304 Exam 3 Quizzes Questions with
Verified Answers
Which interventions does a nurse implement to help a patient at the end of life maintain
autonomy while in a hospital? (Select all that apply.)
a. Use therapeutic techniques when communicating with the patient.
b. Allow the patient to determine timing and scheduling of interventions.
c. Allow patients to have visitors at any time.
d. Provide the patient with a private room close to the nurses' station.
e. Encourage the patient to eat when hungry. - ANSWERSb, c, e
A nurse has the responsibility of managing a patient's postmortem care. What is the
proper order for completing postmortem care when there is no autopsy ordered?
a. Bathe the body of the deceased.
b. Collect any needed specimens.
c. Remove all tubes and indwelling lines.
d. Position the body for family viewing.
e. Speak to the family members about their possible participation.
f. Ensure that the request for organ/tissue donation and/or autopsy was completed.
g. Notify support person (e.g., spiritual care provider, bereavement specialist) for the
family.
h. Accurately tag the body, including the identity of the deceased and safety issues
regarding infection control.
i. Elevate the head of the bed. - ANSWERSf, i, b, e, g, c, a, d, h
A patient is receiving palliative care for symptom management related to anxiety and
pain. A family member asks whether the patient is dying and now in "hospice." What
does the nurse tell the family member about palliative care? (Select all that apply.)
a. Palliative care and hospice are the same thing.
b. Palliative care is for any patient, at any time, with any disease, in any setting.
c. Palliative care strategies are primarily designed to treat the patient's illness.
d. Palliative care relieves the symptoms of illness and treatment.
e. Palliative care is started at the end of life. - ANSWERSb, d
The nurse is caring for a patient who is near death. What assessment finding cues the
nurse that death is approaching?
a. Skin irritation
b. Mottling
c. Increased urine output
d. Weakness - ANSWERSb
The nurse is assessing an older adult who is grieving after the loss of a spouse. What
are normal signs of grief that the nurse would expect to find? (Select all that apply)
, a. Loss of interest in attending outside activities
b. Feeling fatigued
c. Difficulty making decisions
d. Problems with remembering things
e. Change in appetite and eating patterns - ANSWERSa, b, c, d, e
Which actions implemented by the nurse help grieving families? (Select all that apply.)
a. Encourage involvement in nonthreatening group social activities.
b. Follow up with the family to make sure all their questions are answered.
c. Remind them that feelings of sadness or pain can return around anniversaries.
d. Encourage survivors to ask for help.
e. Look for overuse of alcohol, sleeping aids, or street drugs - ANSWERSa, b, c, d, e
When monitoring the client in labor, the nurse knows that the likely cause of variable
fetal heart rate (FHR) decelerations is which factor?
a. Uterine tachysystole
b. Maternal hypertension
c. Umbilical cord compression
d. Epidural or spinal anesthesia - ANSWERSc
The nurse is monitoring the client's FHR and notices late decelerations associated with
uterine contractions, including a gradual decrease in and return to baseline. To which
condition the nurse attribute this pattern?
a. Fundal pressure
b. Uteroplacental insufficiency
c. Vaginal exam
d. Fetal scalp stimulation - ANSWERSb
While auscultating for fetal heart tones in a pregnant client, the nurse observes
persistent fetal tachycardia. Which condition would be an anticipated finding?
a. If the client's body temperature has increased
b. If the tachycardia is caused by late decelerations
c. If the tachycardia is related to minimal variability
d. If the client's uterine contractions are elevated - ANSWERSa
When monitoring a client in labor who has just received spinal analgesia, which
assessment findings would the nurse report to the HCP? SATA.
a. Maternal BP of 108/79
b. Maternal HR of 98
c. Respiratory rate of 14 breaths/min
d. FHR of 100 bpm
e. Minimal variability on a FHR monitor - ANSWERSd, e
Which fetal heart tracing characteristics are considered reassuring or normal (category
1)?
a. Bradycardia not accompanied by baseline variability
Verified Answers
Which interventions does a nurse implement to help a patient at the end of life maintain
autonomy while in a hospital? (Select all that apply.)
a. Use therapeutic techniques when communicating with the patient.
b. Allow the patient to determine timing and scheduling of interventions.
c. Allow patients to have visitors at any time.
d. Provide the patient with a private room close to the nurses' station.
e. Encourage the patient to eat when hungry. - ANSWERSb, c, e
A nurse has the responsibility of managing a patient's postmortem care. What is the
proper order for completing postmortem care when there is no autopsy ordered?
a. Bathe the body of the deceased.
b. Collect any needed specimens.
c. Remove all tubes and indwelling lines.
d. Position the body for family viewing.
e. Speak to the family members about their possible participation.
f. Ensure that the request for organ/tissue donation and/or autopsy was completed.
g. Notify support person (e.g., spiritual care provider, bereavement specialist) for the
family.
h. Accurately tag the body, including the identity of the deceased and safety issues
regarding infection control.
i. Elevate the head of the bed. - ANSWERSf, i, b, e, g, c, a, d, h
A patient is receiving palliative care for symptom management related to anxiety and
pain. A family member asks whether the patient is dying and now in "hospice." What
does the nurse tell the family member about palliative care? (Select all that apply.)
a. Palliative care and hospice are the same thing.
b. Palliative care is for any patient, at any time, with any disease, in any setting.
c. Palliative care strategies are primarily designed to treat the patient's illness.
d. Palliative care relieves the symptoms of illness and treatment.
e. Palliative care is started at the end of life. - ANSWERSb, d
The nurse is caring for a patient who is near death. What assessment finding cues the
nurse that death is approaching?
a. Skin irritation
b. Mottling
c. Increased urine output
d. Weakness - ANSWERSb
The nurse is assessing an older adult who is grieving after the loss of a spouse. What
are normal signs of grief that the nurse would expect to find? (Select all that apply)
, a. Loss of interest in attending outside activities
b. Feeling fatigued
c. Difficulty making decisions
d. Problems with remembering things
e. Change in appetite and eating patterns - ANSWERSa, b, c, d, e
Which actions implemented by the nurse help grieving families? (Select all that apply.)
a. Encourage involvement in nonthreatening group social activities.
b. Follow up with the family to make sure all their questions are answered.
c. Remind them that feelings of sadness or pain can return around anniversaries.
d. Encourage survivors to ask for help.
e. Look for overuse of alcohol, sleeping aids, or street drugs - ANSWERSa, b, c, d, e
When monitoring the client in labor, the nurse knows that the likely cause of variable
fetal heart rate (FHR) decelerations is which factor?
a. Uterine tachysystole
b. Maternal hypertension
c. Umbilical cord compression
d. Epidural or spinal anesthesia - ANSWERSc
The nurse is monitoring the client's FHR and notices late decelerations associated with
uterine contractions, including a gradual decrease in and return to baseline. To which
condition the nurse attribute this pattern?
a. Fundal pressure
b. Uteroplacental insufficiency
c. Vaginal exam
d. Fetal scalp stimulation - ANSWERSb
While auscultating for fetal heart tones in a pregnant client, the nurse observes
persistent fetal tachycardia. Which condition would be an anticipated finding?
a. If the client's body temperature has increased
b. If the tachycardia is caused by late decelerations
c. If the tachycardia is related to minimal variability
d. If the client's uterine contractions are elevated - ANSWERSa
When monitoring a client in labor who has just received spinal analgesia, which
assessment findings would the nurse report to the HCP? SATA.
a. Maternal BP of 108/79
b. Maternal HR of 98
c. Respiratory rate of 14 breaths/min
d. FHR of 100 bpm
e. Minimal variability on a FHR monitor - ANSWERSd, e
Which fetal heart tracing characteristics are considered reassuring or normal (category
1)?
a. Bradycardia not accompanied by baseline variability
