NUR 2804C Giddens Module 6 Practice
Exam with verified answers and
rationale graded A+ updated 2026
1. Nursing process and communication
1. What is the first step in the nursing process?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B
Rationale: Assessment is the first step because the nurse must collect data before planning care.
2. Which statement is an example of subjective data?
A. Temperature 38.2°C
B. Blood pressure 90/60 mm Hg
C. “I feel dizzy when I stand up.”
D. Skin is pale and cool
Answer: C
Rationale: Subjective data are what the client reports, not what the nurse observes.
3. Which goal is written in the best SMART format?
A. The client will walk more.
B. The client will improve mobility.
C. The client will ambulate 100 feet with a walker by the end of the shift.
D. The client will feel better soon.
Answer: C
Rationale: SMART goals are specific, measurable, achievable, relevant, and time-limited.
,4. Which nurse response is most therapeutic for a crying client?
A. “You should calm down.”
B. “Why are you crying?”
C. “I can see this is upsetting. Tell me what is troubling you.”
D. “Everything will be okay.”
Answer: C
Rationale: This response encourages expression of feelings and uses therapeutic communication.
5. A client says, “The television is sending me messages.” What is the best nurse response?
A. “That is not true.”
B. “I don’t see any messages, but I know this feels real to you.”
C. “Turn off the TV and ignore it.”
D. “Why do you think that is happening?”
Answer: B
Rationale: The nurse does not argue with delusions and acknowledges the client’s feelings.
6. Which client should the nurse see first based on Maslow’s hierarchy?
A. Client who feels lonely
B. Client with oxygen saturation of 86%
C. Client asking for discharge teaching
D. Client upset about finances
Answer: B
Rationale: Physiological needs such as oxygenation are highest priority.
7. Which intervention is the priority for a client expressing suicidal thoughts?
A. Encourage journaling
B. Remove sharp objects and harmful items
C. Ask family to stay in the waiting room
D. Teach relaxation breathing later
Answer: B
Rationale: Client safety is the priority in suicide risk.
, 8. Which task is appropriate for the RN to delegate to a UAP?
A. Initial assessment of a new admission
B. Teaching insulin injection
C. Ambulating a stable postoperative client
D. Interpreting lab results
Answer: C
Rationale: UAPs can assist with care for stable clients, such as ambulation.
9. Which documentation is objective?
A. “Client seems anxious.”
B. “Client is rude and uncooperative.”
C. “Client states pain is 8/10.”
D. “Wound drainage measured 2 cm on dressing.”
Answer: D
Rationale: Objective data are observable and measurable.
10. What is the nurse’s role in informed consent?
A. Explain the procedure in detail
B. Obtain the signature for the provider
C. Witness the signature and confirm the client is voluntary
D. Decide whether the client should sign
Answer: C
Rationale: The provider explains the procedure; the nurse witnesses and verifies voluntariness.
11. Which statement about advance directives is correct?
A. They are only for older adults
B. They guide care if the client cannot speak for themselves
C. They replace all treatment decisions
D. They stop all comfort care
Answer: B
Exam with verified answers and
rationale graded A+ updated 2026
1. Nursing process and communication
1. What is the first step in the nursing process?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B
Rationale: Assessment is the first step because the nurse must collect data before planning care.
2. Which statement is an example of subjective data?
A. Temperature 38.2°C
B. Blood pressure 90/60 mm Hg
C. “I feel dizzy when I stand up.”
D. Skin is pale and cool
Answer: C
Rationale: Subjective data are what the client reports, not what the nurse observes.
3. Which goal is written in the best SMART format?
A. The client will walk more.
B. The client will improve mobility.
C. The client will ambulate 100 feet with a walker by the end of the shift.
D. The client will feel better soon.
Answer: C
Rationale: SMART goals are specific, measurable, achievable, relevant, and time-limited.
,4. Which nurse response is most therapeutic for a crying client?
A. “You should calm down.”
B. “Why are you crying?”
C. “I can see this is upsetting. Tell me what is troubling you.”
D. “Everything will be okay.”
Answer: C
Rationale: This response encourages expression of feelings and uses therapeutic communication.
5. A client says, “The television is sending me messages.” What is the best nurse response?
A. “That is not true.”
B. “I don’t see any messages, but I know this feels real to you.”
C. “Turn off the TV and ignore it.”
D. “Why do you think that is happening?”
Answer: B
Rationale: The nurse does not argue with delusions and acknowledges the client’s feelings.
6. Which client should the nurse see first based on Maslow’s hierarchy?
A. Client who feels lonely
B. Client with oxygen saturation of 86%
C. Client asking for discharge teaching
D. Client upset about finances
Answer: B
Rationale: Physiological needs such as oxygenation are highest priority.
7. Which intervention is the priority for a client expressing suicidal thoughts?
A. Encourage journaling
B. Remove sharp objects and harmful items
C. Ask family to stay in the waiting room
D. Teach relaxation breathing later
Answer: B
Rationale: Client safety is the priority in suicide risk.
, 8. Which task is appropriate for the RN to delegate to a UAP?
A. Initial assessment of a new admission
B. Teaching insulin injection
C. Ambulating a stable postoperative client
D. Interpreting lab results
Answer: C
Rationale: UAPs can assist with care for stable clients, such as ambulation.
9. Which documentation is objective?
A. “Client seems anxious.”
B. “Client is rude and uncooperative.”
C. “Client states pain is 8/10.”
D. “Wound drainage measured 2 cm on dressing.”
Answer: D
Rationale: Objective data are observable and measurable.
10. What is the nurse’s role in informed consent?
A. Explain the procedure in detail
B. Obtain the signature for the provider
C. Witness the signature and confirm the client is voluntary
D. Decide whether the client should sign
Answer: C
Rationale: The provider explains the procedure; the nurse witnesses and verifies voluntariness.
11. Which statement about advance directives is correct?
A. They are only for older adults
B. They guide care if the client cannot speak for themselves
C. They replace all treatment decisions
D. They stop all comfort care
Answer: B
