ECPI NUR 168 ACTUAL EXAM PREP BUNDLE
|PREMIUM MED-SURG & LEADERSHIP MCQS +
RATIONALES
This premium, high-yield master study bank features highly
realistic multiple-choice questions tailored directly to the
updated NUR 168 curriculum. Each question is designed to mimic
actual exam formats, complete with clear answer keys and
indepth, bolded rationales that maximize clinical comprehension.
It serves as an essential, comprehensive resource optimized for
nursing students aiming to ace their Concepts of Nursing III
exams on the first attempt.
Module 1: Professional Communication, Leadership,
& Ethics (Questions 1-15)
1. A charge nurse observes a staff member using
a harsh, condescending tone when addressing
an anxious geriatric patient. Which action
should the charge nurse take first?
A. Report the incident immediately to the
Director of Nursing.
B. Complete a formal disciplinary incident
report form.
C. Speak with the staff member immediately in
a private area.
, D. Intervene in front of the patient to defuse
the situation.
Answer: C. Speak with the staff member
immediately in a private area.
Rationale: Professional and therapeutic
communication issues among staff must be
addressed promptly and privately to maintain
professional boundaries and correct
behavioral issues without causing public
humiliation or disrupting patient care.
2. A neighbor recognizes a nurse at a local
supermarket and asks, "How is our mutual
friend doing? I heard she was admitted to your
unit to have her baby." Which response by the
nurse adheres strictly to HIPAA regulations? A.
"She had a healthy baby boy and is doing
wonderful!"
B. "I cannot confirm or deny if she is a patient
on our unit due to privacy laws."
C. "She is doing fine, but you should call her
directly for details."
D. "I'm not assigned to her care, so I don't have
any updates for you."
, Answer: B. "I cannot confirm or deny if she is
a patient on our unit due to privacy laws."
Rationale: HIPAA guidelines prohibit
acknowledging a patient's presence in a
healthcare facility without explicit consent.
Acknowledging that the patient is on the unit—
even without giving clinical details—violates
confidentiality regulations.
3. An unfamiliar nurse enters a patient’s room to
hang a secondary intravenous antibiotic
infusion. The patient looks anxious and asks,
"Who are you?" What is the most appropriate
initial response?
A. "I am the relief nurse filling in for your
primary nurse today."
B. "Don't worry, I am just here to give you your
scheduled medication."
C. "I am your nurse, and I am here to safely
administer your antibiotic."
D. "Your doctor ordered this medicine; my name
is not important."
Answer: C. "I am your nurse, and I am here to
safely administer your antibiotic."
, Rationale: Proper orientation and introduction
establish the foundational therapeutic
alliance. The nurse must explicitly state their
name and professional role to build trust and
decrease patient anxiety.
4. A patient diagnosed with terminal cancer
tearfully states to the nurse, "I feel like I am
completely alone in this world. Nobody
understands." Which action by the nurse
demonstrates effective therapeutic
communication?
A. Provide reassurance by saying, "You still
have an excellent medical team."
B. Sit quietly at the bedside, place a supportive
hand on the patient's arm, and say, "You feel
so alone."
C. Divert the conversation by asking if they
would like to watch television.
D. Offer a personal anecdote about how the
nurse dealt with a similar loss.
Answer: B. Sit quietly at the bedside, place a
supportive hand on the patient's arm, and say,
"You feel so alone."
|PREMIUM MED-SURG & LEADERSHIP MCQS +
RATIONALES
This premium, high-yield master study bank features highly
realistic multiple-choice questions tailored directly to the
updated NUR 168 curriculum. Each question is designed to mimic
actual exam formats, complete with clear answer keys and
indepth, bolded rationales that maximize clinical comprehension.
It serves as an essential, comprehensive resource optimized for
nursing students aiming to ace their Concepts of Nursing III
exams on the first attempt.
Module 1: Professional Communication, Leadership,
& Ethics (Questions 1-15)
1. A charge nurse observes a staff member using
a harsh, condescending tone when addressing
an anxious geriatric patient. Which action
should the charge nurse take first?
A. Report the incident immediately to the
Director of Nursing.
B. Complete a formal disciplinary incident
report form.
C. Speak with the staff member immediately in
a private area.
, D. Intervene in front of the patient to defuse
the situation.
Answer: C. Speak with the staff member
immediately in a private area.
Rationale: Professional and therapeutic
communication issues among staff must be
addressed promptly and privately to maintain
professional boundaries and correct
behavioral issues without causing public
humiliation or disrupting patient care.
2. A neighbor recognizes a nurse at a local
supermarket and asks, "How is our mutual
friend doing? I heard she was admitted to your
unit to have her baby." Which response by the
nurse adheres strictly to HIPAA regulations? A.
"She had a healthy baby boy and is doing
wonderful!"
B. "I cannot confirm or deny if she is a patient
on our unit due to privacy laws."
C. "She is doing fine, but you should call her
directly for details."
D. "I'm not assigned to her care, so I don't have
any updates for you."
, Answer: B. "I cannot confirm or deny if she is
a patient on our unit due to privacy laws."
Rationale: HIPAA guidelines prohibit
acknowledging a patient's presence in a
healthcare facility without explicit consent.
Acknowledging that the patient is on the unit—
even without giving clinical details—violates
confidentiality regulations.
3. An unfamiliar nurse enters a patient’s room to
hang a secondary intravenous antibiotic
infusion. The patient looks anxious and asks,
"Who are you?" What is the most appropriate
initial response?
A. "I am the relief nurse filling in for your
primary nurse today."
B. "Don't worry, I am just here to give you your
scheduled medication."
C. "I am your nurse, and I am here to safely
administer your antibiotic."
D. "Your doctor ordered this medicine; my name
is not important."
Answer: C. "I am your nurse, and I am here to
safely administer your antibiotic."
, Rationale: Proper orientation and introduction
establish the foundational therapeutic
alliance. The nurse must explicitly state their
name and professional role to build trust and
decrease patient anxiety.
4. A patient diagnosed with terminal cancer
tearfully states to the nurse, "I feel like I am
completely alone in this world. Nobody
understands." Which action by the nurse
demonstrates effective therapeutic
communication?
A. Provide reassurance by saying, "You still
have an excellent medical team."
B. Sit quietly at the bedside, place a supportive
hand on the patient's arm, and say, "You feel
so alone."
C. Divert the conversation by asking if they
would like to watch television.
D. Offer a personal anecdote about how the
nurse dealt with a similar loss.
Answer: B. Sit quietly at the bedside, place a
supportive hand on the patient's arm, and say,
"You feel so alone."
