FUNDAMENTALS OF NURSING
12TH EDITION
• AUTHOR(S)PATRICIA A. POTTER;
ANNE G. PERRY; PATRICIA A.
STOCKERT; AMY HALL; WENDY
R. OSTENDORF
TEST BANK
,Question 1
A nurse enters a client's room and finds the client sitting on the
side of the bed, stating, "I suddenly feel dizzy." What is the
nurse's priority action?
A. Help the client lie back in bed safely.
B. Ask the client to describe the dizziness.
C. Obtain the client's blood pressure.
D. Notify the health care provider.
Correct Answer: A
Rationale:
The priority is to prevent injury by assisting the client into a safe
position before further assessment. Once the client is safely
positioned, the nurse can assess vital signs, determine the
cause of the dizziness, and notify the provider if necessary.
Addressing immediate safety needs follows the priority
principle of preventing harm.
Question 2
A nurse is caring for a client with limited mobility. Which
intervention is most effective in reducing the risk for pressure
injuries?
A. Reposition the client at regular intervals based on
assessment findings.
B. Massage reddened areas over bony prominences.
,C. Place the client in a donut-shaped cushion.
D. Limit fluid intake to reduce episodes of incontinence.
Correct Answer: A
Rationale:
Regular repositioning, combined with individualized skin
assessment, is one of the most effective strategies for
preventing pressure injuries. Massaging reddened skin can
cause tissue damage, donut cushions may increase pressure on
surrounding tissues, and limiting fluids can contribute to
dehydration and impaired skin integrity.
Question 3
A hospitalized client refuses a scheduled bath, stating, "I'm too
tired." What is the nurse's best response?
A. "I'll document that you refused."
B. "You need a bath to prevent infection."
C. "Would you prefer to bathe later today after you've rested?"
D. "I'll ask another staff member to encourage you."
Correct Answer: C
Rationale:
Respecting client preferences while offering an alternative
demonstrates patient-centered care. The nurse should
collaborate with the client to meet hygiene needs at a more
appropriate time. Simply documenting refusal or attempting to
, persuade the client without considering preferences is less
therapeutic.
Question 4
A nurse is preparing to administer an oral medication. Which
action best supports safe medication administration?
A. Verify the client's identity using two approved identifiers.
B. Ask the client's roommate to confirm the client's name.
C. Compare the medication label after administration.
D. Leave the medication at the bedside if the client is sleeping.
Correct Answer: A
Rationale:
Using two approved identifiers before medication
administration helps ensure the correct client receives the
medication. Roommates are not acceptable identifiers,
medication labels should be verified before administration, and
medications should not be left unattended unless specifically
permitted by organizational policy.
Question 5
A nurse is teaching a client how to use an incentive spirometer
following surgery. Which client statement indicates effective
learning?
A. "I'll use the device only when I feel short of breath."
B. "I'll inhale slowly and deeply through the mouthpiece."
12TH EDITION
• AUTHOR(S)PATRICIA A. POTTER;
ANNE G. PERRY; PATRICIA A.
STOCKERT; AMY HALL; WENDY
R. OSTENDORF
TEST BANK
,Question 1
A nurse enters a client's room and finds the client sitting on the
side of the bed, stating, "I suddenly feel dizzy." What is the
nurse's priority action?
A. Help the client lie back in bed safely.
B. Ask the client to describe the dizziness.
C. Obtain the client's blood pressure.
D. Notify the health care provider.
Correct Answer: A
Rationale:
The priority is to prevent injury by assisting the client into a safe
position before further assessment. Once the client is safely
positioned, the nurse can assess vital signs, determine the
cause of the dizziness, and notify the provider if necessary.
Addressing immediate safety needs follows the priority
principle of preventing harm.
Question 2
A nurse is caring for a client with limited mobility. Which
intervention is most effective in reducing the risk for pressure
injuries?
A. Reposition the client at regular intervals based on
assessment findings.
B. Massage reddened areas over bony prominences.
,C. Place the client in a donut-shaped cushion.
D. Limit fluid intake to reduce episodes of incontinence.
Correct Answer: A
Rationale:
Regular repositioning, combined with individualized skin
assessment, is one of the most effective strategies for
preventing pressure injuries. Massaging reddened skin can
cause tissue damage, donut cushions may increase pressure on
surrounding tissues, and limiting fluids can contribute to
dehydration and impaired skin integrity.
Question 3
A hospitalized client refuses a scheduled bath, stating, "I'm too
tired." What is the nurse's best response?
A. "I'll document that you refused."
B. "You need a bath to prevent infection."
C. "Would you prefer to bathe later today after you've rested?"
D. "I'll ask another staff member to encourage you."
Correct Answer: C
Rationale:
Respecting client preferences while offering an alternative
demonstrates patient-centered care. The nurse should
collaborate with the client to meet hygiene needs at a more
appropriate time. Simply documenting refusal or attempting to
, persuade the client without considering preferences is less
therapeutic.
Question 4
A nurse is preparing to administer an oral medication. Which
action best supports safe medication administration?
A. Verify the client's identity using two approved identifiers.
B. Ask the client's roommate to confirm the client's name.
C. Compare the medication label after administration.
D. Leave the medication at the bedside if the client is sleeping.
Correct Answer: A
Rationale:
Using two approved identifiers before medication
administration helps ensure the correct client receives the
medication. Roommates are not acceptable identifiers,
medication labels should be verified before administration, and
medications should not be left unattended unless specifically
permitted by organizational policy.
Question 5
A nurse is teaching a client how to use an incentive spirometer
following surgery. Which client statement indicates effective
learning?
A. "I'll use the device only when I feel short of breath."
B. "I'll inhale slowly and deeply through the mouthpiece."
