Custom NUR 109 Final Assessment 2026

Question 2

Custom NUR 109 Final Assessment 2026. A nurse is assessing a school-age patient who quietly states, “My uncle hits me when he gets mad. Please don’t tell anyone. I don’t want to get in trouble.” The patient appears fearful and avoids eye contact. Which response by the nurse is most appropriate?

• “I promise I won’t tell anyone if you don’t want me to.”
• “You did nothing wrong. What happened is not your fault.”
• “Your uncle should be arrested for hurting you.”
• “Why didn’t you tell someone sooner?”

Question 3

A nurse assesses a 49-year-old patient who states, “My left foot feels like it’s on fire, and the pain shoots up my calf.” The patient reports the pain began yesterday and denies any recent injury. Using a comprehensive pain assessment framework, which components of pain has the patient described?

• Aggravating and alleviating factors.
• Exacerbation, with associated signs and symptoms.
• Intensity, temporal characteristics, and functional impact. Custom NUR 109 Final Assessment 2026
• Location, quality, and duration.

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Question 4

A nurse is caring for a patient who has an eating disorder. The nurse is practicing which of the following ethical concepts when the patient refuses to drink a between meal protein and calorie supplement?

• Fidelity
• Autonomy
• Veracity
• Beneficence

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Question 5

The nurse is caring for a child who has a diagnosis of metastatic brain cancer. The father states “I can’t believe this is happening to us, I feel numb.” Which of the following nursing interventions by the nurse is the first priority?

• Instruct the family about anticipatory grieving
• Encourage the families expression of their feelings
• Explore effective ways of family coping
• Discuss the disease and its manifestations with family members

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Question 6

A community health nurse is planning an educational program for a local community on the prevention of chronic diseases. Which of the following actions best reflects the nurse’s role in promoting community health?

• Conducting individual health screenings and providing personalized counseling for each participant.
• Providing one-on-one medical treatment for community members who are currently experiencing chronic disease symptoms.
• Focusing solely on treating acute health issues as they arise within the community.
• Designing and delivering educational sessions on healthy lifestyle choices and preventive measures to the community. Custom NUR 109 Final Assessment 2026

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Question 8

A nurse is educating a patient about the wellness-illness continuum. Which of the following statements by the patient indicates an understanding of the concept?

• “The continuum recognizes that health is multidimensional and includes physical, mental, and social well-being.”
• “The wellness-illness continuum is used to categorize individuals into distinct health categories, such as healthy or sick.”
• “The wellness-illness continuum is a model that shows a person’s health moving between complete wellness and complete illness in a linear fashion.”
• “The wellness-illness continuum focuses on a person’s ability to stay completely well without any variations in health status.”

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Question 10

A nurse is preparing a teaching plan for a patient who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the patient? (Select all that apply.)

• Use materials written at a twelve-grade level.
• Use materials written in the patient’s spoken language.
• Provide a variety of educational materials.
• Choose materials that include culturally relevant information and examples.
• Use pictures.

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Question 11

A nurse is preparing to administer IV morphine to a postoperative patient for severe pain. The patient’s respiratory rate is 14/min, oxygen saturation is 96% on room air, and the patient is alert. Which medication should the nurse ensure is readily available before administering morphine?

• Flumazenil
• Neostigmine
• Naloxone
• Protamine

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Question 12

A nurse is speaking to a group of newly licensed nurses about how the QSEN competencies were integrated into their nursing school curriculum. Which of the following competencies should the nurse expect the newly licensed nurses to identify as the competency they were most prepared to address as students?

• Teamwork and collaboration
• Patient-centered care
• Quality improvement
• Evidence-based practice

Question 16 of 50

A nurse is teaching a class about the physical manifestations of grief. Which of the following manifestations should the nurse include?

• Insomnia
• Blurred vision
• Bradycardia
• Increased ability to concentrate

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Question 17 of 50

A nurse is completing an admission assessment for a patient with advanced heart failure. The patient states, “I don’t belong to any church, but I pray every day and find peace in nature.” Later the patient adds, “I’m not really religious.” Which interpretation by the nurse best demonstrates accurate understanding of religion and spirituality in patient-centered care?

• The patient is not spiritual because they do not participate in organized religion.
• The patient is religious because prayer is considered a formal religious ritual.
• Religion and spirituality are interchangeable concepts, so further clarification is unnecessary.
• The patient is expressing spirituality, which may exist independently of organized religious practice.

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Question 18 of 50

A nurse is caring for a terminally ill patient on hospice who passed away during the shift. Select the “3” postmortem care actions the nurse should take?

• Tell the family to leave the room while you prepare the body.
• Verify the provider has certified and documented death of the patient.
• Lay the patient’s head flat.
• Dim the lights and minimize noise to provide a calm environment.
• Consider any cultural, religious, or social practices of the patient that would impact postmortem care.

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Question 21 of 50

A nurse is caring for a patient hospitalized for major depressive disorder. The patient is alert, oriented, and has decision-making capacity. The provider prescribes a new antidepressant. After reviewing the information, the patient states, “I understand the risks and benefits, but I do not want to take this medication.” Which nursing action best demonstrates respect for the ethical principle of autonomy? Custom NUR 109 Final Assessment 2026

• Encourage the patient to reconsider because the medication is necessary for recovery.
• Document noncompliance and reinforce the importance of following the treatment plan.
• Notify the provider of the patient’s refusal after confirming understanding of risks and benefits.
• Inform the patient that refusal may delay discharge from the unit.

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Question 22 of 50

A nurse is assessing a patient who reports persistent pain after surgery. The patient is from a cultural background known for stoicism and minimal expression of pain. Which nursing action is the most appropriate to obtain an accurate and comprehensive pain assessment?

• Use a culturally appropriate pain assessment tool and encourage the patient to describe the pain in their own words, including its location, intensity, and impact on daily activities.
• Administer standard pain medication based on the nurse’s assessment of pain severity without further patient input to avoid prolonging the patient’s discomfort.
• Rely primarily on observing the patient’s facial expressions and body language to gauge pain intensity, as verbal reports may be unreliable.
• Review the patient’s past medical records and previous pain management outcomes to guide current pain assessment and treatment.

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Question 23 of 50

A nursing student is preparing a presentation on cultural competence for a group of fellow nursing students. Which of the following statements should the student include in their explanation to best describe cultural competence in nursing?

• “Cultural competence is only necessary when caring for clients from cultures that are significantly different from one’s own.”
• “Cultural competence involves understanding and respecting diverse cultural backgrounds and incorporating this understanding into client care to improve outcomes and client satisfaction.”
• “Cultural competence means that healthcare providers must follow a standardized approach to care that applies to all clients, regardless of their cultural background.”
• “Cultural competence requires that nurses adopt the cultural practices of their clients to provide the best care.”

Question 27

Mrs. Thompson is an 82-year-old woman who has been diagnosed with advanced metastatic cancer. She has been receiving palliative care to manage her symptoms and maintain comfort. Mrs. Thompson’s condition has deteriorated over the past week, and she is now in the end-of-life stage. She has expressed her wishes for a peaceful, pain-free death and has designated her family members to make decisions on her behalf if she becomes unable to communicate.

Complete the following sentence by using the list of options.

Mrs. Thompson is at high risk for developing Select… as evidenced by the client’s Select….

First Dropdown Options:

• pressure sores
• emotional distress
• dehydration

Second Dropdown Options:

• periods of apnea
• cool and mottled skin
• pain

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Question 29

The nurse is reviewing provider orders for Mrs. Thompson who is in the end-of-life stage. Match each provider order with its appropriate category: anticipated, nonessential, or contraindicated. Select the correct category for each given order.

• Provide regular oral care and maintain hydration to ensure comfort: Anticipated
• Increase the frequency of vital signs monitoring to assess disease progression: Nonessential
• Facilitate family meetings to discuss care goals and provide emotional support: Anticipated
• Initiate aggressive chemotherapy to attempt disease reversal: Contraindicated
• Administer prescribed pain medication to manage discomfort: Anticipated

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Question 30

What is the most important action for the nurse to take when communicating with the client and family members at end of life?

• Listen actively and attentively to the client and family concerns and emotions.
• Encourage the client to make decisions about treatment options and advance care planning.
• Provide detailed medical information and prognosis to the client.
• Discuss funeral arrangements and end-of-life wishes with the client.

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Question 31

The nurse is evaluating the effectiveness of pain interventions for Mrs. Thompson who is unconscious and at the end of life. Which of the following methods is the most appropriate for assessing pain management effectiveness in this client? Custom NUR 109 Final Assessment 2026

• Monitoring changes in vital signs such as blood pressure and heart rate.
• Assessing the patient’s responsiveness to verbal stimuli.
• Observing for non-verbal cues such as facial expressions and body movements.
• Requesting feedback from the patient’s family about the patient’s comfort.

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Question 32

A nurse is providing preoperative teaching to a patient scheduled for abdominal surgery who will receive patient-controlled analgesia (PCA) postoperatively. The patient states, “I’m worried about taking too much pain medicine.” Which statements should the nurse include in the teaching? Select all that apply.

• “Each time you press the button, the pump delivers a preset dose of medication.”
• “The PCA pump has a programmed lockout interval to prevent overdose.”
• “Only you should press the PCA button to receive medication.”
• “Your family can press the button for you if you are sleeping”.
• “You should wait until the pain becomes severe before pressing the button”.

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Question 33

A nurse is applying a cold compress for a patient who has pain and minor swelling in a sutured laceration on the forearm. Which of the following assessments should the nurse use to determine whether the treatment is effective?

• Monitoring the patient’s pulse rate.
• Inspecting the site for reduced swelling.
• Having the patient perform range-of-motion of the affected arm.
• Asking the patient to rate the pain.

Question 40 of 50

A nurse is caring for a patient who has been prescribed ibuprofen for chronic hip pain. The patient reports occasional abdominal discomfort but wants to continue the medication. Which nursing action best demonstrates application of clinical judgment to ensure patient safety?

• Recommend increasing the ibuprofen dose to prevent stroke.
• Advise the patient to crush sustained-release ibuprofen tablets to reduce swallowing difficulty.
• Instruct the patient to take ibuprofen with food or milk to reduce gastrointestinal irritation.
• Suggest taking ibuprofen with aspirin to enhance pain relief effectiveness.

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Question 41 of 50

For each potential intervention aimed at addressing various National Patient Safety Goals (NPSG), click to specify which intervention is appropriate for each goal.

Intervention 1: Assess clients sociodemographic characteristics such as age, gender, preferred language, race, and ethnicity

• NPSG #2 Improve Staff Communication
• NPSG #3 Use Medications Safely
• NPSG #16 Improve Health Care Equity

Intervention 2: Upon admission, ask the client if they are taking over the counter supplements

• NPSG #2 Improve Staff Communication
• NPSG #3 Use Medications Safely
• NPSG #16 Improve Health Care Equity

Intervention 3: Report critical test results within 30 minutes

• NPSG #2 Improve Staff Communication
• NPSG #3 Use Medications Safely
• NPSG #16 Improve Health Care Equity

Intervention 4: Use SBAR to report off shift to the oncoming nurse

• NPSG #2 Improve Staff Communication
• NPSG #3 Use Medications Safely
• NPSG #16 Improve Health Care Equity

Intervention 5: Ask your client if they are having any difficulty finding transportation to their medical appointments

• NPSG #2 Improve Staff Communication
• NPSG #3 Use Medications Safely
• NPSG #16 Improve Health Care Equity

Intervention 6: Ask the client for their full name and date of birth

• NPSG #2 Improve Staff Communication
• NPSG #3 Use Medications Safely
• NPSG #16 Improve Health Care Equity

Question 45

A nurse is caring for a postoperative patient who states, “I need my pain medicine now.” The patient appears uncomfortable but is conversing clearly. The last dose of prescribed analgesic was administered 3 hours ago, and the medication is ordered every 4 hours as needed. Which action should the nurse take first?

• Assess the patient’s pain using a validated pain scale and determine the location and characteristics.
• Explain the expected effects and side effects of the medication.
• Administer the prescribed analgesic to prevent escalation of pain.
• Reposition the patient for comfort. Custom NUR 109 Final Assessment 2026

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Question 47

A nurse is caring for a postoperative patient who has been administered an opioid analgesic for moderate incisional pain. During the assessment, the nurse notes the following: pain score 4/10, blood pressure 110/70 mm Hg, pulse oximetry 88%, and patient is mildly drowsy but arousable. Which finding requires the nurse to intervene immediately?

• Mild drowsiness but arousable
• Pain score of 4/10
• Pulse oximetry reading of 88%
• Blood pressure of 110/70 mm Hg

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Question 48

A nurse receives change-of-shift report on four patients: Patient A: Postoperative day 1 after abdominal surgery, reports pain 8/10. Patient B: Admitted overnight with pneumonia; oxygen saturation 92% on 2 L nasal cannula. Patient C: Newly diagnosed with diabetes; scheduled for discharge teaching this afternoon. Patient D: Receiving IV antibiotics; no acute complaints. Using the nursing process to prioritize care, which action should the nurse take FIRST?

• Establish measurable goals for Patient A’s postoperative recovery.
• Analyze the collected report data to determine which patient has the highest priority need.
• Evaluate the effectiveness of IV antibiotics for Patient D.
• Begin discharge teaching for Patient C to allow adequate time for questions.

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Question 49

A nursing is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following responses by the nurse is appropriate?

• “Use child-like language so the patient can understand more easily.”
• “Use simple, clear sentences, allow extra time for responses, and encourage gestures or writing.”
• “Speak loudly and slowly to improve understanding.”
• “Finish the patient’s sentences to reduce frustration and speed up communication.”

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Question 50

A nurse is caring for a client who has received a terminal diagnosis. Complete the following sentence by selecting one condition and one supporting patient statement. Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

The nurse identifies that the client is currently in Kübler-Ross’s [Condition] stage of grief as evidenced by [Patient Statements]. Custom NUR 109 Final Assessment 2026

• Condition: denial
• Statement: “There must be a mistake. I feel fine most days.”