NURS 251 FINAL EXAM 2025-2026 PRACTICE
QUESTIONS AND ANSWERS GRADED A+
A patient is seen in the clinic for a diabetic foot ulcer and states that they are
socially isolated related to limited mobility. Which of the following problem-
solving strategies should be done first by the nurse in addressing impaired family
process? Select all that apply:
A. Help the patient identify contributing factors.
B. Assist the patient to develop solutions.
C. Refer the patient to counseling for social isolation.
D. Refer to resource agencies for assistance.
E. Assess family relationships and identify barriers or conflict.
A. Help the patient identify contributing factors.
E. Assess family relationships and identify barriers or conflict.
The nurse is giving an undocumented farm worker patient, who was recently
diagnosed with hypertension, information about local pharmacies that charge a
dollar for prescriptions. The patient's blood pressure is still higher than the target
goal for the month because the patient neglected to take the medication. The
patient states that they could not afford the medication; they could only afford to
,buy food for their young children. What type of function is the patient providing
the family?
A. Economic
B. Nurturing and support
C. Physical
D. Socialization
C. Physical
Which of the following would NOT be an example of a family?
A. One birth parent, one non-birth parent, and children
B. Same-sex couple without children
C. Homeless group raising a child
D. Widowed parent with adult children, living alone
D. Widowed parent with adult children, living alone
The nurse is educating a 59-year-old patient who is newly diagnosed with early-
onset dementia. The patient is explaining to the nurse that in trying to provide for
his family, he alienated himself from his children. Based on Erickson's seventh
stage of psychosocial development, how will the nurse document this assessment?
,A. "The patient felt stagnant and disconnected from his family."
B. "The patient felt isolated because he distanced himself from his family."
C. "The patient developed despair by not caring for his children."
D. "The patient developed pride by making his mark in his chosen career."
A. "The patient felt stagnant and disconnected from his family."
The capacity of physiologic systems to maintain stability yet alter the set point
required for optimum system functioning is known as which of the following?
A. Homeostasis
B. Allostasis
C. Coping
D. Adaptation
B. Allostasis
A patient is seen at a prenatal visit. Which of the following assessment findings
would indicate the effects of chronic stress?
A. Elevated blood glucose
B. Decreased immune response
C. Dilated pupils
D. Rapid breathing pattern
, B. Decreased immune response
A new, first-time parent/caregiver comes in for a postpartum visit and reports high
levels of stress and feeling overwhelmed with the new role. Which of the following
nursing interventions would be most appropriate?
A. Asking the patient to recognize and identify the stressor
B. Encouraging the patient to use assertiveness to express feelings
C. Promoting adequate exercise and healthy diet
D. Offering crisis intervention resources
C. Promoting adequate exercise and healthy diet
A patient describes their recent excessive use of alcohol by saying "It's just
because I have been going out more after work to bond with my new coworkers."
Which common defense mechanism is this an example of?
A. Compensation
B. Denial
C. Projection
D. Rationalization
Rationalization
QUESTIONS AND ANSWERS GRADED A+
A patient is seen in the clinic for a diabetic foot ulcer and states that they are
socially isolated related to limited mobility. Which of the following problem-
solving strategies should be done first by the nurse in addressing impaired family
process? Select all that apply:
A. Help the patient identify contributing factors.
B. Assist the patient to develop solutions.
C. Refer the patient to counseling for social isolation.
D. Refer to resource agencies for assistance.
E. Assess family relationships and identify barriers or conflict.
A. Help the patient identify contributing factors.
E. Assess family relationships and identify barriers or conflict.
The nurse is giving an undocumented farm worker patient, who was recently
diagnosed with hypertension, information about local pharmacies that charge a
dollar for prescriptions. The patient's blood pressure is still higher than the target
goal for the month because the patient neglected to take the medication. The
patient states that they could not afford the medication; they could only afford to
,buy food for their young children. What type of function is the patient providing
the family?
A. Economic
B. Nurturing and support
C. Physical
D. Socialization
C. Physical
Which of the following would NOT be an example of a family?
A. One birth parent, one non-birth parent, and children
B. Same-sex couple without children
C. Homeless group raising a child
D. Widowed parent with adult children, living alone
D. Widowed parent with adult children, living alone
The nurse is educating a 59-year-old patient who is newly diagnosed with early-
onset dementia. The patient is explaining to the nurse that in trying to provide for
his family, he alienated himself from his children. Based on Erickson's seventh
stage of psychosocial development, how will the nurse document this assessment?
,A. "The patient felt stagnant and disconnected from his family."
B. "The patient felt isolated because he distanced himself from his family."
C. "The patient developed despair by not caring for his children."
D. "The patient developed pride by making his mark in his chosen career."
A. "The patient felt stagnant and disconnected from his family."
The capacity of physiologic systems to maintain stability yet alter the set point
required for optimum system functioning is known as which of the following?
A. Homeostasis
B. Allostasis
C. Coping
D. Adaptation
B. Allostasis
A patient is seen at a prenatal visit. Which of the following assessment findings
would indicate the effects of chronic stress?
A. Elevated blood glucose
B. Decreased immune response
C. Dilated pupils
D. Rapid breathing pattern
, B. Decreased immune response
A new, first-time parent/caregiver comes in for a postpartum visit and reports high
levels of stress and feeling overwhelmed with the new role. Which of the following
nursing interventions would be most appropriate?
A. Asking the patient to recognize and identify the stressor
B. Encouraging the patient to use assertiveness to express feelings
C. Promoting adequate exercise and healthy diet
D. Offering crisis intervention resources
C. Promoting adequate exercise and healthy diet
A patient describes their recent excessive use of alcohol by saying "It's just
because I have been going out more after work to bond with my new coworkers."
Which common defense mechanism is this an example of?
A. Compensation
B. Denial
C. Projection
D. Rationalization
Rationalization
