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Chapter 1, Adjusting to Student Life
1. The nursing student has found the first 2 weeks of the nursing program fascinating but
overwhelming. This student is anxious and unable to sleep. What action should the nursing
student take to address these feelings?
A. Utilize the counseling services available at the college.
B. Reduce the course load.
C. Eliminate the family activities and recreational activities.
D. Create a study group with some classmates and divide the course work.
Actual Answer:: A
Feedback: Counseling services to help students make adjustments and solve problems may be
available to students. If so, they are often very helpful. This is preferable to reducing the courses the
student is taking or eliminating family and recreational activities, which are beneficial in stress
management. Study groups can be helpful, but they are not intended to divide course work.
PTS: 1 DIF: Moderate REF: p. 5, Personal Adjustments
OBJ: 1 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1 KEY: Integrated Process: Caring BLM: Cognitive Level: Apply NOT: Multiple Choice
2. A nursing student will soon begin a new course with a new instructor. When encountering a new
instructor for the first time, the student should:
A. compliment the instructor on his or her knowledge and skills.
B. try to get to know the instructor as much as possible.
C. remain silent until the instructor reveals his or her expectations.
3/9/2026, 7:09:00 PM 3/9/2026, 7:09:03 PM 3/9/2026, 7:09:05 PM
,3/9/2026, 7:08:56 PM 3/9/2026, 7:09:08 PM 3/9/2026, 7:09:07 PM
D. ask as many questions as possible so that the instructor notices the student.
Actual Answer:: B
Feedback: Every instructor is different, and it is beneficial to get to know each instructor‘s style,
personality, and expectations as much as possible. This does not involve offering personal
compliments to the instructor or asking questions for the purpose of becoming known. At the
same time, a student should not be completely silent at the start of a course.
PTS: 1 DIF: Moderate REF: p. 6, Program Structure
OBJ: 1 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1 KEY: Integrated Process: Communication and Documentation BLM:
Cognitive Level: Apply NOT: Multiple Choice
3. A student has just begun a nursing program and is committed to success. When creating a
schedule for the school term, what should the student do?
A. Make sure that recreation is prioritized over school work.
B. Spread out school work evenly between all 7 days of the week.
C. Ensure a balance between school activities and personal life.
D. Put off family activities until the midterm break.
Actual Answer:: C
Feedback: A good schedule should be realistic and balanced. To get the most from the program and
still have time for a personal life, the student should make a schedule that fits the time available, not
how much time the student wishes was available. This does not mean that school work should suffer
because of personal activities, however. It is often helpful to schedule days off rather than studying
every day of the week.
PTS: 1 DIF: Easy REF: p. 7, Scheduling Your Time
OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Communication and Documentation BLM: Cognitive
Level: Apply NOT: Multiple Choice
4. When learning how to assess clients‘ health, a student has found that the most beneficial learning
technique was watching an online video in which an experienced nurse demonstrated how to conduct
an assessment. Which is this student‘s most likely learning style? A. Tactile
B. Visual
C. Auditory
D. Kinesthetic
Actual Answer:: B
Feedback: Visual learners learn best by watching things such as videos, movies, and
demonstrations. Tactile and kinesthetic learners benefit from touch. Auditory learners prefer to hear
information.
PTS: 1 DIF: Easy REF: p. 9, Applying Your Learning Style OBJ: 3 NAT: Client Needs:
Psychosocial Integrity
TOP: Chapter 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Analyze NOT: Multiple Choice
5. A nursing student is aware of the importance of critical thinking, especially in clinical situations. When
applying the principles of critical thinking to a situation, the student should begin by asking:
A. ―What did I do the last time I encountered a similar situation?ǁ
B. ―Why do I need to act in this situation?ǁ
C. ―What are the consequences of making the wrong decision in this situation?ǁ D.
―What are the facts that I know about this situation?ǁ
Actual Answer:: D
Feedback: A useful starting point for the critical thinking process is to determine the facts about the
situation. This should come before a comparison with previous situations. It is likely not helpful to ask
what could possibly go wrong.
PTS: 1 DIF: Difficult REF: p. 17, Developing Critical Thinking Skills OBJ: 4
3/9/2026, 7:09:00 PM 3/9/2026, 7:09:03 PM 3/9/2026, 7:09:05 PM
,3/9/2026, 7:08:56 PM 3/9/2026, 7:09:08 PM 3/9/2026, 7:09:07 PM
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP: Chapter 1 KEY:
Integrated Process: Clinical Problem-solving Process (Nursing Process) BLM: Cognitive Level: Apply NOT:
Multiple Choice
6. The nursing student is working with a female client who had recent hip surgery. The client was
drowsy. The nursing student used critical thinking to determine the action needed to prevent the
client from falling. The nursing student should:
A. walk the client to the bathroom using a walker.
B. trActual Answer:fer the client to a bedside commode.
C. provide a fracture bedpan.
D. use a gait belt and walk the client to the bathroom.
Actual Answer:: C
Feedback: The student‘s synthesis of the facts of a situation and the trActual Answer:lation of these
facts into action demonstrate effective critical thinking. The client has recently had hip surgery and is
drowsy and will be unsteady on her feet, so trying to get her up by trActual Answer:fer to a bedside
commode or using a walker or a gait belt will not provide the safest choices for helping the client to
be toileted. The fracture bedpan is the safest choice to prevent a fall in the drowsy postoperative
client recovering from recent hip surgery.
PTS: 1 DIF: Moderate REF: p. 19, Applying Critical Thinking Skills OBJ: 4
NAT: Client Needs: Safe and Effective Care Environment: Safety and Infection Control TOP: Chapter 1 KEY:
Integrated Process: Clinical Problem-solving Process (Nursing Process) BLM: Cognitive Level: Apply NOT:
Multiple Choice
7. A nursing student has been informed that much of the content of the nursing program will be
presented in the form of lectures. This meActual Answer: that the student should:
A. make sure to do the assigned readings prior to each class.
B. determine whether the lecture will be beneficial before deciding to attend. C.
record each lecture electronically so that it can be referred to later.
D. schedule a one-on-one discussion with the instructor after each class.
Actual Answer:: A
Feedback: It is important to prepare for lectures by completing reading assignments in advance.
A student should attend every class. It is not normally necessary to record every lecture or to
meet with the instructor after each class.
PTS: 1 DIF: Easy REF: p. 19, Lectures
OBJ: 5
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Communication and Documentation BLM: Cognitive
Level: Apply NOT: Multiple Choice
8. The student has recently begun the nursing program and is committed to getting the highest grades
possible. One of the student‘s strategies for meeting this goal is learning how to take effective notes.
What should the student do to make sure the notes are effective? Select all that apply.
A. Aim to write down everything that the instructors say in class.
B. Take special note of information that the instructors say is most important. C.
Read the notes as soon as possible after class.
D. Review the notes regularly.
E. Get notes from a classmate to compare with the student‘s notes.
Actual Answer:: B, C, D
Feedback: Strategies for taking effective notes include highlighting main points, reading notes after
class, and reviewing them regularly. Unless the student has been absent, it is not normally necessary
to obtain a classmate‘s notes. It is unrealistic and unnecessary to write down everything an instructor
says.
PTS: 1 DIF: Difficult REF: p. 19, Taking Notes
OBJ: 6
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Communication and Documentation BLM: Cognitive
Level: Apply NOT: Multiple Selection
9. A nursing student who has recently begun a nursing program is discussing study habits with his or
3/9/2026, 7:09:00 PM 3/9/2026, 7:09:03 PM 3/9/2026, 7:09:05 PM
,3/9/2026, 7:08:56 PM 3/9/2026, 7:09:08 PM 3/9/2026, 7:09:07 PM
her classmates. Which statement by the student‘s classmates suggests effective study habits?
A. ―I find it‘s best to study the easy subjects first and then the hard subjects.ǁ B. ―In
order to be efficient, I always try to do my studying as fast as I can.ǁ C. ―I don‘t take
a break until I‘ve finished everything that I have to study.ǁ D. ―I try to schedule my
studying ahead of time so that I get everything done.ǁ
Actual Answer:: D
Feedback: Creating a schedule for studying is conducive to effective time management and
success. It is best to study hard subjects before easy subjects. Regular breaks are important, and
effectiveness, not speed, is the goal of studying.
PTS: 1 DIF: Moderate REF: p. 22, Studying
OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
10. A nursing student has learned that the nursing program will require frequent, lengthy readings. In
response, the student has resolved to apply the SQ3R method. This meActual Answer: that the
student will begin each reading session by:
A. writing down questions about the subject matter of an assigned reading. B.
looking over the reading for main headings, figures, titles, and objectives. C. slowly
and conscientiously reading the material.
D. reading the material aloud.
Actual Answer:: B
Feedback: The SQ3R method begins by surveying the chapter or unit by reading the title,
objectives, key words, chapter heads, introduction, italicized passages, graphs, illustrations,
photos, and end-of-chapter questions before you begin normal reading. Writing down questions
follows this, as does a more detailed reading. Reading aloud is useful to some students, but this is
not normally the first step in the process.
PTS: 1 DIF: Difficult REF: p. 25, Reading Assignments
OBJ: 5
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
11. The client wants to know the latest research about diabetes to guide care. Which resource would
be best for the nurse to use to provide the requested information?
A. Textbook published this year
B. Peer-reviewed evidence-based journal
C. Brochure from an organization supplying diabetes supplies
D. http://www.pence.edu/diabetesresearch
Actual Answer:: B
Feedback: Peer-reviewed (expert peers review manuscripts prior to publication for their
appropriateness) and evidence-based journals contain the most recent research and applications
based upon research. The textbook may have been published this year but will contain older
information than the journal. The brochure will advertise supplies for purchase but will not offer
information about the latest research. The example website may or may not be reliable and valid, and
there is no guarantee that it is kept up-to-date with the latest research related to diabetes.
PTS: 1 DIF: Moderate REF: p. 27, Other Materials
OBJ: 7
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
12. A nursing student has announced to a classmate, ―Textbooks are so twentieth century. I do all my
research on the Internet.ǁ How should the classmate best respond to this statement? A. ―In the long
run, you‘ll save money by investing in a few well-recognized textbooks.ǁ
B. ―I agree, but I find that the pictures, graphs, and figures in a textbook can be useful
3/9/2026, 7:09:00 PM 3/9/2026, 7:09:03 PM 3/9/2026, 7:09:05 PM
, 3/9/2026, 7:08:56 PM 3/9/2026, 7:09:08 PM 3/9/2026, 7:09:07 PM
supplements.ǁ
C. ―If you do this, make sure that you personally know the person who produced the
information.ǁ
D. ―Remember that anyone can post information online, so the information isn‘t
guaranteed to be accurate.ǁ
Actual Answer:: D
Feedback: Anyone can put information on a website, so information may or may not be accurate. It is
necessary to critically appraise online information, but this does not mean that the student must
personally know the individual who posts the information. Textbooks should not be seen solely as a
supplement or adjunct to online information.
PTS: 1 DIF: Moderate REF: p. 28, The Internet
OBJ: 7
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
13. A nursing student is scheduled to take the first written exam in the nursing program and is
experiencing test anxiety. What strategy should the nursing student implement to maximize the
chances of being successful in this exam?
A. Take the written exam as quickly as possible in order to avoid ―second guessing.ǁ B.
Focus on the most difficult questions before Actual Answer:wering the easier questions. C.
Scan the entire exam to make some estimates about the time that each section will require.
D. Focus on guessing instinctively rather than focusing on the specifics of a question. Actual
Answer:: C
Feedback: When taking a written exam, the student should begin by scanning the exam. It is
advisable to do easy questions first to build confidence. The student should not aim for speed when
writing an exam, and guessing is only an option when the student is unsure of the correct Actual
Answer:wer.
PTS: 1 DIF: Moderate REF: p. 31, Strategies for Taking Tests OBJ: 8 NAT: Client Needs:
Psychosocial Integrity
TOP: Chapter 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
14. The nursing student received several lectures on caring for a client requiring bed rest. The nursing
student practiced essential skills related to caring for a client on bed rest. The nursing student has
the first clinical experience. Which example supports the primary purpose of clinical instruction?
A. The nursing instructor demonstrates how to log roll the client and allows the nursing
students to practice this for the first time since the students never learned this skill
before.
B. The nursing student found that he or she could not insert the urinary catheter as easily
as he or she had practiced it in the laboratory, and the clinical instructor stated that the
client may have an obstruction in the urethra making it difficult to insert the catheter as
taught.
C. The nursing student wrote in his or her clinical journal that he or she used what he or she
learned in class and in the lab while caring for the client he or she was assigned.
D. The nursing student wrote in his or her clinical journal that he or she found that the skills he
or she learned in the lab were able to be used in the clinical area.
Actual Answer:: C
Feedback: Clinical instruction is arranged by the faculty to give the student practical experience in
the care of people in various health care settings as demonstrated by the example of writing in the
clinical journal about using class instruction in the lab. The primary purpose is not simply to
supplement learning as seen in the example of the instructor demonstrating a log roll or study skills
as noted in the example of writing one‘s findings in a clinical journal, and it is not intended to show a
disconnect between theory and practice as noted by the example difficulty inserting a urinary
catheter.
PTS: 1 DIF: Moderate REF: p. 33, Clinical Instruction
OBJ: 9
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Chapter 1, Adjusting to Student Life
1. The nursing student has found the first 2 weeks of the nursing program fascinating but
overwhelming. This student is anxious and unable to sleep. What action should the nursing
student take to address these feelings?
A. Utilize the counseling services available at the college.
B. Reduce the course load.
C. Eliminate the family activities and recreational activities.
D. Create a study group with some classmates and divide the course work.
Actual Answer:: A
Feedback: Counseling services to help students make adjustments and solve problems may be
available to students. If so, they are often very helpful. This is preferable to reducing the courses the
student is taking or eliminating family and recreational activities, which are beneficial in stress
management. Study groups can be helpful, but they are not intended to divide course work.
PTS: 1 DIF: Moderate REF: p. 5, Personal Adjustments
OBJ: 1 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1 KEY: Integrated Process: Caring BLM: Cognitive Level: Apply NOT: Multiple Choice
2. A nursing student will soon begin a new course with a new instructor. When encountering a new
instructor for the first time, the student should:
A. compliment the instructor on his or her knowledge and skills.
B. try to get to know the instructor as much as possible.
C. remain silent until the instructor reveals his or her expectations.
3/9/2026, 7:09:00 PM 3/9/2026, 7:09:03 PM 3/9/2026, 7:09:05 PM
,3/9/2026, 7:08:56 PM 3/9/2026, 7:09:08 PM 3/9/2026, 7:09:07 PM
D. ask as many questions as possible so that the instructor notices the student.
Actual Answer:: B
Feedback: Every instructor is different, and it is beneficial to get to know each instructor‘s style,
personality, and expectations as much as possible. This does not involve offering personal
compliments to the instructor or asking questions for the purpose of becoming known. At the
same time, a student should not be completely silent at the start of a course.
PTS: 1 DIF: Moderate REF: p. 6, Program Structure
OBJ: 1 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1 KEY: Integrated Process: Communication and Documentation BLM:
Cognitive Level: Apply NOT: Multiple Choice
3. A student has just begun a nursing program and is committed to success. When creating a
schedule for the school term, what should the student do?
A. Make sure that recreation is prioritized over school work.
B. Spread out school work evenly between all 7 days of the week.
C. Ensure a balance between school activities and personal life.
D. Put off family activities until the midterm break.
Actual Answer:: C
Feedback: A good schedule should be realistic and balanced. To get the most from the program and
still have time for a personal life, the student should make a schedule that fits the time available, not
how much time the student wishes was available. This does not mean that school work should suffer
because of personal activities, however. It is often helpful to schedule days off rather than studying
every day of the week.
PTS: 1 DIF: Easy REF: p. 7, Scheduling Your Time
OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Communication and Documentation BLM: Cognitive
Level: Apply NOT: Multiple Choice
4. When learning how to assess clients‘ health, a student has found that the most beneficial learning
technique was watching an online video in which an experienced nurse demonstrated how to conduct
an assessment. Which is this student‘s most likely learning style? A. Tactile
B. Visual
C. Auditory
D. Kinesthetic
Actual Answer:: B
Feedback: Visual learners learn best by watching things such as videos, movies, and
demonstrations. Tactile and kinesthetic learners benefit from touch. Auditory learners prefer to hear
information.
PTS: 1 DIF: Easy REF: p. 9, Applying Your Learning Style OBJ: 3 NAT: Client Needs:
Psychosocial Integrity
TOP: Chapter 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Analyze NOT: Multiple Choice
5. A nursing student is aware of the importance of critical thinking, especially in clinical situations. When
applying the principles of critical thinking to a situation, the student should begin by asking:
A. ―What did I do the last time I encountered a similar situation?ǁ
B. ―Why do I need to act in this situation?ǁ
C. ―What are the consequences of making the wrong decision in this situation?ǁ D.
―What are the facts that I know about this situation?ǁ
Actual Answer:: D
Feedback: A useful starting point for the critical thinking process is to determine the facts about the
situation. This should come before a comparison with previous situations. It is likely not helpful to ask
what could possibly go wrong.
PTS: 1 DIF: Difficult REF: p. 17, Developing Critical Thinking Skills OBJ: 4
3/9/2026, 7:09:00 PM 3/9/2026, 7:09:03 PM 3/9/2026, 7:09:05 PM
,3/9/2026, 7:08:56 PM 3/9/2026, 7:09:08 PM 3/9/2026, 7:09:07 PM
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP: Chapter 1 KEY:
Integrated Process: Clinical Problem-solving Process (Nursing Process) BLM: Cognitive Level: Apply NOT:
Multiple Choice
6. The nursing student is working with a female client who had recent hip surgery. The client was
drowsy. The nursing student used critical thinking to determine the action needed to prevent the
client from falling. The nursing student should:
A. walk the client to the bathroom using a walker.
B. trActual Answer:fer the client to a bedside commode.
C. provide a fracture bedpan.
D. use a gait belt and walk the client to the bathroom.
Actual Answer:: C
Feedback: The student‘s synthesis of the facts of a situation and the trActual Answer:lation of these
facts into action demonstrate effective critical thinking. The client has recently had hip surgery and is
drowsy and will be unsteady on her feet, so trying to get her up by trActual Answer:fer to a bedside
commode or using a walker or a gait belt will not provide the safest choices for helping the client to
be toileted. The fracture bedpan is the safest choice to prevent a fall in the drowsy postoperative
client recovering from recent hip surgery.
PTS: 1 DIF: Moderate REF: p. 19, Applying Critical Thinking Skills OBJ: 4
NAT: Client Needs: Safe and Effective Care Environment: Safety and Infection Control TOP: Chapter 1 KEY:
Integrated Process: Clinical Problem-solving Process (Nursing Process) BLM: Cognitive Level: Apply NOT:
Multiple Choice
7. A nursing student has been informed that much of the content of the nursing program will be
presented in the form of lectures. This meActual Answer: that the student should:
A. make sure to do the assigned readings prior to each class.
B. determine whether the lecture will be beneficial before deciding to attend. C.
record each lecture electronically so that it can be referred to later.
D. schedule a one-on-one discussion with the instructor after each class.
Actual Answer:: A
Feedback: It is important to prepare for lectures by completing reading assignments in advance.
A student should attend every class. It is not normally necessary to record every lecture or to
meet with the instructor after each class.
PTS: 1 DIF: Easy REF: p. 19, Lectures
OBJ: 5
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Communication and Documentation BLM: Cognitive
Level: Apply NOT: Multiple Choice
8. The student has recently begun the nursing program and is committed to getting the highest grades
possible. One of the student‘s strategies for meeting this goal is learning how to take effective notes.
What should the student do to make sure the notes are effective? Select all that apply.
A. Aim to write down everything that the instructors say in class.
B. Take special note of information that the instructors say is most important. C.
Read the notes as soon as possible after class.
D. Review the notes regularly.
E. Get notes from a classmate to compare with the student‘s notes.
Actual Answer:: B, C, D
Feedback: Strategies for taking effective notes include highlighting main points, reading notes after
class, and reviewing them regularly. Unless the student has been absent, it is not normally necessary
to obtain a classmate‘s notes. It is unrealistic and unnecessary to write down everything an instructor
says.
PTS: 1 DIF: Difficult REF: p. 19, Taking Notes
OBJ: 6
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Communication and Documentation BLM: Cognitive
Level: Apply NOT: Multiple Selection
9. A nursing student who has recently begun a nursing program is discussing study habits with his or
3/9/2026, 7:09:00 PM 3/9/2026, 7:09:03 PM 3/9/2026, 7:09:05 PM
,3/9/2026, 7:08:56 PM 3/9/2026, 7:09:08 PM 3/9/2026, 7:09:07 PM
her classmates. Which statement by the student‘s classmates suggests effective study habits?
A. ―I find it‘s best to study the easy subjects first and then the hard subjects.ǁ B. ―In
order to be efficient, I always try to do my studying as fast as I can.ǁ C. ―I don‘t take
a break until I‘ve finished everything that I have to study.ǁ D. ―I try to schedule my
studying ahead of time so that I get everything done.ǁ
Actual Answer:: D
Feedback: Creating a schedule for studying is conducive to effective time management and
success. It is best to study hard subjects before easy subjects. Regular breaks are important, and
effectiveness, not speed, is the goal of studying.
PTS: 1 DIF: Moderate REF: p. 22, Studying
OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
10. A nursing student has learned that the nursing program will require frequent, lengthy readings. In
response, the student has resolved to apply the SQ3R method. This meActual Answer: that the
student will begin each reading session by:
A. writing down questions about the subject matter of an assigned reading. B.
looking over the reading for main headings, figures, titles, and objectives. C. slowly
and conscientiously reading the material.
D. reading the material aloud.
Actual Answer:: B
Feedback: The SQ3R method begins by surveying the chapter or unit by reading the title,
objectives, key words, chapter heads, introduction, italicized passages, graphs, illustrations,
photos, and end-of-chapter questions before you begin normal reading. Writing down questions
follows this, as does a more detailed reading. Reading aloud is useful to some students, but this is
not normally the first step in the process.
PTS: 1 DIF: Difficult REF: p. 25, Reading Assignments
OBJ: 5
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
11. The client wants to know the latest research about diabetes to guide care. Which resource would
be best for the nurse to use to provide the requested information?
A. Textbook published this year
B. Peer-reviewed evidence-based journal
C. Brochure from an organization supplying diabetes supplies
D. http://www.pence.edu/diabetesresearch
Actual Answer:: B
Feedback: Peer-reviewed (expert peers review manuscripts prior to publication for their
appropriateness) and evidence-based journals contain the most recent research and applications
based upon research. The textbook may have been published this year but will contain older
information than the journal. The brochure will advertise supplies for purchase but will not offer
information about the latest research. The example website may or may not be reliable and valid, and
there is no guarantee that it is kept up-to-date with the latest research related to diabetes.
PTS: 1 DIF: Moderate REF: p. 27, Other Materials
OBJ: 7
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
12. A nursing student has announced to a classmate, ―Textbooks are so twentieth century. I do all my
research on the Internet.ǁ How should the classmate best respond to this statement? A. ―In the long
run, you‘ll save money by investing in a few well-recognized textbooks.ǁ
B. ―I agree, but I find that the pictures, graphs, and figures in a textbook can be useful
3/9/2026, 7:09:00 PM 3/9/2026, 7:09:03 PM 3/9/2026, 7:09:05 PM
, 3/9/2026, 7:08:56 PM 3/9/2026, 7:09:08 PM 3/9/2026, 7:09:07 PM
supplements.ǁ
C. ―If you do this, make sure that you personally know the person who produced the
information.ǁ
D. ―Remember that anyone can post information online, so the information isn‘t
guaranteed to be accurate.ǁ
Actual Answer:: D
Feedback: Anyone can put information on a website, so information may or may not be accurate. It is
necessary to critically appraise online information, but this does not mean that the student must
personally know the individual who posts the information. Textbooks should not be seen solely as a
supplement or adjunct to online information.
PTS: 1 DIF: Moderate REF: p. 28, The Internet
OBJ: 7
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TOP:
Chapter 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
13. A nursing student is scheduled to take the first written exam in the nursing program and is
experiencing test anxiety. What strategy should the nursing student implement to maximize the
chances of being successful in this exam?
A. Take the written exam as quickly as possible in order to avoid ―second guessing.ǁ B.
Focus on the most difficult questions before Actual Answer:wering the easier questions. C.
Scan the entire exam to make some estimates about the time that each section will require.
D. Focus on guessing instinctively rather than focusing on the specifics of a question. Actual
Answer:: C
Feedback: When taking a written exam, the student should begin by scanning the exam. It is
advisable to do easy questions first to build confidence. The student should not aim for speed when
writing an exam, and guessing is only an option when the student is unsure of the correct Actual
Answer:wer.
PTS: 1 DIF: Moderate REF: p. 31, Strategies for Taking Tests OBJ: 8 NAT: Client Needs:
Psychosocial Integrity
TOP: Chapter 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
14. The nursing student received several lectures on caring for a client requiring bed rest. The nursing
student practiced essential skills related to caring for a client on bed rest. The nursing student has
the first clinical experience. Which example supports the primary purpose of clinical instruction?
A. The nursing instructor demonstrates how to log roll the client and allows the nursing
students to practice this for the first time since the students never learned this skill
before.
B. The nursing student found that he or she could not insert the urinary catheter as easily
as he or she had practiced it in the laboratory, and the clinical instructor stated that the
client may have an obstruction in the urethra making it difficult to insert the catheter as
taught.
C. The nursing student wrote in his or her clinical journal that he or she used what he or she
learned in class and in the lab while caring for the client he or she was assigned.
D. The nursing student wrote in his or her clinical journal that he or she found that the skills he
or she learned in the lab were able to be used in the clinical area.
Actual Answer:: C
Feedback: Clinical instruction is arranged by the faculty to give the student practical experience in
the care of people in various health care settings as demonstrated by the example of writing in the
clinical journal about using class instruction in the lab. The primary purpose is not simply to
supplement learning as seen in the example of the instructor demonstrating a log roll or study skills
as noted in the example of writing one‘s findings in a clinical journal, and it is not intended to show a
disconnect between theory and practice as noted by the example difficulty inserting a urinary
catheter.
PTS: 1 DIF: Moderate REF: p. 33, Clinical Instruction
OBJ: 9
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