EDITION BY TAYLOR 2026 ISBN:
9781975168155 INSTRUCTIONS: SELECT
THE ONE BEST ANSWER FOR EACH
QUESTION.
Question 1
A nurse is caring for a hospitalized patient who has limited English
proficiency. The patient's adult daughter offers to interpret during the
admission assessment. Which action by the nurse is most appropriate?
A. Ask the daughter to interpret because she knows the patient best.
B. Use simple English and speak more loudly so the patient can
understand.
C. Request a qualified medical interpreter.
D. Ask another bilingual patient to interpret.
ANSWERS: C
Rationale: A qualified medical interpreter promotes accurate
communication, patient autonomy, confidentiality, and safety. Family
members should not routinely be used as interpreters because
important information may be omitted, misunderstood, or filtered.
Speaking louder does not resolve a language barrier, and another
patient is not an appropriate interpreter.
,Question 2
A nurse is preparing to administer medication to a patient. The patient
states, "I don't remember taking this medication before." What should
the nurse do first?
A. Administer the medication because it is prescribed.
B. Explain that the medication is commonly used for the patient's
condition.
C. Verify the medication and prescription before administration.
D. Ask the patient to sign a refusal form.
ANSWERS: C
Rationale: The nurse has a responsibility to verify medication
accuracy and investigate discrepancies before administration. The
medication should not be given simply because it appears on the
medication administration record. Patient questions may identify an
error or misunderstanding and should be taken seriously.
Question 3
A patient tells the nurse, "I am afraid that my condition is getting
worse." Which response demonstrates therapeutic communication?
A. "You shouldn't worry because the health care team is treating you."
,B. "What makes you feel that your condition is getting worse?"
C. "I'm sure you'll feel better soon."
D. "Try to think positively."
ANSWERS: B
Rationale: The response encourages the patient to elaborate on the
concern and provides an opportunity for further assessment.
Statements that offer false reassurance, minimize concerns, or give
unsolicited advice can block communication.
Question 4
The nurse receives a verbal prescription from a health care provider
during an emergency. Which action is most appropriate?
A. Write down the prescription and administer it without further
verification.
B. Ask another nurse to interpret the prescription.
C. Read the prescription back to the provider for verification.
D. Wait until the provider enters the prescription electronically.
ANSWERS: C
Rationale: Read-back verification is an important safety practice for
verbal prescriptions. The nurse should document the prescription
, according to organizational policy and clarify any ambiguity before
implementation.
Question 5
A nurse is developing a plan of care for a patient who has impaired
mobility. Which goal is written correctly?
A. Patient will improve mobility.
B. Patient will understand the importance of exercise.
C. Patient will ambulate 50 meters with a walker by the end of the
shift.
D. Nurse will assist the patient with ambulation three times daily.
ANSWERS: C
Rationale: A well-written patient outcome is specific, measurable,
patient-centered, and time limited. "Improve mobility" is vague, while
the nursing intervention belongs in the intervention section rather than
the outcome statement.
Question 6
A nurse is reviewing evidence before changing a nursing intervention.
Which source generally provides the strongest evidence for clinical
decision-making?