result of divorce or death of a parent, or hospitalizations. Adolescent stressors include identity
issues with peer groups and separation from their families. Children identify stressors related to
physical appearance, families, friends, and school. Adult stressors centralize around major
changes in life circumstances.
, A nurse is caring for a patient experiencing stress and is in the evaluation stage of the critical
thinking model. Which actions will the nurse take?
a. Select nursing interventions and promote patient's adaptation to stress.
b. Establish short- and long-term goals with the patient experiencing stress.
c. Identify stress management interventions and achieve expected outcomes.
d. Reassess patient's stress-related symptoms and compare with expected outcomes. -
ANSWERS-ANS: D
During the evaluation stage, the nurse compares current stress-related symptoms against
established measurable outcomes to evaluate the effectiveness of the intervention. Selecting
appropriate interventions and establishing goals are part of the planning process.
An adult male reports new-onset, seizure-like activity. An EEG and a neurology consultant's
report rule out a seizure disorder. It is determined the patient is using conversion. Which action
should the nurse take next?
a. Suggest acupuncture.
b. Confront the patient on malingering.
c. Obtain history of any recent life stressors.
d. Recommend a regular exercise program.
- ANSWERS-ANS: C
Unconsciously repressing an anxiety-producing emotional conflict and transforming it into
nonorganic symptoms (e.g., difficulty sleeping, loss of appetite) describes conversion defense
mechanism. The nurse must assess the patient fully for emotional conflict and stress before
implementing any nursing interventions (acupuncture or exercise program). Although the
patient may be malingering, confrontation is nontherapeutic because the patient is using this
type of defense mechanism in response to some type of stressor.
Despite working in a highly stressful nursing unit and accepting additional shifts, a new nurse
has a strategy to prevent burnout. Which strategy will be best for the nurse to use?
a. Delegate complex nursing tasks to nursing assistive personnel.
b. Strengthen friendships outside the workplace.
c. Write for 10 minutes in a journal every day.
