NURS 1130 Exam 4 Questions With Complete Solutions
A 62-year-old male patient has just been told he has a terminal
illness. Which statement indicates that the patient is spiritually
stressed because of the diagnosis of terminal illness?
A. "I have nothing to live for now"
B. "What will happen to my wife when I die?"
C. "How much longer do I have to live?"
D. "I need to go to church and pray for a miracle" Correct
Answer I have nothing to live for now
A co-worker asks the nurse to explain spirituality. What is the
nurse's best response?
a. It has a minor effect on health.
b. It is awareness of one's inner self.
c. It is not as essential as physical needs.
d. It refers to fire or giving of life to a person. Correct Answer
b. It is awareness of one's inner self.
A community health nurse is providing an educational session at
the senior center on how to promote sleep. Which practices
should the nurse recommend? Select all that apply
A. Take a nap in the afternoon
B. Sleep where you sleep best
C. Use sedatives as a last resort
D. Watch television right before sleep
E. Decrease fluids 2 to 4 hours before sleep
F. Get up in unable to fall asleep in 15 to 30 minutes Correct
Answer B, C, E, F
,A couple does not desire to have any more children. Which
contraceptive method would the nurse suggest?
A. Skin patch
B. Intrauterine device
C. Abstinence
D. Vasectomy Correct Answer Vasectomy
A couple is diagnosed as positive for the human
immunodeficiency virus (HIV). Which information would the
nurse include when educating this couple about HIV?
A. They should not engage in sexual intercourse
B. Their children will also be HIV positive
C. Their duration of survival would increase with treatment
D. They can be cured by highly active anti retro viral therapy
Correct Answer Their duration of survival would increase with
treatment
A long-term care facility encourages nurses to assess patients at
risk for developing pressure injuries based on six sub scales:
moisture, sensory perception, activity, mobility, nutrition, and
friction or shear force. Which tool is the long-term care facility
using for risk assessment of pressure injury development?
Correct Answer Braden scale
A male patient in stable condition is in the intensive care unit
(ICU) and is asking to see his spouse and two daughters. What
should the nurse do?
,A. Allow only 5 to 10 minutes with the family
B. Allow the wife and daughters to visit at the patients request
C. Allow the two daughters to visit, and let the wife visit when
they leave
D. Allow the wife and one daughter to enter the ICU but not the
other daughter Correct Answer Allow the wife and daughters
to visit at the patients request
A nurse hears the following comments from different patients.
Which patient comment does the nurse identify as faith?
A. I go to church ever Sunday
B. I believe there is life after death
C. I have something to look forward to each day
D. I get a feeling of awe when looking at the sunset Correct
Answer I believe there is life after death
A nurse is assessing a patient who started to have severe pain 3
days ago. When the nurse asks the patient to describe the pain,
the patient states, "The pain feels like it is in my stomach. It is a
burning pain, and it spreads out in a circle around the spot where
it hurts the most." Which type of pain does the nurse document
the patient is having at this time?
A. Superficial pain
B. Idiopathic pain
C. Chronic pain
D. Visceral pain Correct Answer Visceral pain
, A nurse is assessing a patient's wound. Which nursing
observation will indicate the wound healed by secondary
intention?
A. Minimal loss of tissue function
B. Permanent dark redness at site
C. Minimal scar tissue
D. Scarring that may be severe Correct Answer Scarring that
may be severe
A nurse is assigned most of the patients with pressure ulcers.
The nurse leaves the pressure ulcer open to air and does not
apply a dressing. To which patient did the nurse provide care?
Correct Answer A patient with a clean Stage I
A nurse is caring for a 15-year-old who in the past 6 months has
had multiple male and female sexual partners. Which response
by the nurse will be most effective? Correct Answer
"Sexually transmitted infections and unwanted pregnancy are a
real risk. Let's discuss what you think is the best method for
protecting yourself."
A nurse is caring for a Hindu patient. Which action will the
nurse take?
A. Allow time to practice the 5 pillars
B. Allow time to practice Blessing Way
C. Allow time for Holy Communion
D. Allow time for Purity Rituals Correct Answer Allow time
for Purity Rituals
A 62-year-old male patient has just been told he has a terminal
illness. Which statement indicates that the patient is spiritually
stressed because of the diagnosis of terminal illness?
A. "I have nothing to live for now"
B. "What will happen to my wife when I die?"
C. "How much longer do I have to live?"
D. "I need to go to church and pray for a miracle" Correct
Answer I have nothing to live for now
A co-worker asks the nurse to explain spirituality. What is the
nurse's best response?
a. It has a minor effect on health.
b. It is awareness of one's inner self.
c. It is not as essential as physical needs.
d. It refers to fire or giving of life to a person. Correct Answer
b. It is awareness of one's inner self.
A community health nurse is providing an educational session at
the senior center on how to promote sleep. Which practices
should the nurse recommend? Select all that apply
A. Take a nap in the afternoon
B. Sleep where you sleep best
C. Use sedatives as a last resort
D. Watch television right before sleep
E. Decrease fluids 2 to 4 hours before sleep
F. Get up in unable to fall asleep in 15 to 30 minutes Correct
Answer B, C, E, F
,A couple does not desire to have any more children. Which
contraceptive method would the nurse suggest?
A. Skin patch
B. Intrauterine device
C. Abstinence
D. Vasectomy Correct Answer Vasectomy
A couple is diagnosed as positive for the human
immunodeficiency virus (HIV). Which information would the
nurse include when educating this couple about HIV?
A. They should not engage in sexual intercourse
B. Their children will also be HIV positive
C. Their duration of survival would increase with treatment
D. They can be cured by highly active anti retro viral therapy
Correct Answer Their duration of survival would increase with
treatment
A long-term care facility encourages nurses to assess patients at
risk for developing pressure injuries based on six sub scales:
moisture, sensory perception, activity, mobility, nutrition, and
friction or shear force. Which tool is the long-term care facility
using for risk assessment of pressure injury development?
Correct Answer Braden scale
A male patient in stable condition is in the intensive care unit
(ICU) and is asking to see his spouse and two daughters. What
should the nurse do?
,A. Allow only 5 to 10 minutes with the family
B. Allow the wife and daughters to visit at the patients request
C. Allow the two daughters to visit, and let the wife visit when
they leave
D. Allow the wife and one daughter to enter the ICU but not the
other daughter Correct Answer Allow the wife and daughters
to visit at the patients request
A nurse hears the following comments from different patients.
Which patient comment does the nurse identify as faith?
A. I go to church ever Sunday
B. I believe there is life after death
C. I have something to look forward to each day
D. I get a feeling of awe when looking at the sunset Correct
Answer I believe there is life after death
A nurse is assessing a patient who started to have severe pain 3
days ago. When the nurse asks the patient to describe the pain,
the patient states, "The pain feels like it is in my stomach. It is a
burning pain, and it spreads out in a circle around the spot where
it hurts the most." Which type of pain does the nurse document
the patient is having at this time?
A. Superficial pain
B. Idiopathic pain
C. Chronic pain
D. Visceral pain Correct Answer Visceral pain
, A nurse is assessing a patient's wound. Which nursing
observation will indicate the wound healed by secondary
intention?
A. Minimal loss of tissue function
B. Permanent dark redness at site
C. Minimal scar tissue
D. Scarring that may be severe Correct Answer Scarring that
may be severe
A nurse is assigned most of the patients with pressure ulcers.
The nurse leaves the pressure ulcer open to air and does not
apply a dressing. To which patient did the nurse provide care?
Correct Answer A patient with a clean Stage I
A nurse is caring for a 15-year-old who in the past 6 months has
had multiple male and female sexual partners. Which response
by the nurse will be most effective? Correct Answer
"Sexually transmitted infections and unwanted pregnancy are a
real risk. Let's discuss what you think is the best method for
protecting yourself."
A nurse is caring for a Hindu patient. Which action will the
nurse take?
A. Allow time to practice the 5 pillars
B. Allow time to practice Blessing Way
C. Allow time for Holy Communion
D. Allow time for Purity Rituals Correct Answer Allow time
for Purity Rituals
