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NURSING 302 FINAL EXAM QUESTIONS WITH 100% ACCURATE SOLUTIONS., Exams of Nursing

California State University (CSU) - San MarcosNursing

NURSING 302 FINAL EXAM QUESTIONS WITH 100% ACCURATE SOLUTIONS.

Typology: Exams

2025/2026

Available from 05/10/2026

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1) A patient is fearful of upcoming surgery and a possible cancer diagnosis. He
discusses his love for the Bible with his nurse, who recommends a favorite Bible
verse. Another nurse tells the patient's nurse that there is no place in nursing for
spiritual caring. What is the best response by the patient's nurse?
1. "You're correct; spiritual care should be left to a pastoral care
professional."
2. "You're correct; religion is a personal decision."
3. "Nurses should explain their own religious beliefs to patients."
4. "Spiritual, mind, and body connections can affect health." -- Correct
Answer ✔✔ 4
2) Which of the following are strategies for creating work environments that
support nurse caring interventions? (Select all that apply.)
1. Increasing technological support
2. Improving flexibility for scheduling
3. Providing opportunities to discuss care practices
4. Promoting autonomy of practice
NURSING 302 FINAL EXAM QUESTIONS WITH 100% ACCURATE
SOLUTIONS.
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Download NURSING 302 FINAL EXAM QUESTIONS WITH 100% ACCURATE SOLUTIONS. and more Exams Nursing in PDF only on Docsity!

  1. A patient is fearful of upcoming surgery and a possible cancer diagnosis. He discusses his love for the Bible with his nurse, who recommends a favorite Bible verse. Another nurse tells the patient's nurse that there is no place in nursing for spiritual caring. What is the best response by the patient's nurse?
  1. "You're correct; spiritual care should be left to a pastoral care professional."
  2. "You're correct; religion is a personal decision."
  3. "Nurses should explain their own religious beliefs to patients."
  4. "Spiritual, mind, and body connections can affect health." -- Correct Answer ✔✔ 4
  1. Which of the following are strategies for creating work environments that support nurse caring interventions? (Select all that apply.)
  1. Increasing technological support
  2. Improving flexibility for scheduling
  3. Providing opportunities to discuss care practices
  4. Promoting autonomy of practice

NURSING 302 FINAL EXAM QUESTIONS WITH 100% ACCURATE

SOLUTIONS.

  1. Encouraging increased input concerning nursing functions from health care providers -- Correct Answer ✔✔ 2,3,
  1. A nurse is caring for a patient newly diagnosed with testicular cancer. He asked the nurse to help him find the meaning of cancer by supporting beliefs about life. This is an example of:
  1. Instilling hope and faith.
  2. Forming a human-altruistic value system.
  3. Cultural caring.
  4. Being with. -- Correct Answer ✔✔ 1
  1. An example of a nurse caring behavior that families of patients who are acutely ill perceive as important to patients' well-being is:
  1. Making health care decisions for patients.
  2. Having family members provide a patient's total personal hygiene.
  3. Injecting the nurse's perceptions about the level of care provided.
  4. Asking permission before performing a procedure on a patient. -- Correct Answer ✔✔ 4
  1. Which of the following statements related to theory-based nursing practice are correct
  1. Nursing theory differentiates nursing from other disciplines
  2. Nursing theories are standardized and do not change over time
  3. Integrating theory into practice promotes coordinated care delivery
  4. Nursing knowledge is generated by theory
  5. The theory of nursing process is used in planning patient care
  6. Evidence based practice results from theory-testing research -- Correct Answer ✔✔ 1,3,4,
  1. The components of the nursing meta paradigm include:
  1. A nurse assesses a 42-year-old woman at a health clinic. The woman is married and lives in a condo with her husband. She reports having frequent voiding and pain when she urinates. The nurse asks whether she has to go to the bathroom at night, and the patient responds, "Yes, usually twice or more." The patient had an episode of diarrhea 1 week ago. She weighs 136 kg (300 lb) and reports having difficulty cleansing herself after voiding or passing stool. Which of the following demonstrate assessment findings that cluster to indicate the nursing diagnosis Impaired Urination. (Select all that apply.)
  1. Age 42
  2. Dysuria
  3. Difficulty performing perineal hygiene
  4. Nocturia
  5. Episode of diarrhea
  6. Weighs 136 kg (300 lb)
  7. Frequent voiding -- Correct Answer ✔✔ 2,4,
  1. Review the following nursing diagnoses and identify the diagnoses that are stated correctly. (Select all that apply.)
  1. Offer frequent skin care because of Impaired Skin Integrity
  2. Risk for Infection
  3. Chronic Pain related to osteoarthritis evidenced by reduced hip range of motion
  4. Activity Intolerance related to physical de-conditioning evidenced by exertional dyspnea
  5. Lack of Knowledge related to laser surgery -- Correct Answer ✔✔ 2, 4
  1. A nurse is assigned to a new patient admitted to the medical unit. The nurse collects a nursing history and interviews the patient. Place the following steps for making a nursing diagnosis in the correct order.
  1. Consider the context of patient's health problem and select a related factor.
  1. Review assessment findings, noting objective and subjective clinical cues.
  2. Cluster cues that form a pattern.
  3. Gather thorough patient data about the patient's health problem.
  4. Identify the nursing diagnosis.
  5. Consider whether data are expected or unexpected based on the patient's problem. -- Correct Answer ✔✔ 4, 2, 3, 6, 1, 5 Gather thorough patient data about the patient's health problem. Review assessment findings, noting objective and subjective clinical cues. Cluster cues that form a pattern. Consider whether data are expected or unexpected based on the patient's problem. Consider the context of patient's health problem and select a related factor. Identify the nursing diagnosis.
  1. A nurse interviews and conducts a physical examination of a patient that includes the following findings: reduced range of motion of lower hip, reduced strength in left leg, and difficulty turning in bed without assistance. This data set is an example of:
  1. Collaborative data set.
  2. Diagnostic label.
  3. Related factors.
  4. Data cluster.
  5. Validated data set -- Correct Answer ✔✔ 4
  1. A nurse reviews data gathered regarding a patient's response to a diagnosis of cancer. The nurse notes that the patient is restless, avoids eye contact, has increased blood pressure, and expresses a sense of helplessness. The nurse compares the pattern of assessment findings for Anxiety with those of Fear and selects Anxiety as the correct diagnosis. This is an example of the nurse avoiding an error in which of the following? (Select all that apply.)
  1. A nurse is assigned to care for six patients at the beginning of the night shift. The nurse learns that the floor will be short by one registered nurse (RN) because one of the nurses called in sick. Assistive personnel (AP) from another area is coming to the nursing unit to assist. Because the unit requires hourly rounds on all patients, the nurse begins to make rounds on a patient who recently asked for a pain medication. The nurse is interrupted by another registered nurse who asks about another patient. Which factors in this nurse's unit environment will affect the ability to set priorities? (Select all that apply.)
  1. Policy for conducting hourly rounds
  2. Staffing level
  3. Interruption by staff nurse colleague
  4. Type of hospital unit
  5. Competency of assistive personnel (AP) -- Correct Answer ✔✔ 2,3,
  1. A nursing student is providing a hand-off report to a registered nurse (RN) who is assuming the patient's care at the end of the clinical day. The student states, "The patient had a good day. His intravenous (IV) fluid is infusing at 124 mL/hr with D5½NS infusing in left forearm. The IV site is intact, and no complaints of tenderness. I ambulated him twice during the shift; he walked to the visitors lounge and back with no shortness of breath, respirations 14, heart rate 88 after returning to chair. He uses his walker without difficulty, gait normal. The patient ate ¾ of his dinner with no gastrointestinal complaints." Which expected outcomes aimed at improving the patient's activity tolerance were discussed in the hand-off? (Select all that apply.)
  1. IV site not tender
  2. Ambulated twice during shift
  3. Uses walker to walk
  4. Walked to visitors lounge
  5. No shortness of breath
  6. Tolerated dinner meal
  7. Patient h -- Correct Answer ✔✔ 4,5, 8
  1. A patient diagnosed with colon cancer has been receiving chemotherapy for six weeks. The patient visits the outpatient infusion center twice a week for infusions. The nurse assigned to the patient is having difficulty accessing the patient's intravenous port used to administer the chemotherapy. Despite attempts to flush the port, it is obstructed. This occurred two weeks earlier as well. What steps should the nurse follow to make a consultation with a member of the IV infusion team? (Select all that apply.)
  1. Ask the IV nurse to come to the infusion center at a time when the nurse starts care for a second patient.
  2. Specifically identify the problem of port obstruction and attempt to flush the port to resolve the problem.
  3. Explain to the IV nurse the frequency in which this port has obstructed in the past.
  4. Tell the IV nurse the problem is probably related to the physician who inserted the port.
  5. Describe to -- Correct Answer ✔✔ 2,3,
  1. A nurse assesses a 78-year-old patient who weighs 108.9 kg (240 lb) and is partially immobilized because of a stroke. The nurse turns the patient and finds that the skin over the sacrum is very red and the patient does not feel sensation in the area. The patient has had fecal incontinence on and off for the last two days. The nurse identifies the nursing diagnosis of Risk for Impaired Skin Integrity. Which of the following outcomes is appropriate for the patient?
  1. Patient will be turned every two hours within 24 hours.
  2. Patient will have normal formed stool within 48 hours.
  3. Patient's ability to turn self in bed improves.
  4. Erythema of skin will be mild to none within 48 hours. -- Correct Answer ✔✔ 4
  1. A nurse encounters the patient's wife, who is tearful and worried. Her husband was just transferred from his room to the operating room for a complex cardiovascular surgery. The nurse brings the wife a glass of water and encourages her to talk about her fears. The nurse remains in the room quietly listening. What caring behaviors is the nurse demonstrating? (Select all that apply.)

the number of caregivers for this patient, the family members feel disconnected from their loved one and not part of the care team. Which interventions would demonstrate care by helping family members? (Select all that apply.)

  1. Helping family become active participants in care
  2. Removing family members from assisting with the patient's personal care
  3. Allowing the family to offer opinions on health care decisions for the patient
  4. Providing the family opportunities to discuss their concerns with the health care team
  5. Planning uninterrupted time for the family and patient to be together -- Correct Answer ✔✔ 1,4,
  1. A hospice nurse sits at the bedside of a male patient in the final stages of cancer. He and his parents made the decision that he would move home and they would help him in the final stages of his disease. The family participates in his care, but lately the nurse has increased the amount of time spent with the family. Whenever the nurse enters the room or approaches the patient to give care, the nurse touches his shoulder and states, "I am your nurse, and I am here for you." This is an example of what type of touch.
  1. Caring touch
  2. Protective touch
  3. Task-oriented touch
  4. Interpersonal touch -- Correct Answer ✔✔ 1
  1. A nurse is caring for a patient who has just had a near-death experience (NDE) following a cardiac arrest. Which intervention by the nurse best promotes the spiritual well-being of the patient after the NDE?
  1. Allowing the patient to discuss the experience
  2. Referring the patient to pastoral care
  3. Having the patient talk to another patient who had an NDE
  4. Offering to pray for the patient -- Correct Answer ✔✔ 1
  1. The nurse is planning spiritual care interventions for an 8-year-old patient. Based on the patient's age, the nurse must consider which growth and development factor when planning the spiritual care?
  1. This age-group's concept of spirituality is provided by parents, and love and affection promote spirituality.
  2. This age-group begins to ask about God or a Supreme Being and is influenced by spiritual and religious stories.
  3. This age-group is fascinated with magic and mystery and often believes illness is related to bad behavior.
  4. This age-group has a clear concept of a higher spiritual being and is interested in learning about spirituality. -- Correct Answer ✔✔ 4
  1. A nurse is caring for a patient who is Muslim and has diabetes mellitus. Which of the following items does the nurse need to remove from the meal tray when it is delivered to the patient?
  1. Small container of vanilla ice cream
  2. A dozen red grapes
  3. Bacon and eggs
  4. Garden salad with ranch dressing -- Correct Answer ✔✔ 3
  1. A 44-year-old male patient has just been told that his wife and child were killed in an auto accident while coming to visit him in the hospital. After analyzing the assessment findings, the nurse recognizes that which statements made by the patient support a nursing diagnosis of Spiritual Distress related to loss of family members? (Select all that apply.)
  1. "I need to call my sister for support."
  2. "I have nothing to live for now."
  3. "Why would my God do this to me?"
  4. "I need to pray for a miracle."
  5. "I want to be more involved in my church." -- Correct Answer ✔✔ 2,
  1. Offer the patient her choice of rituals or participation in exercise. -- Correct Answer ✔✔ 3,4,
  1. A nurse used spiritual rituals as an intervention in a patient's care. Which of the following questions is most appropriate to evaluate the efficacy of the intervention?
  1. Do you feel the need to forgive your wife over your loss?
  2. What can I do to help you feel more at peace?
  3. Did either prayer or meditation prove helpful to you?
  4. Should we plan on having your family try to visit you more often in the hospital? -- Correct Answer ✔✔ 3
  1. The nurse is caring for a 50-year-old woman visiting the outpatient medicine clinic. The patient has had type 1 diabetes mellitus since age 13. She has numerous complications from her disease, including reduced vision, heart disease, and severe numbness and tingling of the extremities. Knowing that spirituality helps patients cope with chronic illness, which of the following principles should the nurse apply in practice? (Select all that apply.)
  1. Pay attention to the patient's spiritual identity throughout the course of her illness.
  2. Select interventions that you know scientifically support spiritual well- being.
  3. Listen to the patient's story each visit to the clinic, and offer a compassionate presence.
  4. When the patient questions the reason for her longtime suffering, try to provide answers.
  5. Consult with a spiritual care adviser, and have the adviser recommend useful interventions. -- Correct Answer ✔✔ 1,
  1. A nurse is seeing all of these patients in the community health clinic. The nurse identifies which patient(s) as having a health disparity? (Select all that apply.)
  1. A patient who has a homosexual sexual preference
  2. A patient unable to access primary care services
  3. A patient living with chronic schizophrenia
  4. A family who relies on public transportation
  5. A patient who has a history of hypertension -- Correct Answer ✔✔ 1,2,
  1. A 35-year-old woman has Medicaid coverage for herself and two young children. She missed an appointment at the local health clinic to get an annual mammogram because she has no transportation. She gets the annual screening because her mother had breast cancer. Which of the following are social determinants of this woman's health? (Select all that apply.)
  1. Medicaid insurance
  2. Annual screening
  3. Mother's history of breast cancer
  4. Lack of transportation
  5. Woman's age -- Correct Answer ✔✔ 1, 4, 5
  1. During a nursing assessment a patient displayed several behaviors. Which behavior suggests the patient may have a health literacy problem?
  1. Patient has difficulty completing a registration form at a medical office
  2. Patient asks for written information about a health topic
  3. Patient speaks Spanish as primary language
  4. Patient states unfamiliarity with a newly ordered medicine -- Correct Answer ✔✔ 1
  1. Health care agencies must provide which of the following based on federal civil rights laws? (Select all that apply.)
  1. Provide language assistance services at all points of contact free of charge.
  2. Provide auxiliary aids and services, such as interpreters, note takers, and computer-aided transcription services.
  3. Use patients' family members to interpret difficult topics.
  1. "Using teach-back will help me identify explanations and communication strategies that my patients will most commonly understand."
  2. "Using pictures, drawings, and models can enhance the effectiveness of the teach-back technique."
  3. "When doing my patient teaching, I will use plain language to make the material easier to understand for the patient." -- Correct Answer ✔✔ 1,2,3,4,
  1. You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation, you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which statement best describes this code?
  1. Improves self-health care
  2. Protects the patient's confidentiality
  3. Ensures identical care to all patients
  4. Defines the principles of right and wrong to provide patient care -- Correct Answer ✔✔ 4
  1. A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the operation to the family and discusses the patient's wishes with them. The nurse is acting as the patient's:
  1. Educator
  2. Advocate
  3. Caregiver
  4. Communicator -- Correct Answer ✔✔ 2
  1. The nurse spends time with a patient and family reviewing a dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role?
  1. Educator
  2. Advocate
  3. Caregiver
  4. Communicator -- Correct Answer ✔✔ 1
  1. The examination for RN licensure is the same in every state in the United States. This examination:
  1. Guarantees safe nursing care for all patients
  2. Ensures standard nursing care for all patients
  3. Provides the minimal standard of knowledge for an RN in practice
  4. Guarantees standardized education across all prelicensure programs -- Correct Answer ✔✔ 3
  1. Contemporary nursing requires that the nurse have knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples of these roles and responsibilities? (Select all that apply.)
  1. Caregiver
  2. Autonomy
  3. Patient advocate
  4. Health promotion
  5. Genetic counselor -- Correct Answer ✔✔ 1,2,3,
  1. Health care reform will bring changes in the emphasis of care. Which of these models is expected from health care reform?
  1. Moving from an acute illness to a health promotion, illness prevention model
  2. Moving from an illness prevention to a health promotion model
  3. Moving from hospital-based to community-based care
  4. Moving from an acute illness to a disease management model -- Correct Answer ✔✔ 1
  1. Person, health, environment, and nursing. -- Correct Answer ✔✔ 4
  1. Theory is essential to nursing practice because it: (Select all that apply.)
  1. Contributes to nursing knowledge.
  2. Predicts patient behaviors in situations.
  3. Provides a means of assessing patient vital signs
  4. Guides nursing practice.
  5. Formulates health care legislation.
  6. Explains relationships between concepts. -- Correct Answer ✔✔ 1,2,4,
  1. A nurse ensures that each patient's room is clean; well ventilated; and free from clutter, excessive noise, and extremes in temperature. Which theorist's work is the nurse practicing in this example?
  1. Henderson
  2. Orem
  3. King
  4. Nightingale -- Correct Answer ✔✔ 4
  1. A nurse is caring for a patient admitted to the neurological unit with the diagnosis of a stroke and right-sided weakness. The nurse assumes responsibility for bathing and feeding the patient until the patient can begin performing these activities. The nurse in this situation is applying the theory developed by:
  1. Johnson.
  2. Orem.
  3. Roy.
  4. Peplau. -- Correct Answer ✔✔ 2
  1. Which of the following statements related to theory-based nursing practice are correct? (Select all that apply.)
  1. Nursing theory differentiates nursing from other disciplines.
  2. Nursing theories are standardized and do not change over time.
  3. Integrating theory into practice promotes coordinated care delivery.
  1. Nursing knowledge is generated by theory.
  2. The theory of nursing process is used in planning patient care
  3. Evidence-based practice results from theory-testing research. -- Correct Answer ✔✔ 1,3,4,
  1. A nurse is caring for a patient who recently lost a leg in a motor vehicle accident. The nurse best assists the patient to cope with this situation by applying which of the following theories?
  1. Roy
  2. Watson
  3. Johnson
  4. Benner -- Correct Answer ✔✔ 1
  1. Using Maslow's hierarchy of needs, identify the priority for a patient who is experiencing chest pain and difficulty breathing.
  1. Self-actualization
  2. Air, water, and nutrition
  3. Safety
  4. Esteem and self-esteem needs -- Correct Answer ✔✔ 2
  1. A nurse is analyzing data generated during a patient assessment to determine the best plan of care. Which layer of the NCSBN-CJM best describes the cognitive process being used by the nurse at this time?
  1. Layer 0
  2. Layer 1
  3. Layer 2
  4. Layer 3
  5. Layer 4 -- Correct Answer ✔✔ 4
  1. When planning patient education, it is important to remember that patients with which of the following illnesses may find relief in complementary therapies?
  1. Lupus and diabetes mellitus
  2. Ulcers and hepatitis