Loretta A. Donnelly-Moreno Latest Update 2026 A+ Exam Prep.
UNIT 1: Exploring Contemporary Nursing
Chapter 1: Nursing Foundations (Questions 1-15)
Q1. A client reports to the emergency department with ankle pain due to a minor
road accident. By asking the client to describe the accident, which type of nursing
skill is the nurse using?
A. Assessment skills
B. Comforting skills
C. Counseling skills
D. Caring skills
Answer: A
Rationale: By asking the client to describe the accident, the nurse is using
assessment skills to collect more information about the client's condition. The
nurse is interviewing the client to collect related data. The nurse is not using
comforting skills, as no emotional support is provided. Counseling skills are also
,not used, as no health education is provided. Caring skills include assistance with
ADLs, which is not applicable .
Q2. One of the nursing achievements in the Crimean War was that the death rate
of soldiers dropped from 60% to 1%. What is the most appropriate reason for this
dramatic reduction?
A. Increased motivation among the soldiers
B. Decreased rate of infection and gangrene
C. Increased funds from donations by families
D. College-based education and training of nurses
Answer: B
Rationale: During the Crimean War, nurses improved ventilation, nutritional, and
sanitary conditions for soldiers, leading to decreased rates of infection and
gangrene. Families and soldiers donated funds after the war, not during it .
Q3. A nurse at a health care facility provides information, assistance, and
encouragement to clients during various phases of nursing care. In which activity
does the nurse use counseling skills?
A. Educating a group of young girls about AIDS
B. Telling a client to localize pain in his abdomen
,C. Encouraging a client to walk without support
D. Assisting a lactating mother in feeding her child
Answer: A
Rationale: Educating a group about AIDS uses counseling skills. Telling a client to
localize pain is an assessment skill. Encouraging a client to walk without support
can be both comforting and caring. Assisting a lactating mother is a caring skill .
Q4. A nurse is conducting an interview of a 40-year-old client admitted with chest
pain. Which action by the nurse indicates active listening?
A. Listening to the client silently
B. Interrupting after each sentence
C. Asking for clarifications and repetitions
D. Talking about the nurse's own experience
Answer: C
Rationale: Active listening encourages the client to express concerns. The nurse
may ask the client to repeat and clarify statements. Interrupting annoys the
client; silent listening may seem uninterested; talking about the nurse's
experience shifts focus away from the client .
, Q5. A student wants to attend a nursing program that prepares graduates for
both staff and managerial positions. Which type of nursing program should the
nurse suggest?
A. Hospital-based diploma
B. Baccalaureate nursing program (BSN)
C. Associate degree program (ADN)
D. Continuing nursing program
Answer: B
Rationale: Baccalaureate-prepared nurses have the greatest potential for
qualifying for both staff and managerial positions. Diploma programs provide
clinical exposure but not management preparation. ADN graduates typically do
not work in management positions immediately .
Q6. A client is brought to the emergency department with a head injury following
an ATV accident. The nurse asks family members to describe how the accident
occurred. The nurse is implementing which type of skill?
A. Assessment skills
B. Caring skills
C. Counseling skills
D. Comforting skills