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Adult Health Care 1 (NURS3515-100) Practice Example Questions

John Marsh
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The University of Texas Health Science Center at Houston

Adult Health Care 1 (NURS3515-100)

Fundamentals of Nursing 1- Practice Example Questions

1. Elizabeth Kubler-Ross identified five stages of death and dying. Loss, grief, and intense
sadness are symptoms of which stage?
a. Denial and isolation
b. Depression
c. Anger
d. Bargaining
RATIONALE: According to Kübhler-Ross, the five stages of death and dying are denial and
isolation, anger, bargaining, depression, and acceptance. In denial, the client denies aspects
of the illness and death. Loss, grief, and intense sadness indicate depression. In anger, the
client has hostility that may be directed to family members, God, heath care workers, and
others. In bargaining, the client asks God for more time, and in return promises to do
something good.
2. To help minimize calcium loss from a hospitalized client’s bones, the nurse should:
a. reposition the client every 2 hours.
b. encourage the client to walk in the hall
c. provide the client daily products at frequent intervals
d. provide supplemental feedings between meals.
RATIONALE: Calcium absorption diminishes with reduced physical activity because of
decreased bone stimulation. Therefore, encouraging the client to increase physical activity
such as by walking the hall, helps minimize calcium loss. Turning or repositioning the client
every 2 hours wouldn’t increase activity sufficiently to minimize bone loss, Providing dairy
products and supplemental feedings wouldn’t lessen calcium loss – even if the dairy
products and feedings contained extra calcium — because the additional calcium doesn’t
increase bone stimulation or osteoblast activity.
3. Which statement regarding heart sounds is correct?
a. S1 and s2 sound equally loud over the entire cardiac area.
b. S1 and sound fainter at the apex than at the base.
c. S and 2 sound fainter at the base than at the apex.
d. S1 is loudest at the apex, and S2 is loudest at the base.
Rationale: The S1 sound — the “lub” sound — is loudest at the apex of the heart. It sounds
longer, lower, and louder there than the S2 — the “dub” sound — is loudest at the base. It
sounds shorter, sharper, higher, and louder there than the S1.
4. A client has a nursing diagnosis of Ineffective airway clearance related to poor coughing.
When planning this client’s care, the nurse should include which intervention?
a. Increasing fluids to 2,500 ml/day
b. Teaching the client how to deep-breathe and cough
c. Improving airway clearance
d. Suctioning the client every 2 hours
RATIONALE: Interventions should address the etiology of the client’s problem — poor
coughing. Teaching deep breathing and coughing addresses this etiology. Increasing fluids
may improve the client’s condition, but this intervention doesn’t address poor coughing.
Improving airway clearance is too vague to be considered an appropriate intervention.
Suctioning isn’t indicated unless other measures fail to clear the airway.



Adult Health Care 1 (NURS3515-100) Practice Example Questions

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