Clinical Nursing Practice Exam
Practice Tests
Course Introduction
Clinical Nursing Practice is an essential course that immerses students in the real-world context of healthcare, bridging theoretical knowledge with hands-on patient care experiences. Through supervised clinical placements, students develop core nursing competencies including assessment, planning, implementation, and evaluation of patient-centered care. Emphasis is placed on ethical and safe practice, effective communication, collaboration with multidisciplinary teams, and applying evidence-based interventions. This course nurtures critical thinking, enhances clinical judgment, and fosters professional growth, preparing students to meet the dynamic needs of diverse patient populations in various healthcare settings.
Recommended Textbook
Interpersonal Relationships Professional Communication Skills for Nurses 7th Edition by Arnold
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26 Chapters
424 Verified Questions
424 Flashcards
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Chapter 1: Theory Based Perspectives and Contemporary Dynamics
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Sample Questions
Q1) Nursing's metaparadigm,or worldview,distinguishes the nursing profession from other disciplines and emphasizes its unique functional characteristics.The four key concepts that form the foundation for all nursing theories are
A) caring, compassion, health promotion, and education.
B) respect, integrity, honesty, and advocacy.
C) person, environment, health, and nursing.
D) nursing, teaching, caring, and health promotion.
Answer: C
Q2) Which of the following statements best represents therapeutic communication when a student discovers a client crying in bed?
A) "I am the nurse who will be doing your treatments today."
B) "Will you listen to me so I can help you get better?"
C) "This is what is going to happen during surgery."
D) "Can we talk about what seems to be bothering you?"
Answer: D
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3
Chapter 2: Professional Guides for Nursing Communication
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Sample Questions
Q1) When evaluating the client's progress toward goal achievement,the nurse should ask which of the following questions?
A) "Did the client tell the truth?"
B) "Were the goals realistic?"
C) "Did the physician diagnose the client's condition correctly?"
D) "Was the length of stay too short?"
Answer: B
Q2) When setting goals with a client,the nurse demonstrates which step of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Answer: B
Q3) Which of the following is a violation of client confidentiality? Reporting
A) certain communicable diseases.
B) child abuse.
C) gunshot wounds.
D) client data to a colleague in a nonprofessional setting.
Answer: D
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Chapter 3: Clinical Judgment and Ethical Decision Making
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Sample Questions
Q1) Which of the following types of thinking reflects the nursing process?
A) Habits
B) Inquiry
C) Mnemonic
D) Practice
Answer: B
Q2) Characteristics of a critical thinker include all but which of the following?
A) Haphazardly seeking solutions
B) Anticipating consequences
C) Considering alternative solutions
D) Revising actions based on new input
Answer: A
Q3) The bioethical principle of autonomy refers to
A) the client's right to self-determination.
B) avoiding actions that bring harm to another person.
C) a decision resulting in the greatest good or least harm.
D) being fair or impartial.
Answer: A
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5
Chapter 4: Clarity and Safety in Communication
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Sample Questions
Q1) When a night shift nurse completes a shift,she gives a report about her clients to the oncoming day shift nurse.When beginning the report,the night shift nurse introduces herself and states her role,states the client's name,identifiers,age,sex,and location.Which of the following should the nurse do next?
A) State critical lab reports, allergies, and alerts
B) List current medications and client's family history
C) Talk about any anticipated changes in the plan of care
D) Relate client's chief complaint, vital signs, symptoms, and diagnosis
Q2) The nurse is caring for a client who is becoming increasingly short of breath.The nurse decides to call the physician.Which of the following should the nurse initially do when speaking with the physician?
A) State the problem
B) Tell what is needed
C) State the client's allergies
D) Relate the client's background
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Chapter 5: Developing Therapeutic Communication Skills
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Sample Questions
Q1) The nurse enters a client's room with the intent of allowing the client to express feelings in relation to her new cancer diagnosis.The nurse notices that the client is crying and guarding her incision site.After validating physical discomfort,the nurse should A) administer an analgesic and postpone the interaction.
B) sit with the client and hold her hand.
C) explain that pain is expected following surgery but that it is important to increase activity to avoid complications.
D) acknowledge the physical pain but state that it is a priority to immediately address the emotional pain.
Q2) The student nurse is working on an assignment in which she has to interview a fellow student nurse for 30 minutes.The fellow student nurse talks about career plans,possible jobs after graduation,and her part-time work.After 10 minutes,she has stopped talking and both student nurses sit in silence.Which of the following is the best response by the interviewing student nurse?
A) "Tell me more about how you selected your career goals."
B) "Who is the most significant person in your life?"
C) "What impact will these plans have on your life?"
D) Remain silent until the fellow student nurse breaks the silence.
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Chapter 6: Variation in Communication Styles
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Sample Questions
Q1) When the nurse asks a client,"How are you?" the client states,"I am fine." As the client turns away,she is crying.This is an example of
A) nonverbal communication.
B) incongruence.
C) proxemics.
D) congruence.
Q2) The nurse is assigned to care for a client who has been diagnosed with multiple sclerosis.Which communication behavior will have the most impact on the client?
A) What is said
B) Tone of voice
C) Sense of confidence
D) Verbal message
Q3) A client states he is feeling fine,but the nurse observes that he has a tense body posture and a frown on his face.The nurse suspects that he is experiencing pain based on knowledge of A) confirming responses.
B) denotation.
C) proxemics.
D) kinesics.
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Page 8
Chapter 7: Intercultural Communication
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Sample Questions
Q1) When caring for a client from a different culture,which of the following is the best assessment approach by the nurse?
A) "Are there any special cultural beliefs about your illness that might help me give you better care?"
B) "Describe to me your position of greatest relief from pain and discomfort."
C) "I will return shortly to give you a pain medication. Is there anything else that you need?"
D) "I will roll your bed down and place a pillow between your legs."
Q2) The nurse is assigned to provide a bed bath to a client who cannot speak English.Which of the following communication tools or strategies should the nurse use?
A) Nonverbal communication
B) Trained interpreter
C) Family member as interpreter
D) Other staff member who speaks the same language
Q3) Which of the following statements is true?
A) A Muslim client may refuse to take insulin if it contains beef.
B) African American males have a lower chance of developing cancer.
C) Hispanic clients make small talk before discussing their health problems.
D) Asian clients frequently challenge health care workers.
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Page 9
Chapter 8: Therapeutic Communication in Groups
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Sample Questions
Q1) A member of a support group frequently whispers to other members of the group and appears indifferent and passive during group meetings.Which of the following nonfunctional self-roles is represented in this situation?
A) Aggressor
B) Avoider
C) Blocker
D) Self-confessor
Q2) The nurse notices that a group member is quiet during support group meetings.What is the best intervention by the nurse for involving the quiet group member in the group process?
A) Ask the group if they have noticed that a group member never talks.
B) Ask the group what can be done to involve the quiet group member more.
C) Set up a private meeting with the quiet group member to discuss group participation.
D) Ask the quiet group member if he or she would like to comment on what another group member has just said.
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10
Chapter 9: Self Concept in Professional Interpersonal
Relationships
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Sample Questions
Q1) Which of the following statements is true about self-esteem?
A) It is an objective emotional process.
B) Achievements lead to high self-esteem.
C) It is the emotional value a person places on his or her self-concept.
D) It is a concept that becomes fixed.
Q2) To adequately meet the spiritual needs of clients,the nurse should first
A) learn to be considerate and sensitive.
B) distinguish between his or her own spiritual needs and those of the client.
C) meet the client's spiritual needs.
D) offer to pray and read the bible with the client.
Q3) The nurse is caring for an adolescent client who has had an amputation of his right leg.The client states,"I'm really worried my girlfriend might not want to be with me anymore.I don't look the same." Which of the following concepts is represented in this situation?
A) Role performance
B) Body image
C) Self-esteem
D) Personal identity
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Chapter 10: Developing Therapeutic Relationships
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A client has been informed by her physician that she requires emergency surgery.The client tells the nurse,"I will have the surgery after I attend my family vacation." Which of the following is the most appropriate mutual goal for the client?
A) The client will accept the recommended medical regimen.
B) The client will alternate activity with rest throughout the day.
C) The client will take a leave of absence from her work schedule.
D) The client will check her blood pressure four times a day.
Q2) When your are administering medications to a client with human immunodeficiency virus (HIV),the client states,"I should just stop taking them and get it over with." A therapeutic response by the nurse would be
A) "You have to take these! If you stop you will get very sick."
B) "You're just feeling depressed right now. You'll feel better later."
C) " Tell me more about what you're feeling."
D) "You have the right to refuse treatment."
Q3) An appreciative client offers the nurse a box of chocolates.The nurse should
A) accept all gifts offered by the client.
B) refuse to accept the chocolates in a gentle, tactful manner.
C) accept or refuse based on the uniqueness of the relationship.
D) accept the gift but also remind the client of intangible gifts.
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Page 12
Chapter 11: Bridges and Barriers in Therapeutic Relationships
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Sample Questions
Q1) When entering a client's room,the nurse notices the client standing while wringing her hands and wearing street clothes over pajamas.On further examination,it is noted that the client is hyperventilating with elevated vital signs.Which level of anxiety is the client experiencing?
A) Mild
B) Moderate
C) Severe
D) Panic
Q2) Which of the following should be achieved first in establishing the nurse-client relationship?
A) Trust
B) Empathy
C) Mutuality
D) Empowerment
Q3) Which of the following is true about trust?
A) The sender feels it.
B) It is difficult to demonstrate professionally.
C) It is an intuitive process.
D) The trusting client feels comfortable revealing needs.
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Chapter 12: Communicating With Families
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Sample Questions
Q1) A family systems theory that conceptualizes the family as an interactive emotional unit in which family members assume reciprocal family roles,develop automatic communication patterns,and react to each other in predictable,connected ways,particularly when family anxiety is high,was created by
A) Evelyn Duvall.
B) Murray Bowen.
C) McCubbin & McCubbin.
D) Salvador Minuchin.
Q2) The nurse is designing therapeutic interventions for a family whose child is hospitalized with a terminal condition.The nurse recognizes that nursing actions that can be offered to the family that can promote positive change in family functioning include which of the following?
A) Encouraging the telling of illness narratives
B) Commending family on individual strengths
C) Offering information and opinions
D) Discouraging the use of respite care
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14
Chapter 13: Resolving Conflicts Between Nurse and Client
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Sample Questions
Q1) The nurse is teaching an unlicensed assistive personnel (UAP)on potential approaches for dealing with difficult clients.The nurse recognizes that additional teaching is required when the UAP states
A) "I will be assertive by conveying my irritation toward the client's behavior."
B) "I will collaborate with staff so we all use the same uniform approach when responding to the client's demands."
C) "I will promote trust in the client by providing immediate feedback."
D) "I will explain to the client the limits of my role as an UAP."
Q2) Which of the following best describes the goal of assertiveness?
A) Offering responses that contain "you" statements
B) Indirect communication
C) Standing up for one's personal rights
D) Ignoring the rights of others
Q3) Which of the following is true about assertion communication?
A) Components include the ability to say no and to ask for what you want.
B) It includes a demonstration of deference to the demands of others.
C) It consistently violates the needs of others.
D) It includes the expression of only positive thoughts and feelings.
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Chapter 14: Communicating to Encourage Health Literacy, health Promotion,
and Prevention of Disease
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Sample Questions
Q1) Which of the following is the best intervention for a client who is illiterate?
A) Speak loudly and clearly.
B) Use symbols and images.
C) Personalize speech by using first name.
D) Use touch with speech.
Q2) A client who has an elevation in serum cholesterol continues to eat red meat and fried foods.Which stage of change is this client experiencing?
A) Determination
B) Action
C) Precontemplation
D) Contemplation
Q3) The nurse is caring for an older adult client who is newly diagnosed with diabetes and has a low literacy level.Which of the following guidelines for teaching low-literacy clients should the nurse use when working with this client?
A) Teach the largest amount possible in each teaching session.
B) Sequence key behavior information last when teaching the client.
C) Use symbols and images with which the client is familiar.
D) Use words that are abstract and provide teaching in long sentences.
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Chapter 15: Health Teaching and Coaching
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Sample Questions
Q1) When initiating health teaching,the nurse recognizes that readiness to learn
A) is the same as the cognitive ability to learn.
B) involves a smooth and linear developmental process.
C) requires the nurse to consistently challenge the client's learning pattern.
D) involves incorporation of the client's learning pattern into new opportunities for learning.
Q2) The nurse is preparing teaching material for a class of diabetic clients.The most important aspect when preparing a presentation with slides for group teaching is
A) the inclusion of greater than five items per slide.
B) use of large font so all participants can see from a distance.
C) use of slides as the primary content for the presentation.
D) having the presenter face the slides, not the audience.
Q3) The concept that "the teacher must start where the learner is" was proposed by whom?
A) Skinner
B) Premack
C) Rogers
D) Taylor
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Chapter 16: Empowerment-Oriented Communication
Strategies to Reduce Stress
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Sample Questions
Q1) A client who has been diagnosed with cancer asks the nurse,"If I take the chemotherapy,will I be cured,or am I going to die anyway?" The nurse's best response is
A) "Tell me what prompted your question."
B) "I don't think you should have chemotherapy; it will harm you more than help you."
C) "Let's not talk about dying; I'm sure you will be cured."
D) "I really don't think you should worry about such things; it isn't something you can control."
Q2) A three-stage progressive pattern of nonspecific physiologic responses known as alarm,resistance,and exhaustion is based on
A) Cannon's scientific physiologic response theory.
B) Selye's General Adaptation Syndrome.
C) Holmes and Rahe's stimuli stress model.
D) Lazarus and Folkman's transactional model of stress.
Q3) Which of the following is true in relation to stress?
A) Men and women respond to stress in the same fashion.
B) Culture does not affect the stress experience.
C) Stress is always a negative experience.
D) Stress can have protective and adaptive functions.
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Chapter 17: Communicating With Clients Experiencing
Communication Deficits
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Sample Questions
Q1) The nurse understands that as clients age,they are more likely to have vision problems that may interfere with the communication process,including the lens of the eyes becoming less flexible,making it difficult to accommodate shifts from far to near vision.The nurse recognizes that this condition is known as
A) receptive aphasia.
B) autism.
C) presbycusis.
D) presbyopia.
Q2) Which of the following is true in relation to communication deficits?
A) Communication deficits occur only as a result of physical disabilities.
B) Communication deficits can arise from sensory deprivation.
C) Individuals who are equally impaired are equally disabled.
D) The primary nursing goal is to minimize the client's independence.
Q3) When attempting to communicate a procedure to a Spanish-speaking client,a strategy that the nurse could use to facilitate understanding would be
A) speak distinctly while exaggerating words.
B) attempt to use sign language.
C) use pictographs.
D) explain what is happening in complex terms.
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Chapter 18: Communicating With Children
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Sample Questions
Q1) When assessing a child's reaction to illness,it is important for the nurse to A) observe the interaction between parent and child.
B) recognize that chronological age matches cognitive level.
C) realize that children are more comfortable with female health care providers.
D) recognize that the child's behavior will be age appropriate.
Q2) The nurse is caring for a child with a severe illness who is demonstrating behaviors that are reminiscent of an earlier stage of development.When the child has toileting accidents,the nurse should
A) recommend a urology consult.
B) obtain a urine sample and send it to the lab.
C) reassure the child's parents that this is common.
D) eliminate all fluids after dinner.
Q3) The pediatric nurse is working on an oncology unit with a terminally ill child.The nurse conveys respect to the child by A) interacting as a buddy to the child.
B) protecting the child from the truth about the terminal illness.
C) using the concept of mutuality.
D) being emotionally unavailable.
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Chapter 19: Communicating With Older Adults
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Sample Questions
Q1) The nurse is caring for an older adult client.The nurse recognizes that the factor most closely associated with the older adult's inability to live independently is
A) chronological age.
B) functional status.
C) relationship needs.
D) social functioning.
Q2) The nurse is caring for an older adult client who has been diagnosed with dementia.The nurse recognizes which of the following as true in relation to the use of touch with this client?
A) Clients with dementia can ask for touch.
B) Clients with dementia can create touch for themselves.
C) Clients with dementia can become more anchored in the present time, space, and humanity when touched.
D) Clients with dementia can tell the nurse about the meaning of touch.
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Chapter 20: Communicating With Clients in Crisis
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Sample Questions
Q1) When educating a student nurse about the definition of a crisis state,the nurse recognizes that additional instruction is needed when the student nurse states,
A) "A crisis state is an acute normal human response."
B) "A crisis state is a mental illness."
C) "A crisis state represents a personal response."
D) "A crisis state creates a temporary disconnect from attachment to others."
Q2) A model of psychosocial development in which each stage is associated with a psychosocial crisis to be resolved was developed by which theorist?
A) Caplan
B) Erikson
C) Aguilera
D) Roberts
Q3) The nurse is caring for a family that is experiencing a crisis.The nurse recognizes that interventions for initial family responses to crisis include
A) minimizing the family's sense of control within the hospital environment.
B) prohibiting extreme expression of feelings.
C) providing the family with information that is lengthy and abstract.
D) repeating and frequently reinforcing information.
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Chapter 21: Communicating With Clients and Families at the End of Life
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Q1) Which of the following is an inappropriate intervention for communicating with terminally ill clients?
A) Allowing the client to lead discussions about the future
B) Offering automatic responses and trite reassurances
C) Respecting the individual's pattern of communication
D) Maintaining a sense of calm
Q2) Which of the following is a dimension of palliative care?
A) It involves only care of the client.
B) It provides grief support for family only while the client is alive.
C) It bears no resemblance to hospice care.
D) It intends neither to hasten nor postpone death.
Q3) A client has just been transferred to a new facility from another hospital at his insistence.The client is demanding a second opinion because he feels that "They must have made a mistake." The nurse recognizes that the best communication technique to use with this client is to
A) clarify the client's response.
B) reflect the client's behavior.
C) summarize the client's behavior.
D) acknowledge the client's feelings.
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Chapter 22: Role Relationships and Interprofessional Communication
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Q1) The new graduate nurse is unsure how to operate a new intravenous pump After reading the directions,the new graduate nurse seeks the assistance of a more experienced nurse and asks for a demonstration on how to operate the new intravenous pump.The behavior exhibited by the new graduate nurse is
A) role pressure.
B) role clarity.
C) role conflict.
D) role overload.
Q2) When looking toward the future of nursing,it is important for nurse educators to teach student nurses that the wave of the future in nursing is in
A) bedside nursing.
B) hospice nursing and home health care.
C) advanced practice and leadership roles.
D) nurses possessing a diploma degree.
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Chapter 23: Communicating With Other Health
Professionals
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Q1) The charge nurse is working with a group of staff nurses on a hospital unit.When delegating to the staff nurses,the charge nurse determines that there is conflict among the group.The charge nurse should
A) wait for the staff nurses to discuss the problems that are related to the conflict.
B) perform simultaneous activities when listening to the staff nurses.
C) present the staff nurses with documented data that is irrelevant to the conflict.
D) briefly summarize when providing the staff nurses with feedback.
Q2) Which of the following is true about the relationship between physicians and nurses?
A) Only the physician is responsible for fostering good physician-client communication.
B) The physician and nurse should not engage in open dialogue.
C) The relationship between the physician and the nurse remains an evolving process.
D) Few nurses encounter problems in the physician-nurse relationship.
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Chapter 24: Communicating for Continuity of Care
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Q1) When working on a hospital unit,the nurse should begin the discharge planning process at which time?
A) With a careful review of initial admission data.
B) Within 24 hours of the hospital admission.
C) Just prior to the client's hospital admission.
D) Immediately before the client is discharged.
Q2) A client asks a nurse to explain the Affordable Care Act.When explaining it to the client,the nurse tells the client
A) it will begin in the year 2018.
B) it is state legislation for health care.
C) it emphasizes disease promotion and health prevention.
D) it provides new consumer protections.
Q3) The nurse demonstrates understanding of continuity of care (COC)when doing which of the following?
A) Providing care in an untimely manner
B) Utilizing management plans that are inconsistent
C) Encouraging a longitudinal construct in health care
D) Demonstrating inflexibility when managing the client's care
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Chapter 25: Documentation in an Electronic Era
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Sample Questions
Q1) One major advantage of an electronic health information technology system is A) lack of integration.
B) accessibility of health records.
C) it is not easily transferable.
D) it consists of imaging files that allow for delayed access.
Q2) Which of the following is a computer charting system related to predicting client outcomes in home health care?
A) EHR
B) OASIS
C) NANDA
D) HIPAA
Q3) A client is 3 days postoperative from gallbladder surgery secondary to gallstones.Domain: Physiological.Class: Fluid and electrolyte balance.Activity: Check intravenous fluid rate intake every hour.Which of the following nursing coding systems is represented in this situation?
A) North American Nursing Diagnosis (NANDA)
B) Nursing intervention classification
C) Nursing outcome classification
D) Omaha system of client problems
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Page 27
Chapter 26: Communicating at the Point of Care:
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Q1) A nursing instructor educates a student nurse about standards of effective communication.The nursing instructor recognizes that additional teaching is warranted when the student nurse lists which of the following as a standard of effective communication?
A) Clear
B) Timely
C) Lengthy
D) Complete
Q2) The nurse uses an electronic information technology-based system that is designed to improve clinical decision making to enhance client care and safety.This system is referred to as a
A) personal digital assistant.
B) handheld wireless device.
C) point of care information and documentation system.
D) computerized clinical decision support system.
Q3) Which of the following best describes a laptop computer?
A) It is less powerful than a tablet.
B) It should not be taken into a client's home.
C) It is used to chart and transmit a client's care.
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D) It does not allow for information to be transmitted in a wireless fashion.
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