, 1. A client reports to the emergency department with ankle pain due to a minor road
accident. By asking the client to describe the accident, what type of nursing skill is the
nurse using?
A) Assessment skills
B) Comforting skills
C) Counseling skills
D) Caring skills
Ans: A
Feedback:
By asking the client to describe the accident, the nurse is using assessment skills to
collect more information about the client's condition. The nurse is interviewing the
client to collect related data. The nurse is not using comforting skills, as the nurse is not
providing any emotional support. The counseling skills of the nurse are also not used, as
no health education is provided. Caring skills include assistance provided with the
activities of daily living, which is not applicable in this scenario.
2. In a nursing unit, the RN delegates nursing tasks to the LPN. Keeping in mind the
delegation guidelines, which statement denotes the right task for the LPN?
A) Make beds with the help of unlicensed assistive personnel.
B) Assist clients with nasogastric tube feeds.
C) Take orders from an in-house physician.
D) Assess the client's needs and start an intravenous line.
Ans: B
Feedback:
Assisting clients with nasogastric tube feeding is an appropriate task for an LPN, as it
does not require independent decisions and sophisticated techniques. According to the
delegation guidelines, “right task” means that the task should be assigned according to
the competency of the caregiver. LPNs may not be authorized to make independent
decisions, like starting an IV line, for the client. Bed making is a very basic task and
may not be appropriate for an LPN if the UAP is already present. When the RN and
LPN are present, the RN takes the physician's orders.
3. A family has lost a member who was treated for leukemia at a nursing unit. The nurse
provides emotional support to the family and counsels them to cope with their loss.
Which quality should the nurse use in this situation?
A) Indifference
B) Pity
C) Sympathy
D) Empathy
Ans: D
Feedback:
The nurse should empathize with the family for their loss. Empathy helps the nurse to
provide effective care and support without being emotionally distraught by the family's
condition. If the nurse becomes indifferent to the family's condition, the nurse may not
Page 1
, be able to assess their needs. The nurse should not pity or provide sympathy to the
family for their loss, as it would unduly involve the nurse emotionally.
4. A 50-year-old client reports to a primary care unit with an open wound due to a fall in
the bathroom. Which of the following nursing actions represents caring skills?
A) The nurse cleans the wound and applies a dressing to it.
B) The nurse inspects and examines the wound for swelling.
C) The nurse tells the client to take care while on slippery surfaces.
D) The nurse informs the client that the wound is small and will heal easily.
Ans: A
Feedback:
The nursing action of cleaning the wound and applying a dressing indicates caring
skills. Caring skills involve nursing interventions that restore or maintain a person's
health. The nurse implements assessment skills while inspecting and examining the
wound. The nurse counsels the client to take care when walking on slippery surfaces. By
informing the client about the wound's condition, the nurse uses comforting skills.
5. One of the nursing achievements in the Crimean War was that the death rate of soldiers
dropped from 60% to 1%. What is the most appropriate reason for the fall in the death
rate?
A) Increased motivation among the soldiers
B) Decreased rate of infection and gangrene
C) Increased funds due to donations by families
D) Organized education and training of nurses
Ans: B
Feedback:
During the Crimean War, the death rate of British soldiers was 60%, which dropped to
1% due to the nursing care provided. The nurses improved the ventilation, nutritional,
and sanitary conditions of the soldiers, leading to decreased rates of infection and
gangrene. As a result, the death rate dropped. The families and the soldiers donated
funds after the war, not during the war, through which an organized education and
training facility for nurses was started. These measures did not primarily account for the
reduction in the death rate among soldiers.
6. In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in
mind the delegation guidelines, which statement denotes the right direction for the
nursing assistant?
A) “Discontinue the IV solution.”
B) “Dispose of the disconnected IV set.”
C) “Inspect the site for thrombophlebitis.”
D) “Check the infusion rate.”
Ans: B
Feedback:
Page 2
, The statement, “Dispose of the disconnected IV set” is in accordance with the
delegation guidelines of right direction. The nurse should provide all the necessary
information to carry out the assigned task. The other statements do not follow the
delegation guideline of right direction because the tasks mentioned in the other
instructions are not a nursing assistant's role.
7. A nurse at a health care facility provides information, assistance, and encouragement to
clients during the various phases of nursing care. In which of the following activities
does the nurse use counseling skills?
A) Educating a group of young girls about AIDS
B) Telling a client to localize the pain in his abdomen
C) Encouraging a client to walk without support
D) Assisting a breastfeeding mother in feeding her child
Ans: A
Feedback:
The activity of educating a group of young girls about AIDS is based on the nurse using
counseling skills. Telling a client to localize his pain is an assessment skill. Encouraging
a client to walk without support can be both a comforting skill and a caring skill.
Assisting a lactating mother in feeding her baby is primarily an example of a caring
skill.
8. A nurse is conducting an interview of a 40-year-old client who is admitted with chest
pain. Which of the following actions by the nurse indicates active listening?
A) Listening to the client silently
B) Interrupting to clarify meaning after each sentence
C) Asking for clarifications and repetitions when needed
D) Talking about the nurse's own experience
Ans: C
Feedback:
Active listening is an important component of counseling skills. It encourages the client
to open up and express his/her concerns. The nurse may ask the client to repeat and
clarify statements. Interrupting after every sentence may annoy the client. When the
nurse listens to the client silently, the client may feel that the nurse is not interested. On
the other hand, if the nurse talks about the nurse's own experience, the focus of the
session shifts to the nurse rather than to the client.
9. A student wants to join a nursing program that provides flexibility in working at both
staff and managerial positions. Which nursing program should the nurse suggest for this
student?
A) A hospital-based diplomas
B) A baccalaureate nursing programs
C) An associate degree programs
D) A continuing nursing programs
Page 3
accident. By asking the client to describe the accident, what type of nursing skill is the
nurse using?
A) Assessment skills
B) Comforting skills
C) Counseling skills
D) Caring skills
Ans: A
Feedback:
By asking the client to describe the accident, the nurse is using assessment skills to
collect more information about the client's condition. The nurse is interviewing the
client to collect related data. The nurse is not using comforting skills, as the nurse is not
providing any emotional support. The counseling skills of the nurse are also not used, as
no health education is provided. Caring skills include assistance provided with the
activities of daily living, which is not applicable in this scenario.
2. In a nursing unit, the RN delegates nursing tasks to the LPN. Keeping in mind the
delegation guidelines, which statement denotes the right task for the LPN?
A) Make beds with the help of unlicensed assistive personnel.
B) Assist clients with nasogastric tube feeds.
C) Take orders from an in-house physician.
D) Assess the client's needs and start an intravenous line.
Ans: B
Feedback:
Assisting clients with nasogastric tube feeding is an appropriate task for an LPN, as it
does not require independent decisions and sophisticated techniques. According to the
delegation guidelines, “right task” means that the task should be assigned according to
the competency of the caregiver. LPNs may not be authorized to make independent
decisions, like starting an IV line, for the client. Bed making is a very basic task and
may not be appropriate for an LPN if the UAP is already present. When the RN and
LPN are present, the RN takes the physician's orders.
3. A family has lost a member who was treated for leukemia at a nursing unit. The nurse
provides emotional support to the family and counsels them to cope with their loss.
Which quality should the nurse use in this situation?
A) Indifference
B) Pity
C) Sympathy
D) Empathy
Ans: D
Feedback:
The nurse should empathize with the family for their loss. Empathy helps the nurse to
provide effective care and support without being emotionally distraught by the family's
condition. If the nurse becomes indifferent to the family's condition, the nurse may not
Page 1
, be able to assess their needs. The nurse should not pity or provide sympathy to the
family for their loss, as it would unduly involve the nurse emotionally.
4. A 50-year-old client reports to a primary care unit with an open wound due to a fall in
the bathroom. Which of the following nursing actions represents caring skills?
A) The nurse cleans the wound and applies a dressing to it.
B) The nurse inspects and examines the wound for swelling.
C) The nurse tells the client to take care while on slippery surfaces.
D) The nurse informs the client that the wound is small and will heal easily.
Ans: A
Feedback:
The nursing action of cleaning the wound and applying a dressing indicates caring
skills. Caring skills involve nursing interventions that restore or maintain a person's
health. The nurse implements assessment skills while inspecting and examining the
wound. The nurse counsels the client to take care when walking on slippery surfaces. By
informing the client about the wound's condition, the nurse uses comforting skills.
5. One of the nursing achievements in the Crimean War was that the death rate of soldiers
dropped from 60% to 1%. What is the most appropriate reason for the fall in the death
rate?
A) Increased motivation among the soldiers
B) Decreased rate of infection and gangrene
C) Increased funds due to donations by families
D) Organized education and training of nurses
Ans: B
Feedback:
During the Crimean War, the death rate of British soldiers was 60%, which dropped to
1% due to the nursing care provided. The nurses improved the ventilation, nutritional,
and sanitary conditions of the soldiers, leading to decreased rates of infection and
gangrene. As a result, the death rate dropped. The families and the soldiers donated
funds after the war, not during the war, through which an organized education and
training facility for nurses was started. These measures did not primarily account for the
reduction in the death rate among soldiers.
6. In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in
mind the delegation guidelines, which statement denotes the right direction for the
nursing assistant?
A) “Discontinue the IV solution.”
B) “Dispose of the disconnected IV set.”
C) “Inspect the site for thrombophlebitis.”
D) “Check the infusion rate.”
Ans: B
Feedback:
Page 2
, The statement, “Dispose of the disconnected IV set” is in accordance with the
delegation guidelines of right direction. The nurse should provide all the necessary
information to carry out the assigned task. The other statements do not follow the
delegation guideline of right direction because the tasks mentioned in the other
instructions are not a nursing assistant's role.
7. A nurse at a health care facility provides information, assistance, and encouragement to
clients during the various phases of nursing care. In which of the following activities
does the nurse use counseling skills?
A) Educating a group of young girls about AIDS
B) Telling a client to localize the pain in his abdomen
C) Encouraging a client to walk without support
D) Assisting a breastfeeding mother in feeding her child
Ans: A
Feedback:
The activity of educating a group of young girls about AIDS is based on the nurse using
counseling skills. Telling a client to localize his pain is an assessment skill. Encouraging
a client to walk without support can be both a comforting skill and a caring skill.
Assisting a lactating mother in feeding her baby is primarily an example of a caring
skill.
8. A nurse is conducting an interview of a 40-year-old client who is admitted with chest
pain. Which of the following actions by the nurse indicates active listening?
A) Listening to the client silently
B) Interrupting to clarify meaning after each sentence
C) Asking for clarifications and repetitions when needed
D) Talking about the nurse's own experience
Ans: C
Feedback:
Active listening is an important component of counseling skills. It encourages the client
to open up and express his/her concerns. The nurse may ask the client to repeat and
clarify statements. Interrupting after every sentence may annoy the client. When the
nurse listens to the client silently, the client may feel that the nurse is not interested. On
the other hand, if the nurse talks about the nurse's own experience, the focus of the
session shifts to the nurse rather than to the client.
9. A student wants to join a nursing program that provides flexibility in working at both
staff and managerial positions. Which nursing program should the nurse suggest for this
student?
A) A hospital-based diplomas
B) A baccalaureate nursing programs
C) An associate degree programs
D) A continuing nursing programs
Page 3
