Nursing Exam 1 (Fundamentals): Study Tips and Practice Questions
1. During rounds, a charge nurse hears the patient D - discuss any concerns pri-
care technician yelling loudly to a patient regarding vately
a transfer from the bed to chair. When entering the
room, what is the nurse's best response?
, Nursing Exam 1 (Fundamentals): Study Tips and Practice Questions
a) "You need to speak to the patient quietly. You are
disturbing the patient."
b) "Let me help you with your transfer technique."
c) "When you are finished, be sure to apologize for
your rough demeanor."
d) "When your patient is safe and comfortable, me
me at the desk."
2. A public health nurse is leaving the home of a young A - maintain confidentiality;
mother who has a special needs baby. The neighbor non judgemental
states, "How is she doing, since the baby's father is
no help?" What is the nurse's best response?
a) "New mothers need support."
b) "The lack of a father is difficult."
c) "How are you today?"
d) "It is a very sad situation."
3. A 3-year-old child is being admitted to a medical di- D - allows nurse to gain un-
vision for vomiting, diarrhea, and dehydration. Dur- derstanding of a patients com-
ing the admission interview, the nurse should im- ment.
plement which communication techniques to elicit
the most information from the parents?
a) the use of reflective questions
b) the use of closed questions
, Nursing Exam 1 (Fundamentals): Study Tips and Practice Questions
c) the use of assertive questions
d) the use of clarifying questions
4. A nurse enters a patient's room and examines the D - identify self, let patient
patient's IV fluids and cardiac monitor. The patient know what will be happening,
states, "Well, I haven't seen you before. Who are and time period
you?" What is the nurse's best response?
a) "I'm just the IV therapist checking you IV."
b) "I've been transferred to this division ans will be
caring for you."
c) "I'm sorry, my name is John Smith and I am your
nurse."
d) "My name is John Smith, I am your nurse and I'll
be caring for you until 11 p.m."
5. A nurse enters the room of a patient with cancer. D - touch conveys acceptance;
The patient is crying and states, "I feel so alone." open-ended question allows
Which statement is the most therapeutic? free verbalizing by patient
a) the nurse stands at the patient's bedside and
states, "I understand how you feel. My mother said
the same thing when she was ill."
b) the nurse places a hand on the patient's arm and
states, "You feel so alone."
c) the nurse stands in the patient's room and asks,
"Why do you feel so alone? You wife has been here
every day."
d) the nurse holds the patient's hand and asks,
"What makes you feel so alone?"
6. A nurse caring for a patient who is hospitalized A - termination phase occurs
following a double mastectomy is preparing a dis- when the conclusion of the
, Nursing Exam 1 (Fundamentals): Study Tips and Practice Questions
charge plan for the patient. Which action should be initial agreement is acknowl-
the focus of this termination phase of the helping edged
relationship?
a) determining the progress made in achieving es-
tablished goals
b) clarifying when the patient should take medica-
tions
c) reporting the progress made in teaching the
staff
d) including all family members in the teaching ses-
sion
7. A nursing student is nervous and concerned about C - by engaging in self-talk, or
the work she is about to do at the clinical facility. To intrapersonal communication,
allay anxiety and be successful in her provision of the student can plan day and
care, it is most important for her to: enhance clinical performance
to decrease fear and anxiety
a) determine the established goals of the institu-
tion
b) be sure her verbal and nonverbal communication
is congruent
c) engage in self-talk to plan her day and decrease
her fear
d) speak with her fellow colleagues about how they
feel
8. A nurse in the rehab division states her head nurse, B - implementation of non-
Mr. Tyler, "I need the day off and you didn't give it to threatening information by
me!" The head nurse replies, "Well, I wasn't aware you needed the
1. During rounds, a charge nurse hears the patient D - discuss any concerns pri-
care technician yelling loudly to a patient regarding vately
a transfer from the bed to chair. When entering the
room, what is the nurse's best response?
, Nursing Exam 1 (Fundamentals): Study Tips and Practice Questions
a) "You need to speak to the patient quietly. You are
disturbing the patient."
b) "Let me help you with your transfer technique."
c) "When you are finished, be sure to apologize for
your rough demeanor."
d) "When your patient is safe and comfortable, me
me at the desk."
2. A public health nurse is leaving the home of a young A - maintain confidentiality;
mother who has a special needs baby. The neighbor non judgemental
states, "How is she doing, since the baby's father is
no help?" What is the nurse's best response?
a) "New mothers need support."
b) "The lack of a father is difficult."
c) "How are you today?"
d) "It is a very sad situation."
3. A 3-year-old child is being admitted to a medical di- D - allows nurse to gain un-
vision for vomiting, diarrhea, and dehydration. Dur- derstanding of a patients com-
ing the admission interview, the nurse should im- ment.
plement which communication techniques to elicit
the most information from the parents?
a) the use of reflective questions
b) the use of closed questions
, Nursing Exam 1 (Fundamentals): Study Tips and Practice Questions
c) the use of assertive questions
d) the use of clarifying questions
4. A nurse enters a patient's room and examines the D - identify self, let patient
patient's IV fluids and cardiac monitor. The patient know what will be happening,
states, "Well, I haven't seen you before. Who are and time period
you?" What is the nurse's best response?
a) "I'm just the IV therapist checking you IV."
b) "I've been transferred to this division ans will be
caring for you."
c) "I'm sorry, my name is John Smith and I am your
nurse."
d) "My name is John Smith, I am your nurse and I'll
be caring for you until 11 p.m."
5. A nurse enters the room of a patient with cancer. D - touch conveys acceptance;
The patient is crying and states, "I feel so alone." open-ended question allows
Which statement is the most therapeutic? free verbalizing by patient
a) the nurse stands at the patient's bedside and
states, "I understand how you feel. My mother said
the same thing when she was ill."
b) the nurse places a hand on the patient's arm and
states, "You feel so alone."
c) the nurse stands in the patient's room and asks,
"Why do you feel so alone? You wife has been here
every day."
d) the nurse holds the patient's hand and asks,
"What makes you feel so alone?"
6. A nurse caring for a patient who is hospitalized A - termination phase occurs
following a double mastectomy is preparing a dis- when the conclusion of the
, Nursing Exam 1 (Fundamentals): Study Tips and Practice Questions
charge plan for the patient. Which action should be initial agreement is acknowl-
the focus of this termination phase of the helping edged
relationship?
a) determining the progress made in achieving es-
tablished goals
b) clarifying when the patient should take medica-
tions
c) reporting the progress made in teaching the
staff
d) including all family members in the teaching ses-
sion
7. A nursing student is nervous and concerned about C - by engaging in self-talk, or
the work she is about to do at the clinical facility. To intrapersonal communication,
allay anxiety and be successful in her provision of the student can plan day and
care, it is most important for her to: enhance clinical performance
to decrease fear and anxiety
a) determine the established goals of the institu-
tion
b) be sure her verbal and nonverbal communication
is congruent
c) engage in self-talk to plan her day and decrease
her fear
d) speak with her fellow colleagues about how they
feel
8. A nurse in the rehab division states her head nurse, B - implementation of non-
Mr. Tyler, "I need the day off and you didn't give it to threatening information by
me!" The head nurse replies, "Well, I wasn't aware you needed the
