D439 TEST PAPER QUESTIONS AND
SOLUTIONS 100% CORRECT FOR THE 2026
FINAL.
◍ Nasopharyngeal Suctioning. Answer: -removing secretions from
the throat through a nasally inserted catheter
◍ Pt loses or decreased level of consciousness. What do you do next?.
Answer: -assess their respirations (Airway, breathing, circulation)
-Patients with sudden changes in their vitals, LOC, or behavior may
be experiencing profound hypoxia.
◍ Pt is unconscious what position should they be in when giving oral
care?. Answer: -make sure BEFORE procedure check: O2 sats,
respirations, Gag reflex
-To provide oral care for these patients, have two nurses provide the
care; turn the patient's head toward you and place the bed in semi-
Fowler's position.
-make sure to position them either SEMIFOWLERS with head to the
side or MODIFIED LEFT LATERAL RECUMBANT position
-make sure to assess gag reflex so they wont aspirate saliva (keep
suction equipment nearby)
-raise bed to good working level
-raise or elevate the HOB to 30 degrees and position side lying which
can prevent aspiration, turn pt he's doing toward mattress
,◍ Emancipated Minor Criteria with HIPPA lAWS. Answer: Those
who consent to treatment:
MINORS WHO:
-are emancipated can give consent without a parent which are
1: minors who are designated emancipated by a court order
2: married, divorced, widowed
3: in active military
*unemancipated minors who can conset are:
MINORS WHO:
1: pregnant, prenant related conditions
2: minor parent for a custodial child
3: STI information and treatment
4: substance abuse treatment
5: outpaitent or temporar sheltered mental health treatment.
Informed consent is a patient's agreement to have a medical procedure
after receiving full disclosure of risks, benefits, alternatives, and
consequences of refusal -and requires a HCP to give and nurse to
WITNESS
◍ Sexuality. Answer: -desire, sexual preference, and sexual identity
and behavior
-an aspect often looked over by HCPs
, -nurses working w older adults need to assess the sexual identity,
sexual interest, and functioning, and general perception of their sexual
health
-for both men and women as they age it takes longer to climax
-urinary incontinence can lead to embarrassment during intercourse
-ED is common in men
-your behavior as a nurse will effect how a pt expresses their sexual
concerns
-Strategies that enhance sexual functioning include the following:
• Avoid alcohol (in excess) and tobacco.
• Eat well-balanced meals.
• Plan sexual activity for times when the couple feels rested.
• Take pain medication if needed before sexual intercourse.
• Use pillows and alternate positioning to enhance comfort.
• Encourage touch, kissing, hugging, and other tactile stimulation.
• Communicate concerns and fears with partner and health care
provider.
◍ Types of restraints. Answer: -physical, chemical, environmental
-need: in-person assessment from HCP within 24 hrs until no longer
needed, will need a new order
-documentation: why, when , assessment of well being, what care
offered and provided for the patient
SOLUTIONS 100% CORRECT FOR THE 2026
FINAL.
◍ Nasopharyngeal Suctioning. Answer: -removing secretions from
the throat through a nasally inserted catheter
◍ Pt loses or decreased level of consciousness. What do you do next?.
Answer: -assess their respirations (Airway, breathing, circulation)
-Patients with sudden changes in their vitals, LOC, or behavior may
be experiencing profound hypoxia.
◍ Pt is unconscious what position should they be in when giving oral
care?. Answer: -make sure BEFORE procedure check: O2 sats,
respirations, Gag reflex
-To provide oral care for these patients, have two nurses provide the
care; turn the patient's head toward you and place the bed in semi-
Fowler's position.
-make sure to position them either SEMIFOWLERS with head to the
side or MODIFIED LEFT LATERAL RECUMBANT position
-make sure to assess gag reflex so they wont aspirate saliva (keep
suction equipment nearby)
-raise bed to good working level
-raise or elevate the HOB to 30 degrees and position side lying which
can prevent aspiration, turn pt he's doing toward mattress
,◍ Emancipated Minor Criteria with HIPPA lAWS. Answer: Those
who consent to treatment:
MINORS WHO:
-are emancipated can give consent without a parent which are
1: minors who are designated emancipated by a court order
2: married, divorced, widowed
3: in active military
*unemancipated minors who can conset are:
MINORS WHO:
1: pregnant, prenant related conditions
2: minor parent for a custodial child
3: STI information and treatment
4: substance abuse treatment
5: outpaitent or temporar sheltered mental health treatment.
Informed consent is a patient's agreement to have a medical procedure
after receiving full disclosure of risks, benefits, alternatives, and
consequences of refusal -and requires a HCP to give and nurse to
WITNESS
◍ Sexuality. Answer: -desire, sexual preference, and sexual identity
and behavior
-an aspect often looked over by HCPs
, -nurses working w older adults need to assess the sexual identity,
sexual interest, and functioning, and general perception of their sexual
health
-for both men and women as they age it takes longer to climax
-urinary incontinence can lead to embarrassment during intercourse
-ED is common in men
-your behavior as a nurse will effect how a pt expresses their sexual
concerns
-Strategies that enhance sexual functioning include the following:
• Avoid alcohol (in excess) and tobacco.
• Eat well-balanced meals.
• Plan sexual activity for times when the couple feels rested.
• Take pain medication if needed before sexual intercourse.
• Use pillows and alternate positioning to enhance comfort.
• Encourage touch, kissing, hugging, and other tactile stimulation.
• Communicate concerns and fears with partner and health care
provider.
◍ Types of restraints. Answer: -physical, chemical, environmental
-need: in-person assessment from HCP within 24 hrs until no longer
needed, will need a new order
-documentation: why, when , assessment of well being, what care
offered and provided for the patient
