Care Management 2 Final Review
Exam Questions and Actual Detailed
Answers 2025-2026 Updated.
Based on a client's vague explanations for recurring injuries, the nurse suspects that a
community-dwelling older adult may be the victim of abuse. What is the nurse's primary
responsibility? - Answer report the findings to adult protective services
A medical nurse is providing end-of-life care for a client with metastatic bone cancer. The nurse
notes that the client has been receiving oral analgesics for her pain with adequate effect but is
now having difficulty swallowing the medication. What should the nurse do? - Answer request
the physician to order analgesics by an alternative route
An elderly client has come in to the clinic for her twice-yearly physical. The client tells the nurse
that she is generally enjoyed good health, but that she has been having occasional episodes of
constipation over the past 6 months. What intervention should the nurse first suggest? - Answer
increase daily intake of water
The admissions department at the local hospital is registering a male older adult for an
outpatient diagnostic test. The admissions nurse asks the man if he has an advanced directive.
The man responds that he does not want to complete an advance directive because he does not
want anyone controlling his finances. What would be appropriate information for the nurse to
share with this client? - Answer "advanced directives are limited only to health care
instructions and directives"
An older adult client has returned to the community following knee replacement surgery. The
community health nurse recognizes that the client has prescriptions for nine different
medications for the treatment of varied health problems. In addition, she has experienced
occasional episodes of dizziness and lightheadedness since her discharge. The nurse should
identify which of the following nursing diagnoses? - Answer risk for falls related to
polypharmacy and impaired balance
A patient has just returned from a right radical mastectomy. Which action by the unlicensed
assistive personnel (UAP) would the nurse consider unsafe? - Answer taking the blood
pressure on the right arm
The nurse is providing care for an 82-year-old man whose signs and symptoms of Parkinson
disease have worsened over the past several months. The man states that he can no longer do
,A client's rapid cancer metastases have prompted a shift from active treatment to palliative
care. When planning this client's care, the nurse should identify what primary aim? - Answer
to prevent and relieve suffering
A nurse working with older adults in the community plans programming to improve morale and
emotional health is this population. What activity would best meet this goal? - Answer
exercise program to improve physical function
The nurse has observed that an older adult client with a diagnosis of end-stage kidney disease
seems to prefer to have his eldest some make all of his health care decisions. While the family is
visiting, the client explains that this is a cultural practice and very important to him. How should
the nurse best respond? - Answer work with the team to negotiate informed consent
A nurse manager wants to improve hand-off communication among the staff. What actions by
the manager would best help achieve that goal? - Answer -attend hand-off rounds to coach
and mentor
-conduct audits of staff using a new template
-create a template of topics to include in report
-encourage staff to ask questions during hand-off
The nurse is delegating to the unlicensed assistive personnel (UAP). What is the best instruction
by the nurse? - Answer notify me right away if the client's systolic blood pressure is 170 or
greater
When implementing a comprehensive plan to reduce the incidence of falls on a gerontologic
unit, what risk factors should the nurse identify? - Answer -medication effects
-poor lighting
-sensory impairment
The nurse is caring for a hospice client who is scheduled for a surgical procedure to reduce the
size of his spinal tumor in an effort to relieve his pain. The nurse should plan his client care with
the knowledge that his surgical procedure is classified as which of the following? - Answer
palliative
A nurse is calling the on-call physician about a patient who has a hysterectomy 2 days ago and
his pain that is unrelieved by the prescribed opioid pain medication. Which statement
comprises the background portion of the SBAR format for communication? - Answer this client
, The nurse is caring for a client who has terminal lung cancer and is unconscious. Which
assessment finding would most clearly indicate to the nurse that the client's death is imminent?
- Answer mottling of the lower limbs
An adult oncology client has a diagnosis of bladder cancer with metastasis and the client has
asked the nurse about the possibility of hospice care. Which principle is central to a hospice
setting? - Answer the patient and family should be viewed as a single unit of care
The home health nurse is making an initial home visit to an older adult client who is a widower.
The client takes multiple medications for the treatment of varied chronic health problems. The
client states that he has also begun taking some herbal remedies. What should the nurse be
sure to include in the client's teaching? - Answer there is a need to inform his physician and
pharmacist about the herbal remedies
One of the functions of nursing care of the terminally ill is to support the client and their family
as they come to terms with the diagnosis and progression of the disease process. How should
nurses support client and their families during that process? - Answer -try to appreciate and
understand the illness from the patients perspective
-assist patients with performing a life review
-provide interventions that facilitate end-of-life closure
The nurse is a pediatric ICU is caring for a child who is dying of sickle cell disease. The child's
mother has been unable to eat or sleep and can talk only about her impending loss and the guilt
she feels about the child's pain and suffering. What intervention has the highest priority? -
Answer allowing the mother to express her feeling w/out judgement
The client asks the nurse, "When will the Durable Power of Attorney for Health Care take
effect?" On which scientific rationale would the nurse base the response? - Answer it becomes
valid only when the clients cannot make their own decisions
The nurse is caring for a client diagnosed with multiple myeloma who has just been told that his
prognosis is poor. He is tearful and trying to express his feelings, but he is having difficulty. What
should the nurse do first? - Answer
The nurse is admitting a client into hospice care. The client has a diagnosis of Parkinson disease
which is progressing rapidly. The client has made clear his preference to receive care at home.
What interventions should the nurse prioritize in the plan of care? - Answer supporting the
patient's and family's values and choices
Exam Questions and Actual Detailed
Answers 2025-2026 Updated.
Based on a client's vague explanations for recurring injuries, the nurse suspects that a
community-dwelling older adult may be the victim of abuse. What is the nurse's primary
responsibility? - Answer report the findings to adult protective services
A medical nurse is providing end-of-life care for a client with metastatic bone cancer. The nurse
notes that the client has been receiving oral analgesics for her pain with adequate effect but is
now having difficulty swallowing the medication. What should the nurse do? - Answer request
the physician to order analgesics by an alternative route
An elderly client has come in to the clinic for her twice-yearly physical. The client tells the nurse
that she is generally enjoyed good health, but that she has been having occasional episodes of
constipation over the past 6 months. What intervention should the nurse first suggest? - Answer
increase daily intake of water
The admissions department at the local hospital is registering a male older adult for an
outpatient diagnostic test. The admissions nurse asks the man if he has an advanced directive.
The man responds that he does not want to complete an advance directive because he does not
want anyone controlling his finances. What would be appropriate information for the nurse to
share with this client? - Answer "advanced directives are limited only to health care
instructions and directives"
An older adult client has returned to the community following knee replacement surgery. The
community health nurse recognizes that the client has prescriptions for nine different
medications for the treatment of varied health problems. In addition, she has experienced
occasional episodes of dizziness and lightheadedness since her discharge. The nurse should
identify which of the following nursing diagnoses? - Answer risk for falls related to
polypharmacy and impaired balance
A patient has just returned from a right radical mastectomy. Which action by the unlicensed
assistive personnel (UAP) would the nurse consider unsafe? - Answer taking the blood
pressure on the right arm
The nurse is providing care for an 82-year-old man whose signs and symptoms of Parkinson
disease have worsened over the past several months. The man states that he can no longer do
,A client's rapid cancer metastases have prompted a shift from active treatment to palliative
care. When planning this client's care, the nurse should identify what primary aim? - Answer
to prevent and relieve suffering
A nurse working with older adults in the community plans programming to improve morale and
emotional health is this population. What activity would best meet this goal? - Answer
exercise program to improve physical function
The nurse has observed that an older adult client with a diagnosis of end-stage kidney disease
seems to prefer to have his eldest some make all of his health care decisions. While the family is
visiting, the client explains that this is a cultural practice and very important to him. How should
the nurse best respond? - Answer work with the team to negotiate informed consent
A nurse manager wants to improve hand-off communication among the staff. What actions by
the manager would best help achieve that goal? - Answer -attend hand-off rounds to coach
and mentor
-conduct audits of staff using a new template
-create a template of topics to include in report
-encourage staff to ask questions during hand-off
The nurse is delegating to the unlicensed assistive personnel (UAP). What is the best instruction
by the nurse? - Answer notify me right away if the client's systolic blood pressure is 170 or
greater
When implementing a comprehensive plan to reduce the incidence of falls on a gerontologic
unit, what risk factors should the nurse identify? - Answer -medication effects
-poor lighting
-sensory impairment
The nurse is caring for a hospice client who is scheduled for a surgical procedure to reduce the
size of his spinal tumor in an effort to relieve his pain. The nurse should plan his client care with
the knowledge that his surgical procedure is classified as which of the following? - Answer
palliative
A nurse is calling the on-call physician about a patient who has a hysterectomy 2 days ago and
his pain that is unrelieved by the prescribed opioid pain medication. Which statement
comprises the background portion of the SBAR format for communication? - Answer this client
, The nurse is caring for a client who has terminal lung cancer and is unconscious. Which
assessment finding would most clearly indicate to the nurse that the client's death is imminent?
- Answer mottling of the lower limbs
An adult oncology client has a diagnosis of bladder cancer with metastasis and the client has
asked the nurse about the possibility of hospice care. Which principle is central to a hospice
setting? - Answer the patient and family should be viewed as a single unit of care
The home health nurse is making an initial home visit to an older adult client who is a widower.
The client takes multiple medications for the treatment of varied chronic health problems. The
client states that he has also begun taking some herbal remedies. What should the nurse be
sure to include in the client's teaching? - Answer there is a need to inform his physician and
pharmacist about the herbal remedies
One of the functions of nursing care of the terminally ill is to support the client and their family
as they come to terms with the diagnosis and progression of the disease process. How should
nurses support client and their families during that process? - Answer -try to appreciate and
understand the illness from the patients perspective
-assist patients with performing a life review
-provide interventions that facilitate end-of-life closure
The nurse is a pediatric ICU is caring for a child who is dying of sickle cell disease. The child's
mother has been unable to eat or sleep and can talk only about her impending loss and the guilt
she feels about the child's pain and suffering. What intervention has the highest priority? -
Answer allowing the mother to express her feeling w/out judgement
The client asks the nurse, "When will the Durable Power of Attorney for Health Care take
effect?" On which scientific rationale would the nurse base the response? - Answer it becomes
valid only when the clients cannot make their own decisions
The nurse is caring for a client diagnosed with multiple myeloma who has just been told that his
prognosis is poor. He is tearful and trying to express his feelings, but he is having difficulty. What
should the nurse do first? - Answer
The nurse is admitting a client into hospice care. The client has a diagnosis of Parkinson disease
which is progressing rapidly. The client has made clear his preference to receive care at home.
What interventions should the nurse prioritize in the plan of care? - Answer supporting the
patient's and family's values and choices
