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Solutions Updated Per Latest Guidelines Graded A+......
NUR 203 Comprehensive Practice Examination
200 Multiple-Choice Questions with Answers and Rationales
SECTION 1: HEALTH ASSESSMENT AND PHYSICAL EXAMINATION (Questions 1-40)
Question 1
A nurse is preparing to perform a health assessment on a newly admitted client.
Which action demonstrates the use of therapeutic communication as a basic tool
in the caring relationship?
A. Asking closed-ended questions to gather specific data quickly
B. Using silence to allow the client to organize thoughts and express feelings
C. Interrupting the client to clarify unclear statements
D. Providing medical advice to help the client make decisions
Answer: B. Using silence to allow the client to organize thoughts and express
feelings
Rationale: Therapeutic communication is a fundamental tool in the nurse-client
relationship. Allowing silence gives the client time to process thoughts and
feelings without feeling rushed. Asking closed-ended questions limits information
,gathering, interrupting is disrespectful, and providing advice moves away from
therapeutic communication toward a prescriptive approach that may not align
with client-centered care .
Question 2
The nurse is learning about communication concepts. Which statement correctly
describes intrapersonal communication?
A. Communication that involves two or more people working toward a common
goal
B. An internal dialogue that occurs within a person, also known as self-talk
C. Communication that occurs among several people simultaneously
D. A unique form of group communication where the speaker interacts with
varying degrees
Answer: B. An internal dialogue that occurs within a person, also known as self-
talk
Rationale: Intrapersonal communication is defined as self-talk or internal dialogue
that occurs within an individual. This is distinct from interpersonal communication
(between two people) and group communication (among multiple people). Self-
,talk influences how we process information and can affect our emotional state
and decision-making .
Question 3
During a health assessment interview, the nurse asks the client to describe the
onset and duration of their symptoms. In which phase of the nurse-client
relationship does this occur?
A. Preorientation phase
B. Orientation phase
C. Working phase
D. Termination phase
Answer: C. Working phase
Rationale: The working phase is when the client actively expresses thoughts and
feelings, and the nurse gathers comprehensive health data. The orientation phase
involves establishing trust and setting goals. The preorientation phase occurs
before meeting the client. The termination phase involves concluding the
relationship and evaluating outcomes .
, Question 4
A nurse is using the SBARQ communication tool when reporting a change in a
client's condition. Which statement represents the "Background" component?
A. "Mrs. Smith is experiencing shortness of breath."
B. "Mrs. Smith is a 68-year-old with a history of COPD and hypertension."
C. "I recommend increasing the oxygen to 3 liters per minute."
D. "What is your assessment of this situation?"
Answer: B. "Mrs. Smith is a 68-year-old with a history of COPD and hypertension."
Rationale: SBARQ stands for Situation, Background, Assessment,
Recommendation, and Question. The Background component provides relevant
history and context about the client's condition. Option A describes the Situation,
Option C describes a Recommendation, and Option D represents the Question
component .
Question 5
The nurse is planning to interview a patient with diabetes mellitus to understand
their perspective on the illness. Which assessment tool would be most
appropriate?
Solutions Updated Per Latest Guidelines Graded A+......
NUR 203 Comprehensive Practice Examination
200 Multiple-Choice Questions with Answers and Rationales
SECTION 1: HEALTH ASSESSMENT AND PHYSICAL EXAMINATION (Questions 1-40)
Question 1
A nurse is preparing to perform a health assessment on a newly admitted client.
Which action demonstrates the use of therapeutic communication as a basic tool
in the caring relationship?
A. Asking closed-ended questions to gather specific data quickly
B. Using silence to allow the client to organize thoughts and express feelings
C. Interrupting the client to clarify unclear statements
D. Providing medical advice to help the client make decisions
Answer: B. Using silence to allow the client to organize thoughts and express
feelings
Rationale: Therapeutic communication is a fundamental tool in the nurse-client
relationship. Allowing silence gives the client time to process thoughts and
feelings without feeling rushed. Asking closed-ended questions limits information
,gathering, interrupting is disrespectful, and providing advice moves away from
therapeutic communication toward a prescriptive approach that may not align
with client-centered care .
Question 2
The nurse is learning about communication concepts. Which statement correctly
describes intrapersonal communication?
A. Communication that involves two or more people working toward a common
goal
B. An internal dialogue that occurs within a person, also known as self-talk
C. Communication that occurs among several people simultaneously
D. A unique form of group communication where the speaker interacts with
varying degrees
Answer: B. An internal dialogue that occurs within a person, also known as self-
talk
Rationale: Intrapersonal communication is defined as self-talk or internal dialogue
that occurs within an individual. This is distinct from interpersonal communication
(between two people) and group communication (among multiple people). Self-
,talk influences how we process information and can affect our emotional state
and decision-making .
Question 3
During a health assessment interview, the nurse asks the client to describe the
onset and duration of their symptoms. In which phase of the nurse-client
relationship does this occur?
A. Preorientation phase
B. Orientation phase
C. Working phase
D. Termination phase
Answer: C. Working phase
Rationale: The working phase is when the client actively expresses thoughts and
feelings, and the nurse gathers comprehensive health data. The orientation phase
involves establishing trust and setting goals. The preorientation phase occurs
before meeting the client. The termination phase involves concluding the
relationship and evaluating outcomes .
, Question 4
A nurse is using the SBARQ communication tool when reporting a change in a
client's condition. Which statement represents the "Background" component?
A. "Mrs. Smith is experiencing shortness of breath."
B. "Mrs. Smith is a 68-year-old with a history of COPD and hypertension."
C. "I recommend increasing the oxygen to 3 liters per minute."
D. "What is your assessment of this situation?"
Answer: B. "Mrs. Smith is a 68-year-old with a history of COPD and hypertension."
Rationale: SBARQ stands for Situation, Background, Assessment,
Recommendation, and Question. The Background component provides relevant
history and context about the client's condition. Option A describes the Situation,
Option C describes a Recommendation, and Option D represents the Question
component .
Question 5
The nurse is planning to interview a patient with diabetes mellitus to understand
their perspective on the illness. Which assessment tool would be most
appropriate?
