NU180 | NU180 Nursing and Healthcare II | NCLEX
Style Midterm v1 | Questions with Correct Answers
and Expert Explanation for Each Question | Galen
1. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP).
Which task is most appropriate for the nurse to delegate?
A. Assessing a patient’s pain level after medication administration
B. Teaching a patient how to use an incentive spirometer
C. Assisting a stable patient with ambulation to the bathroom
D. Evaluating the effectiveness of a new blood pressure medication
Correct Answer: C
Expert Explanation: The RN is responsible for assessment, teaching, and
evaluation, which cannot be delegated to unlicensed personnel. Assisting a stable
patient with activities of daily living, such as ambulation, is within the scope of
practice for a UAP. The nurse must first ensure the patient is clinically stable before
delegating this task to ensure safety.
2. A patient refuses to take a prescribed dose of an antibiotic. Which action should the
nurse take first to uphold the principle of autonomy?
A. Inform the patient that they will get sicker without the medication
B. Document the refusal and notify the healthcare provider immediately
,C. Ask a family member to help convince the patient to take the pill
D. Explore the patient’s reasons for refusing the medication
Correct Answer: D
Expert Explanation: Respecting autonomy means recognizing the patient’s right to
make their own healthcare decisions. The first step is to communicate with the
patient to understand their perspective and provide education to address concerns.
Once the patient is fully informed and still refuses, the nurse then documents and
notifies the provider.
3. Which clinical scenario should the nurse prioritize first using the ABC (Airway,
Breathing, Circulation) framework?
A. A patient with a fractured ankle requesting pain medication
B. A patient with a blood pressure of 145/90 mmHg
C. A patient with a pulse oximetry reading of 88% on room air
D. A patient who needs a dressing change for a surgical wound
Correct Answer: C
Expert Explanation: According to the ABC prioritization framework, breathing
issues take precedence over circulation and non-urgent physical needs. A pulse
oximetry reading of 88% indicates potential respiratory distress or hypoxia, which
,is a life-threatening priority. The nurse must address the oxygenation status before
attending to stable blood pressure or pain management.
4. A nurse is caring for a patient from a different cultural background. What is the
most effective way for the nurse to provide culturally competent care?
A. Assume that the patient follows all traditions associated with their culture
B. Treat all patients exactly the same regardless of their cultural background
C. Provide a pamphlet about general health practices for that specific culture
D. Ask the patient about their specific cultural beliefs and health practices
Correct Answer: D
Expert Explanation: Cultural competence begins with an individualized
assessment rather than making assumptions based on stereotypes. Asking the
patient directly about their preferences ensures that care is tailored to their unique
needs and values. This approach fosters a therapeutic relationship and improves
patient outcomes through patient-centered care.
5. During a shift change report, the nurse learns that a patient has an Advanced
Directive. What is the primary purpose of this document?
A. To name the person responsible for the patient’s financial assets
B. To prevent the family from visiting the patient in the intensive care unit
, C. To provide a legal record of all medications the patient has ever taken
D. To outline the patient’s preferences for medical treatment if they become
incapacitated
Correct Answer: D
Expert Explanation: An Advanced Directive is a legal document that communicates
a patient’s end-of-life wishes and treatment preferences. It becomes active only
when the patient is unable to make decisions for themselves. This ensures that the
patient’s autonomy is respected even when they lack the capacity to communicate.
6. A nurse is using the SBAR tool to communicate with a physician. What does the ‘B’
in SBAR stand for?
A. Behavior
B. Background
C. Beliefs
D. Basic needs
Correct Answer: B
Expert Explanation: SBAR stands for Situation, Background, Assessment, and
Recommendation. The ‘Background’ section provides context, such as the patient’s
Style Midterm v1 | Questions with Correct Answers
and Expert Explanation for Each Question | Galen
1. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP).
Which task is most appropriate for the nurse to delegate?
A. Assessing a patient’s pain level after medication administration
B. Teaching a patient how to use an incentive spirometer
C. Assisting a stable patient with ambulation to the bathroom
D. Evaluating the effectiveness of a new blood pressure medication
Correct Answer: C
Expert Explanation: The RN is responsible for assessment, teaching, and
evaluation, which cannot be delegated to unlicensed personnel. Assisting a stable
patient with activities of daily living, such as ambulation, is within the scope of
practice for a UAP. The nurse must first ensure the patient is clinically stable before
delegating this task to ensure safety.
2. A patient refuses to take a prescribed dose of an antibiotic. Which action should the
nurse take first to uphold the principle of autonomy?
A. Inform the patient that they will get sicker without the medication
B. Document the refusal and notify the healthcare provider immediately
,C. Ask a family member to help convince the patient to take the pill
D. Explore the patient’s reasons for refusing the medication
Correct Answer: D
Expert Explanation: Respecting autonomy means recognizing the patient’s right to
make their own healthcare decisions. The first step is to communicate with the
patient to understand their perspective and provide education to address concerns.
Once the patient is fully informed and still refuses, the nurse then documents and
notifies the provider.
3. Which clinical scenario should the nurse prioritize first using the ABC (Airway,
Breathing, Circulation) framework?
A. A patient with a fractured ankle requesting pain medication
B. A patient with a blood pressure of 145/90 mmHg
C. A patient with a pulse oximetry reading of 88% on room air
D. A patient who needs a dressing change for a surgical wound
Correct Answer: C
Expert Explanation: According to the ABC prioritization framework, breathing
issues take precedence over circulation and non-urgent physical needs. A pulse
oximetry reading of 88% indicates potential respiratory distress or hypoxia, which
,is a life-threatening priority. The nurse must address the oxygenation status before
attending to stable blood pressure or pain management.
4. A nurse is caring for a patient from a different cultural background. What is the
most effective way for the nurse to provide culturally competent care?
A. Assume that the patient follows all traditions associated with their culture
B. Treat all patients exactly the same regardless of their cultural background
C. Provide a pamphlet about general health practices for that specific culture
D. Ask the patient about their specific cultural beliefs and health practices
Correct Answer: D
Expert Explanation: Cultural competence begins with an individualized
assessment rather than making assumptions based on stereotypes. Asking the
patient directly about their preferences ensures that care is tailored to their unique
needs and values. This approach fosters a therapeutic relationship and improves
patient outcomes through patient-centered care.
5. During a shift change report, the nurse learns that a patient has an Advanced
Directive. What is the primary purpose of this document?
A. To name the person responsible for the patient’s financial assets
B. To prevent the family from visiting the patient in the intensive care unit
, C. To provide a legal record of all medications the patient has ever taken
D. To outline the patient’s preferences for medical treatment if they become
incapacitated
Correct Answer: D
Expert Explanation: An Advanced Directive is a legal document that communicates
a patient’s end-of-life wishes and treatment preferences. It becomes active only
when the patient is unable to make decisions for themselves. This ensures that the
patient’s autonomy is respected even when they lack the capacity to communicate.
6. A nurse is using the SBAR tool to communicate with a physician. What does the ‘B’
in SBAR stand for?
A. Behavior
B. Background
C. Beliefs
D. Basic needs
Correct Answer: B
Expert Explanation: SBAR stands for Situation, Background, Assessment, and
Recommendation. The ‘Background’ section provides context, such as the patient’s
