NUR 180 - Final Exam (2025) Actual Exam
Questions and Answers A+ Graded
1. The .LPN .has .a .patient .with .mental .and .emotional .difficulties .who .is .sensi-
.tive .to .sound .and .light.
What .actions .will .the .LPN .take?: .- .Place .the .patient .in .a .carpeted .room
- Make .sure .lights .are .not .flickering
- Dim .lights
- Provide .the .patient .with .recordings .of .ocean .waves .& .light .rain .(soothing .sounds)
2. The .LPN .is .assessing .the .coping .patterns .of .a .new .patient.
.What .data .would .the .LPN .expect .to .find?: .- .Current .stressors
- Drug .or .alcohol .abuse
- Weight .changes
3. What .characteristics .will .the .LPN .be .looking .for .in .a .patient .that .is .suspect-
.ed .of .having .a .substance .abuse .disorder?: .- .Neglect .of .self .care
- Impaired .family .functioning
- Increased .use .despite .negative .consequences
- Poor .judgement
- Increased .accidents
- Frequently .absent .from .work
- Loss .of .job
4. Substance .abuse .interventions: .- .Educate .on .disease .process
- Encourage .to .live .in .present .& .not .past
- Encourage .problem .solving
5. Alcohol .abuse: .- .Withdrawal .S/S .8 .hrs .after .last .drink
- Irritability, .hand .tremors
- May .need .benzodiazepines .(Ativan)
- Aversion .therapy .using .Antabuse .(Disulfiram)
6. Antabuse: .- .Disulfiram
- No .cologne, .perfume, .cough .syrup, .mouthwash
7. Which .of .the .following .would .mental .health .professionals .strive .to .help
.patients .develop .& .maintain .regarding .spiritual .care?: .- .Inner .strength
- Self .awareness
- Life's .meaning .& .purpose
,- Relationships .with .others
8. Collecting .data .of .religious .beliefs .& .practices .from .patients.
What .should .the .LPN .include?: .- .What .role .does .religion .play .in .your .life?
- What .is .your .source .of .strength .& .hope?
- What .brings .you .comfort .and .joy?
- Does .your .religion .have .any .special .days?
, 9. Patient .prescribed .Laxopam .for .anxiety.
What .indicates .a .need .for .further .teaching?: .I .can .take .this .medication .to .relieve
.everyday .stress
10. Patient .scheduled .for .surgery .who .wants .to .wear .a .bracelet .that .has
.significant .religious .meaning..When .the .LPN .asks .them .to .remove .it, .they .say
.they .really .wish .they .could .wear .it .during .the .procedure.
What .does .the .LPN .do .next?: .Determine .if .the .item .may .remain .in .place .during
.the .procedure
11. Muslim .patient .wishing .to .face .MECCA.
What .position .should .the .nurse .place .the .patient's .bed?: .South .east .direction
.from .US
12. Patient .is .a .Jehovah's .Witness, .and .the .physician .orders .2 .units .of .blood
.ASAP. .She .refuses .to .sign .the .consent .form.
What .should .the .LPN .do .next?: .- .Notify .supervisor/physician .STAT
- Report .patient's .refusal
13. Nurses .& .spirituality: .- .Fail .to .recognize .patient .needs
- Nursing .program .insufficient
- Nurse .feels .inadequate .& .should .still .be .discussed .w/ .patient
14. Elderly .patient .that .recently .lost .a .loved .one .& .would .like .to .attend .a .grief
.meeting .but .does .not .drive, .cannot .afford .a .taxi, .doesn't .wish .to .burden .family
.or .friends.
What .would .the .LPN .do .next?: .Offer .to .acquire .information .about .senior .services
.that .may .help .the .patient
15. Dying .patient .& .family .reports .that .the .dying .patient .is .speaking .to .a
.deceased .loved .one. .Family .comes .to .the .nurses .station .concerned .about .too
.much .pain .medication.
How .should .the .nurse .respond?: .Normal .sign .of .approaching .death .& .it .is .impor-
.tant .that .we .do .all .we .can .to .keep .her .pain .tolerable
16. Patient .prescribed .Fluoxetine.
Which .response .indicates .further .teaching .is .needed?: .I .must .take .this .medica-
.tion .with .a .full .meal
17. Patient .admitted .to .the .mental .health .unit. .They .have .a .toothbrush, .tooth-
.paste, .and .dental .floss .in .their .pockets. .They .perform .dental .care .as .often .as
.every .1/2 .hour.
How .does .the .LPN .interpret .these .actions?: .Attempt .to .relieve .anxiety
18. Patient .having .an .acute .panic .attack.
What .should .the .LPN .do?: .- .Stay .near .the .patient
- Reassure .them .that .they .are .safe
Questions and Answers A+ Graded
1. The .LPN .has .a .patient .with .mental .and .emotional .difficulties .who .is .sensi-
.tive .to .sound .and .light.
What .actions .will .the .LPN .take?: .- .Place .the .patient .in .a .carpeted .room
- Make .sure .lights .are .not .flickering
- Dim .lights
- Provide .the .patient .with .recordings .of .ocean .waves .& .light .rain .(soothing .sounds)
2. The .LPN .is .assessing .the .coping .patterns .of .a .new .patient.
.What .data .would .the .LPN .expect .to .find?: .- .Current .stressors
- Drug .or .alcohol .abuse
- Weight .changes
3. What .characteristics .will .the .LPN .be .looking .for .in .a .patient .that .is .suspect-
.ed .of .having .a .substance .abuse .disorder?: .- .Neglect .of .self .care
- Impaired .family .functioning
- Increased .use .despite .negative .consequences
- Poor .judgement
- Increased .accidents
- Frequently .absent .from .work
- Loss .of .job
4. Substance .abuse .interventions: .- .Educate .on .disease .process
- Encourage .to .live .in .present .& .not .past
- Encourage .problem .solving
5. Alcohol .abuse: .- .Withdrawal .S/S .8 .hrs .after .last .drink
- Irritability, .hand .tremors
- May .need .benzodiazepines .(Ativan)
- Aversion .therapy .using .Antabuse .(Disulfiram)
6. Antabuse: .- .Disulfiram
- No .cologne, .perfume, .cough .syrup, .mouthwash
7. Which .of .the .following .would .mental .health .professionals .strive .to .help
.patients .develop .& .maintain .regarding .spiritual .care?: .- .Inner .strength
- Self .awareness
- Life's .meaning .& .purpose
,- Relationships .with .others
8. Collecting .data .of .religious .beliefs .& .practices .from .patients.
What .should .the .LPN .include?: .- .What .role .does .religion .play .in .your .life?
- What .is .your .source .of .strength .& .hope?
- What .brings .you .comfort .and .joy?
- Does .your .religion .have .any .special .days?
, 9. Patient .prescribed .Laxopam .for .anxiety.
What .indicates .a .need .for .further .teaching?: .I .can .take .this .medication .to .relieve
.everyday .stress
10. Patient .scheduled .for .surgery .who .wants .to .wear .a .bracelet .that .has
.significant .religious .meaning..When .the .LPN .asks .them .to .remove .it, .they .say
.they .really .wish .they .could .wear .it .during .the .procedure.
What .does .the .LPN .do .next?: .Determine .if .the .item .may .remain .in .place .during
.the .procedure
11. Muslim .patient .wishing .to .face .MECCA.
What .position .should .the .nurse .place .the .patient's .bed?: .South .east .direction
.from .US
12. Patient .is .a .Jehovah's .Witness, .and .the .physician .orders .2 .units .of .blood
.ASAP. .She .refuses .to .sign .the .consent .form.
What .should .the .LPN .do .next?: .- .Notify .supervisor/physician .STAT
- Report .patient's .refusal
13. Nurses .& .spirituality: .- .Fail .to .recognize .patient .needs
- Nursing .program .insufficient
- Nurse .feels .inadequate .& .should .still .be .discussed .w/ .patient
14. Elderly .patient .that .recently .lost .a .loved .one .& .would .like .to .attend .a .grief
.meeting .but .does .not .drive, .cannot .afford .a .taxi, .doesn't .wish .to .burden .family
.or .friends.
What .would .the .LPN .do .next?: .Offer .to .acquire .information .about .senior .services
.that .may .help .the .patient
15. Dying .patient .& .family .reports .that .the .dying .patient .is .speaking .to .a
.deceased .loved .one. .Family .comes .to .the .nurses .station .concerned .about .too
.much .pain .medication.
How .should .the .nurse .respond?: .Normal .sign .of .approaching .death .& .it .is .impor-
.tant .that .we .do .all .we .can .to .keep .her .pain .tolerable
16. Patient .prescribed .Fluoxetine.
Which .response .indicates .further .teaching .is .needed?: .I .must .take .this .medica-
.tion .with .a .full .meal
17. Patient .admitted .to .the .mental .health .unit. .They .have .a .toothbrush, .tooth-
.paste, .and .dental .floss .in .their .pockets. .They .perform .dental .care .as .often .as
.every .1/2 .hour.
How .does .the .LPN .interpret .these .actions?: .Attempt .to .relieve .anxiety
18. Patient .having .an .acute .panic .attack.
What .should .the .LPN .do?: .- .Stay .near .the .patient
- Reassure .them .that .they .are .safe
