,Hondros NUR 160 Exam 1 | Fundamental Concepts
of Practical Nursing II (2026) Q&A
1. Which statement best describes the purpose of Just Culture in a healthcare organization?
A) It holds nurses solely accountable for all errors.
B) It protects workers who report errors and near misses from disciplinary action.
C) It eliminates the need for incident reporting.
D) It prioritizes punishment over system improvement.
Correct Answer: It protects workers who report errors and near misses from
disciplinary action.
Rationale: Just Culture balances accountability with a non-punitive approach to human
error, protecting workers who report injuries, errors, or near misses so that transparency
and system-wide learning can occur. It does not hold nurses solely accountable, eliminate
reporting, or prioritize punishment.
2. A nurse manager is implementing Just Culture principles on a unit. Which action best
reflects this framework?
A) Terminating a nurse who made a medication error.
B) Encouraging staff to report near misses without fear of retaliation.
C) Discouraging staff from discussing errors openly.
D) Focusing only on individual blame after an adverse event.
Correct Answer: Encouraging staff to report near misses without fear of retaliation.
Rationale: Just Culture encourages open reporting of errors and near misses by
protecting staff from punitive action for human error, allowing the organization to identify
,system flaws and improve safety. Terminating staff, discouraging discussion, and focusing
only on individual blame undermine this approach.
3. Which of the following is an example of a closed-ended question?
A) “How are you feeling today?”
B) “What is your name?”
C) “Tell me more about your pain.”
D) “What concerns do you have about your discharge?”
Correct Answer: “What is your name?”
Rationale: Closed-ended questions elicit specific, short answers, often a single fact or a
yes/no response, such as asking for the patient’s name. Open-ended questions encourage
elaboration and exploration of the patient’s experience.
4. A nurse asks a patient, “Can you describe what your pain feels like?” Which type of
question is this?
A) Closed-ended
B) Open-ended
C) Leading
D) Probing
Correct Answer: Open-ended
Rationale: Open-ended questions invite the patient to elaborate and provide descriptive
information, such as describing the quality of pain. Closed-ended questions require short,
specific answers; leading questions suggest a desired response; and probing questions seek
further detail but can feel intrusive if overused.
, 5. Which statement by the nurse is an example of false reassurance?
A) “Tell me what is worrying you right now.”
B) “Everything will be fine, don’t worry.”
C) “I will stay with you while you wait.”
D) “What questions do you have about your surgery?”
Correct Answer: “Everything will be fine, don’t worry.”
Rationale: False reassurance minimizes the patient’s concerns without evidence and can
damage trust, as in saying “Everything will be fine.” Acknowledging feelings, offering
presence, and inviting questions are therapeutic communication techniques.
6. Why is false reassurance considered non-therapeutic in nursing communication?
A) It provides too much detail about the procedure.
B) It dismisses the patient’s genuine concerns and may be untrue.
C) It encourages the patient to ask too many questions.
D) It takes too much time during a busy shift.
Correct Answer: It dismisses the patient’s genuine concerns and may be untrue.
Rationale: False reassurance dismisses the patient’s fears and may provide inaccurate
comfort, which can damage trust and prevent open discussion. It is not about providing too
much detail, encouraging questions, or time constraints.
7. What is the primary reason a nurse should assess a patient?
A) To complete documentation requirements.
of Practical Nursing II (2026) Q&A
1. Which statement best describes the purpose of Just Culture in a healthcare organization?
A) It holds nurses solely accountable for all errors.
B) It protects workers who report errors and near misses from disciplinary action.
C) It eliminates the need for incident reporting.
D) It prioritizes punishment over system improvement.
Correct Answer: It protects workers who report errors and near misses from
disciplinary action.
Rationale: Just Culture balances accountability with a non-punitive approach to human
error, protecting workers who report injuries, errors, or near misses so that transparency
and system-wide learning can occur. It does not hold nurses solely accountable, eliminate
reporting, or prioritize punishment.
2. A nurse manager is implementing Just Culture principles on a unit. Which action best
reflects this framework?
A) Terminating a nurse who made a medication error.
B) Encouraging staff to report near misses without fear of retaliation.
C) Discouraging staff from discussing errors openly.
D) Focusing only on individual blame after an adverse event.
Correct Answer: Encouraging staff to report near misses without fear of retaliation.
Rationale: Just Culture encourages open reporting of errors and near misses by
protecting staff from punitive action for human error, allowing the organization to identify
,system flaws and improve safety. Terminating staff, discouraging discussion, and focusing
only on individual blame undermine this approach.
3. Which of the following is an example of a closed-ended question?
A) “How are you feeling today?”
B) “What is your name?”
C) “Tell me more about your pain.”
D) “What concerns do you have about your discharge?”
Correct Answer: “What is your name?”
Rationale: Closed-ended questions elicit specific, short answers, often a single fact or a
yes/no response, such as asking for the patient’s name. Open-ended questions encourage
elaboration and exploration of the patient’s experience.
4. A nurse asks a patient, “Can you describe what your pain feels like?” Which type of
question is this?
A) Closed-ended
B) Open-ended
C) Leading
D) Probing
Correct Answer: Open-ended
Rationale: Open-ended questions invite the patient to elaborate and provide descriptive
information, such as describing the quality of pain. Closed-ended questions require short,
specific answers; leading questions suggest a desired response; and probing questions seek
further detail but can feel intrusive if overused.
, 5. Which statement by the nurse is an example of false reassurance?
A) “Tell me what is worrying you right now.”
B) “Everything will be fine, don’t worry.”
C) “I will stay with you while you wait.”
D) “What questions do you have about your surgery?”
Correct Answer: “Everything will be fine, don’t worry.”
Rationale: False reassurance minimizes the patient’s concerns without evidence and can
damage trust, as in saying “Everything will be fine.” Acknowledging feelings, offering
presence, and inviting questions are therapeutic communication techniques.
6. Why is false reassurance considered non-therapeutic in nursing communication?
A) It provides too much detail about the procedure.
B) It dismisses the patient’s genuine concerns and may be untrue.
C) It encourages the patient to ask too many questions.
D) It takes too much time during a busy shift.
Correct Answer: It dismisses the patient’s genuine concerns and may be untrue.
Rationale: False reassurance dismisses the patient’s fears and may provide inaccurate
comfort, which can damage trust and prevent open discussion. It is not about providing too
much detail, encouraging questions, or time constraints.
7. What is the primary reason a nurse should assess a patient?
A) To complete documentation requirements.
