Advantage for Fundamentals of Nursing Care:
Concepts, Connections & Skills 4th Edition
Chapter 1-38 Complete Questions and Answers
A+ Newest Brand 2025
_____________________________________________________________________________________
During a home visit, the nurse notes that an older adult patient is sitting in a poorly lit room
listening to the radio. When the nurse turns on a light before starting to evaluate the patient and
change a dressing on a wound, the patient says, "Oh, you don't need that light. I try to keep the
lights off. Electricity is too expensive." Which priority action should the nurse take after changing
the dressing?
Inquire if the patient would like resources to help with paying bills.
During a home visit, the nurse documents arrival and departure time, patient vital signs, data
collected for the patient, and a narrative note of the patient's response to medications and
understanding of care being given. Which action does the nurse need to take prior to submitting
this documentation?
Obtain signature of patient or caregiver.
During a home health-care visit, the nurse recognizes that the primary caregiver of the patient is
exhausted and tense. What action should the nurse take?
Recognize the symptoms and suggest respite care.
While traveling to a patient's home for a visit, the home health-care nurse becomes lost in an
unfamiliar part of town and feels unsafe. Which action should the nurse take?
Drive to a familiar area and call the patient for directions.
The LPN/LVN nurse is making home visits for a group of patients. Which patient should be
discussed with the RN?
A patient reporting a nighttime fall
The nurse is speaking with the family of an older adult who lives with them. The family says that
is it getting harder to "leave mom home alone" during the day when they go to work, yet they
would like her to continue to live with them. Which option might the nurse recommend?
Adult day-care service
Prior to leaving a patient's home after a visit, the nurse makes a note in the patient's home
health-care folder. Why did the nurse write a note to be kept in the patient's home?
Serves as communication between HCPs who are visiting the patient
, The nurse completes the Outcome and Assessment Information Set (OASIS) form upon a patient's
admission to a home health-care program. For which reasons does the nurse complete this form?
To collect information about patient outcomes, To develop a plan of care that meets the
patient's needs, To generate information about the home health-care agency
The nurse is making a third home health-care visit. Which observations indicate that the patient
and family understand safety instructions and recommendations made by the nurse on an earlier
visit?
The patient is wearing an emergency response call device, The family has removed scatter rugs
and installed wall-to-wall carpeting, The patient's telephone, eyeglasses, and TV remote are
near the patient's seat, The patient's medications are in labeled bottles w/ a checklist for med
times
The LPN/LVN is planning to work at a long-term care facility. Which skills should the nurse plan
to perform?
Administer medications, Educate nursing assistants, Monitor food intake, Monitor IV lines.
The nurse is preparing for a hospice team to meet with the family of a dying patient. Which
individuals may be in attendance?
Nurse to manage symptoms of pain and nausea, Social worker to assist with community
resources, Chaplain to provide spiritual and emotional support, Bereavement counselor to
provide assistance to family and loved ones
A family member is concerned that a patient near the end of life is not eating or drinking and asks
the nurse how the family can help the patient increase oral intake. Which response by the nurse is
most appropriate?
As your family member becomes dehydrated from not eating or drinking, natural
endorphins will be released, which increase comfort near the end of life.
The nurse is speaking with a patient who was recently diagnosed with terminal lung cancer. How
should the nurse initiate the conversation?
Tell me what you know about your diagnosis.
A patient with lung cancer is expected to die within a few days and has been prescribed a blood
transfusion. A new grad asks the nurse why the patient is receiving blood when death is imminent.
How should the nurse reply?
The transfusion will help increase the patient's oxygen levels. It will not prolong
life but will increase comfort.
The nurse is caring for a patient who is unconscious and begins to make a gurgling sound, or death
rattle. Which action should the nurse take?
Suction the patient.
Concepts, Connections & Skills 4th Edition
Chapter 1-38 Complete Questions and Answers
A+ Newest Brand 2025
_____________________________________________________________________________________
During a home visit, the nurse notes that an older adult patient is sitting in a poorly lit room
listening to the radio. When the nurse turns on a light before starting to evaluate the patient and
change a dressing on a wound, the patient says, "Oh, you don't need that light. I try to keep the
lights off. Electricity is too expensive." Which priority action should the nurse take after changing
the dressing?
Inquire if the patient would like resources to help with paying bills.
During a home visit, the nurse documents arrival and departure time, patient vital signs, data
collected for the patient, and a narrative note of the patient's response to medications and
understanding of care being given. Which action does the nurse need to take prior to submitting
this documentation?
Obtain signature of patient or caregiver.
During a home health-care visit, the nurse recognizes that the primary caregiver of the patient is
exhausted and tense. What action should the nurse take?
Recognize the symptoms and suggest respite care.
While traveling to a patient's home for a visit, the home health-care nurse becomes lost in an
unfamiliar part of town and feels unsafe. Which action should the nurse take?
Drive to a familiar area and call the patient for directions.
The LPN/LVN nurse is making home visits for a group of patients. Which patient should be
discussed with the RN?
A patient reporting a nighttime fall
The nurse is speaking with the family of an older adult who lives with them. The family says that
is it getting harder to "leave mom home alone" during the day when they go to work, yet they
would like her to continue to live with them. Which option might the nurse recommend?
Adult day-care service
Prior to leaving a patient's home after a visit, the nurse makes a note in the patient's home
health-care folder. Why did the nurse write a note to be kept in the patient's home?
Serves as communication between HCPs who are visiting the patient
, The nurse completes the Outcome and Assessment Information Set (OASIS) form upon a patient's
admission to a home health-care program. For which reasons does the nurse complete this form?
To collect information about patient outcomes, To develop a plan of care that meets the
patient's needs, To generate information about the home health-care agency
The nurse is making a third home health-care visit. Which observations indicate that the patient
and family understand safety instructions and recommendations made by the nurse on an earlier
visit?
The patient is wearing an emergency response call device, The family has removed scatter rugs
and installed wall-to-wall carpeting, The patient's telephone, eyeglasses, and TV remote are
near the patient's seat, The patient's medications are in labeled bottles w/ a checklist for med
times
The LPN/LVN is planning to work at a long-term care facility. Which skills should the nurse plan
to perform?
Administer medications, Educate nursing assistants, Monitor food intake, Monitor IV lines.
The nurse is preparing for a hospice team to meet with the family of a dying patient. Which
individuals may be in attendance?
Nurse to manage symptoms of pain and nausea, Social worker to assist with community
resources, Chaplain to provide spiritual and emotional support, Bereavement counselor to
provide assistance to family and loved ones
A family member is concerned that a patient near the end of life is not eating or drinking and asks
the nurse how the family can help the patient increase oral intake. Which response by the nurse is
most appropriate?
As your family member becomes dehydrated from not eating or drinking, natural
endorphins will be released, which increase comfort near the end of life.
The nurse is speaking with a patient who was recently diagnosed with terminal lung cancer. How
should the nurse initiate the conversation?
Tell me what you know about your diagnosis.
A patient with lung cancer is expected to die within a few days and has been prescribed a blood
transfusion. A new grad asks the nurse why the patient is receiving blood when death is imminent.
How should the nurse reply?
The transfusion will help increase the patient's oxygen levels. It will not prolong
life but will increase comfort.
The nurse is caring for a patient who is unconscious and begins to make a gurgling sound, or death
rattle. Which action should the nurse take?
Suction the patient.
