2024-2025 NEWEST NR 226 ACTUAL
FINAL Exam 1 WITH MULTIPLE
QUESTIONS AND ANSWERS 100% RATED
CORRECT WITH 100% SURE
PASS|GRADED A+
1. A 12-year-old boy is experiencing nocturnal enuresis. Which strategies should the nurse
explore with the boy and his parents? Select all that apply.
1. Limiting fluid intake after dinner
2. Voiding immediately before going to bed
3. Eliminating caffeinated beverages from the diet
4. Thinking about waking up dry when going to bed at night
5. Having the boy change his own bed linens when he wets the bed - ANS -1. Limiting
fluid intake after dinner
Limiting fluid intake after dinner reduces the amount of urine production while
asleep.
2. Voiding immediately before going to bed
Voiding empties the bladder and makes room for urine produced during the night.
3. Eliminating caffeinated beverages from the diet
Caffeine irritates the mucous membranes of the urinary system and stimulates the
need to void.
4. Thinking about waking up dry when going to bed at night
Positive imagery supports self-esteem and may become a self-fulfilling prophesy.
2. A confused patient who fell out of bed because the side rails were not used as ordered is
an example of which type of liability?
A.Felony
B. Battery
C. Assault
D. Negligence - ANS -D
3. A faculty member of a nursing program is conducting an informational session for
potential nursing students. The faculty member includes the information that at the
completion of the program licensure to practice is:
1. A responsibility of the American Nurses Association
2. Granted on graduation from a nursing program
3. Approved by the National League for Nursing
, 4. Required by state law - ANS -Correct Answer: 4. The Nurse Practice Act in a state
stipulates the requirements for licensure within the state.
1. The ANA Standards of Clinical Nursing Practice do not address licensure.
2. When a person graduates from a school of nursing, the individual receives a
diploma that indicates completion of a course of study; the diploma is not a
license to practice nursing.
3. The National League for Nursing (NLN) promotes nursing service and nursing
education; it is not involved with licensure.
4. A health care issue often becomes an ethical dilemma because.
A. A clients legal rights coexist with a health professionals obligation
B. Decisions must be made quickly, often under stressful conditions
C. Decisions must be made based on value systems
D. The choices involved do not appear to be clearly right or wrong. - ANS -D. The
choices involved do not appear to be clearly right or wrong
5. A nurse administers a back rub to a patient after first providing for privacy and
maintaining standard precautions. Place the following steps in the order in which they
should be implemented.
1. Apply warmed lotion to your hands.
2. Position the patient in the side-lying position.
3. Assess the skin for color, turgor, and skin breakdown.
4. Arrange the gown and top linens so that the patient's back is exposed.
5. Use a variety of strokes to massage the muscles of the back and sacral area. - ANS
-Answer: 2 4 3 1 5
The first step is to position the patient in the side-lying position because this
provides for a comfortable, supported position during the procedure.
The second step is to arrange the gown and linens so that the patient's back is
exposed because this provides access to the patient's back.
The third step is to assess the skin to ensure that there are no indications of a
problem that is a contraindication for having a back rub.
The fourth step is to warm the lotion in your hands because warm lotion is more
comfortable and supports muscle relaxation.
A variety of strokes (e.g., effleurage, pétrissage, tamponage, small circular
movements, and feathering) relieves muscle tension, promotes physical and
emotional relaxation, and increases circulation to the area.
6. A nurse expert is called to testify in a lawsuit regarding professional nursing malpractice
primarily to testify:
1. About standards of nursing care as they apply to the facts in the case
2. With regard to laws governing the practice of nursing
3. For the prosecution
4. For the defense - ANS -Correct Answer: 1 (The American Nurses Association
Standards of Clinical Nursing Practice are authoritative statements by which the
, national organization for nursing describes the responsibilities for which its
practitioners are accountable. An expert nurse is capable of explaining these
standards as they apply to the situation under litigation. These professional
standards are one criterion that helps a judge or jury determine if a nurse
committed malpractice or negligence.)
2. An expert nurse is not an expert in the law. The expert nurse's role is not to
make judgments about the laws as they apply to the practice of nursing.
3. A nurse expert can testify for either the prosecution or the defense.
4. A nurse expert can testify for either the defense or the prosecution.
7. A nurse is assessing a patient experiencing acute pain. Which characteristic is more
common with acute pain than with chronic pain?
1. Self-focusing
2. Sleep disturbances
3. Guarding behaviors
4. Variations in vital signs - ANS -4. Variations in vital signs
Acute pain stimulates the sympathetic nervous system, which responds by
increasing pulse, respirations, and blood pressure. Chronic pain stimulates the
parasympathetic nervous system, which results in lowered pulse and blood
pressure.
8. A nurse is assessing a patient experiencing chronic pain. Which characteristics are more
common with chronic pain than with acute pain? Select all that apply.
1. Gradual onset
2. Long duration
3. Anticipated end
4. Psychologically depleting
5. Responds to conventional interventions - ANS -1. Gradual onset
Chronic pain has a gradual progressive onset because it usually is related to a
long-term problem (e.g., diabetic neuropathy). Acute pain has a rapid onset
because it usually is related to abrupt trauma to the body (e.g., surgical incision,
damage from an automobile collision).
2. Long duration
Chronic pain is categorized as pain longer than 6 months' duration. Acute pain is
categorized as pain shorter than 6 months' duration.
4. Psychologically depleting
Chronic pain is psychologically depleting because it drains both physical and
emotional resources; this is related to the unrelenting nature of the pain and that it
usually continues for life.
9. A nurse is assessing a patient in pain. Which word might the nurse use when
documenting the pattern of a patient's pain?
1. Tenderness
2. Moderate
3. Episodic
4. Phantom - ANS -3. Episodic
FINAL Exam 1 WITH MULTIPLE
QUESTIONS AND ANSWERS 100% RATED
CORRECT WITH 100% SURE
PASS|GRADED A+
1. A 12-year-old boy is experiencing nocturnal enuresis. Which strategies should the nurse
explore with the boy and his parents? Select all that apply.
1. Limiting fluid intake after dinner
2. Voiding immediately before going to bed
3. Eliminating caffeinated beverages from the diet
4. Thinking about waking up dry when going to bed at night
5. Having the boy change his own bed linens when he wets the bed - ANS -1. Limiting
fluid intake after dinner
Limiting fluid intake after dinner reduces the amount of urine production while
asleep.
2. Voiding immediately before going to bed
Voiding empties the bladder and makes room for urine produced during the night.
3. Eliminating caffeinated beverages from the diet
Caffeine irritates the mucous membranes of the urinary system and stimulates the
need to void.
4. Thinking about waking up dry when going to bed at night
Positive imagery supports self-esteem and may become a self-fulfilling prophesy.
2. A confused patient who fell out of bed because the side rails were not used as ordered is
an example of which type of liability?
A.Felony
B. Battery
C. Assault
D. Negligence - ANS -D
3. A faculty member of a nursing program is conducting an informational session for
potential nursing students. The faculty member includes the information that at the
completion of the program licensure to practice is:
1. A responsibility of the American Nurses Association
2. Granted on graduation from a nursing program
3. Approved by the National League for Nursing
, 4. Required by state law - ANS -Correct Answer: 4. The Nurse Practice Act in a state
stipulates the requirements for licensure within the state.
1. The ANA Standards of Clinical Nursing Practice do not address licensure.
2. When a person graduates from a school of nursing, the individual receives a
diploma that indicates completion of a course of study; the diploma is not a
license to practice nursing.
3. The National League for Nursing (NLN) promotes nursing service and nursing
education; it is not involved with licensure.
4. A health care issue often becomes an ethical dilemma because.
A. A clients legal rights coexist with a health professionals obligation
B. Decisions must be made quickly, often under stressful conditions
C. Decisions must be made based on value systems
D. The choices involved do not appear to be clearly right or wrong. - ANS -D. The
choices involved do not appear to be clearly right or wrong
5. A nurse administers a back rub to a patient after first providing for privacy and
maintaining standard precautions. Place the following steps in the order in which they
should be implemented.
1. Apply warmed lotion to your hands.
2. Position the patient in the side-lying position.
3. Assess the skin for color, turgor, and skin breakdown.
4. Arrange the gown and top linens so that the patient's back is exposed.
5. Use a variety of strokes to massage the muscles of the back and sacral area. - ANS
-Answer: 2 4 3 1 5
The first step is to position the patient in the side-lying position because this
provides for a comfortable, supported position during the procedure.
The second step is to arrange the gown and linens so that the patient's back is
exposed because this provides access to the patient's back.
The third step is to assess the skin to ensure that there are no indications of a
problem that is a contraindication for having a back rub.
The fourth step is to warm the lotion in your hands because warm lotion is more
comfortable and supports muscle relaxation.
A variety of strokes (e.g., effleurage, pétrissage, tamponage, small circular
movements, and feathering) relieves muscle tension, promotes physical and
emotional relaxation, and increases circulation to the area.
6. A nurse expert is called to testify in a lawsuit regarding professional nursing malpractice
primarily to testify:
1. About standards of nursing care as they apply to the facts in the case
2. With regard to laws governing the practice of nursing
3. For the prosecution
4. For the defense - ANS -Correct Answer: 1 (The American Nurses Association
Standards of Clinical Nursing Practice are authoritative statements by which the
, national organization for nursing describes the responsibilities for which its
practitioners are accountable. An expert nurse is capable of explaining these
standards as they apply to the situation under litigation. These professional
standards are one criterion that helps a judge or jury determine if a nurse
committed malpractice or negligence.)
2. An expert nurse is not an expert in the law. The expert nurse's role is not to
make judgments about the laws as they apply to the practice of nursing.
3. A nurse expert can testify for either the prosecution or the defense.
4. A nurse expert can testify for either the defense or the prosecution.
7. A nurse is assessing a patient experiencing acute pain. Which characteristic is more
common with acute pain than with chronic pain?
1. Self-focusing
2. Sleep disturbances
3. Guarding behaviors
4. Variations in vital signs - ANS -4. Variations in vital signs
Acute pain stimulates the sympathetic nervous system, which responds by
increasing pulse, respirations, and blood pressure. Chronic pain stimulates the
parasympathetic nervous system, which results in lowered pulse and blood
pressure.
8. A nurse is assessing a patient experiencing chronic pain. Which characteristics are more
common with chronic pain than with acute pain? Select all that apply.
1. Gradual onset
2. Long duration
3. Anticipated end
4. Psychologically depleting
5. Responds to conventional interventions - ANS -1. Gradual onset
Chronic pain has a gradual progressive onset because it usually is related to a
long-term problem (e.g., diabetic neuropathy). Acute pain has a rapid onset
because it usually is related to abrupt trauma to the body (e.g., surgical incision,
damage from an automobile collision).
2. Long duration
Chronic pain is categorized as pain longer than 6 months' duration. Acute pain is
categorized as pain shorter than 6 months' duration.
4. Psychologically depleting
Chronic pain is psychologically depleting because it drains both physical and
emotional resources; this is related to the unrelenting nature of the pain and that it
usually continues for life.
9. A nurse is assessing a patient in pain. Which word might the nurse use when
documenting the pattern of a patient's pain?
1. Tenderness
2. Moderate
3. Episodic
4. Phantom - ANS -3. Episodic
