PROFESSIONAL NURSING ROLES, HISTORY, AND
INFORMATICS QUESTIONS NEWEST 2026 EXAM
QUESTIONS LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Nursing Exam 2
The nurse observes a confused patient pacing back and forth in the dining
room. The patient yells, "The doctor is going to make us all drink poison!" The
most appropriate intervention by the nurse at this time would be to take what
action?
a. Ask the patient why he would say something like that.
b. Change the subject to disrupt the patient's thought process.
c. Tell the patient that he should probably think of something else.
d. Quietly ask the patient to explain the statement.
ANS: D
Quietly ask the patient to explain the statement.
Seeking clarification encourages the patient to expand on a topic that may be
confusing or that seems contradictory. Asking "why" questions implies criticism, may
make the patient defensive, tends to limit conversation, requires justification of
actions, and focuses on a problem rather than a possible solution. Changing the
subject avoids exploration of the topic raised by the patient and demonstrates the
nurse's discomfort with the topic introduced by the patient. Giving advice implies a
lack of confidence in the patient to make a healthy decision.
, Page 2 of 130
A patient with an inoperable brain tumor says to the nurse, "I just want to die
now. It's going to happen soon anyway." Which would be the most appropriate
response?
a. Don't worry about that right now. It'll be OK.
b. I disagree with what you just said!
c. Honey, now don't you talk like that.
d. Tell me why you are saying that.
Ans: d. Tell me why you are saying that.
Using open-ended questions br corgmenfs gives the patient the opportunity to share
freely on a subject, avoids interjection of feelings or assumptions by the nurse, and
provides for patient elaboration on important topics when the nurse wants to collect a
breadth of information.
Giving false reassurance discounts the patient's feelings, cuts off conversation about
legitimate concerns of the patient, and demonstrates a need by the nurse to "fix"
something that the patient just wants to discuss. Showing agreement or
disagreement discontinues patient reflection on an introduced topic, and implies a
lack of value for the thoughts, feelings, or concerns of patients. Using personal terms
of endearment, such as "Honey," demonstrates disrespect for the individual,
diminishes the dignity of a unique patient, and may indicate that the nurse did not
take the time or care enough to learn or remember the patient's name.
The nurse is caring for a patient with chronic lung disease. When the patient
demands a cigarette after eating breakfast, the nurse responds, "If that was
me, I wouldn't be asking for a cigarette. That is what has made you so sick in
the first place." This nontherapeutic response is an example of what
communication technique?
a. Changing the subject
b. Giving advice
, Page 3 of 130
c. A stereotypical response
d. Defensiveness
Ans: B
Giving Advice
Giving advice implies that the patient cannot make his or her own decisions and the
nurse accepts the responsibility for the action. Changing the subject ignores the
patient's concerns.
Stereotypical or generalized responses such as, "Don't cry over spilled milk" may be
judgmental. A defensive response such as, "The nurses work very hard to take care
of you" moves the focus of the conversation from the patient and limits further
discussion.
The nurse understands that based on a patient's perception of professional
competence and caring, the nurse should wear Which item?
a. Large, dangling, hoop earrings
b. Bright, multicolored acrylic fingernails
c. Clean, neatly pressed uniform
d. Offensive tattoos that cannot be covered
ANS: C
Clean, neatly pressed uniform
Professional symbolic expressions often communicate self-worth and pride. A clean
uniform demonstrates a competent and caring demeanor. Patients consistently judge
health care professionals by their appearance. The use of large amounts of jewelry,
fake fingernails, and visible body markings, including body piercings, are generally
not considered appropriate attire in the nursing profession.
The nurse is admitting a patient with a foul smelling leg wound. Which
behavior by the nurse indicates an understanding of appropriate body
language?
a. Using hand gestures to enhance verbal communication
, Page 4 of 130
b. Standing at the end of the bed with arms crossed
c. Facial grimacing at the sight of the wound
d. Gentle touching of the patient's shoulder
Ans: D
Gentle touching of the patients shoulder
Therapeutic touch, such as holding the patient's hand or touching the patient's
shoulder, can provide comfort and may alleviate pain. This is especially true when a
patient is undergoing a painful or stressful procedure. Making inappropriate facial
expressions may be offensive and hurtful to patients or their family members. The
nurse must control his or her facial expressions to avoid communicating disdain or
judgmental attitudes in challenging patient care situations. Maintaining a neutral
facial expression establishes an environment of caring and openness in which the
patient and family members can feel safe to share their innermost concerns. The use
of gestures may be challenging to nurses practicing in a multicultural environment.
Although they may enhance verbal communication, gestures may be viewed as
inappropriate by patients of various cultures. Standing with crossed arms may be
indicating a lack of openness or acceptance.
A nurse has been working with a patient for the entire shift. Which action by
the nurse is unacceptable?
a. Sharing a personal mobile phone number
b. Touching the patient's hand during a painful procedure
c. Standing 6 feet away from the patient when conversing
d. Using the SBAR method of hand-off communication
Ans: A
Sharing a personal mobile phone number
Professional role boundaries define the limits and responsibilities of nurses within a
specific setting. It is unprofessional and unethical to share personal phone numbers