NURSING 251 EXAM 2 2026/2027 | NURSING 251 EXAM 2 QUESTIONS,
STUDY GUIDE & REVIEW
Which of the following techniques is most likely to result in the improved understanding for the
patient of the interviewer's questions? - Correct answer ✔✔ The use of the simplest language
possible
A statement such as "OK, now I want to discuss your sleep and rest patterns" is an example of
which component of the interviewing process? The use of a . . . - Correct answer ✔✔
Transitional phase
When setting the stage and then managing the interview, which of the following is it imperative
to do? - Correct answer ✔✔ Introduce yourself and your role, usually before the client
undresses
How might an examiner be able to help a patient who seems uncomfortable with close contact
during an examination? - Correct answer ✔✔ Acknowledge the discomfort
Which one of the following actions would best promote accurate translations and
confidentiality for the patient when the caregiver does not speak the patient's language? -
Correct answer ✔✔ Ask a hospital employee unfamiliar with the client to translate
Which one of the following factors is most important to consider while the nurse is interacting
with patients? - Correct answer ✔✔ The nurse's feelings, such as anger or disgust
Which type of question would be the most effective in obtaining a patient's perceptions of his
or her problem? - Correct answer ✔✔ Open-ended questions
During which part of the interview would the nurse ask a patient questions about a current
illness? - Correct answer ✔✔ Working phase
,The nurse is beginning a health history interview with an adult patient who expresses anger at
the nurse. What is the best approach by the nurse for dealing with an angry patient? - Correct
answer ✔✔ Allow the patient to ventilate his/her feelings
For the nurse to be therapeutic with patients when discussing sensitive issues such as terminal
illness or sexuality, the nurse should have which of the following? - Correct answer ✔✔
Knowledge of his/her own thoughts and feelings about these issues
Empathetic responses - Correct answer ✔✔ Establishing rapport with the patient by identifying
feelings of the patient
Confrontation - Correct answer ✔✔ Identifying and stating observations that seem to be at
odds with statements, behavior, etc.
Reflection - Correct answer ✔✔ Repeating the patient's own words to encourage expression of
facts and feelings.
Interpretation - Correct answer ✔✔ An inference about feelings or concerns that is used to
clarify data already collected.
Facilitation - Correct answer ✔✔ Cueing a patient to continue by saying "mm-mm, using silence,
etc.
Which of the following are behaviors of active listening? Select all that may apply. - Correct
answer ✔✔ Maintaining an open posture
Establishing and maintaining eye contact
Responding positively when giving feedback
,The skin plays a vital role in temperature maintenance, fluid and electrolyte balance, and
synthesis of which vitamin? - Correct answer ✔✔ D
A female client visits the clinic and complains to the nurse that her skin feels "dry". The nurse
should instruct the client that skin elasticity is related to adequate . . . - Correct answer ✔✔
Fluid intake
Usually evaluated by the mnemonic ABCDE - Correct answer ✔✔ Malignant melanoma
Most common skin cancer in caucasions - Correct answer ✔✔ Basal cell carcinoma
Most serious type and most rapidly increasing cancer in the U.S. - Correct answer ✔✔
Malignant melanoma
Most common skin cancer in darker skinned individuals - Correct answer ✔✔ Squamous cell
carcinoma
Associated with overall sun exposure and common on body sites with heavy sun exposure -
Correct answer ✔✔ Squamous cell carcinoma
Common on body sites with moderate sun exposure - Correct answer ✔✔ Basal cell carcinoma
Fluid-filled, circumscribed, elevated, greater than 0.5 cm - Correct answer ✔✔ Bulla
Circumscribed, non-elevated, non-palpable, less than 1 cm - Correct answer ✔✔ Macula
Palpable elevated solid mass, 0.5 to 1 - 2 cm Tumor: > 1-2 cm - Correct answer ✔✔ Nodule
, Palpable elevated solid mass, a wart - Correct answer ✔✔ Papule
Palpable elevated solid mass, greater than 1-2 cm - Correct answer ✔✔ Tumor
Circumscribed, non-elevated, non-palpable, greater than 1 cm - Correct answer ✔✔ Patch
With which condition is a venous star associated? - Correct answer ✔✔ Increased pressure in
veins
A nurse is examining a new patient admitted to the hospital unit from home. The patient is bed-
ridden and transfers to a chair only with the assist of family members. The nurse notes an area
of redness that does not blanch with palpation on the patient's buttocks; however, the area's
skin is intact. What stage of pressure ulcer development does the nurse document? - Correct
answer ✔✔ Stage 1
A bluish hue to the skin and nails that develops as a result of decreased blood flow to an area as
seen in cold conditions for example is called which term? - Correct answer ✔✔ Peripheral
cyaanosis
The increase in base angle of the finger nails and loss of the diamond when placing the fingers
of opposite hands together is called by which term? - Correct answer ✔✔ Clubbing
Pinching the skin between the fingers at the collarbone and noting the tenting is assessing for
which parameter? - Correct answer ✔✔ Turgor
A nurse is performing a nutritional assessment on a client. Which of the following clinical
findings are suggestive of malnutrition? Select all that may apply. - Correct answer ✔✔ Poor
would healing
Dry brittle skin
Weak hand grips
STUDY GUIDE & REVIEW
Which of the following techniques is most likely to result in the improved understanding for the
patient of the interviewer's questions? - Correct answer ✔✔ The use of the simplest language
possible
A statement such as "OK, now I want to discuss your sleep and rest patterns" is an example of
which component of the interviewing process? The use of a . . . - Correct answer ✔✔
Transitional phase
When setting the stage and then managing the interview, which of the following is it imperative
to do? - Correct answer ✔✔ Introduce yourself and your role, usually before the client
undresses
How might an examiner be able to help a patient who seems uncomfortable with close contact
during an examination? - Correct answer ✔✔ Acknowledge the discomfort
Which one of the following actions would best promote accurate translations and
confidentiality for the patient when the caregiver does not speak the patient's language? -
Correct answer ✔✔ Ask a hospital employee unfamiliar with the client to translate
Which one of the following factors is most important to consider while the nurse is interacting
with patients? - Correct answer ✔✔ The nurse's feelings, such as anger or disgust
Which type of question would be the most effective in obtaining a patient's perceptions of his
or her problem? - Correct answer ✔✔ Open-ended questions
During which part of the interview would the nurse ask a patient questions about a current
illness? - Correct answer ✔✔ Working phase
,The nurse is beginning a health history interview with an adult patient who expresses anger at
the nurse. What is the best approach by the nurse for dealing with an angry patient? - Correct
answer ✔✔ Allow the patient to ventilate his/her feelings
For the nurse to be therapeutic with patients when discussing sensitive issues such as terminal
illness or sexuality, the nurse should have which of the following? - Correct answer ✔✔
Knowledge of his/her own thoughts and feelings about these issues
Empathetic responses - Correct answer ✔✔ Establishing rapport with the patient by identifying
feelings of the patient
Confrontation - Correct answer ✔✔ Identifying and stating observations that seem to be at
odds with statements, behavior, etc.
Reflection - Correct answer ✔✔ Repeating the patient's own words to encourage expression of
facts and feelings.
Interpretation - Correct answer ✔✔ An inference about feelings or concerns that is used to
clarify data already collected.
Facilitation - Correct answer ✔✔ Cueing a patient to continue by saying "mm-mm, using silence,
etc.
Which of the following are behaviors of active listening? Select all that may apply. - Correct
answer ✔✔ Maintaining an open posture
Establishing and maintaining eye contact
Responding positively when giving feedback
,The skin plays a vital role in temperature maintenance, fluid and electrolyte balance, and
synthesis of which vitamin? - Correct answer ✔✔ D
A female client visits the clinic and complains to the nurse that her skin feels "dry". The nurse
should instruct the client that skin elasticity is related to adequate . . . - Correct answer ✔✔
Fluid intake
Usually evaluated by the mnemonic ABCDE - Correct answer ✔✔ Malignant melanoma
Most common skin cancer in caucasions - Correct answer ✔✔ Basal cell carcinoma
Most serious type and most rapidly increasing cancer in the U.S. - Correct answer ✔✔
Malignant melanoma
Most common skin cancer in darker skinned individuals - Correct answer ✔✔ Squamous cell
carcinoma
Associated with overall sun exposure and common on body sites with heavy sun exposure -
Correct answer ✔✔ Squamous cell carcinoma
Common on body sites with moderate sun exposure - Correct answer ✔✔ Basal cell carcinoma
Fluid-filled, circumscribed, elevated, greater than 0.5 cm - Correct answer ✔✔ Bulla
Circumscribed, non-elevated, non-palpable, less than 1 cm - Correct answer ✔✔ Macula
Palpable elevated solid mass, 0.5 to 1 - 2 cm Tumor: > 1-2 cm - Correct answer ✔✔ Nodule
, Palpable elevated solid mass, a wart - Correct answer ✔✔ Papule
Palpable elevated solid mass, greater than 1-2 cm - Correct answer ✔✔ Tumor
Circumscribed, non-elevated, non-palpable, greater than 1 cm - Correct answer ✔✔ Patch
With which condition is a venous star associated? - Correct answer ✔✔ Increased pressure in
veins
A nurse is examining a new patient admitted to the hospital unit from home. The patient is bed-
ridden and transfers to a chair only with the assist of family members. The nurse notes an area
of redness that does not blanch with palpation on the patient's buttocks; however, the area's
skin is intact. What stage of pressure ulcer development does the nurse document? - Correct
answer ✔✔ Stage 1
A bluish hue to the skin and nails that develops as a result of decreased blood flow to an area as
seen in cold conditions for example is called which term? - Correct answer ✔✔ Peripheral
cyaanosis
The increase in base angle of the finger nails and loss of the diamond when placing the fingers
of opposite hands together is called by which term? - Correct answer ✔✔ Clubbing
Pinching the skin between the fingers at the collarbone and noting the tenting is assessing for
which parameter? - Correct answer ✔✔ Turgor
A nurse is performing a nutritional assessment on a client. Which of the following clinical
findings are suggestive of malnutrition? Select all that may apply. - Correct answer ✔✔ Poor
would healing
Dry brittle skin
Weak hand grips
