NURB 3030
Exam 2
75 Nursing Questions with Answers and Rationales
Includes:
• Clinical nursing scenarios
• Multiple-choice questions
• Answer explanations
• Rationales for review
,1. A nurse notices a patient has a sudden change in mental status. What is the
priority action?
a. Assess the patient and vital signs
b. Wait until rounds
c. Ignore the change
d. Ask family to decide
ANSWER: a. Assess the patient and vital signs
RATIONALE: Acute changes require assessment to identify causes.
2. Which action demonstrates patient-centered care?
a. Including the patient in care decisions
b. Making all decisions alone
c. Ignoring preferences
d. Avoiding questions
ANSWER: a. Including the patient in care decisions
RATIONALE: Patient participation supports autonomy.
3. A nurse delegates a task appropriately when the task:
a. Matches the team member's scope of practice
b. Requires independent nursing judgment
c. Is assigned without explanation
d. Is avoided by the nurse
ANSWER: a. Matches the team member's scope of practice
RATIONALE: Delegation must follow scope and competency.
4. Which finding should the nurse report immediately?
a. Signs of respiratory distress
b. Patient requesting water
c. Patient watching television
d. Patient sleeping normally
ANSWER: a. Signs of respiratory distress
RATIONALE: Respiratory compromise requires urgent intervention.
5. Which approach improves teamwork among healthcare professionals?
a. Respectful collaboration
b. Avoiding communication
c. Working independently only
, d. Ignoring differences
ANSWER: a. Respectful collaboration
RATIONALE: Collaboration improves patient outcomes.
6. A nurse notices a patient has a sudden change in mental status. What is the
priority action? This situation relates to nursing practice scenario 6.
a. Assess the patient and vital signs
b. Wait until rounds
c. Ignore the change
d. Ask family to decide
ANSWER: a. Assess the patient and vital signs
RATIONALE: Acute changes require assessment to identify causes.
7. Which action demonstrates patient-centered care? This situation relates to
nursing practice scenario 7.
a. Including the patient in care decisions
b. Making all decisions alone
c. Ignoring preferences
d. Avoiding questions
ANSWER: a. Including the patient in care decisions
RATIONALE: Patient participation supports autonomy.
8. A nurse delegates a task appropriately when the task: This situation relates to
nursing practice scenario 8.
a. Matches the team member's scope of practice
b. Requires independent nursing judgment
c. Is assigned without explanation
d. Is avoided by the nurse
ANSWER: a. Matches the team member's scope of practice
RATIONALE: Delegation must follow scope and competency.
9. Which finding should the nurse report immediately? This situation relates to
nursing practice scenario 9.
a. Signs of respiratory distress
b. Patient requesting water
c. Patient watching television
d. Patient sleeping normally
Exam 2
75 Nursing Questions with Answers and Rationales
Includes:
• Clinical nursing scenarios
• Multiple-choice questions
• Answer explanations
• Rationales for review
,1. A nurse notices a patient has a sudden change in mental status. What is the
priority action?
a. Assess the patient and vital signs
b. Wait until rounds
c. Ignore the change
d. Ask family to decide
ANSWER: a. Assess the patient and vital signs
RATIONALE: Acute changes require assessment to identify causes.
2. Which action demonstrates patient-centered care?
a. Including the patient in care decisions
b. Making all decisions alone
c. Ignoring preferences
d. Avoiding questions
ANSWER: a. Including the patient in care decisions
RATIONALE: Patient participation supports autonomy.
3. A nurse delegates a task appropriately when the task:
a. Matches the team member's scope of practice
b. Requires independent nursing judgment
c. Is assigned without explanation
d. Is avoided by the nurse
ANSWER: a. Matches the team member's scope of practice
RATIONALE: Delegation must follow scope and competency.
4. Which finding should the nurse report immediately?
a. Signs of respiratory distress
b. Patient requesting water
c. Patient watching television
d. Patient sleeping normally
ANSWER: a. Signs of respiratory distress
RATIONALE: Respiratory compromise requires urgent intervention.
5. Which approach improves teamwork among healthcare professionals?
a. Respectful collaboration
b. Avoiding communication
c. Working independently only
, d. Ignoring differences
ANSWER: a. Respectful collaboration
RATIONALE: Collaboration improves patient outcomes.
6. A nurse notices a patient has a sudden change in mental status. What is the
priority action? This situation relates to nursing practice scenario 6.
a. Assess the patient and vital signs
b. Wait until rounds
c. Ignore the change
d. Ask family to decide
ANSWER: a. Assess the patient and vital signs
RATIONALE: Acute changes require assessment to identify causes.
7. Which action demonstrates patient-centered care? This situation relates to
nursing practice scenario 7.
a. Including the patient in care decisions
b. Making all decisions alone
c. Ignoring preferences
d. Avoiding questions
ANSWER: a. Including the patient in care decisions
RATIONALE: Patient participation supports autonomy.
8. A nurse delegates a task appropriately when the task: This situation relates to
nursing practice scenario 8.
a. Matches the team member's scope of practice
b. Requires independent nursing judgment
c. Is assigned without explanation
d. Is avoided by the nurse
ANSWER: a. Matches the team member's scope of practice
RATIONALE: Delegation must follow scope and competency.
9. Which finding should the nurse report immediately? This situation relates to
nursing practice scenario 9.
a. Signs of respiratory distress
b. Patient requesting water
c. Patient watching television
d. Patient sleeping normally
