NUR 101 | NUR 101 Nursing Fundamentals Exam 4
Version 1 Questions with Correct Answers and
Expert Explanation for Each Question
1. A nurse is conducting an admission interview and wants to use therapeutic
communication. Which of the following techniques should the nurse prioritize to
encourage the patient to share more information?
A. Asking yes or no questions for efficiency
B. Giving personal advice based on experience
C. Using open-ended questions to invite detail
D. Changing the subject when the patient is emotional
Correct Answer: C
Expert Explanation: Therapeutic communication is essential for building a trusting
relationship with the patient. Open-ended questions allow patients to express their
thoughts and feelings in their own words. This approach provides the nurse with
deeper insights into the patient’s condition and concerns. It avoids the limitations of
closed-ended questions that only require a one-word answer. Effective
communication is a core component of patient-centered nursing care.
,2. The nurse is preparing to call a physician about a change in a patient’s condition
using the SBAR tool. What information should be included in the ‘Situation’ portion of
the report?
A. A brief statement of the current problem or reason for the call
B. The nurse’s recommendation for a change in medication
C. The patient’s full medical history and allergies
D. The most recent set of vital signs and physical assessment findings
Correct Answer: A
Expert Explanation: SBAR stands for Situation, Background, Assessment, and
Recommendation. The Situation component should clearly and concisely state why
the nurse is calling. This ensures the receiver immediately understands the urgency
and context of the communication. Including irrelevant medical history at this stage
can distract from the acute issue. Using a standardized format like SBAR improves
patient safety during handoffs.
3. When documenting in a patient’s electronic health record, which action by the
nurse maintains professional standards and legal accountability?
A. Deleting an error and leaving no trace of the original entry
B. Sharing login credentials with a coworker to save time
, C. Recording assessment findings as soon as possible after they occur
D. Charting care before it has actually been performed
Correct Answer: C
Expert Explanation: Timely documentation ensures that the patient’s record is
accurate and reflects the current status. It prevents memory lapse and provides a
real-time account for the healthcare team. Sharing passwords or credentials is a
major violation of HIPAA and facility policy. Documenting care before it is done is
considered fraudulent and unsafe practice. Clear and objective documentation is a
vital legal defense for nursing professionals.
4. A nurse is caring for a patient from a different cultural background. Which action
demonstrates cultural competence?
A. Asking the patient about their specific health beliefs and preferences
B. Assuming the patient follows all traditional practices of their culture
C. Insisting that the patient follow hospital routines strictly
D. Avoiding eye contact because it is considered rude in all cultures
Correct Answer: A
Expert Explanation: Cultural competence involves recognizing and respecting the
unique needs of every individual. Asking the patient about their preferences avoids
Version 1 Questions with Correct Answers and
Expert Explanation for Each Question
1. A nurse is conducting an admission interview and wants to use therapeutic
communication. Which of the following techniques should the nurse prioritize to
encourage the patient to share more information?
A. Asking yes or no questions for efficiency
B. Giving personal advice based on experience
C. Using open-ended questions to invite detail
D. Changing the subject when the patient is emotional
Correct Answer: C
Expert Explanation: Therapeutic communication is essential for building a trusting
relationship with the patient. Open-ended questions allow patients to express their
thoughts and feelings in their own words. This approach provides the nurse with
deeper insights into the patient’s condition and concerns. It avoids the limitations of
closed-ended questions that only require a one-word answer. Effective
communication is a core component of patient-centered nursing care.
,2. The nurse is preparing to call a physician about a change in a patient’s condition
using the SBAR tool. What information should be included in the ‘Situation’ portion of
the report?
A. A brief statement of the current problem or reason for the call
B. The nurse’s recommendation for a change in medication
C. The patient’s full medical history and allergies
D. The most recent set of vital signs and physical assessment findings
Correct Answer: A
Expert Explanation: SBAR stands for Situation, Background, Assessment, and
Recommendation. The Situation component should clearly and concisely state why
the nurse is calling. This ensures the receiver immediately understands the urgency
and context of the communication. Including irrelevant medical history at this stage
can distract from the acute issue. Using a standardized format like SBAR improves
patient safety during handoffs.
3. When documenting in a patient’s electronic health record, which action by the
nurse maintains professional standards and legal accountability?
A. Deleting an error and leaving no trace of the original entry
B. Sharing login credentials with a coworker to save time
, C. Recording assessment findings as soon as possible after they occur
D. Charting care before it has actually been performed
Correct Answer: C
Expert Explanation: Timely documentation ensures that the patient’s record is
accurate and reflects the current status. It prevents memory lapse and provides a
real-time account for the healthcare team. Sharing passwords or credentials is a
major violation of HIPAA and facility policy. Documenting care before it is done is
considered fraudulent and unsafe practice. Clear and objective documentation is a
vital legal defense for nursing professionals.
4. A nurse is caring for a patient from a different cultural background. Which action
demonstrates cultural competence?
A. Asking the patient about their specific health beliefs and preferences
B. Assuming the patient follows all traditional practices of their culture
C. Insisting that the patient follow hospital routines strictly
D. Avoiding eye contact because it is considered rude in all cultures
Correct Answer: A
Expert Explanation: Cultural competence involves recognizing and respecting the
unique needs of every individual. Asking the patient about their preferences avoids
