NS 104 COMMUNICATIONS MIDTERM
EXAM QUESTIONS AND ANSWERS 2026
VERIFIED.
Scenario 2 Ch.4 RILEY BOOK
Jim goes on to run the marathon and on this very hot day 80°F collapses on the eighth mile and
is brought to the local ER for evaluation. The ER pages you to see him and suggest a plan of care.
You walk into his room and find him staring out the window.
Question:
a. "Jim, are you okay? That heat with all your running could have killed you, you are lucky to be
alive!!"
b. "Jim, how are you doing? Tell me what happened"
c. "Jim, I think we should have held your insulin this am despite the carb load you had the night
before. I think we made a mistake".
d. "Jim, didn't you follow the recommendations I gave you on Friday?" - ANS ANS: B
Scenario 1 Ch.4 RILEY BOOK
You are working with Jim, a 17-year-old male, who has just been diagnosed with diabetes. He
has been coming to the ambulatory clinic where you work for the past week trying to regulate
his blood sugar and receiving training for self-management of his disease. The patient enjoys
exercising, and you have been working with him diligently to get his blood sugar under control
while doing this. During his Friday appointment, the patient announces to you that he is running
the 26-mile Boston Marathon on Monday and needs your help to make sure he "makes it to the
finish line." You are concerned that his health is not yet stable enough to participate in this
taxing activity.
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,What is your best response?
a. "Jim, I am concerned that this may not be the time to do this. Why not wait until next year's
marathon when you'll be in much better control?"
b. "Jim, this is the craziest idea I have ever hear - ANS ANS: C
Scenario Ch.2 RILEY BOOK
Your clinical group is working on an Alzheimer's unit for the next 4 weeks. You find it sad and
disheartening to see some of the patients and how poorly they are doing. Nurse Susan has been
employed on this unit for the past 20 years. It is quite noticeable just how rewarding her job is
to her by how kind and enthusiastic she is and how much she enjoys the patients and students.
You wonder how she does it and find yourself wanting to be like her. You share your
observations with your classmates and instructor, and they suggest you speak to her about her
experiences and philosophies.
1. What would you like to know about her?
2. How would you approach her?
3. What other questions would you ask her that would be helpful to you and the other
students?
4. How can this information be helpful to you and your fellow students?
Answer Options, Question 3: The best way to initially approach Susan:
a. - ANS ANS: B
Scenario Ch. 1 RILEY BOOK
The instructor asks students to sign up to let her know the topic they want to talk about in post
conference. You sign up to do "alcoholism" because the subject interests you a great deal. When
the instructor goes over the list, you see another student's name under that topic instead of
your own. Your name has been crossed out, and instead "Brenda" is listed. You are quite angry
and upset.
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,What should you do?
a. Say nothing. The last thing you need right now is conflict.
b. Ask around and see who might have erased your name.
c. Immediately confront Brenda and ask her why she scratched out your name; you were there
first.
d. Approach the instructor to see if she had changed this for any reason. If this was not the case,
approach Brenda letting her know you were first to sign and that the topic was important to
you. - ANS ANS: D
Scenario Ch. 5 RILEY BOOK
Ms. Nguyen is a 28-year-old Vietnamese patient who has just delivered a 6-pound baby boy
after a 24-hour labor. Her IV was accidentally pulled out while moving her from the stretcher to
the bed coming from labor and delivery. You assess her and find she has a temperature of
100.8°F and seems flushed with dry mucous membranes. You tell Ms. Nguyen it is important to
drink fluids and leave her with a diet Coke and a glass of ice water. You come back to the room
an hour later and she has not touched either.
What is your best response?
a. "Ms. Nguyen, you really need to drink in order to keep the IV out; otherwise, I will need to
reinsert it."
b. "Ms. Nguyen, drinking is really important to keep you hydrated. Is there something you'd
prefer instead of the Coke and ice water?"
c. "Ms. Nguyen, your body will not produce milk if you insist on not drinking."
d. "Ms. Nguyen, I have brought you a yu - ANS ANS: B
Scenario Ch.6 RILEY BOOK
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 32
, You are working in the ER one evening when there is a motor vehicle accident (MVA) with many
casualties. Three teens were killed in the accident, and their parents, who are on their way to
the hospital, do not yet know the outcome. You dread what will take place over the next few
hours.
What type of actions could you, as the nurse take, to anticipate the needs of what is about to
take place?
a. Clear out a private area in which to receive and speak to the families.
b. Mobilize additional support staff to be involved, including nutritional services, social work,
and pastoral care.
c. Reassign current staff to better meet the needs of unit.
d. Utilize all of the above options. - ANS ANS: D
Showing respect involves more than doing the least required. The following are actions that
accomplish the task at hand but do not necessarily promote a strong relationship and sense of
warmth and respect. Look at the term in the left column, and in the right column define and
expand on the behavior to promote the recipient a strong sense of feeling cared for and
respected.
Introducing oneself
Greeting someone/shaking hands
Giving direct eye contact
Getting patient comfortable in the situation
Sitting across table to interview patient
Scenario CH.7 RILEY BOOK
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 32
EXAM QUESTIONS AND ANSWERS 2026
VERIFIED.
Scenario 2 Ch.4 RILEY BOOK
Jim goes on to run the marathon and on this very hot day 80°F collapses on the eighth mile and
is brought to the local ER for evaluation. The ER pages you to see him and suggest a plan of care.
You walk into his room and find him staring out the window.
Question:
a. "Jim, are you okay? That heat with all your running could have killed you, you are lucky to be
alive!!"
b. "Jim, how are you doing? Tell me what happened"
c. "Jim, I think we should have held your insulin this am despite the carb load you had the night
before. I think we made a mistake".
d. "Jim, didn't you follow the recommendations I gave you on Friday?" - ANS ANS: B
Scenario 1 Ch.4 RILEY BOOK
You are working with Jim, a 17-year-old male, who has just been diagnosed with diabetes. He
has been coming to the ambulatory clinic where you work for the past week trying to regulate
his blood sugar and receiving training for self-management of his disease. The patient enjoys
exercising, and you have been working with him diligently to get his blood sugar under control
while doing this. During his Friday appointment, the patient announces to you that he is running
the 26-mile Boston Marathon on Monday and needs your help to make sure he "makes it to the
finish line." You are concerned that his health is not yet stable enough to participate in this
taxing activity.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 32
,What is your best response?
a. "Jim, I am concerned that this may not be the time to do this. Why not wait until next year's
marathon when you'll be in much better control?"
b. "Jim, this is the craziest idea I have ever hear - ANS ANS: C
Scenario Ch.2 RILEY BOOK
Your clinical group is working on an Alzheimer's unit for the next 4 weeks. You find it sad and
disheartening to see some of the patients and how poorly they are doing. Nurse Susan has been
employed on this unit for the past 20 years. It is quite noticeable just how rewarding her job is
to her by how kind and enthusiastic she is and how much she enjoys the patients and students.
You wonder how she does it and find yourself wanting to be like her. You share your
observations with your classmates and instructor, and they suggest you speak to her about her
experiences and philosophies.
1. What would you like to know about her?
2. How would you approach her?
3. What other questions would you ask her that would be helpful to you and the other
students?
4. How can this information be helpful to you and your fellow students?
Answer Options, Question 3: The best way to initially approach Susan:
a. - ANS ANS: B
Scenario Ch. 1 RILEY BOOK
The instructor asks students to sign up to let her know the topic they want to talk about in post
conference. You sign up to do "alcoholism" because the subject interests you a great deal. When
the instructor goes over the list, you see another student's name under that topic instead of
your own. Your name has been crossed out, and instead "Brenda" is listed. You are quite angry
and upset.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 32
,What should you do?
a. Say nothing. The last thing you need right now is conflict.
b. Ask around and see who might have erased your name.
c. Immediately confront Brenda and ask her why she scratched out your name; you were there
first.
d. Approach the instructor to see if she had changed this for any reason. If this was not the case,
approach Brenda letting her know you were first to sign and that the topic was important to
you. - ANS ANS: D
Scenario Ch. 5 RILEY BOOK
Ms. Nguyen is a 28-year-old Vietnamese patient who has just delivered a 6-pound baby boy
after a 24-hour labor. Her IV was accidentally pulled out while moving her from the stretcher to
the bed coming from labor and delivery. You assess her and find she has a temperature of
100.8°F and seems flushed with dry mucous membranes. You tell Ms. Nguyen it is important to
drink fluids and leave her with a diet Coke and a glass of ice water. You come back to the room
an hour later and she has not touched either.
What is your best response?
a. "Ms. Nguyen, you really need to drink in order to keep the IV out; otherwise, I will need to
reinsert it."
b. "Ms. Nguyen, drinking is really important to keep you hydrated. Is there something you'd
prefer instead of the Coke and ice water?"
c. "Ms. Nguyen, your body will not produce milk if you insist on not drinking."
d. "Ms. Nguyen, I have brought you a yu - ANS ANS: B
Scenario Ch.6 RILEY BOOK
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 32
, You are working in the ER one evening when there is a motor vehicle accident (MVA) with many
casualties. Three teens were killed in the accident, and their parents, who are on their way to
the hospital, do not yet know the outcome. You dread what will take place over the next few
hours.
What type of actions could you, as the nurse take, to anticipate the needs of what is about to
take place?
a. Clear out a private area in which to receive and speak to the families.
b. Mobilize additional support staff to be involved, including nutritional services, social work,
and pastoral care.
c. Reassign current staff to better meet the needs of unit.
d. Utilize all of the above options. - ANS ANS: D
Showing respect involves more than doing the least required. The following are actions that
accomplish the task at hand but do not necessarily promote a strong relationship and sense of
warmth and respect. Look at the term in the left column, and in the right column define and
expand on the behavior to promote the recipient a strong sense of feeling cared for and
respected.
Introducing oneself
Greeting someone/shaking hands
Giving direct eye contact
Getting patient comfortable in the situation
Sitting across table to interview patient
Scenario CH.7 RILEY BOOK
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 32
