TEST BANK FUNDAMENTALS OF NURSING
10TH EDITION BY TAYLOR CHAPTER 1-47
COMPLETE GUIDE NEWEST VERSION
Exam
1. A nurse is caring for a patient with diabetes. Which action demonstrates the QSEN competency of
patient-centered care?
A. Checking blood glucose every 4 hours
B. Asking the patient about their cultural beliefs regarding food
C. Administering insulin without explanation
D. Following the standardized care plan without modification
Correct Answer: B
Rationale: Patient-centered care involves respecting patients’ preferences, values, and needs. Asking
about cultural beliefs about food addresses the patient as a whole person.
2. Florence Nightingale’s contributions to nursing included:
A. Establishing the first nursing school in the US
B. Identifying the importance of hygiene and sanitation
C. Creating the first nursing code of ethics
D. Developing the first baccalaureate nursing program
Correct Answer: B
Rationale: Nightingale’s work during the Crimean War highlighted that sanitation, clean water, and
hygiene reduced mortality rates.
3. A nurse is using evidence-based practice (EBP). Which step comes first?
A. Searching the literature
B. Formulating a clinical question
C. Appraising the evidence
D. Implementing a change
,Correct Answer: B
Rationale: EBP begins with a well-formed clinical question (PICO format) to guide the search for
evidence.
4. A patient states, “I’m afraid of dying.” Which response by the nurse is most therapeutic?
A. “Don’t worry, you’ll be fine.”
B. “Everyone feels that way sometimes.”
C. “Tell me more about what you’re feeling.”
D. “Let’s focus on getting better.”
Correct Answer: C
Rationale: Open-ended therapeutic communication encourages expression of feelings and validation.
5. Which finding in a postoperative patient requires immediate nursing action?
A. Temperature 99.0°F
B. Pain rated 3/10
C. Serosanguinous drainage on dressing
D. Sudden chest pain and shortness of breath
Correct Answer: D
Rationale: Sudden chest pain and dyspnea suggest pulmonary embolism, a life-threatening
complication.
6. A nurse is teaching a patient about metformin. Which statement indicates understanding?
A. “I can drink alcohol freely.”
B. “I should report muscle pain to my doctor.”
C. “This drug may cause my urine to turn orange.”
D. “I should take it on an empty stomach.”
Correct Answer: B
Rationale: Metformin can cause lactic acidosis; muscle pain is an early sign.
7. According to Maslow, which patient need should the nurse address first?
A. Self-esteem
B. Breathing
C. Belonging
D. Self-actualization
Correct Answer: B
Rationale: Basic physiological needs (air, water, food) must be met before higher-level needs.
, 8. Which nursing intervention best prevents hospital-acquired pressure injuries?
A. Massaging bony prominences
B. Repositioning patient every 2 hours
C. Using donut-shaped cushions
D. Limiting fluid intake
Correct Answer: B
Rationale: Regular repositioning relieves pressure, improves circulation, and prevents breakdown.
9. A nurse auscultates a patient’s lungs and hears crackles in the lower lobes. This suggests:
A. Asthma
B. Pneumothorax
C. Pulmonary edema
D. Pleural friction rub
Correct Answer: C
Rationale: Crackles (rales) indicate fluid in the alveoli, common in heart failure or pulmonary edema.
10. Which patient has the highest risk for falls?
A. 45-year-old post-appendectomy
B. 80-year-old with dementia and history of falls
C. 30-year-old with migraine
D. 55-year-old with gout
Correct Answer: B
Rationale: Advanced age, cognitive impairment, and prior falls are major fall risk factors.
11. A nurse is preparing to insert an indwelling urinary catheter. Which technique is correct?
A. Clean technique with tap water
B. Sterile technique with sterile gloves and drape
C. Surgical asepsis with clean gloves only
D. Sterile technique but using non-sterile lubricant
Correct Answer: B
Rationale: Catheterization requires sterile technique to prevent urinary tract infections.
12. Which is an example of a nursing-sensitive outcome?
A. Hospital readmission rate
B. Patient satisfaction with food
C. Fall rate per 1,000 patient days
D. Cost of medication per patient
10TH EDITION BY TAYLOR CHAPTER 1-47
COMPLETE GUIDE NEWEST VERSION
Exam
1. A nurse is caring for a patient with diabetes. Which action demonstrates the QSEN competency of
patient-centered care?
A. Checking blood glucose every 4 hours
B. Asking the patient about their cultural beliefs regarding food
C. Administering insulin without explanation
D. Following the standardized care plan without modification
Correct Answer: B
Rationale: Patient-centered care involves respecting patients’ preferences, values, and needs. Asking
about cultural beliefs about food addresses the patient as a whole person.
2. Florence Nightingale’s contributions to nursing included:
A. Establishing the first nursing school in the US
B. Identifying the importance of hygiene and sanitation
C. Creating the first nursing code of ethics
D. Developing the first baccalaureate nursing program
Correct Answer: B
Rationale: Nightingale’s work during the Crimean War highlighted that sanitation, clean water, and
hygiene reduced mortality rates.
3. A nurse is using evidence-based practice (EBP). Which step comes first?
A. Searching the literature
B. Formulating a clinical question
C. Appraising the evidence
D. Implementing a change
,Correct Answer: B
Rationale: EBP begins with a well-formed clinical question (PICO format) to guide the search for
evidence.
4. A patient states, “I’m afraid of dying.” Which response by the nurse is most therapeutic?
A. “Don’t worry, you’ll be fine.”
B. “Everyone feels that way sometimes.”
C. “Tell me more about what you’re feeling.”
D. “Let’s focus on getting better.”
Correct Answer: C
Rationale: Open-ended therapeutic communication encourages expression of feelings and validation.
5. Which finding in a postoperative patient requires immediate nursing action?
A. Temperature 99.0°F
B. Pain rated 3/10
C. Serosanguinous drainage on dressing
D. Sudden chest pain and shortness of breath
Correct Answer: D
Rationale: Sudden chest pain and dyspnea suggest pulmonary embolism, a life-threatening
complication.
6. A nurse is teaching a patient about metformin. Which statement indicates understanding?
A. “I can drink alcohol freely.”
B. “I should report muscle pain to my doctor.”
C. “This drug may cause my urine to turn orange.”
D. “I should take it on an empty stomach.”
Correct Answer: B
Rationale: Metformin can cause lactic acidosis; muscle pain is an early sign.
7. According to Maslow, which patient need should the nurse address first?
A. Self-esteem
B. Breathing
C. Belonging
D. Self-actualization
Correct Answer: B
Rationale: Basic physiological needs (air, water, food) must be met before higher-level needs.
, 8. Which nursing intervention best prevents hospital-acquired pressure injuries?
A. Massaging bony prominences
B. Repositioning patient every 2 hours
C. Using donut-shaped cushions
D. Limiting fluid intake
Correct Answer: B
Rationale: Regular repositioning relieves pressure, improves circulation, and prevents breakdown.
9. A nurse auscultates a patient’s lungs and hears crackles in the lower lobes. This suggests:
A. Asthma
B. Pneumothorax
C. Pulmonary edema
D. Pleural friction rub
Correct Answer: C
Rationale: Crackles (rales) indicate fluid in the alveoli, common in heart failure or pulmonary edema.
10. Which patient has the highest risk for falls?
A. 45-year-old post-appendectomy
B. 80-year-old with dementia and history of falls
C. 30-year-old with migraine
D. 55-year-old with gout
Correct Answer: B
Rationale: Advanced age, cognitive impairment, and prior falls are major fall risk factors.
11. A nurse is preparing to insert an indwelling urinary catheter. Which technique is correct?
A. Clean technique with tap water
B. Sterile technique with sterile gloves and drape
C. Surgical asepsis with clean gloves only
D. Sterile technique but using non-sterile lubricant
Correct Answer: B
Rationale: Catheterization requires sterile technique to prevent urinary tract infections.
12. Which is an example of a nursing-sensitive outcome?
A. Hospital readmission rate
B. Patient satisfaction with food
C. Fall rate per 1,000 patient days
D. Cost of medication per patient
