200 Multiple Choice Questions /
Galen Nur 155 Exam 1
Foundations of Nursing Prep Test
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Foundations of Nursing
, NUR 155 Practice Test Exam 1
Multiple Choice
Identify the choice (1) that best completes the statement or answers the question. You should only have 1 answer selected.
1. The nursing student has been assigned to help feed patients at lunch time. Which nursing
intervention would be most effective when assisting a blind patient to eat a meal?
a. Speak loudly to ensure that the patient understands.
b. Describe the food arrangement using the numbers on a clock.
c. Tell the patient what is on the plate since he has lost the sense of smell.
d. Encourage the patient to eat faster so that the task will be done.
2. The nurse observes a confused patient pacing back and forth in the dining room. The patient yells,
“The doctor is going to make us all drink poison!” The most appropriate intervention by the nurse at
this time would be to take what action?
a. Ask the patient why he would say something like that.
b. Change the subject to disrupt the patient’s thought process.
c. Tell the patient that he should probably think of something else.
d. Quietly ask the patient to explain the statement.
3. A patient with an inoperable brain tumor says to the nurse, “I just want to die now. It’s going to
happen soon anyway.” Which would be the most appropriate response?
a. “Don’t worry about that right now. It’ll be OK.”
b. “I disagree with what you just said!”
c. “Honey, now don’t you talk like that.”
d. “Tell me why you are saying that.”
4. The nurse is caring for a patient with chronic lung disease. When the patient demands a cigarette
after eating breakfast, the nurse responds, “If that was me, I wouldn’t be asking for a cigarette. That
is what has made you so sick in the first place.” This nontherapeutic response is an example of what
communication technique?
a. Changing the subject
b. Giving advice
c. A stereotypical response
d. Defensiveness
5. What physical distance should the nurse become comfortable with and sensitive to while providing
direct patient care?
a. 0 to 1.5 feet
b. 1.5 to 4 feet
c. 4 to 12 feet
d. 12 to 25 feet
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, 6. The nurse is admitting a patient with a foul-smelling leg wound. Which behavior by the nurse
indicates an understanding of appropriate body language?
a. Using hand gestures to enhance verbal communication
b. Standing at the end of the bed with arms crossed
c. Facial grimacing at the sight of the wound
d. Gentle touching of the patient’s shoulder
7. A nurse has been working with a patient for the entire shift. Which action by the nurse is
unacceptable?
a. Sharing a personal mobile phone number
b. Touching the patient’s hand during a painful procedure
c. Standing 6 feet away from the patient when conversing
d. Using the SBAR method of hand-off communication
8. During a shift report, the nurse briefly describes the history of a patient admitted with chronic
gastrointestinal bleeding. In which SBAR topical area would this information be presented?
a. Situation
b. Background
c. Assessment
d. Recommendation
9. The nurse is performing an abdominal assessment on a postoperative surgical patient. The nurse
notes that the dressing needs to be changed twice a day and discusses when the patient would like to
have it done. The nurse then plans to change the dressing at that time. In which phase of the nurse–
patient helping relationship would this process occur?
a. Introductory phase
b. Orientation phase
c. Working phase
d. Termination phase
10. The nurse is collaborating with a patient to determine interventions to ensure compliance with
medication administration after the pending discharge. The nurse understands that the goals and
nursing interventions would be agreed upon in which phase of the nurse–patient relationship?
a. Preinteraction phase
b. Orientation phase
c. Working phase
d. Termination phase
11. A patient complains that several staff members entered the room during the morning bath without
knocking. Which component of professional nursing communication has been violated in this
scenario?
a. Collaboration
b. Advocacy
c. Assertiveness
d. Respect
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, 12. The nurse is caring for a patient who is unable to take oral medications because of persistent nausea
and vomiting. When the nurse decides to call the primary care physician and ask for a different
medication administration route, this is a demonstration of what act?
a. Collaboration
b. Delegation
c. Assertiveness
d. Advocacy
13. The nurse is assisting a co-worker who is preparing to change a deep wound dressing on a patient’s
abdomen. Several of the patient’s out-of-town friends are at the bedside watching a football game.
Which action is most appropriate for the nurse to consider prior to the dressing change?
a. Ask the friends to leave the room.
b. Pull the curtain around the bed.
c. Allow visitors to stay in the room during the procedure.
d. Ask the patient to turn up the volume on the television.
14. The nurse is conducting a presurgical screening interview with a patient at a local surgical center.
When performing a health assessment, the nurse identifies which source should be the primary
source of information?
a. Spouse
b. Medical record
c. Close relative
d. Patient
15. The patient is complaining of severe incisional pain 2 days after surgery. The patient has morphine
ordered intravenously or by mouth. When the nurse chooses to give the medication orally, this is an
example of which thought process?
a. Clinical decision-making
b. Clinical reasoning
c. Problem recognition
d. Reflection
16. The nurse is reviewing the last 3 days of a patient’s pain history and notes that the pain level has
remained constant. The nurse validates the pain level with the patient and decides to contact the
provider for further orders. In this scenario, which process is the nurse is using?
a. Reflection
b. Clinical reasoning
c. Problem recognition
d. Clinical judgment
17. The nurse has been hired for a first job and is nervous about making errors in clinical judgment. It is
important for the nurse to realize that clinical reasoning and the ability to make decisions in a
clinical setting occurs at which time?
a. When it has been instilled in the content covered in nursing school
b. When it is solely based in clinical experience
c. When it develops over time with increased knowledge and expertise
d. When it is an expectation of all nurses regardless of experience
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