NUR 521 Exam 4 Blueprint Practice Questions and
Answers | 2026 Updated | 100% Correct -
University of Alabama.
1. In a scenario where a nurse encounters a patient from a different cultural
background, how should the nurse utilize cultural assessment to improve
care?
By assuming the patient's needs based on their ethnicity.
By focusing solely on medical history without considering cultural
factors.
By asking about the patient's cultural beliefs and practices related
to health and illness.
By providing care based on the nurse's own cultural beliefs.
2. The overarching purpose of the nursing process is to...
Identify and treat the patient's underlying medical illness or disease
Select patient-specific interventions to provide individualized care
Develop EBP policies and procedures to improve patient outcomes
Identify and treat the human response to the patient's health
problem or medical diagnosis
3. Which type of hearing loss is caused by impairment of function in the inner
ear or its central connections?
Sensorineural
Functional
Mixed
, Conductive
4. What is the primary purpose of documenting nursing assessments?
To create a checklist for future assessments.
, To share information with other healthcare providers.
To fulfill legal requirements only.
To provide a clear and accurate record of patient findings.
5. What may occur as a result of excessive or prolonged stress?
Poor concentration, impaired decision making, memory problems
physiologic responses can be maladaptive, leading to harm and
disease
loss of homeostasis
Withdrawing from others, irritability, substance abuse
6. What is a common sign associated with nystagmus?
Difficulty focusing
Involuntary eye movements
Redness of the eye
Loss of peripheral vision
7. What does the acronym SMART stand for in the context of nursing care
planning?
Structured, Measurable, Attainable, Relevant, Timed
Specific, Measurable, Achievable, Relevant, Time-bound
Specific, Meaningful, Actionable, Realistic, Timed
Simple, Manageable, Attainable, Realistic, Timely
8. External otitis can be treated with
Myringoplasty
Q Tips
, Topical Antibiotics
Tympanoplasty
9. If a patient presents with symptoms of external otitis, what initial nursing
intervention should be prioritized?
Provide education on ear hygiene without assessment.
Schedule a follow-up appointment without assessment.
Administer pain medication immediately.
Assess the patient's ear for signs of infection and pain.
10. In a scenario where a patient presents with multiple health issues, how
would the nursing process guide the prioritization of care?
The nurse would provide care based on personal experience
rather than assessment.
The nurse would delegate all responsibilities to the physician.
By using the nursing process, the nurse would assess the
patient's needs, prioritize based on severity, and develop a care
plan accordingly.
The nurse would focus only on the most recent health issue
presented.
11. If a patient exhibits signs of maladaptation, what nursing intervention
would be most appropriate to support their health?
Increase the patient's medication dosage.
Encourage isolation from social interactions.
Advise the patient to ignore their symptoms.
Implement stress management techniques.
Answers | 2026 Updated | 100% Correct -
University of Alabama.
1. In a scenario where a nurse encounters a patient from a different cultural
background, how should the nurse utilize cultural assessment to improve
care?
By assuming the patient's needs based on their ethnicity.
By focusing solely on medical history without considering cultural
factors.
By asking about the patient's cultural beliefs and practices related
to health and illness.
By providing care based on the nurse's own cultural beliefs.
2. The overarching purpose of the nursing process is to...
Identify and treat the patient's underlying medical illness or disease
Select patient-specific interventions to provide individualized care
Develop EBP policies and procedures to improve patient outcomes
Identify and treat the human response to the patient's health
problem or medical diagnosis
3. Which type of hearing loss is caused by impairment of function in the inner
ear or its central connections?
Sensorineural
Functional
Mixed
, Conductive
4. What is the primary purpose of documenting nursing assessments?
To create a checklist for future assessments.
, To share information with other healthcare providers.
To fulfill legal requirements only.
To provide a clear and accurate record of patient findings.
5. What may occur as a result of excessive or prolonged stress?
Poor concentration, impaired decision making, memory problems
physiologic responses can be maladaptive, leading to harm and
disease
loss of homeostasis
Withdrawing from others, irritability, substance abuse
6. What is a common sign associated with nystagmus?
Difficulty focusing
Involuntary eye movements
Redness of the eye
Loss of peripheral vision
7. What does the acronym SMART stand for in the context of nursing care
planning?
Structured, Measurable, Attainable, Relevant, Timed
Specific, Measurable, Achievable, Relevant, Time-bound
Specific, Meaningful, Actionable, Realistic, Timed
Simple, Manageable, Attainable, Realistic, Timely
8. External otitis can be treated with
Myringoplasty
Q Tips
, Topical Antibiotics
Tympanoplasty
9. If a patient presents with symptoms of external otitis, what initial nursing
intervention should be prioritized?
Provide education on ear hygiene without assessment.
Schedule a follow-up appointment without assessment.
Administer pain medication immediately.
Assess the patient's ear for signs of infection and pain.
10. In a scenario where a patient presents with multiple health issues, how
would the nursing process guide the prioritization of care?
The nurse would provide care based on personal experience
rather than assessment.
The nurse would delegate all responsibilities to the physician.
By using the nursing process, the nurse would assess the
patient's needs, prioritize based on severity, and develop a care
plan accordingly.
The nurse would focus only on the most recent health issue
presented.
11. If a patient exhibits signs of maladaptation, what nursing intervention
would be most appropriate to support their health?
Increase the patient's medication dosage.
Encourage isolation from social interactions.
Advise the patient to ignore their symptoms.
Implement stress management techniques.
