Saunders Nclex Fundamentals review
Exam 2026 Questions and Answers
The ambulatory care nurse is discussing preoperative procedures with a Japanese
American client who is scheduled for surgery the following week. During the
discussion, the client continually smiles and nods the head. How should the nurse
interpret this nonverbal behavior
a. Reflecting a cultural value
b. An acceptance of the treatment
c. Client agreement to the required procedures
d. Client understanding of the preoperative procedures - Correct answer-a.
Reflecting a cultural value
Nodding or smiling by a Japanese American client may reflect only the cultural
value of interpersonal harmony. This nonverbal behavior may not be an indication
of acceptance of the treatment, agreement with the speaker, or understanding of the
procedure.
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,When communicating with a client who speaks a different language, which best
practice should the nurse implement?
a. Speak loudly and slowly.
b. Arrange for an interpreter to translate.
c. Speak to the client and family together.
d. Stand close to the client and speak loudly. - Correct answer-b. Arrange for an
interpreter to translate.
Arranging for an interpreter would be the best practice when communicating with
a client who speaks a different language. Options 1 and 4 are inappropriate and
ineffective ways to communicate. Option 3 is inappropriate because it violates
privacy and does not ensure correct translation
The nurse educator is providing in-service education to the nursing staff regarding
transcultural nursing care; a staff member asks the nurse educator to provide an
example of the concept of acculturation. The nurse educator should make which
most appropriate response?
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, a. "A group of individuals identifying as a part of the Iroquois tribe among Native
Americans."
b. "A person who moves from China to the United States (U.S.) and learns about
and adapts to the culture in the U.S."
c. "A group of individuals living in the Azores that identify autonomously but are a
part of the larger population of Portugal."
d."A person who has grown up in the Philippines and chooses to stay there because
of the sense of belonging to his or her cultural group." - Correct answer-b. "A
person who moves from China to the United States (U.S.) and learns about and
adapts to the culture in the U.S."
Acculturation is a process of learning a different culture to adapt to a new or
changing environment. Options 1 and 3 describe a subculture. Option 4 describes
ethnic identity
The nurse is providing discharge instructions to a Chinese American client
regarding prescribed dietary modifications. During the teaching session, the client
continuously turns away from the nurse. The nurse should implement which best
action?
a. Continue with the instructions, verifying client understanding.
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Exam 2026 Questions and Answers
The ambulatory care nurse is discussing preoperative procedures with a Japanese
American client who is scheduled for surgery the following week. During the
discussion, the client continually smiles and nods the head. How should the nurse
interpret this nonverbal behavior
a. Reflecting a cultural value
b. An acceptance of the treatment
c. Client agreement to the required procedures
d. Client understanding of the preoperative procedures - Correct answer-a.
Reflecting a cultural value
Nodding or smiling by a Japanese American client may reflect only the cultural
value of interpersonal harmony. This nonverbal behavior may not be an indication
of acceptance of the treatment, agreement with the speaker, or understanding of the
procedure.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,When communicating with a client who speaks a different language, which best
practice should the nurse implement?
a. Speak loudly and slowly.
b. Arrange for an interpreter to translate.
c. Speak to the client and family together.
d. Stand close to the client and speak loudly. - Correct answer-b. Arrange for an
interpreter to translate.
Arranging for an interpreter would be the best practice when communicating with
a client who speaks a different language. Options 1 and 4 are inappropriate and
ineffective ways to communicate. Option 3 is inappropriate because it violates
privacy and does not ensure correct translation
The nurse educator is providing in-service education to the nursing staff regarding
transcultural nursing care; a staff member asks the nurse educator to provide an
example of the concept of acculturation. The nurse educator should make which
most appropriate response?
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, a. "A group of individuals identifying as a part of the Iroquois tribe among Native
Americans."
b. "A person who moves from China to the United States (U.S.) and learns about
and adapts to the culture in the U.S."
c. "A group of individuals living in the Azores that identify autonomously but are a
part of the larger population of Portugal."
d."A person who has grown up in the Philippines and chooses to stay there because
of the sense of belonging to his or her cultural group." - Correct answer-b. "A
person who moves from China to the United States (U.S.) and learns about and
adapts to the culture in the U.S."
Acculturation is a process of learning a different culture to adapt to a new or
changing environment. Options 1 and 3 describe a subculture. Option 4 describes
ethnic identity
The nurse is providing discharge instructions to a Chinese American client
regarding prescribed dietary modifications. During the teaching session, the client
continuously turns away from the nurse. The nurse should implement which best
action?
a. Continue with the instructions, verifying client understanding.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
