NURS 225 Exam 2 Review 2026 | Nursing Process, Patient
Care & Clinical Judgment | Graded A+
1. How can a nurse identify unresolved guilt in a grieving individual based on
their statements?
A nurse can identify unresolved guilt when an individual talks about
their loved one's positive life experiences.
A nurse can identify unresolved guilt when an individual discusses
seasonal difficulties.
A nurse can identify unresolved guilt when an individual mentions
missing their loved one more over time.
A nurse can identify unresolved guilt when an individual expresses
regret about actions they did not take.
2. What should the nurse consider when setting goals for an older adult's plan
of care during hospitalization?
Current medication regimen
Hospital discharge policies
Family support systems
Pre-admission functional abilities
3. What is the initial diagnostic test commonly ordered for urinary issues in
patients?
CT scan of abdomen and kidneys
mid-stream urine for culture
KUB radiograph
ultrasound of kidney
,4. Which of the following changes is considered to be a condition of normal
aging?
Glaucoma
Age-related macular degeneration
Cataracts
Presbyopia
5. A patient has been placed in a skeletal traction and will be immobilized for
an extended period of time. The nurse recognizes that there is a need to
prevent respiratory complications and intervenes by:
Changing the patient's position every 4-8 hours
Using oxygen and nebulizer treatments frequently
Encouraging deep breathing and coughing every hour
Suctioning the airway every hour
6. What is one key attribute of the palliative care team regarding patient
eligibility?
The patient must be in the terminal stage of illness.
Life expectancy must be under 6 months to qualify.
The patient must stop all curative treatments.
The patient does not need a life expectancy limit to receive care
from this team.
7. Which of the following conditions should a nurse assess for in an elderly
patient experiencing acute confusion? Select all that apply.
electrolyte imbalance, hypoglycemia, cerebral anoxia
, dementia, dehydration, infection
hypoglycemia, dementia, stroke
cerebral anoxia, chronic pain, anxiety
8. What is the first step a nurse should take when meeting a new patient during
the admission process?
The nurse helps the patient get undressed and into bed
The nurse measures vital signs
The nurse introduces self to patient
The nurse notifies the physician
9. In a clinical scenario, if a patient is exhibiting signs of denial about their
terminal illness, what nursing intervention would be most appropriate?
Encourage the patient to confront their illness immediately.
Provide emotional support and allow the patient to express their
feelings.
Isolate the patient to prevent them from discussing their condition.
Discuss treatment options to change their mind.
10. Why is it important to turn and position an immobile patient regularly?
To ensure the patient remains comfortable without movement.
To increase the patient's anxiety levels.
To prevent skin breakdown and pressure ulcers due to prolonged
pressure on bony prominences.
To promote muscle atrophy in the patient.
, 11. At what stage of cancer can the palliative care team help patients with
cancer?
Only while the patient receives treatment.
At the end of life only
At the time of diagnosis only
At any time during patients' diagnosis, treatments, and end of life
12. An elderly client present to the ED after a fall. the client is anxious and
confused. the nurse anticipates an order for what?
bladder scan to check for retention
urinalysis to test urine
EKG to check for sinus rythm
chest x-rat to check for pneumonia
13. Why is a urinalysis considered the priority order for a confused and agitated
patient after a fall?
A thyroid panel is necessary to check for hormonal imbalances.
Inserting a foley catheter is the first step in managing urinary
retention.
An electrolyte panel is needed to assess for dehydration.
A urinalysis can help identify urinary tract infections, which are
common causes of confusion in older adults.
14. What is the primary nursing intervention for a patient experiencing severe
pain from a uric acid kidney stone?
encourage fluid intake of 2-4 liters per day
Care & Clinical Judgment | Graded A+
1. How can a nurse identify unresolved guilt in a grieving individual based on
their statements?
A nurse can identify unresolved guilt when an individual talks about
their loved one's positive life experiences.
A nurse can identify unresolved guilt when an individual discusses
seasonal difficulties.
A nurse can identify unresolved guilt when an individual mentions
missing their loved one more over time.
A nurse can identify unresolved guilt when an individual expresses
regret about actions they did not take.
2. What should the nurse consider when setting goals for an older adult's plan
of care during hospitalization?
Current medication regimen
Hospital discharge policies
Family support systems
Pre-admission functional abilities
3. What is the initial diagnostic test commonly ordered for urinary issues in
patients?
CT scan of abdomen and kidneys
mid-stream urine for culture
KUB radiograph
ultrasound of kidney
,4. Which of the following changes is considered to be a condition of normal
aging?
Glaucoma
Age-related macular degeneration
Cataracts
Presbyopia
5. A patient has been placed in a skeletal traction and will be immobilized for
an extended period of time. The nurse recognizes that there is a need to
prevent respiratory complications and intervenes by:
Changing the patient's position every 4-8 hours
Using oxygen and nebulizer treatments frequently
Encouraging deep breathing and coughing every hour
Suctioning the airway every hour
6. What is one key attribute of the palliative care team regarding patient
eligibility?
The patient must be in the terminal stage of illness.
Life expectancy must be under 6 months to qualify.
The patient must stop all curative treatments.
The patient does not need a life expectancy limit to receive care
from this team.
7. Which of the following conditions should a nurse assess for in an elderly
patient experiencing acute confusion? Select all that apply.
electrolyte imbalance, hypoglycemia, cerebral anoxia
, dementia, dehydration, infection
hypoglycemia, dementia, stroke
cerebral anoxia, chronic pain, anxiety
8. What is the first step a nurse should take when meeting a new patient during
the admission process?
The nurse helps the patient get undressed and into bed
The nurse measures vital signs
The nurse introduces self to patient
The nurse notifies the physician
9. In a clinical scenario, if a patient is exhibiting signs of denial about their
terminal illness, what nursing intervention would be most appropriate?
Encourage the patient to confront their illness immediately.
Provide emotional support and allow the patient to express their
feelings.
Isolate the patient to prevent them from discussing their condition.
Discuss treatment options to change their mind.
10. Why is it important to turn and position an immobile patient regularly?
To ensure the patient remains comfortable without movement.
To increase the patient's anxiety levels.
To prevent skin breakdown and pressure ulcers due to prolonged
pressure on bony prominences.
To promote muscle atrophy in the patient.
, 11. At what stage of cancer can the palliative care team help patients with
cancer?
Only while the patient receives treatment.
At the end of life only
At the time of diagnosis only
At any time during patients' diagnosis, treatments, and end of life
12. An elderly client present to the ED after a fall. the client is anxious and
confused. the nurse anticipates an order for what?
bladder scan to check for retention
urinalysis to test urine
EKG to check for sinus rythm
chest x-rat to check for pneumonia
13. Why is a urinalysis considered the priority order for a confused and agitated
patient after a fall?
A thyroid panel is necessary to check for hormonal imbalances.
Inserting a foley catheter is the first step in managing urinary
retention.
An electrolyte panel is needed to assess for dehydration.
A urinalysis can help identify urinary tract infections, which are
common causes of confusion in older adults.
14. What is the primary nursing intervention for a patient experiencing severe
pain from a uric acid kidney stone?
encourage fluid intake of 2-4 liters per day
