Clinical Skills in Nursing Solved Exam
Questions
Course Introduction
Clinical Skills in Nursing is designed to equip students with the foundational practical competencies essential for effective patient care in various healthcare settings. The course emphasizes hands-on training in areas such as patient assessment, infection control, medication administration, wound care, vital sign monitoring, and safe handling techniques. Through simulations and supervised clinical practice, students develop critical thinking, communication, and problem-solving skills, enabling them to respond adeptly to diverse patient needs while adhering to ethical and professional standards. This course forms a cornerstone for confident, safe, and compassionate nursing practice.
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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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A young mother tells the nurse,"I'm worried because my son needs a blood transfusion.I don't know what to do,because blood transfusions cause AIDS." Which central nursing construct is represented in this situation?
A) Environment
B) Caring
C) Health
D) Person
Answer: D
Q2) The central constructs of person,environment,health,and nursing are found in all nursing theories and models and are referred to as A) telehealth.
B) the medical model.
C) nursing's metaparadigm.
D) five core areas of competency.
Answer: C
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Chapter 2: Professional Guides for Nursing Communication
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18 Verified Questions
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Sample Questions
Q1) 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
Q2) 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
Q3) 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
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Chapter 3: Clinical Judgment and Ethical Decision Making
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Sample Questions
Q1) The ethical decision-making model where good is defined as maximum welfare or happiness is known as the
A) utilitarian model.
B) human rights based model.
C) duty-based model.
D) Kant's model.
Answer: A
Q2) The best method for nurse educators to teach professional values is
A) reading the ANA code.
B) laissez-faire.
C) role modeling.
D) values clarification.
Answer: C
Q3) Which of the following is true about critical thinkers? Critical thinkers
A) are open minded.
B) are able to consider alternatives.
C) use a purposeful reasoning process.
D) use a linear thinking process.
E) are able to recognize information gaps.
Answer: A,B,C,E
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Chapter 4: Clarity and Safety in Communication
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Sample Questions
Q1) 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
Q2) When educating staff about how to reduce errors and increase safety,the nurse manager emphasizes the importance of communication that is A) clear.
B) vague.
C) timely.
D) accurate.
E) unambiguous.
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6
Chapter 5: Developing Therapeutic Communication Skills
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Sample Questions
Q1) A client is admitted to the hospital for unsteady gait resulting in frequent falls.Which of the following is a circular question that the nurse could ask this client?
A) "Tell me more about your falls at home."
B) "How will this hospitalization affect your family?"
C) "Have you experienced dizziness and imbalance before?"
D) "Can you tell me what brought you here?"
Q2) 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.
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Chapter 6: Variation in Communication Styles
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Sample Questions
Q1) Which of the following is true in relation to the context of the message?
A) It is shaped by the situation in which the interaction occurs.
B) Taking time to evaluate the time and space in which the contact takes place allows for flexibility in choosing the appropriate context.
C) Communication is shaped by the environment in which it takes place.
D) Evaluating the physical setting in which the contact takes place allows for flexibility in choosing the appropriate context.
E) The environment has little effect on communication.
Q2) Social cognitive competency refers to
A) the ability to use verbal and nonverbal interventions.
B) understanding the relationships between the roles of the sender and receiver.
C) the ability to interpret message content within interactions from the point of view of each participant.
D) interpreting emotional content by observing body language.
Q3) A description of denotation is
A) a personalized meaning of a word or phrase.
B) a generalized meaning assigned to a word.
C) a meaning shared by families.
D) a meaning generally shared within a specific culture.
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Page 8
Chapter 7: Intercultural Communication
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Sample Questions
Q1) When practicing cultural awareness,the nurse recognizes that cultural patterns
A) are socially transmitted through ethnic groups.
B) are nonessential parts of personal identity.
C) are minor determinants of health-related attitudes.
D) are important determinants of health-related beliefs.
Q2) When assessing a 5-year-old Asian client in the emergency department,the nurse observes welts on the client's body.The nurse's first course of action should be to A) report child abuse to the authorities.
B) consult a traditional healer.
C) question the family about cultural practices.
D) ignore it because it is an imbalance between "yin and yang."
Q3) 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
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Chapter 8: Therapeutic Communication in Groups
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Sample Questions
Q1) 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.
Q2) The nurse recognizes an effective group includes which of the following characteristics?
A) Power resides in the leader and is not shared.
B) Communication is guarded and feelings are not always given attention.
C) Goals are vague or imposed on the group without discussion.
D) Goals are clearly identified and collaboratively developed.
Q3) Which of the following statements is true in relation to task functions?
A) When task functions predominate, member satisfaction increases.
B) When maintenance functions predominate, goals are achieved.
C) They are behaviors used to move toward goal achievement.
D) They are behaviors designed to ensure personal satisfaction.
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Page 10
Chapter 9: Self Concept in Professional Interpersonal
Relationships
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) When learning about the Johari Window,the student nurse recognizes that the model consists of four areas,and that the hidden self can best be described as
A) what is known to self and others.
B) what is known by others, but not by self.
C) what is known by self, but not by others.
D) what is unknown to self and also unknown to others.
Q2) Which of the following represents the role of the nurse in helping a client reframe a potentially incapacitating sense of self into one with more hope and broader options when faced with a health-related difficulty?
A) They can take a passive approach.
B) They can negate potential possibilities.
C) They can focus on personal weaknesses.
D) They can reframe the client's sense of self.
Q3) 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.
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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 primary difference between a therapeutic helping relationship and a social relationship is
A) enjoyment.
B) amount of listening.
C) worth to participants.
D) the focus.
Q2) A nurse whose father was an alcoholic is assigned to care for a client who is in alcohol withdrawal.The nurse's best therapeutic action would be to A) request another assignment.
B) deliver care in short intervals to avoid projecting negativity.
C) examine personal vulnerabilities, strengths, and limitations.
D) monitor the client's physical status closely.
Q3) The nurse has been working in a long-term care facility for several years.The nurse has decided to leave the facility to work elsewhere.When terminating her relationship with clients,the nurse should A) prepare clients for termination.
B) inform clients that she will "keep in touch."
C) inform clients that they have benefited from the relationship.
D) discuss feelings with clients during the last encounter.
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Chapter 11: Bridges and Barriers in Therapeutic Relationships
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Sample Questions
Q1) The nurse knocks on the client's door and waits for the client to answer before entering the room.The nurse is demonstrating
A) nonverbal communication skills.
B) respect for the client's personal space.
C) respect for the client's confidentiality.
D) respect for the client's gender difference.
Q2) 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
Q3) Which of the following is a violation of client confidentiality?
A) Sharing of information about a communicable disease
B) Stating client's diagnosis during change of shift report
C) Photographing a client's wound to monitor the healing process
D) Discussing private information about the client casually with others
Page 13
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Chapter 12: Communicating With Families
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Sample Questions
Q1) When interviewing the family of a client newly diagnosed with Alzheimer disease,the nurse's primary goal is to help the family members sort out their personal fears and identify family strengths through the use of
A) interventive questioning.
B) genogram.
C) ecomap.
D) offering commendations.
Q2) When the nurse cares for a client with a terminal illness,a question that the nurse can ask the client's family to elicit information about family strengths is
A) "Who best understands what the doctors have told you?"
B) "What has the family been doing so far that is helpful?"
C) "Who is most uncomfortable at the bedside?"
D) "Who is now taking care of the house?"
Q3) Which of the following is a true statement when comparing biological and blended families?
A) In biological families, rules are varied and complicated.
B) A blended family is born of loss.
C) In biological families, there are multiple sets of rules.
D) In blended families, traditions are shared.
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Page 14
Chapter 13: Resolving Conflicts Between Nurse and Client
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Sample Questions
Q1) When a physician writes an order for the nurse to withhold life-saving treatment from a terminally ill client,the nurse is faced with two different choices,each supported by a different ethical principle.This type of conflict is known as A) covert conflict.
B) overt conflict.
C) interpersonal conflict.
D) intrapersonal conflict.
Q2) When providing home health care to a client suffering from Alzheimer disease who fell and broke his hip 3 weeks ago,the nurse teaches the client's family correct use of the walker.This represents which stage of the nurse-caregiver relationship?
A) Worker-helper
B) Worker-worker
C) Nurse as manager; family as worker
D) Nurse as nurse for family caregiver
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Chapter 14: Communicating to Encourage Health Literacy, health
Promotion, and Prevention of Disease
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Sample Questions
Q1) A client requires teaching about a newly prescribed medication.The nurse recognizes that in order to support the learning process of the client,the teaching process should include
A) all parties needing information.
B) only immediate family members.
C) the preferred communication style of the nurse.
D) limited cultural recognition of learning needs.
Q2) Precede components of the Precede/Proceed Model of Health Promotion include which of the following?
A) Social diagnosis
B) Epidemiological diagnosis
C) Implementation
D) Outcome evaluation
E) Educational and organizational diagnosis
Q3) Which of the following is an example of tertiary prevention?
A) Mammogram
B) Smoking cessation
C) Safe sex counseling
D) Diabetic meal planning class
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Chapter 15: Health Teaching and Coaching
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Sample Questions
Q1) A nurse is working with a client in a drug rehabilitation center.The nurse provides positive reinforcement each time the client demonstrates behavior that moves him closer to accomplishing the goal of remaining drug free.The nurse recognizes this type of reinforcement will motivate the client to engage in the desired behavior.This type of reinforcement is known as
A) empowerment.
B) chaining.
C) modeling.
D) shaping.
Q2) The nurse is teaching a support group about schizophrenia.The format includes a 20-minute video,a didactic portion,and a discussion period.The nurse recognizes that A) establishment of rapport with the audience is unnecessary.
B) a humorous opening grabs the audience's attention.
C) minimal preparation is needed for this format.
D) it is important to refrain from making eye contact with the audience.
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17
Chapter 16: Empowerment-Oriented Communication
Strategies to Reduce Stress
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Sample Questions
Q1) The nurse is conducting a family assessment in which alcoholism by the parents is suspected.When assessing the children within this family for symptoms of stress,the nurse recognizes that
A) the children will most likely verbalize their feelings about the stressor.
B) the children will demonstrate the ability to sort out the meaning of the illness.
C) signs of distress can include academic decline, gastric distress, and headaches.
D) physical complaints by the children can only be related to a physiological etiology.
Q2) 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."
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Chapter 17: Communicating With Clients Experiencing
Communication Deficits
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Sample Questions
Q1) The nurse is caring for a client who has experienced a stroke.The client has aphasia.The nurse recognizes that aphasia is a
A) neurological linguistic deficit.
B) cognitive comprehension deficit.
C) sensory deprivation deficit.
D) mental disorder deficit.
Q2) The nurse is caring for a client who is nonverbal.When caring for this client,the nurse should
A) insist the client communicate in a two-way mode.
B) continue to initiate communication in a one-way mode.
C) refrain from explaining procedures because the client will not understand.
D) limit orienting cues in order to reduce environmental stimuli.
Q3) When communicating with a client diagnosed with a serious mental disorder,it is important for the nurse to recognize which of the following?
A) Clients with mental disorders never have intact sensory channels
B) Clients with a 'flat affect' are easier to understand
C) Clients with mental disorders are always very talkative
D) Clients with mental disorders may suffer from social isolation and impaired coping
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Chapter 18: Communicating With Children
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Sample Questions
Q1) A school-aged child is admitted to the hospital because of an accident during gymnastics.The child complains of not feeling her legs.The child's parents ask the nurse,"What is going to happen to our daughter? Will she walk again?" The best response by the nurse is
A) "I'm sure everything will be okay. She is in good hands."
B) "The best thing you can do for your child is to act like everything is alright."
C) "You will have to ask the doctor; he is in surgery right now."
D) "You must have several fears and concerns. We will let you know the test results as soon as they are available."
Q2) When communicating with a preschooler who is admitted to the hospital for a fractured arm,which is the best method for the nurse to describe the preschooler's impending surgery?
A) Encourage the preschooler to put a bandage on a teddy bear's arm.
B) Explain what surgery will be like, using abstract terminology.
C) Explain to the preschooler how long the surgery will take and that it will be done by noon.
D) Inform the preschooler that fixing the fractured arm will make it possible to play sports in the future.
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Chapter 19: Communicating With Older Adults
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Sample Questions
Q1) When visiting a client in his or her home,the home health nurse notes that the client frequently shifts the conversation to reminisce.Which of the following communication techniques would be most effective for the nurse to use with this client?
A) Restating
B) Changing the subject
C) Providing information
D) Asking about the client's life history
Q2) The nurse has just completed a care plan on a visually impaired client.Which of the following interventions is most appropriate for this client?
A) Stand away from the client when communicating to not obstruct the view of the immediate environment.
B) Provide the client with reading material that has all capital letters.
C) Verbally explain all written information while discouraging the client from asking questions.
D) Ensure the client's room has bright lighting with no glare.
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Chapter 20: Communicating With Clients in Crisis
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Sample Questions
Q1) A client who is experiencing a crisis is admitted to a nursing unit.When entering the client's room,the nurse should attempt to establish rapport and engage the client by
A) offering a brief introductory statement to quickly orient the client to the purpose of crisis questions.
B) demonstrating an inflexible approach when caring for the client.
C) placing the client in a dimly lit room close to the nursing unit.
D) delegating to several nurses the role as primary contact for information.
Q2) A client is admitted to a psychiatric unit with severe depression and thoughts of suicide.The client is placed on suicide precautions.When caring for this client,the nurse recognizes that
A) people who talk about harming themselves are at less risk.
B) clients who verbalize or behaviorally demonstrate "a weight being lifted off the shoulders" are no longer at risk.
C) once the acute crisis has subsided, the client is no longer at risk.
D) a major goal in evaluating suicidal risk is to assess for imminent danger of doing harm to self.
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22
Chapter 21: Communicating With Clients and Families at the End of Life
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Sample Questions
Q1) The nurse is caring for an 8-year-old child in the school nurse's office because the child received a bloody nose in a scuffle with another child during recess.The nurse discovers that the child's parents have recently divorced.The nurse recognizes that the child
A) still has both parents and should not be experiencing a sense of loss.
B) has gotten over his grief because he is able to play outside.
C) needs to be referred for grief counseling.
D) demonstrates behavior that is a common response when grieving.
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) Which of the following best describes anticipatory grief?
A) It occurs after the actual death.
B) It occurs when death was sudden and unexpected.
C) Only the family of the dying client experiences it.
D) It can be colored by ambivalent feelings.
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Chapter 22: Role Relationships and Interprofessional Communication
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Sample Questions
Q1) Essential components of interprofessional professionalism are clear communication,caring,professional ethics,and
A) aesthetics.
B) altruism.
C) justice.
D) truth.
Q2) The nurse contacts the client's case manager to provide information about the client's hospital treatment plan.This is an example of which type of advocacy?
A) Role modeling
B) Educational informing
C) Collaboration
D) Anticipatory guidance
Q3) Which aspect of role standards is influenced by institutional norms and may vary depending on the work environment?
A) Role pressures
B) Role performance
C) Role relationship
D) Role socialization
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Chapter 23: Communicating With Other Health Professionals
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Sample Questions
Q1) The nurse manager is working with staff members to promote conflict resolution.The nurse manager recognizes that additional teaching is warranted when a staff member states,
A) "I will solicit the perspectives of others."
B) "I will remember to criticize ideas, not people."
C) "I will demonstrate manipulation when working with others."
D) "I will avoid becoming emotional when discussing the conflict."
Q2) The nurse manager is working on strategies to turn conflict into collaboration by creating a climate in which participants view negotiation as a collaborative effort.In order to accomplish this goal,the nurse manager works to promote
A) offering of feedback on an infrequent basis.
B) clarification of role expectations.
C) minimal participation in organizational interdisciplinary groups.
D) absence of role-modeling behaviors related to communication.
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Chapter 24: Communicating for Continuity of Care
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Sample Questions
Q1) The nurse is caring for a client with a chronic health condition.The nurse recognizes that in order to achieve high-quality health outcomes for this client,which of the following should occur?
A) Clients and families must have consistency of personnel.
B) Clients and families must have irresponsible relationships.
C) Clients and families should be provided with vague information.
D) Ongoing collaborative support from coordinated health services is discouraged.
Q2) A nurse manager educates a group of staff nurses about primary care.Which of the following should the nurse manager list as a key feature of primary care?
A) It lacks the characteristic of person centeredness.
B) It functions as the final contact point for common health care problems.
C) The focus is on comprehensive care, which can meet many client needs without referral.
D) The underlying goal is to offer a highly depersonalized form of care related to a stronger knowledge about individual health care needs and responses over time.
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Chapter 25: Documentation in an Electronic Era
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Sample Questions
Q1) Which classification system is a comprehensive practice,documentation,and information management tool?
A) NANDA
B) NIC
C) NOC
D) Omaha system
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) The nursing diagnosis for a client is immobility related to a stroke.Which classification system can be readily used with this diagnosis?
A) Omaha system of client problems
B) Clinical pathways
C) Nursing intervention classification
D) International classification of disease (ICD)
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Chapter 26: Communicating at the Point of Care:
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Q1) AHRQ's analysis of 146 studies of the impact of computer health modules on client outcomes found that these programs
A) failed to engage client attention.
B) succeeded in engaging client attention.
C) caused a decline in client clinical health.
D) had no significant impact on client outcomes.
Q2) Which of the following is true about electronic mail communication?
A) Most physicians use e-mail to schedule appointments.
B) E-mail is a means of ensuring confidentiality.
C) Physicians expressed concerns about lack of income generation.
D) Paper copies can be eliminated.
Q3) The nurse is using a personal digital assistant (PDA)to store client assessment data.When using a PDA,the nurse recognizes that the PDA
A) is unable to recognize the nurse's handwriting.
B) can provide language translation.
C) stores only references for nursing and drug information. D) cannot be used in client's rooms due to HIPPA regulations.
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