College of Nursing
TP 4 MAXE SDNUF
★ ★
N Department of Health Sciences
SCIENTIA · CURA · COMPASSIO
EST. 1908
Nursing Fundamentals — Examination 4 Practice Test
CU LT U R E · PA I N · OX YG E N AT I O N · F LU I D / E L E C T R O LYT E S · G R I E F · S E N S O R Y · S L E E P
INSTITUTION College of Nursing COURSE CODE NURS 1101
PROGRAM Bachelor of Science in Nursing (BSN) ACADEMIC YEAR
EXAM TITLE Nursing Fundamentals Exam 4 Practice TOTAL QUESTIONS 85+ Questions
Test
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice & Select All That Apply
EXAMINATION INSTRUCTIONS
▸ This comprehensive practice test covers cultural diversity, pain management, oxygenation, fluid/electrolytes, IV therapy,
loss/grief, sensory alterations, and sleep.
▸ Select the single best answer unless "Select all that apply" is indicated.
▸ Correct answers and clinical rationales appear below each question for NCLEX preparation.
SECTION I — CULTURAL DIVERSITY & PAIN MANAGEMENT Questions 1 – 22
1. A nurse is caring for patients of diverse cultures. Which characteristics of cultural diversity should the nurse
consider when planning culturally competent care? (Select all that apply.)
a. The United States has become less inclusive of same-sex couples
b. Cultural diversity is limited to people of varying cultures and races
c. Cultural diversity is separate and distinct from health and illness
d. People may be members of multiple cultural groups at one time
e. Culture guides what is acceptable behavior for people in a specific group
f. Cultural practices may evolve over time but mainly remain constant
CORRECT ANSWER d, e, f
RATIONALE A person may belong to multiple cultural groups simultaneously. Culture defines acceptable behaviors and
practices that evolve but largely remain constant. The U.S. has become more inclusive of same-sex couples.
Cultural diversity extends beyond race/culture to include religion, language, sexual orientation, age,
disability, and socioeconomic status. Culture is integral to health and illness.
, 2. Which nursing actions are examples of cultural imposition? (Select all that apply.)
a. A hospital nurse tells a nurse's aide that patients should not be given a choice whether or not to shower or bathe
daily.
b. A nurse treats all patients the same whether or not they come from a different culture.
c. A nurse tells another nurse that Jewish diet restrictions are just a way for them to get a special tray.
d. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the chaplain in residence.
e. A nurse directs interview questions to an older adult's daughter even though the patient is capable of answering.
f. A nurse refuses to care for a married gay man who is HIV positive because she is against same-sex marriage.
CORRECT ANSWER a, d
RATIONALE Cultural imposition is forcing one's own beliefs/practices on others (mandating daily bathing, insisting on
chaplain visit). Cultural blindness (b) is treating everyone the same regardless of culture. Culture conflict (c)
involves ridiculing another's beliefs. Stereotyping (e, f) involves prejudging based on group membership.
3. Which patients would the nurse screen for diabetes mellitus based on race? (Select all that apply.)
a. A Native American patient
b. An African-American patient
c. An Alaska Native
d. An Asian patient
e. A White patient
f. A Hispanic patient
CORRECT ANSWER a, c, e, f — Native American, Alaska Native, White, Hispanic
RATIONALE Native Americans, Alaska Natives, Hispanics, and Whites have higher prevalence of diabetes. African
Americans are more prone to hypertension, stroke, sickle cell anemia, lactose intolerance, and keloids.
Asians are prone to hypertension, liver cancer, thalassemia, and lactose intolerance.
4. A nurse uses the ESFT model for a patient with COPD. Which question is most appropriate to assess the "E" aspect
— Explanatory model of health and illness?
a. How do you get your medications?
b. How does having COPD affect your lifestyle?
c. Are you concerned about the side effects of your medications?
d. Can you describe how you will take your medications?
CORRECT ANSWER b — How does having COPD affect your lifestyle?
RATIONALE ESFT: Explanatory model (patient's conception of illness), Social/environmental factors, Fears/concerns,
Therapeutic contracting. "How does COPD affect your lifestyle?" explores the explanatory model.
Medication access = social factors. Side effect concerns = fears. Describing medication use = therapeutic
contracting.
TP 4 MAXE SDNUF
★ ★
N Department of Health Sciences
SCIENTIA · CURA · COMPASSIO
EST. 1908
Nursing Fundamentals — Examination 4 Practice Test
CU LT U R E · PA I N · OX YG E N AT I O N · F LU I D / E L E C T R O LYT E S · G R I E F · S E N S O R Y · S L E E P
INSTITUTION College of Nursing COURSE CODE NURS 1101
PROGRAM Bachelor of Science in Nursing (BSN) ACADEMIC YEAR
EXAM TITLE Nursing Fundamentals Exam 4 Practice TOTAL QUESTIONS 85+ Questions
Test
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice & Select All That Apply
EXAMINATION INSTRUCTIONS
▸ This comprehensive practice test covers cultural diversity, pain management, oxygenation, fluid/electrolytes, IV therapy,
loss/grief, sensory alterations, and sleep.
▸ Select the single best answer unless "Select all that apply" is indicated.
▸ Correct answers and clinical rationales appear below each question for NCLEX preparation.
SECTION I — CULTURAL DIVERSITY & PAIN MANAGEMENT Questions 1 – 22
1. A nurse is caring for patients of diverse cultures. Which characteristics of cultural diversity should the nurse
consider when planning culturally competent care? (Select all that apply.)
a. The United States has become less inclusive of same-sex couples
b. Cultural diversity is limited to people of varying cultures and races
c. Cultural diversity is separate and distinct from health and illness
d. People may be members of multiple cultural groups at one time
e. Culture guides what is acceptable behavior for people in a specific group
f. Cultural practices may evolve over time but mainly remain constant
CORRECT ANSWER d, e, f
RATIONALE A person may belong to multiple cultural groups simultaneously. Culture defines acceptable behaviors and
practices that evolve but largely remain constant. The U.S. has become more inclusive of same-sex couples.
Cultural diversity extends beyond race/culture to include religion, language, sexual orientation, age,
disability, and socioeconomic status. Culture is integral to health and illness.
, 2. Which nursing actions are examples of cultural imposition? (Select all that apply.)
a. A hospital nurse tells a nurse's aide that patients should not be given a choice whether or not to shower or bathe
daily.
b. A nurse treats all patients the same whether or not they come from a different culture.
c. A nurse tells another nurse that Jewish diet restrictions are just a way for them to get a special tray.
d. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the chaplain in residence.
e. A nurse directs interview questions to an older adult's daughter even though the patient is capable of answering.
f. A nurse refuses to care for a married gay man who is HIV positive because she is against same-sex marriage.
CORRECT ANSWER a, d
RATIONALE Cultural imposition is forcing one's own beliefs/practices on others (mandating daily bathing, insisting on
chaplain visit). Cultural blindness (b) is treating everyone the same regardless of culture. Culture conflict (c)
involves ridiculing another's beliefs. Stereotyping (e, f) involves prejudging based on group membership.
3. Which patients would the nurse screen for diabetes mellitus based on race? (Select all that apply.)
a. A Native American patient
b. An African-American patient
c. An Alaska Native
d. An Asian patient
e. A White patient
f. A Hispanic patient
CORRECT ANSWER a, c, e, f — Native American, Alaska Native, White, Hispanic
RATIONALE Native Americans, Alaska Natives, Hispanics, and Whites have higher prevalence of diabetes. African
Americans are more prone to hypertension, stroke, sickle cell anemia, lactose intolerance, and keloids.
Asians are prone to hypertension, liver cancer, thalassemia, and lactose intolerance.
4. A nurse uses the ESFT model for a patient with COPD. Which question is most appropriate to assess the "E" aspect
— Explanatory model of health and illness?
a. How do you get your medications?
b. How does having COPD affect your lifestyle?
c. Are you concerned about the side effects of your medications?
d. Can you describe how you will take your medications?
CORRECT ANSWER b — How does having COPD affect your lifestyle?
RATIONALE ESFT: Explanatory model (patient's conception of illness), Social/environmental factors, Fears/concerns,
Therapeutic contracting. "How does COPD affect your lifestyle?" explores the explanatory model.
Medication access = social factors. Side effect concerns = fears. Describing medication use = therapeutic
contracting.
