SAUNDERS NCLEX FUNDAMENTALS EXAM
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
The ambulatory care nurse is discussing preoperative procedures with a Japanese
American client who is scheduled for surgery the following week. During the discussion,
the client continually smiles and nods the head. How should the nurse interpret this
nonverbal behavior
A. Reflecting a cultural value
B. An acceptance of the treatment
C. Client agreement to the required procedures
D. Client understanding of the preoperative procedures
CORRECT ANSWER
A. Reflecting a cultural value
Nodding or smiling by a Japanese American client may reflect only the cultural value of
interpersonal harmony. This nonverbal behavior may not be an indication of acceptance
of the treatment, agreement with the speaker, or understanding of the procedure.
Question 2
When communicating with a client who speaks a different language, which best practice
should the nurse implement?
A. Speak loudly and slowly.
B. Arrange for an interpreter to translate.
C. Speak to the client and family together.
D. Stand close to the client and speak loudly.
1
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, CORRECT ANSWER
B. Arrange for an interpreter to translate.
Arranging for an interpreter would be the best practice when communicating with a
client who speaks a different language. Options 1 and 4 are inappropriate and ineffective
ways to communicate. Option 3 is inappropriate because it violates privacy and does not
ensure correct translation
Question 3
The nurse educator is providing in-service education to the nursing staff regarding
transcultural nursing care; a staff member asks the nurse educator to provide an example
of the concept of acculturation. The nurse educator should make which most appropriate
response?
A. "A group of individuals identifying as a part of the Iroquois tribe among Native
Americans."
B. "A person who moves from China to the United States (U.S.) and learns about and adapts
to the culture in the U.S."
C. "A group of individuals living in the Azores that identify autonomously but are a part of
the larger population of Portugal."
D."A person who has grown up in the Philippines and chooses to stay there because of the
sense of belonging to his or her cultural group."
CORRECT ANSWER
B. "A person who moves from China to the United States (U.S.) and learns about and
adapts to the culture in the U.S."
Acculturation is a process of learning a different culture to adapt to a new or changing
environment. Options 1 and 3 describe a subculture. Option 4 describes ethnic identity
Question 4
2
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|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
The ambulatory care nurse is discussing preoperative procedures with a Japanese
American client who is scheduled for surgery the following week. During the discussion,
the client continually smiles and nods the head. How should the nurse interpret this
nonverbal behavior
A. Reflecting a cultural value
B. An acceptance of the treatment
C. Client agreement to the required procedures
D. Client understanding of the preoperative procedures
CORRECT ANSWER
A. Reflecting a cultural value
Nodding or smiling by a Japanese American client may reflect only the cultural value of
interpersonal harmony. This nonverbal behavior may not be an indication of acceptance
of the treatment, agreement with the speaker, or understanding of the procedure.
Question 2
When communicating with a client who speaks a different language, which best practice
should the nurse implement?
A. Speak loudly and slowly.
B. Arrange for an interpreter to translate.
C. Speak to the client and family together.
D. Stand close to the client and speak loudly.
1
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, CORRECT ANSWER
B. Arrange for an interpreter to translate.
Arranging for an interpreter would be the best practice when communicating with a
client who speaks a different language. Options 1 and 4 are inappropriate and ineffective
ways to communicate. Option 3 is inappropriate because it violates privacy and does not
ensure correct translation
Question 3
The nurse educator is providing in-service education to the nursing staff regarding
transcultural nursing care; a staff member asks the nurse educator to provide an example
of the concept of acculturation. The nurse educator should make which most appropriate
response?
A. "A group of individuals identifying as a part of the Iroquois tribe among Native
Americans."
B. "A person who moves from China to the United States (U.S.) and learns about and adapts
to the culture in the U.S."
C. "A group of individuals living in the Azores that identify autonomously but are a part of
the larger population of Portugal."
D."A person who has grown up in the Philippines and chooses to stay there because of the
sense of belonging to his or her cultural group."
CORRECT ANSWER
B. "A person who moves from China to the United States (U.S.) and learns about and
adapts to the culture in the U.S."
Acculturation is a process of learning a different culture to adapt to a new or changing
environment. Options 1 and 3 describe a subculture. Option 4 describes ethnic identity
Question 4
2
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