NURS 3501 WEEK 1 - INTRO TO CRITICAL CARE NCLEX PRACTICE QUESTIONS & ANSWERS
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NURS 3501 (NURS3501)
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NCLEX
NURS 3501 WEEK 1 - INTRO TO CRITICAL CARE NCLEX PRACTICE QUESTIONS & ANSWERS
NURS 3501 WEEK 1 - INTRO TO CRITICAL CARE NCLEX PRACTICE QUESTIONS & ANSWERS
Ch 9: End of Life Care Practice Questions
1. The nurse is caring for a terminally ill patient who has 20-second periods of apnea followed by...
nurs 3501 week 1 intro to critical care nclex practice questions amp answers
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NURS 3501 WEEK 1 - INTRO TO CRITICAL CARE NCLEX
PRACTICE QUESTIONS & ANSWERS
Ch 9: End of Life Care Practice Questions
1. The nurse is caring for a terminally ill patient who has 20-second periods of apnea followed by
periods of deep and rapid breathing. The nurse documents this finding as
a. agonal breathing.
b. apneustic breathing.
c. death-rattle respirations.
d. Cheyne-Stokes respirations.
2. A 21-year-old is dying after an automobile accident. The family members want to donate the
patients organs and ask the nurse how the decision about brain death is made. The nurse
explains that the patient will be considered brain dead when
a. the patient is flaccid and unresponsive.
b. CPR is ineffective in restoring heartbeat.
c. the patient is apneic and without brainstem reflexes.
d. respiratory efforts cease and no apical pulse is audible.
3. A hospice patient is manifesting a decrease in all body system functions except for a heart
rate of 124 and a respiratory rate of 28. The nurse explains to the family that these symptoms
a. will continue to increase until death finally occurs.
b. are a normal response before these functions decrease.
c. indicate a reflex response to the slowing of other body systems.
d. may be associated with an improvement in the patients condition.
4. A patient who has been diagnosed with metastatic cancer and has a poor prognosis plans a
trip across the country to settle some issues with my sisters and brothers. The nurse recognizes
that the patient is manifesting the psychosocial response of
a. restlessness.
b. yearning and protest.
c. anxiety about unfinished business.
d. fear of the meaninglessness of ones life.
5. The spouse of a patient with terminal lung cancer visits daily and cheerfully talks with the
patient about vacation plans for the next year. When the nurse asks about any concerns, the
spouse says, I’m busy at work, but otherwise things are fine. An appropriate nursing diagnosis is
a. ineffective coping related to lack of grieving.
b. anxiety related to complicated grieving process.
c. caregiver role strain related to feeling overwhelmed.
d. hopelessness related to knowledge deficit about cancer.
, 6. As the nurse admits a patient with severe heart failure to the hospital, the patient tells the
nurse, If my heart or breathing stop, I do not want to be resuscitated. Which action is best for the
nurse to take?
a. Ask if these wishes have been discussed with the health care provider.
b. Place a Do Not Resuscitate (DNR) notation in the patients care plan.
Inform the patient that a notarized advance directive must be included in the record or res
c. be performed.
Advise the patient to designate a person to make health care decisions when the patient i
d. make them independently.
7. A patient who is very close to death is very restless and keeps repeating, I am not ready to
die. Which action is best for the nurse to take?
a. Remind the patient that no one feels ready for death.
b. Sit at the bedside and ask if there is anything the patient needs.
c. Insist that family members remain at the bedside with the patient.
d. Tell the patient that everything possible is being done to delay death.
8. A patient in a hospice program is experiencing continuous, increasing amounts of pain. The
nurse caring for the patient plans the scheduling of opioid pain medications to provide
a. around-the-clock routine administration of analgesics.
b. PRN doses of medication whenever the patient requests.
c. enough pain medication to keep the patient sedated and unaware of stimuli.
d. analgesic doses that provide pain control without decreasing respiratory rate.
9. When caring for a patient with lung cancer in a home hospice program, it is important for the
nurse to
a. discuss cancer risk factors and appropriate lifestyle modifications.
b. encourage the patient to discuss past life events and their meaning.
c. accomplish a thorough head-to-toe assessment several times a week.
d. educate the patient about the purpose of chemotherapy and radiation.
10. A hospice nurse who has become very close to a terminally ill patient and family is present in
the home when the patient dies and feels saddened and tearful as the family members begin to
cry. Which action should the nurse take at this time?
a. Contact a grief counselor as soon as possible.
b. Cry along with the patients family members.
c. Leave the home as quickly as possible to allow the family to grieve privately.
d. Consider whether working in hospice is desirable since patient losses are common.
11. A patient who is in the clinic for an immunization tells the nurse, My mother died 4 months
ago, and I just cant seem to get over it. Im not sure it is normal to still think about her every day.
Which nursing diagnosis is most appropriate?
a. Hopelessness related to inability to resolve grief
b. Complicated grieving related to unresolved issues
c. Anxiety related to lack of knowledge about normal grieving
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