A hospice nurse is caring for a patient who has terminal cancer and is receiving hospice care for stage 4 metastatic breast cancer.
The patient experiences excruciating pain and is scheduled for morphine 10mg IM every 6 hours. The patient is sleeping, and the medication is due.

What action should the nurse take?

Hold the pain medication until the patient wakes up.

The patient should be given the scheduled pain medication.

Call the family and ask if the patient would like to be woken up to have their pain medication.

The patient has become addicted to the medication and is sleeping the last dose off.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Holding the pain medication until the patient wakes up is not the best choice. Pain can disrupt sleep, and it’s important to keep the patient as comfortable as possible. If the patient is sleeping, it may be because the pain is well-controlled, and delaying the medication could lead to a return of pain.
Choice B rationale
The patient should be given the scheduled pain medication. This is the best choice because it ensures that the patient’s pain is managed effectively. Even if the patient is sleeping, the medication should be given to prevent the pain from returning.
Choice C rationale
Calling the family and asking if the patient would like to be woken up to have their pain medication is not the best choice. The nurse should make this decision based on the patient’s pain level and the medication schedule, not on the family’s preferences.
Choice D rationale
The statement that the patient has become addicted to the medication and is sleeping the last dose off is not accurate. Addiction is a complex condition characterized by compulsive drug use despite harmful consequences. In this case, the patient is receiving the medication for a legitimate medical reason, and there is no indication of addiction.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Choice A rationale
Post-traumatic stress disorder (PTSD) is a stress-related disorder that can occur after a person experiences a traumatic event. Symptoms can include flashbacks of the traumatic event, which the patient reports experiencing.
Choice B rationale
Episodic acute stress is a type of stress that occurs in response to specific situations or events. It does not typically involve flashbacks of a traumatic event.
Choice C rationale
Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. While stress can exacerbate symptoms of IBS, it is not a stress-related disorder in the sense of being a psychological response to stress.
Choice D rationale
Acute stress disorder (ASD) is a stress-related disorder that can occur in response to a traumatic event. However, ASD symptoms occur immediately after the traumatic event and typically resolve within a month. Since the patient reports experiencing flashbacks of a traumatic event that occurred a year ago, ASD is not the correct answer.

A. Exercise inhibits the release of endorphins. B. Exercise improves sleep. C. Exercise decreases energy. D. Exercise decreases stress and increases mood.

Correct Answer is ["B","D"]

Explanation

Choice A rationale
This statement is incorrect. Exercise actually promotes the release of endorphins, which are chemicals in the brain that act as natural painkillers and mood elevators.
Choice B rationale
This statement is correct. Regular exercise can help improve sleep quality and duration.
Choice C rationale
This statement is incorrect. Exercise actually increases energy levels by improving circulation and heart health.
Choice D rationale
This statement is correct. Regular exercise can help decrease stress and improve mood by promoting the release of endorphins.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

a nurse is providing care for a patient who reports experiencing flashbacks of a traumatic event that occurred a year ago. Which of the following stress-related disorders should the nurse identify that the patient is experiencing?

Correct Answer is A

Explanation

A nurse is teaching a client about the benefits of exercise. Which of the following information should the nurse include? (Select all that apply.)

Correct Answer is ["B","D"]

Explanation

A nurse is teaching a class about sources of stress. The nurse should include that which of the following is an example of a physiological stressor?

A nurse is teaching a group of older adults about risk factors for developing a stroke. Which non-modifiable risk factors should the nurse include in the teaching?

A nurse is educating a newly licensed nurse about informed consent. Which of the following should be included as a nurse’s responsibility in this process?

A nurse is preparing to move a patient with left-sided weakness from a seated position in bed to a chair. What actions should the nurse take?

During a home visit to a hospice patient, the patient states, “I used to love eating strawberry ice cream, but with the dietary restrictions of my condition, I have not been able to have ice cream in years.”. How should the nurse respond?

A nurse is reviewing a fall risk assessment for a client. Which of the following findings place the client at risk for a fall? Select all that apply.

a nurse is caring for a patient who states, “I did not take my medication because my partner forgot to remind me.”. The nurse should identify that the patient is demonstrating which of the following defense mechanisms?

A nurse is educating a group of senior citizens about the physiological changes that occur with aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.)