ECPI VB Nur 168 Concepts 3
Final Exam Study Guide –
Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update
A nurse is initiating a peripheral venous access IV infusion for a patient.
Following the procedure, the nurse observes that the fluid does not flow easily
into the vein and the skin around the insertion site is edematous and cool to
the touch. What would be the nurse's next action related to these findings?
A. Reposition the extremity and raise the height of the IV pole.
B. Apply pressure to the dressing on the IV.
C. Pull the catheter out slightly and reinsert it.
D. Put on gloves; remove the catheter - Answer✔✔-D
During rounds, a charge nurse hears the patient care technician yelling loudly
to a patient regarding a transfer from the bed to chair. Upon entering the room,
what is the nurse's BEST response?
A."You need to speak to the patient quietly so you don't disturb the other
patients."
B. "Let me help you with your transfer technique."
C."When you are finished, be sure to apologize for your rough demeanor."
,D. "When your patient is safe and comfortable, meet me at the desk." -
Answer✔✔-D
A public health nurse is leaving the home of a young mother who has a special
needs baby. The neighbor states, "How is she doing, since the baby's father is
no help?" What is the nurse's BEST response to the neighbor?
A. "New mothers need support."
B. "The lack of a father is difficult."
C. "How are you today?"
D. "It is a very sad situation." - Answer✔✔-A
A 3-year-old child is being admitted to a medical division for vomiting, diarrhea,
and dehydration. During the admission interview, the nurse should implement
which communication techniques to elicit the most information from the
parents?
A. The use of reflective questions
B. The use of closed questions
C. The use of assertive questions
D. The use of clarifying questions - Answer✔✔-D
A nurse enters a patient's room and examines the patient's IV fluids and cardiac
monitor. The patient states, "Well, I haven't seen you before. Who are you?"
What is the nurse's BEST response?
A. "I'm just the IV therapist checking your IV."
B. "I've been transferred to this division and will be caring for you."
C. "I'm sorry, my name is John Smith and I am your nurse."
,D. "My name is John Smith, I am your nurse and I'll be caring for you until 11
PM." - Answer✔✔-D
A nurse enters the room of a patient with cancer. The patient is crying and
states, "I feel so alone." Which response by the nurse is the most therapeutic
action?
A. The nurse stands at the patient's bedside and states, "I understand how you
feel. My mother said the same thing when she was ill."
B. The nurse places a hand on the patient's arm and states, "You feel so alone."
C. The nurse stands in the patient's room and asks, "Why do you feel so alone?
Your wife has been here every day."
D. The nurse holds the patient's hand and asks, "What makes you feel so
alone?" - Answer✔✔-D
A nurse caring for a patient who is hospitalized following a double mastectomy
is preparing a discharge plan for the patient. Which action should be the focus
of this termination phase of the helping relationship?
A. Determining the progress made in achieving established goals
B. Clarifying when the patient should take medications
C. Reporting the progress made in teaching to the staff
D. Including all family members in the teaching session - Answer✔✔-A
A nursing student is nervous and concerned about working at a clinical facility.
Which action would BEST decrease anxiety and ensure success in the student's
provision of patient care?
A. Determining the established goals of the institution
B. Ensuring that verbal and nonverbal communication is congruent
C. Engaging in self-talk to plan the day and decrease fear
, D. Speaking with fellow colleagues about how they feel - Answer✔✔-C
A nurse in the rehabilitation division states to the head nurse: "I need the day
off and you didn't give it to me!" The head nurse replies, "Well, I wasn't aware
you needed the day off, and it isn't possible since staffing is so inadequate."
Instead of this exchange, what communication by the nurse would have been
more effective?
A. "I placed a request to have 8th of August off, but I'm working and I have a
doctor's appointment."
B. "I would like to discuss my schedule with you. I requested the 8th of August
off for a doctor's appointment. Could I make an appointment?"
C. "I will need to call in on the 8th of August because I have a doctor's
appointment."
D. "Since you didn't give me the 8th of August off, will I need to find someone
to work for me?" - Answer✔✔-B
During a nursing staff meeting, the nurses resolve a problem of delayed
documentation by agreeing unanimously that they will make sure all vital signs
are reported and charted within 15 minutes following assessment. This is an
example of which characteristics of effective communication? Select all that
apply.
A. Group decision making
B. Group leadership
C. Group power
D. Group identity
E. Group patterns of interaction
F. Group cohesiveness - Answer✔✔-A, D, E, F
Final Exam Study Guide –
Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update
A nurse is initiating a peripheral venous access IV infusion for a patient.
Following the procedure, the nurse observes that the fluid does not flow easily
into the vein and the skin around the insertion site is edematous and cool to
the touch. What would be the nurse's next action related to these findings?
A. Reposition the extremity and raise the height of the IV pole.
B. Apply pressure to the dressing on the IV.
C. Pull the catheter out slightly and reinsert it.
D. Put on gloves; remove the catheter - Answer✔✔-D
During rounds, a charge nurse hears the patient care technician yelling loudly
to a patient regarding a transfer from the bed to chair. Upon entering the room,
what is the nurse's BEST response?
A."You need to speak to the patient quietly so you don't disturb the other
patients."
B. "Let me help you with your transfer technique."
C."When you are finished, be sure to apologize for your rough demeanor."
,D. "When your patient is safe and comfortable, meet me at the desk." -
Answer✔✔-D
A public health nurse is leaving the home of a young mother who has a special
needs baby. The neighbor states, "How is she doing, since the baby's father is
no help?" What is the nurse's BEST response to the neighbor?
A. "New mothers need support."
B. "The lack of a father is difficult."
C. "How are you today?"
D. "It is a very sad situation." - Answer✔✔-A
A 3-year-old child is being admitted to a medical division for vomiting, diarrhea,
and dehydration. During the admission interview, the nurse should implement
which communication techniques to elicit the most information from the
parents?
A. The use of reflective questions
B. The use of closed questions
C. The use of assertive questions
D. The use of clarifying questions - Answer✔✔-D
A nurse enters a patient's room and examines the patient's IV fluids and cardiac
monitor. The patient states, "Well, I haven't seen you before. Who are you?"
What is the nurse's BEST response?
A. "I'm just the IV therapist checking your IV."
B. "I've been transferred to this division and will be caring for you."
C. "I'm sorry, my name is John Smith and I am your nurse."
,D. "My name is John Smith, I am your nurse and I'll be caring for you until 11
PM." - Answer✔✔-D
A nurse enters the room of a patient with cancer. The patient is crying and
states, "I feel so alone." Which response by the nurse is the most therapeutic
action?
A. The nurse stands at the patient's bedside and states, "I understand how you
feel. My mother said the same thing when she was ill."
B. The nurse places a hand on the patient's arm and states, "You feel so alone."
C. The nurse stands in the patient's room and asks, "Why do you feel so alone?
Your wife has been here every day."
D. The nurse holds the patient's hand and asks, "What makes you feel so
alone?" - Answer✔✔-D
A nurse caring for a patient who is hospitalized following a double mastectomy
is preparing a discharge plan for the patient. Which action should be the focus
of this termination phase of the helping relationship?
A. Determining the progress made in achieving established goals
B. Clarifying when the patient should take medications
C. Reporting the progress made in teaching to the staff
D. Including all family members in the teaching session - Answer✔✔-A
A nursing student is nervous and concerned about working at a clinical facility.
Which action would BEST decrease anxiety and ensure success in the student's
provision of patient care?
A. Determining the established goals of the institution
B. Ensuring that verbal and nonverbal communication is congruent
C. Engaging in self-talk to plan the day and decrease fear
, D. Speaking with fellow colleagues about how they feel - Answer✔✔-C
A nurse in the rehabilitation division states to the head nurse: "I need the day
off and you didn't give it to me!" The head nurse replies, "Well, I wasn't aware
you needed the day off, and it isn't possible since staffing is so inadequate."
Instead of this exchange, what communication by the nurse would have been
more effective?
A. "I placed a request to have 8th of August off, but I'm working and I have a
doctor's appointment."
B. "I would like to discuss my schedule with you. I requested the 8th of August
off for a doctor's appointment. Could I make an appointment?"
C. "I will need to call in on the 8th of August because I have a doctor's
appointment."
D. "Since you didn't give me the 8th of August off, will I need to find someone
to work for me?" - Answer✔✔-B
During a nursing staff meeting, the nurses resolve a problem of delayed
documentation by agreeing unanimously that they will make sure all vital signs
are reported and charted within 15 minutes following assessment. This is an
example of which characteristics of effective communication? Select all that
apply.
A. Group decision making
B. Group leadership
C. Group power
D. Group identity
E. Group patterns of interaction
F. Group cohesiveness - Answer✔✔-A, D, E, F
