NURS 205 - EXAM 3 - CHAPTERS 7, 8,
AND 9 QUESTIONS AND CORRECT
ANSWERS
Ch. 7
1. A nurse cares for a dying client. Which manifestation of dying should the nurse treat first?
a. Anorexia
b. Pain
c. Nausea
d. Hair loss ✅✅correct answ-ANS: B
Only symptoms that cause distress for a dying client should be treated. Such symptoms include pain,
nausea and vomiting, dyspnea, and agitation. These problems interfere with the clients comfort.
Even when symptoms, such as anorexia or hair loss, disturb the family, they should be treated only if
the client is distressed by their presence. The nurse should treat the clients pain first.
Ch. 7
2. A nurse plans care for a client who is nearing end of life. Which question should the nurse ask
when developing this clients plan of care?
a. Is your advance directive up to date and notarized?
b. Do you want to be at home at the end of your life?
c. Would you like a physical therapist to assist you with range-of-motion activities?
d. Have your children discussed resuscitation with your health care provider? ✅✅correct answ-
ANS: B
When developing a plan of care for a dying client, consideration should be given for where the client
wants to die. Advance directives do not need to be notarized. A physical therapist would not be
involved in end-of-life care. The client should discuss resuscitation with the health care provider and
children; do-not-resuscitate status should be the clients decision, not the familys decision.
Ch. 7
3. A nurse is caring for a client who has lung cancer and is dying. Which prescription should the nurse
question?
,a. Morphine 10 mg sublingual every 6 hours PRN for pain level greater than 5
b. Albuterol (Proventil) metered dose inhaler every 4 hours PRN for wheezes
c. Atropine solution 1% sublingual every 4 hours PRN for excessive oral secretions
d. Sodium biphosphate (Fleet) enema once a day PRN for impacted stool ✅✅correct answ-ANS: A
Pain medications should be scheduled around the clock to maintain comfort and prevent
reoccurrence of pain. The other medications are appropriate for this client.
Ch. 7
4. A client tells the nurse that, even though it has been 4 months since her sisters death, she
frequently finds herself crying uncontrollably. How should the nurse respond?
a. Most people move on within a few months. You should see a grief counselor.
b. Whenever you start to cry, distract yourself from thoughts of your sister.
c. You should try not to cry. Im sure your sister is in a better place now.
d. Your feelings are completely normal and may continue for a long time. ✅✅correct answ-ANS: D
Frequent crying is not an abnormal response. The nurse should let the client know that this is normal
and okay. Although the client may benefit from talking with a grief counselor, it is not unusual for
her to still be grieving after a few months. The other responses are not as therapeutic because they
justify or minimize the clients response.
Ch. 7
5. After teaching a client about advance directives, a nurse assesses the clients understanding.
Which statement indicates the client correctly understands the teaching?
a. An advance directive will keep my children from selling my home when Im old.
b. An advance directive will be completed as soon as Im incapacitated and cant think for myself.
c. An advance directive will specify what I want done when I can no longer make decisions about
health care.
d. An advance directive will allow me to keep my money out of the reach of my family. ✅✅correct
answ-ANS: C
An advance directive is a written document prepared by a competent individual that specifies what,
if any, extraordinary actions a person would want taken when he or she can no longer make
decisions about personal health care. It does not address issues such as the clients residence or
financial matters.
, Ch. 7
6. A nurse teaches a client who is considering being admitted to hospice. Which statement should
the nurse include in this clients teaching?
a. Hospice admission has specific criteria. You may not be a viable candidate, so we will look at
alternative plans for your discharge.
b. Hospice care focuses on a holistic approach to health care. It is designed not to hasten death, but
rather to relieve symptoms.
c. Hospice care will not help with your symptoms of depression. I will refer you to the facilitys
counseling services instead.
d. You seem to be experiencing some difficulty with this stage of the grieving process. Lets talk about
your feelings. ✅✅correct answ-ANS: B
As both a philosophy and a system of care, hospice care uses an interdisciplinary approach to assess
and address the holistic needs of clients and families to facilitate quality of life and a peaceful death.
This holistic approach neither hastens nor postpones death but provides relief of symptoms
experienced by the dying client.
Ch. 7
7. A nurse is caring for a dying client. The clients spouse states, I think he is choking to death. How
should the nurse respond?
a. Do not worry. The choking sound is normal during the dying process.
b. I will administer more morphine to keep your husband comfortable.
c. I can ask the respiratory therapist to suction secretions out through his nose.
d. I will have another nurse assist me to turn your husband on his side. ✅✅correct answ-ANS: D
The choking sound or death rattle is common in dying clients. The nurse should acknowledge the
spouses concerns and provide interventions that will reduce the choking sounds. Repositioning the
client onto one side with a towel under the mouth to collect secretions is the best intervention. The
nurse should not minimize the spouses concerns. Morphine will assist with comfort but will not
decrease the choking sounds. Nasotracheal suctioning is not appropriate in a dying client.
Ch. 7
8. The nurse is teaching a family member about various types of complementary therapies that
might be effective for relieving the dying clients anxiety and restlessness. Which statement made by
the family member indicates understanding of the nurses teaching?
AND 9 QUESTIONS AND CORRECT
ANSWERS
Ch. 7
1. A nurse cares for a dying client. Which manifestation of dying should the nurse treat first?
a. Anorexia
b. Pain
c. Nausea
d. Hair loss ✅✅correct answ-ANS: B
Only symptoms that cause distress for a dying client should be treated. Such symptoms include pain,
nausea and vomiting, dyspnea, and agitation. These problems interfere with the clients comfort.
Even when symptoms, such as anorexia or hair loss, disturb the family, they should be treated only if
the client is distressed by their presence. The nurse should treat the clients pain first.
Ch. 7
2. A nurse plans care for a client who is nearing end of life. Which question should the nurse ask
when developing this clients plan of care?
a. Is your advance directive up to date and notarized?
b. Do you want to be at home at the end of your life?
c. Would you like a physical therapist to assist you with range-of-motion activities?
d. Have your children discussed resuscitation with your health care provider? ✅✅correct answ-
ANS: B
When developing a plan of care for a dying client, consideration should be given for where the client
wants to die. Advance directives do not need to be notarized. A physical therapist would not be
involved in end-of-life care. The client should discuss resuscitation with the health care provider and
children; do-not-resuscitate status should be the clients decision, not the familys decision.
Ch. 7
3. A nurse is caring for a client who has lung cancer and is dying. Which prescription should the nurse
question?
,a. Morphine 10 mg sublingual every 6 hours PRN for pain level greater than 5
b. Albuterol (Proventil) metered dose inhaler every 4 hours PRN for wheezes
c. Atropine solution 1% sublingual every 4 hours PRN for excessive oral secretions
d. Sodium biphosphate (Fleet) enema once a day PRN for impacted stool ✅✅correct answ-ANS: A
Pain medications should be scheduled around the clock to maintain comfort and prevent
reoccurrence of pain. The other medications are appropriate for this client.
Ch. 7
4. A client tells the nurse that, even though it has been 4 months since her sisters death, she
frequently finds herself crying uncontrollably. How should the nurse respond?
a. Most people move on within a few months. You should see a grief counselor.
b. Whenever you start to cry, distract yourself from thoughts of your sister.
c. You should try not to cry. Im sure your sister is in a better place now.
d. Your feelings are completely normal and may continue for a long time. ✅✅correct answ-ANS: D
Frequent crying is not an abnormal response. The nurse should let the client know that this is normal
and okay. Although the client may benefit from talking with a grief counselor, it is not unusual for
her to still be grieving after a few months. The other responses are not as therapeutic because they
justify or minimize the clients response.
Ch. 7
5. After teaching a client about advance directives, a nurse assesses the clients understanding.
Which statement indicates the client correctly understands the teaching?
a. An advance directive will keep my children from selling my home when Im old.
b. An advance directive will be completed as soon as Im incapacitated and cant think for myself.
c. An advance directive will specify what I want done when I can no longer make decisions about
health care.
d. An advance directive will allow me to keep my money out of the reach of my family. ✅✅correct
answ-ANS: C
An advance directive is a written document prepared by a competent individual that specifies what,
if any, extraordinary actions a person would want taken when he or she can no longer make
decisions about personal health care. It does not address issues such as the clients residence or
financial matters.
, Ch. 7
6. A nurse teaches a client who is considering being admitted to hospice. Which statement should
the nurse include in this clients teaching?
a. Hospice admission has specific criteria. You may not be a viable candidate, so we will look at
alternative plans for your discharge.
b. Hospice care focuses on a holistic approach to health care. It is designed not to hasten death, but
rather to relieve symptoms.
c. Hospice care will not help with your symptoms of depression. I will refer you to the facilitys
counseling services instead.
d. You seem to be experiencing some difficulty with this stage of the grieving process. Lets talk about
your feelings. ✅✅correct answ-ANS: B
As both a philosophy and a system of care, hospice care uses an interdisciplinary approach to assess
and address the holistic needs of clients and families to facilitate quality of life and a peaceful death.
This holistic approach neither hastens nor postpones death but provides relief of symptoms
experienced by the dying client.
Ch. 7
7. A nurse is caring for a dying client. The clients spouse states, I think he is choking to death. How
should the nurse respond?
a. Do not worry. The choking sound is normal during the dying process.
b. I will administer more morphine to keep your husband comfortable.
c. I can ask the respiratory therapist to suction secretions out through his nose.
d. I will have another nurse assist me to turn your husband on his side. ✅✅correct answ-ANS: D
The choking sound or death rattle is common in dying clients. The nurse should acknowledge the
spouses concerns and provide interventions that will reduce the choking sounds. Repositioning the
client onto one side with a towel under the mouth to collect secretions is the best intervention. The
nurse should not minimize the spouses concerns. Morphine will assist with comfort but will not
decrease the choking sounds. Nasotracheal suctioning is not appropriate in a dying client.
Ch. 7
8. The nurse is teaching a family member about various types of complementary therapies that
might be effective for relieving the dying clients anxiety and restlessness. Which statement made by
the family member indicates understanding of the nurses teaching?
