2026/2027
NUR 155 Exam 4 Comprehensive
Study Guide and Practice Questions
for Nursing Fundamentals 2026/2027
Edition
Question 1
Which term best describes the use of internet technologies to improve healthcare
delivery, access, and efficiency in clinical and administrative services?
A. Telemedicine
B. E-health
C. Health informatics
D. Digital nursing
Correct Answer: B. E-health
Rationale: E-health refers to the use of internet and related technologies to improve
healthcare delivery, communication, and efficiency across clinical and administrative
systems. While telemedicine is part of e-health, it is more specific to remote clinical
consultations. Health informatics is broader and focuses on data systems, and “digital
nursing” is not a standardized healthcare term.
Question 2
A high level of which psychological condition can significantly interfere with a
learner’s ability to focus and retain information?
A. Depression
B. Anxiety
C. Fatigue
D. Stress adaptation
Correct Answer: B. Anxiety
Rationale: Anxiety at high levels impairs concentration, memory retention, and
learning ability due to cognitive overload and emotional distress. While fatigue and
stress may also affect learning, anxiety specifically disrupts attention and processing
more directly in educational settings.
,2026/2027
Question 3
Retention of newly learned information is improved primarily through:
A. Repetition of key concepts
B. Passive listening only
C. Avoiding review sessions
D. Memorizing without understanding
Correct Answer: A. Repetition of key concepts
Rationale: Repetition strengthens memory pathways and improves long-term retention
of information. Passive listening or rote memorization without reinforcement is less
effective, and avoiding review leads to rapid forgetting.
Question 4
A client’s learning style is most influenced by which factor?
A. Gender
B. Cultural background
C. Age alone
D. Hospital environment
Correct Answer: B. Cultural background
Rationale: Cultural background significantly influences learning preferences,
communication styles, and understanding of health information. While age and
environment may play a role, culture is a primary determinant of learning style
variation.
Question 5
A client who is not ready to learn is most likely to:
A. Actively participate in education
B. Avoid the subject or situation
C. Retain information effectively
D. Request more learning sessions
Correct Answer: B. Avoid the subject or situation
Rationale: Readiness to learn is essential for effective education. When a client is not
ready, they often avoid information, show disinterest, or resist engagement.
Question 6
, 2026/2027
Which theory describes learning as a complex cognitive process involving thinking,
understanding, and memory?
A. Behaviorism
B. Cognitivism
C. Humanism
D. Constructivism
Correct Answer: B. Cognitivism
Rationale: Cognitivism focuses on internal mental processes such as perception,
memory, and reasoning. It emphasizes how learners process and organize information.
Question 7
Which learning domain includes motor skills such as administering an injection?
A. Cognitive
B. Affective
C. Psychomotor
D. Social
Correct Answer: C. Psychomotor
Rationale: The psychomotor domain involves physical skills and motor coordination,
such as injections, wound care, and clinical procedures.
Question 8
Which nursing action is inappropriate when teaching clients from diverse cultural
backgrounds?
A. Using visual aids
B. Encouraging questions
C. Providing translated materials
D. Using medical jargon extensively
Correct Answer: D. Using medical jargon extensively
Rationale: Medical terminology can confuse clients with limited health literacy or
language barriers. Clear, simple language improves understanding.
Question 9
Learning by observing others is known as:
NUR 155 Exam 4 Comprehensive
Study Guide and Practice Questions
for Nursing Fundamentals 2026/2027
Edition
Question 1
Which term best describes the use of internet technologies to improve healthcare
delivery, access, and efficiency in clinical and administrative services?
A. Telemedicine
B. E-health
C. Health informatics
D. Digital nursing
Correct Answer: B. E-health
Rationale: E-health refers to the use of internet and related technologies to improve
healthcare delivery, communication, and efficiency across clinical and administrative
systems. While telemedicine is part of e-health, it is more specific to remote clinical
consultations. Health informatics is broader and focuses on data systems, and “digital
nursing” is not a standardized healthcare term.
Question 2
A high level of which psychological condition can significantly interfere with a
learner’s ability to focus and retain information?
A. Depression
B. Anxiety
C. Fatigue
D. Stress adaptation
Correct Answer: B. Anxiety
Rationale: Anxiety at high levels impairs concentration, memory retention, and
learning ability due to cognitive overload and emotional distress. While fatigue and
stress may also affect learning, anxiety specifically disrupts attention and processing
more directly in educational settings.
,2026/2027
Question 3
Retention of newly learned information is improved primarily through:
A. Repetition of key concepts
B. Passive listening only
C. Avoiding review sessions
D. Memorizing without understanding
Correct Answer: A. Repetition of key concepts
Rationale: Repetition strengthens memory pathways and improves long-term retention
of information. Passive listening or rote memorization without reinforcement is less
effective, and avoiding review leads to rapid forgetting.
Question 4
A client’s learning style is most influenced by which factor?
A. Gender
B. Cultural background
C. Age alone
D. Hospital environment
Correct Answer: B. Cultural background
Rationale: Cultural background significantly influences learning preferences,
communication styles, and understanding of health information. While age and
environment may play a role, culture is a primary determinant of learning style
variation.
Question 5
A client who is not ready to learn is most likely to:
A. Actively participate in education
B. Avoid the subject or situation
C. Retain information effectively
D. Request more learning sessions
Correct Answer: B. Avoid the subject or situation
Rationale: Readiness to learn is essential for effective education. When a client is not
ready, they often avoid information, show disinterest, or resist engagement.
Question 6
, 2026/2027
Which theory describes learning as a complex cognitive process involving thinking,
understanding, and memory?
A. Behaviorism
B. Cognitivism
C. Humanism
D. Constructivism
Correct Answer: B. Cognitivism
Rationale: Cognitivism focuses on internal mental processes such as perception,
memory, and reasoning. It emphasizes how learners process and organize information.
Question 7
Which learning domain includes motor skills such as administering an injection?
A. Cognitive
B. Affective
C. Psychomotor
D. Social
Correct Answer: C. Psychomotor
Rationale: The psychomotor domain involves physical skills and motor coordination,
such as injections, wound care, and clinical procedures.
Question 8
Which nursing action is inappropriate when teaching clients from diverse cultural
backgrounds?
A. Using visual aids
B. Encouraging questions
C. Providing translated materials
D. Using medical jargon extensively
Correct Answer: D. Using medical jargon extensively
Rationale: Medical terminology can confuse clients with limited health literacy or
language barriers. Clear, simple language improves understanding.
Question 9
Learning by observing others is known as:
