2025/2026 WITH
CORRECT/ACCURATE ANSWERS
A female client with a terminal illness is in denial. Indicators of
denial include:
A.Shock and dismay
B.Numbness
C.Stoicism
D.Preparatory grief - CORRECT ANSWERS- A. Shock and dismay
Rationale: Shock and dismay are early signs of denial-the first
stage of grief. Denial is a common defense mechanism used to
protect oneself from the hardship of considering an upsetting
reality. Kubler-Ross noted that after the initial shock of receiving a
terminal diagnosis, patients would often reject the reality of the
new information. The other options are associated with
depression—a later stage of grief.
Which health pattern in Gordon's model describes the patient's
spiritual attitude?
A. Value-belief pattern
B. Role-relationship pattern
C. Cognitive-perceptual pattern
,D. Self-perception-- self-concept pattern - CORRECT ANSWERS- A.
Value-belief pattern
According to Gordon's model, there are 11 health patterns. Each
pattern describes a particular characteristic. The value-belief
pattern describes a patient's spiritual attitude, the values and
beliefs that guide the choices or decisions of the patient. The role-
relationship pattern describes a patient's pattern of role
engagements and relationships. The cognitive=perceptual
pattern describes memory, decision-making ability, language
adequacy, and sensory-perceptual patterns/ A patient's concept
of self or perception of self is described by the self-perception--
self-concept pattern
The nurse prepares to transfer an immobile client from the bed to
a chair. Which action by the nurse is correct?
A.Lower the head of the bed into a flat position.
B.Place the chair with its back to the bed.
C.Let the client dangle their legs at the side of the bed.
D.Rapidly lift the client from the bed to the chair. - CORRECT
ANSWERS- C. Let the client dangle their legs at the side of the
bed
Rationale: If the client is able, assist them into a sitting position
on the bed first and dangle their legs at the side to prevent an
episode of orthostatic hypotension. Lowering the bed into a flat
position will require a lot of strength from the client to get off the
,bed; instead, raise the head of the bed to an angle that the client
can tolerate, then lower the bed itself to a safe working height.
The chair should be facing the client and next to the bed at a 45-
degree angle. Do not lift the client rapidly from the bed because
this could cause orthostatic hypotension or the client can become
injured from being off-balance.
A nurse is planning care for a client who is on bed rest. Which of
the following interventions should the nurse plan to implement?
A.Encourage the client to perform anti-embolic exercises every 2
hours.
B.Instruct the client to cough and deep breathe every 4 hours.
C.Restrict the client's fluid intake.
Reposition the client every 4 hours. - CORRECT ANSWERS- A.
Encourage the client to perform anti-embolic exercises every 2
hours.
Which inquiry would help the nurse obtain a relevant history when
examining a patient who is suspected of having fluid, electrolyte,
and acid-base imbalances? Select all that apply. One, some, or all
responses may be correct
A.obtain details of the patient's sleep patterns
B.inquire about the patient's sexual behavior
C.obtain a history of medication or herbal remedies used
D.inquire whether the patient is on any weight-loss diet plan
, E.inquire about the typ of fluids the patient drinks daily -
CORRECT ANSWERS- C.obtain a history of medication or herbal
remedies used
D.inquire whether the patient is on any weight-loss diet plan
E.inquire about the typ of fluids the patient drinks daily
Rationale: Asking the patient about a histoy of any medicatio or
herbal remedies is important. this is b/c medications such as
antacids, diuretics, and laxatives can have an effect on fluid,
electrolyte, and acid-base balance. Weight-loss diet plans can
cause deficiencies in certain electrolytes and also lead to
ketoacidosis. Drinking certain ttypes of fluids including coals, and
fruit juices can have effect on fluid, electrolyte, and acid-base
balance.
Which intellectual trait is characterized by staying determined
until achieving a goal?
A. Integrity
B. Humility
C. Risk Taking
D. Perseverance - CORRECT ANSWERS- D. Perserverance
The nurse who has the intellectual trait of perseverance stays
determined and keeps trying until the goal is achieved.