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N310 MOBILITY FINAL EXAM REVIEW CLINICAL
JUDGMENT & ASSESSMENT TOOLS FINAL EXAM
2026-27 VERSION
Communication, Therapeutic & Interprofessional
1. A nurse is caring for a patient who is hard of hearing. Which
action best promotes effective communication?
A. Speak loudly from the doorway
B. Stand to the side of the patient and speak slowly while facing
them
C. Use medical jargon to be precise
D. Speak rapidly so the patient doesn’t lose attention
Answer: B. Rationale: Face-to-face, clear slow speech and
positioning helps lip reading and nonverbal cues.
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2. During handoff, which element of ISBAR is MOST important
when the patient is deteriorating?
A. Identification
B. Situation
C. Background
D. Recommendation
Answer: B (Situation). Rationale: Situation conveys the current
acute issue requiring immediate attention.
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3. A charge nurse observes lateral violence on the unit. The MOST
appropriate immediate action is:
A. Ignore it; professionalism will cure it
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B. Report behaviors through the chain of command and document
incidents
C. Join gossip to learn more context
D. Publicly reprimand the staff member
Answer: B. Rationale: Documenting and reporting follows policy
and protects patient safety and staff.
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4. A patient with aphasia can point to pictures to indicate needs.
Which NANDA diagnosis is most appropriate?
A. Impaired Verbal Communication
B. Risk for Injury
C. Ineffective Airway Clearance
D. Self-Care Deficit
Answer: A. Rationale: Impaired verbal communication describes
decreased/absent ability to use symbols.
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5. Which is an example of paralinguistic communication?
A. Choice of words
B. Written instructions
C. Tone of voice and facial expression
D. Email to physician
Answer: C. Rationale: Paralinguistic = nonverbal cues like
gestures, tone, facial expression.
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6. A nurse gives unwarranted reassurance to an anxious parent. Why
is this a barrier?
A. It provides false hope and prevents exploration of feelings
B. It clarifies the situation
C. It speeds the interaction appropriately
D. It is part of therapeutic touch
Answer: A. Rationale: Unwarranted reassurance closes
conversation and may hinder accurate assessment.
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7. Which communication technique is BEST to use with an adolescent
patient?
A. Use commanding statements
, 4
B. Use simple language, incorporate listening, and respect
autonomy
C. Exclude family always
D. Use only medical terms
Answer: B. Rationale: Adolescents need respect, clear language,
and involvement in care decisions.
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8. A nurse provides SBAR to a provider and omits the
assessment data. This is a communication failure most
likely to cause:
A. Improved outcomes
B. Medication error or treatment delay
C. Faster discharge
D. Fewer handoffs
Answer: B. Rationale: Omitting assessment causes
diagnostic/treatment errors.
N310 MOBILITY FINAL EXAM REVIEW CLINICAL
JUDGMENT & ASSESSMENT TOOLS FINAL EXAM
2026-27 VERSION
Communication, Therapeutic & Interprofessional
1. A nurse is caring for a patient who is hard of hearing. Which
action best promotes effective communication?
A. Speak loudly from the doorway
B. Stand to the side of the patient and speak slowly while facing
them
C. Use medical jargon to be precise
D. Speak rapidly so the patient doesn’t lose attention
Answer: B. Rationale: Face-to-face, clear slow speech and
positioning helps lip reading and nonverbal cues.
Untitled document (22)
2. During handoff, which element of ISBAR is MOST important
when the patient is deteriorating?
A. Identification
B. Situation
C. Background
D. Recommendation
Answer: B (Situation). Rationale: Situation conveys the current
acute issue requiring immediate attention.
Untitled document (22)
3. A charge nurse observes lateral violence on the unit. The MOST
appropriate immediate action is:
A. Ignore it; professionalism will cure it
,2
B. Report behaviors through the chain of command and document
incidents
C. Join gossip to learn more context
D. Publicly reprimand the staff member
Answer: B. Rationale: Documenting and reporting follows policy
and protects patient safety and staff.
Untitled document (22)
,3
4. A patient with aphasia can point to pictures to indicate needs.
Which NANDA diagnosis is most appropriate?
A. Impaired Verbal Communication
B. Risk for Injury
C. Ineffective Airway Clearance
D. Self-Care Deficit
Answer: A. Rationale: Impaired verbal communication describes
decreased/absent ability to use symbols.
Untitled document (22)
5. Which is an example of paralinguistic communication?
A. Choice of words
B. Written instructions
C. Tone of voice and facial expression
D. Email to physician
Answer: C. Rationale: Paralinguistic = nonverbal cues like
gestures, tone, facial expression.
Untitled document (22)
6. A nurse gives unwarranted reassurance to an anxious parent. Why
is this a barrier?
A. It provides false hope and prevents exploration of feelings
B. It clarifies the situation
C. It speeds the interaction appropriately
D. It is part of therapeutic touch
Answer: A. Rationale: Unwarranted reassurance closes
conversation and may hinder accurate assessment.
Untitled document (22)
7. Which communication technique is BEST to use with an adolescent
patient?
A. Use commanding statements
, 4
B. Use simple language, incorporate listening, and respect
autonomy
C. Exclude family always
D. Use only medical terms
Answer: B. Rationale: Adolescents need respect, clear language,
and involvement in care decisions.
Untitled document (22)
8. A nurse provides SBAR to a provider and omits the
assessment data. This is a communication failure most
likely to cause:
A. Improved outcomes
B. Medication error or treatment delay
C. Faster discharge
D. Fewer handoffs
Answer: B. Rationale: Omitting assessment causes
diagnostic/treatment errors.
