,Galen NSG 3180 Exam 4 | Communication and
Teamwork (2026) Actual Q&A PDF
1. A patient reports difficulty breathing and fatigue. Which objective sign of
hypoxia should the nurse anticipate?
A) Patient states, "I can't catch my breath."
B) Increased pulse rate and nasal flaring
C) A feeling of dizziness
D) Lack of energy
Correct Answer: Increased pulse rate and nasal flaring
Rationale: Objective signs are measurable or observable, such as tachycardia
and nasal flaring. Subjective symptoms include sensations of dyspnea or
dizziness. Nasal flaring and increased pulse are classic objective manifestations
of hypoxia.
2. Which cultural group traditionally uses storytelling to convey health messages
and preserve history?
A) Asian American
B) Hispanic/Latino
C) Native American
D) African American
Correct Answer: Native American
,Rationale: Storytelling is a central cultural practice in many Native American
communities for education, including health teaching. It respects oral tradition
and community values. Other groups may use storytelling but it is specifically
identified with Native American culture.
3. The nurse is caring for a patient with Cheyne-Stokes respirations. This pattern
is best described as:
A) Fast, deep breaths without pause
B) Deep breaths with periods of apnea
C) Rhythmic waxing and waning of depth with periods of apnea
D) Irregular gasping breaths
Correct Answer: Rhythmic waxing and waning of depth with periods of apnea
Rationale: Cheyne-Stokes respirations are characterized by a gradual increase
then decrease in depth, followed by apnea. This is often seen at end of life, with
brain injury, or drug overdose. Kussmaul's are deep and rapid, Biot's are deep
with apnea.
4. A nurse using ISBARR states, "I recommend starting a heparin drip." This
statement represents which component?
A) Situation
B) Background
C) Assessment
D) Recommendation
Correct Answer: Recommendation
, Rationale: The recommendation is the nurse's suggested action. Situation is the
immediate problem, background is context, assessment is the nurse's clinical
judgment. ISBARR ends with Readback for confirmation.
5. For an unconscious patient, the nurse should:
A) Avoid speaking to the patient
B) Speak to the patient as though they can hear
C) Only talk to family members
D) Whisper to avoid startling
Correct Answer: Speak to the patient as though they can hear
Rationale: Hearing is often the last sense lost. Speaking respectfully and
therapeutically maintains dignity, provides orientation, and may comfort the
patient. Avoiding speech or whispering can be dehumanizing.
6. The most important nonverbal communication tool for nurses is:
A) Eye contact
B) Facial expression
C) Touch
D) Posture
Correct Answer: Touch
Teamwork (2026) Actual Q&A PDF
1. A patient reports difficulty breathing and fatigue. Which objective sign of
hypoxia should the nurse anticipate?
A) Patient states, "I can't catch my breath."
B) Increased pulse rate and nasal flaring
C) A feeling of dizziness
D) Lack of energy
Correct Answer: Increased pulse rate and nasal flaring
Rationale: Objective signs are measurable or observable, such as tachycardia
and nasal flaring. Subjective symptoms include sensations of dyspnea or
dizziness. Nasal flaring and increased pulse are classic objective manifestations
of hypoxia.
2. Which cultural group traditionally uses storytelling to convey health messages
and preserve history?
A) Asian American
B) Hispanic/Latino
C) Native American
D) African American
Correct Answer: Native American
,Rationale: Storytelling is a central cultural practice in many Native American
communities for education, including health teaching. It respects oral tradition
and community values. Other groups may use storytelling but it is specifically
identified with Native American culture.
3. The nurse is caring for a patient with Cheyne-Stokes respirations. This pattern
is best described as:
A) Fast, deep breaths without pause
B) Deep breaths with periods of apnea
C) Rhythmic waxing and waning of depth with periods of apnea
D) Irregular gasping breaths
Correct Answer: Rhythmic waxing and waning of depth with periods of apnea
Rationale: Cheyne-Stokes respirations are characterized by a gradual increase
then decrease in depth, followed by apnea. This is often seen at end of life, with
brain injury, or drug overdose. Kussmaul's are deep and rapid, Biot's are deep
with apnea.
4. A nurse using ISBARR states, "I recommend starting a heparin drip." This
statement represents which component?
A) Situation
B) Background
C) Assessment
D) Recommendation
Correct Answer: Recommendation
, Rationale: The recommendation is the nurse's suggested action. Situation is the
immediate problem, background is context, assessment is the nurse's clinical
judgment. ISBARR ends with Readback for confirmation.
5. For an unconscious patient, the nurse should:
A) Avoid speaking to the patient
B) Speak to the patient as though they can hear
C) Only talk to family members
D) Whisper to avoid startling
Correct Answer: Speak to the patient as though they can hear
Rationale: Hearing is often the last sense lost. Speaking respectfully and
therapeutically maintains dignity, provides orientation, and may comfort the
patient. Avoiding speech or whispering can be dehumanizing.
6. The most important nonverbal communication tool for nurses is:
A) Eye contact
B) Facial expression
C) Touch
D) Posture
Correct Answer: Touch
