TEST BANK CLINICAL SKILLS
PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS
A nurse has been assigned to care for an African American male following their
abdominal surgery. When assessing the African American male, the nurse is aware
of differences in this population. Which assessment finding would lead the nurse to
suspect the client is hemorrhaging into their abdomen?
A) Development of petechiae on both arms.
B) Skin is ashen or slightly gray in color.
C) Inflammation is more detectable by visual means.
D) Skin is warm and dry to touch. - Answer-B
Which assessment characteristic will the nurse need to know when taking care of an
Asian client?
A) advanced hair graying
B) hair usually silky, black, and curly
C) pallor appears as corn color
D) areola and genitalia are darker - Answer-D
A nurse reviews nursing models specifically related to culturally diverse groups of
client populations as a journal study project. This nurse is looking for an organized,
systematic approach for assessing culturally diverse clients similar to how they
perform physical assessments on their clients. Which model best provides this
systematic approach?
A) Leininger's sunrise model and theory of culture care diversity and universality
B) Purnell's model for cultural competence
C) Spector's model of heritage consistency
D) Giger and Davidhizar's transcultural assessment model - Answer-D
The nurse is performing a cultural assessment on a client. Which question would a
nurse use to obtain data about values orientation?
A) Do you speak more than one language?
B) What things in life matter the most to you?
C) What are your beliefs about health and illness?
D) What are your attitudes about food and time? - Answer-B
The nurse is performing a cultural assessment on a client. Which question would a
nurse use to obtain data about social life?
A) How do you spend your free time?
B) Who lives in your home with you?
C) What support systems do you have outside the home?
D) Do you have any rituals or habits that we need to be aware of while you are in the
hospital? - Answer-A
An Asian American nurse practitioner is working in an urban area with a large
percentage of the population being of middle eastern decent. One client has chronic
,pain from a back injury. In addition to giving medications, this healthcare provider
suggests the use of meditation and acupressure. This is an example of which
concept that is included in Purnell's model for cultural competence?
A) Acculturation, taking the best of both cultures and blending them into one.
B) Assimilating, adoption of group culture by members of a different culture.
C) Diversity, differences within the groups.
D) Empathy, expressive concern and the ability to see experiences as the client sees
them. - Answer-A
A nursing student originally born in the Philippines enters a nursing program in the
United States to become an RN. Three semesters later, the student wants to quit the
program. The student's advisor has observed this student eating alone in the
cafeteria (classmates are all eating at a different table); studying alone in the library
where classmates have joined various study groups; spends little time visiting with
nurses on the clinical unit when their clients are sleeping. What term best describes
what this student is experiencing?
A) cultural diffusion
B) cultural blindness
C) cultural identity
D) culture shock - Answer-D
During nursing fundamentals class, the professor begins by stating the most recent
data from U.S. Census Bureau (2011) related to growth of various ethnic groups.
The students are asked to vote for which group represents the fastest growth rate of
ethnic groups (thereby leading to rise of this minority nursing population)? Which
groups of students correctly answered this question?
A) Group 1 voted American Indian/Alaskan Native.
B) Group 2 voted Black/African American.
C) Group 3 voted Hispanic/Latino.
D) Group 4 voted Asian or Native Hawaiian/Pacific Islander. - Answer-D
During the first lecture in the [Nursing] Professional Developmental class, the faculty
discuss the 2015 National Workforce Survey of Registered Nurses. One student who
was of Hispanic nationality asked, "I know lots of Hispanic/Latino people living in this
area. How many licensed nurses are currently working as an RN in the U. S.? What
is the most accurate answer the faculty can give to this question?
A) Less than 1% of the nursing workforce is of Hispanic/Latino decent.
B) About 3% of the national workforce of RNs are Hispanic/Latino.
C) Black/African Americans are the largest ethnic group of nurses.
D) Sadly, this ethnic culture rarely go to college let alone nursing school. - Answer-B
A nurse is studying anthropology in the humanities class to fulfill a general education
requirement. In the student's nursing studies, the student is learning about Culture-
Specific and Culturally Congruent Care as it applies to nursing. Which example
below would be considered a culturally congruent care? Select all that apply.
A) Having the Native American tribes spiritual leader (shaman) perform a specific
healing ceremony immediately following surgery.
B) Serving "hot" and "cold" foods and beverages to a Chinese woman who is
hospitalized for brachytherapy to treat cervical cancer.
,C) Turning on soft music to drown out the noise at the nursing station for an elderly
Puerto Rican client.
D) Allowing the family of an Eastern Indian client to bring in remedies made from
vegetables following amputation for gangrene of the foot. - Answer-B,D
A nurse educator attends a conference focused on teaching nursing models
specifically related to culturally diverse groups of populations. This educator got into
a discussion with other attendees about development of a deep self-awareness of
personal existence, feelings, ideas, and emotions while not allowing these to
influence actions/interventions when working with persons from other cultures. This
discussion group is primarily talking about which transcultural nursing theory?
A) Leininger's sunrise model and theory of culture care diversity and universality
B) Purnell's model for cultural competence
C) Spector's model of heritage consistency
D) Giger and Davidhizar's transcultural assessment model - Answer-B
When caring for an individual of Japanese culture who speaks primarily Japanese,
what should the nurse due prior to performing the initial physical assessment? Select
all that apply.
A) Ask the client for permission to touch them.
B) Call their American-raised children and ask if there is anything you (the nurse)
should know before during a complete head-to-toe assessment.
C) Contact an interpreter to attend the first assessment so factual information about
their signs/symptoms can be shared.
D) Rely on the unlicensed assistant personnel (UAP), who is also of Asian descent,
to help you perform the assessment for the first time.
E) Ask family members who know ESL to translate word-for-word what information
you (the nurse) are trying to obtain. - Answer-A,C
An elderly Chinese man reporting chest pain was brought to the Emergency
Department by family. As the female RN started to lift his shirt to place a stethoscope
on his chest, he grabbed her arm and stopped her. The nurse should perform which
step next in order to provide safe, effective care to this client?
A) Ask a male nurse working in the ED to help with the assessment.
B) Assess the client for mental changes that may indicate a stroke.
C) Apologize and call for an approved language interpreting service to have them
explain what interventions she wants to provide with his cooperation.
D) Find family members and ask if the person can speak English and Chinese. If so,
ask them to interpret what you are going to assess. - Answer-C
A nurse who is a devout Roman Catholic is assigned to care for an older adult client
from Brazil. The client became ill while vising family in the United States. The ED
diagnosed pancreatic cancer with metastasis throughout the client's body. Upon
entry into the room, the nurse notes the client's eyes are closed but is moving her
lips while touching beads. What action by the nurse would be appropriate at this
time?
A) Withdraw from the room and give the client plenty of time to say her prayers.
B) Ask the hospital chaplain (not a priest) to come handle this situation since you are
too busy to stay with the client.
C) Let the staff know to keep the noise low outside this client's room.
, D) Stay with the client, sitting close by the bed, being with the client. If comfortable,
ask permission and say prayers with her. - Answer-D
A young female nurse has decided to embark on an international nursing experience
by accepting a very lucrative offer to work in a hospital in Saudi Arabia for one year.
Once she arrives in Saudi Arabia, where is the first place this nurse should visit?
A) hospital employment office
B) hotel where she is assigned to live
C) U. S. consulate or embassy
D) postal office to register her nursing license - Answer-C
An adjunct clinical faculty member is meeting with her fellow peers during the lunch
hour. The faculty member is concerned about one of their students who is of Asian
culture. The faculty expresses concern that the student's outward appearance is
"cold and distant" since the student will not make eye contact with the faculty nor
supervising RN. Which bit of information might help the faculty interpret this students
actions?
A) Give the student a written warning related to lack of interpersonal skills and ask
them to explain their behavior.
B) Ask other students if this student has a problems with making eye contact or if this
is just normal for her.
C) Suggest supervising RN staff write down their observations and share them with
this student.
D) Listen as other faculty share that this is the Asian way of conveying respect to
those in authority. - Answer-D
A nurse is studying the ethical practices of a research project focusing on resilience
following spousal abuse. Which principle of research ethics protects the human
rights of participants?
A) process of approval by IRB
B) truth in research reporting
C) anonymity of participants
D) informed consent signature - Answer-D
A nurse is conducting a research study and has some difficulties during the project.
Which is a barrier to research utilization in nursing?
A) positive beliefs and attitudes toward nursing research by the clinician
B) difficulty determining if studies are well designed and scientifically sound
C) professional characteristics of clinicians such as openness
D) postgraduate education level concentrating on research design. - Answer-B
A nursing education department in the hospital supports and encourages clinical
research of its nurses. What motivating factors may best facilitate research utilization
by the nursing staff?
A) change in values related to research by administration
B) promotions or salary increases for use of research in practice
C) increased time to participate in research utilization activities
D) provision of time for nurses to read research reports while off duty - Answer-B
PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS
A nurse has been assigned to care for an African American male following their
abdominal surgery. When assessing the African American male, the nurse is aware
of differences in this population. Which assessment finding would lead the nurse to
suspect the client is hemorrhaging into their abdomen?
A) Development of petechiae on both arms.
B) Skin is ashen or slightly gray in color.
C) Inflammation is more detectable by visual means.
D) Skin is warm and dry to touch. - Answer-B
Which assessment characteristic will the nurse need to know when taking care of an
Asian client?
A) advanced hair graying
B) hair usually silky, black, and curly
C) pallor appears as corn color
D) areola and genitalia are darker - Answer-D
A nurse reviews nursing models specifically related to culturally diverse groups of
client populations as a journal study project. This nurse is looking for an organized,
systematic approach for assessing culturally diverse clients similar to how they
perform physical assessments on their clients. Which model best provides this
systematic approach?
A) Leininger's sunrise model and theory of culture care diversity and universality
B) Purnell's model for cultural competence
C) Spector's model of heritage consistency
D) Giger and Davidhizar's transcultural assessment model - Answer-D
The nurse is performing a cultural assessment on a client. Which question would a
nurse use to obtain data about values orientation?
A) Do you speak more than one language?
B) What things in life matter the most to you?
C) What are your beliefs about health and illness?
D) What are your attitudes about food and time? - Answer-B
The nurse is performing a cultural assessment on a client. Which question would a
nurse use to obtain data about social life?
A) How do you spend your free time?
B) Who lives in your home with you?
C) What support systems do you have outside the home?
D) Do you have any rituals or habits that we need to be aware of while you are in the
hospital? - Answer-A
An Asian American nurse practitioner is working in an urban area with a large
percentage of the population being of middle eastern decent. One client has chronic
,pain from a back injury. In addition to giving medications, this healthcare provider
suggests the use of meditation and acupressure. This is an example of which
concept that is included in Purnell's model for cultural competence?
A) Acculturation, taking the best of both cultures and blending them into one.
B) Assimilating, adoption of group culture by members of a different culture.
C) Diversity, differences within the groups.
D) Empathy, expressive concern and the ability to see experiences as the client sees
them. - Answer-A
A nursing student originally born in the Philippines enters a nursing program in the
United States to become an RN. Three semesters later, the student wants to quit the
program. The student's advisor has observed this student eating alone in the
cafeteria (classmates are all eating at a different table); studying alone in the library
where classmates have joined various study groups; spends little time visiting with
nurses on the clinical unit when their clients are sleeping. What term best describes
what this student is experiencing?
A) cultural diffusion
B) cultural blindness
C) cultural identity
D) culture shock - Answer-D
During nursing fundamentals class, the professor begins by stating the most recent
data from U.S. Census Bureau (2011) related to growth of various ethnic groups.
The students are asked to vote for which group represents the fastest growth rate of
ethnic groups (thereby leading to rise of this minority nursing population)? Which
groups of students correctly answered this question?
A) Group 1 voted American Indian/Alaskan Native.
B) Group 2 voted Black/African American.
C) Group 3 voted Hispanic/Latino.
D) Group 4 voted Asian or Native Hawaiian/Pacific Islander. - Answer-D
During the first lecture in the [Nursing] Professional Developmental class, the faculty
discuss the 2015 National Workforce Survey of Registered Nurses. One student who
was of Hispanic nationality asked, "I know lots of Hispanic/Latino people living in this
area. How many licensed nurses are currently working as an RN in the U. S.? What
is the most accurate answer the faculty can give to this question?
A) Less than 1% of the nursing workforce is of Hispanic/Latino decent.
B) About 3% of the national workforce of RNs are Hispanic/Latino.
C) Black/African Americans are the largest ethnic group of nurses.
D) Sadly, this ethnic culture rarely go to college let alone nursing school. - Answer-B
A nurse is studying anthropology in the humanities class to fulfill a general education
requirement. In the student's nursing studies, the student is learning about Culture-
Specific and Culturally Congruent Care as it applies to nursing. Which example
below would be considered a culturally congruent care? Select all that apply.
A) Having the Native American tribes spiritual leader (shaman) perform a specific
healing ceremony immediately following surgery.
B) Serving "hot" and "cold" foods and beverages to a Chinese woman who is
hospitalized for brachytherapy to treat cervical cancer.
,C) Turning on soft music to drown out the noise at the nursing station for an elderly
Puerto Rican client.
D) Allowing the family of an Eastern Indian client to bring in remedies made from
vegetables following amputation for gangrene of the foot. - Answer-B,D
A nurse educator attends a conference focused on teaching nursing models
specifically related to culturally diverse groups of populations. This educator got into
a discussion with other attendees about development of a deep self-awareness of
personal existence, feelings, ideas, and emotions while not allowing these to
influence actions/interventions when working with persons from other cultures. This
discussion group is primarily talking about which transcultural nursing theory?
A) Leininger's sunrise model and theory of culture care diversity and universality
B) Purnell's model for cultural competence
C) Spector's model of heritage consistency
D) Giger and Davidhizar's transcultural assessment model - Answer-B
When caring for an individual of Japanese culture who speaks primarily Japanese,
what should the nurse due prior to performing the initial physical assessment? Select
all that apply.
A) Ask the client for permission to touch them.
B) Call their American-raised children and ask if there is anything you (the nurse)
should know before during a complete head-to-toe assessment.
C) Contact an interpreter to attend the first assessment so factual information about
their signs/symptoms can be shared.
D) Rely on the unlicensed assistant personnel (UAP), who is also of Asian descent,
to help you perform the assessment for the first time.
E) Ask family members who know ESL to translate word-for-word what information
you (the nurse) are trying to obtain. - Answer-A,C
An elderly Chinese man reporting chest pain was brought to the Emergency
Department by family. As the female RN started to lift his shirt to place a stethoscope
on his chest, he grabbed her arm and stopped her. The nurse should perform which
step next in order to provide safe, effective care to this client?
A) Ask a male nurse working in the ED to help with the assessment.
B) Assess the client for mental changes that may indicate a stroke.
C) Apologize and call for an approved language interpreting service to have them
explain what interventions she wants to provide with his cooperation.
D) Find family members and ask if the person can speak English and Chinese. If so,
ask them to interpret what you are going to assess. - Answer-C
A nurse who is a devout Roman Catholic is assigned to care for an older adult client
from Brazil. The client became ill while vising family in the United States. The ED
diagnosed pancreatic cancer with metastasis throughout the client's body. Upon
entry into the room, the nurse notes the client's eyes are closed but is moving her
lips while touching beads. What action by the nurse would be appropriate at this
time?
A) Withdraw from the room and give the client plenty of time to say her prayers.
B) Ask the hospital chaplain (not a priest) to come handle this situation since you are
too busy to stay with the client.
C) Let the staff know to keep the noise low outside this client's room.
, D) Stay with the client, sitting close by the bed, being with the client. If comfortable,
ask permission and say prayers with her. - Answer-D
A young female nurse has decided to embark on an international nursing experience
by accepting a very lucrative offer to work in a hospital in Saudi Arabia for one year.
Once she arrives in Saudi Arabia, where is the first place this nurse should visit?
A) hospital employment office
B) hotel where she is assigned to live
C) U. S. consulate or embassy
D) postal office to register her nursing license - Answer-C
An adjunct clinical faculty member is meeting with her fellow peers during the lunch
hour. The faculty member is concerned about one of their students who is of Asian
culture. The faculty expresses concern that the student's outward appearance is
"cold and distant" since the student will not make eye contact with the faculty nor
supervising RN. Which bit of information might help the faculty interpret this students
actions?
A) Give the student a written warning related to lack of interpersonal skills and ask
them to explain their behavior.
B) Ask other students if this student has a problems with making eye contact or if this
is just normal for her.
C) Suggest supervising RN staff write down their observations and share them with
this student.
D) Listen as other faculty share that this is the Asian way of conveying respect to
those in authority. - Answer-D
A nurse is studying the ethical practices of a research project focusing on resilience
following spousal abuse. Which principle of research ethics protects the human
rights of participants?
A) process of approval by IRB
B) truth in research reporting
C) anonymity of participants
D) informed consent signature - Answer-D
A nurse is conducting a research study and has some difficulties during the project.
Which is a barrier to research utilization in nursing?
A) positive beliefs and attitudes toward nursing research by the clinician
B) difficulty determining if studies are well designed and scientifically sound
C) professional characteristics of clinicians such as openness
D) postgraduate education level concentrating on research design. - Answer-B
A nursing education department in the hospital supports and encourages clinical
research of its nurses. What motivating factors may best facilitate research utilization
by the nursing staff?
A) change in values related to research by administration
B) promotions or salary increases for use of research in practice
C) increased time to participate in research utilization activities
D) provision of time for nurses to read research reports while off duty - Answer-B
