NMNC 1135 Exam One Questions with
Correct /Verified Answers 2026
Update.
A nurse manager is addressing the issue of lateral violence among the nursing staff on a
medical-surgical unit. Which intervention by the nurse manager is most effective in preventing
and managing lateral violence
A. Implementing a strict hierarchical structure within the nursing team.
B. Conducting periodic team-building workshops and communication training.
C. Ignoring the issue to avoid escalation of conflicts.
D. Assigning blame to individuals involved in lateral violence incidents. - Answer B
A nurse is caring for a patient in a healthcare setting and is about to perform a routine hand
hygiene procedure after leaving a contact precaution room. Which action by the nurse is the
most appropriate according to infection control guidelines.
A. Wash hands with soap and water with vigorous scrubbing for at least 20 seconds.
B. Apply an alcohol-based hand sanitizer and rub hands together until dry
C. Use a pre-moistened antiseptic wipe for hand cleaning
D. Skip hand hygiene since the nurse's hands are not visibly soiled - Answer A
Which nonverbal communication technique is very therapeutic and effective but requires a
conscious effort by the nurse to practice and squire skill in the use of this technique?
A. Listening
B. Silence
C. Touch
D. Converting Acceptance - Answer B
A newly hired nurse is working on the nephrology unit. During shift change, the nurse he is
receiving report from withheld information regarding medication changes for the following day.
What action should the new nurse take first to address this issue?
A. Confront the colleague in front of other staff members to bring attention to the behavior
B. Document the incidents and report them to the nursing supervisor or manager.
C. Engage in similar behavior to establish dominance in the workplace.
D. Ignore the colleague's actions and focus on individual tasks. - Answer B
Documenting the incidents and reporting them to the nursing supervisor or manager is a
proactive step to address the issue of lateral violence. A would only be correct if the colleague
was confronted in privately, allowing for a more open and honest discussion without escalating
the situation in front of others.
, While talking with your female patient, you notice that she is frowning. What is the best way to
find out her concerns?
A. Ask your patient if she is unhappy
B. Tell your patient that everything will be okay
C. Ask your patient if she is angry about the care being given
D. Identify that you notice the patient is frowning - Answer D
Therapeutic communication is key to providing the best care possible to your patients. Choose
those factors that negatively affect therapeutic communication. (Select all that apply)
A. Language Barrier
B. Caring Environment
C. Lack of trust
D. Cultural Differences
E. Use of Active listening - Answer A. C. D.
The patient is fearful concerning upcoming surgery. Which statement by the nurse is most
therapeutic?
A. "Sometimes anxiety is not easy to deal with. Can you tell me what is bothering you the most
about your upcoming surgery?"
B. "Don't worry. Everyone has some anxiety about having surgery."
C. "Just try to think about the positive results from the surgery. You'll recover quickly."
D. "I had surgery once, and it still scares me to think about it, so I know how you feel." - Answer
A
The nurse is talking with the patient about her husbands death 2 years ago. Tears form in the
patients eyes, and she stops talking. What is the most appropriate therapeutic response by the
nurse?
A. Change the subject to something less difficult for the patient
B. Remain silent and hold the patients hand
C. Leave the room to provide privacy
D. Pretend not to notice the tears and continue the conversation - Answer B
Abdominal surgery has revealed that the patient, a young mother, has advanced metastatic
colon cancer. While the nurse is changing her dressing, the patient begins to cry and states, "If I
had just gone to the doctor sooner, my kids wouldn't have to grow up without a mother." Which
response by the nurse is most therapeutic?
A. "It's natural to blame yourself in situations like this."
Correct /Verified Answers 2026
Update.
A nurse manager is addressing the issue of lateral violence among the nursing staff on a
medical-surgical unit. Which intervention by the nurse manager is most effective in preventing
and managing lateral violence
A. Implementing a strict hierarchical structure within the nursing team.
B. Conducting periodic team-building workshops and communication training.
C. Ignoring the issue to avoid escalation of conflicts.
D. Assigning blame to individuals involved in lateral violence incidents. - Answer B
A nurse is caring for a patient in a healthcare setting and is about to perform a routine hand
hygiene procedure after leaving a contact precaution room. Which action by the nurse is the
most appropriate according to infection control guidelines.
A. Wash hands with soap and water with vigorous scrubbing for at least 20 seconds.
B. Apply an alcohol-based hand sanitizer and rub hands together until dry
C. Use a pre-moistened antiseptic wipe for hand cleaning
D. Skip hand hygiene since the nurse's hands are not visibly soiled - Answer A
Which nonverbal communication technique is very therapeutic and effective but requires a
conscious effort by the nurse to practice and squire skill in the use of this technique?
A. Listening
B. Silence
C. Touch
D. Converting Acceptance - Answer B
A newly hired nurse is working on the nephrology unit. During shift change, the nurse he is
receiving report from withheld information regarding medication changes for the following day.
What action should the new nurse take first to address this issue?
A. Confront the colleague in front of other staff members to bring attention to the behavior
B. Document the incidents and report them to the nursing supervisor or manager.
C. Engage in similar behavior to establish dominance in the workplace.
D. Ignore the colleague's actions and focus on individual tasks. - Answer B
Documenting the incidents and reporting them to the nursing supervisor or manager is a
proactive step to address the issue of lateral violence. A would only be correct if the colleague
was confronted in privately, allowing for a more open and honest discussion without escalating
the situation in front of others.
, While talking with your female patient, you notice that she is frowning. What is the best way to
find out her concerns?
A. Ask your patient if she is unhappy
B. Tell your patient that everything will be okay
C. Ask your patient if she is angry about the care being given
D. Identify that you notice the patient is frowning - Answer D
Therapeutic communication is key to providing the best care possible to your patients. Choose
those factors that negatively affect therapeutic communication. (Select all that apply)
A. Language Barrier
B. Caring Environment
C. Lack of trust
D. Cultural Differences
E. Use of Active listening - Answer A. C. D.
The patient is fearful concerning upcoming surgery. Which statement by the nurse is most
therapeutic?
A. "Sometimes anxiety is not easy to deal with. Can you tell me what is bothering you the most
about your upcoming surgery?"
B. "Don't worry. Everyone has some anxiety about having surgery."
C. "Just try to think about the positive results from the surgery. You'll recover quickly."
D. "I had surgery once, and it still scares me to think about it, so I know how you feel." - Answer
A
The nurse is talking with the patient about her husbands death 2 years ago. Tears form in the
patients eyes, and she stops talking. What is the most appropriate therapeutic response by the
nurse?
A. Change the subject to something less difficult for the patient
B. Remain silent and hold the patients hand
C. Leave the room to provide privacy
D. Pretend not to notice the tears and continue the conversation - Answer B
Abdominal surgery has revealed that the patient, a young mother, has advanced metastatic
colon cancer. While the nurse is changing her dressing, the patient begins to cry and states, "If I
had just gone to the doctor sooner, my kids wouldn't have to grow up without a mother." Which
response by the nurse is most therapeutic?
A. "It's natural to blame yourself in situations like this."
