12TH EDITION
• AUTHOR(S)PATRICIA A. POTTER;
ANNE G. PERRY; PATRICIA A.
STOCKERT; AMY HALL; WENDY
R. OSTENDORF
TEST BANK
,Question 1
A nurse is preparing to assist a patient from the bed to a chair
for the first time after surgery. Which action should the nurse
perform first?
A. Place the chair at a 90-degree angle to the bed.
B. Assess the patient's ability to bear weight and check for
dizziness.
C. Apply a transfer belt after standing the patient.
D. Ask the patient to move independently to promote
autonomy.
Correct Answer: B
Rationale:
Before transferring a patient, the nurse should assess mobility,
muscle strength, weight-bearing ability, and the presence of
dizziness or orthostatic symptoms to reduce the risk of falls.
Positioning the chair and using a transfer belt are important but
occur after the assessment. Encouraging independence is
appropriate only when it can be done safely.
Question 2
A nurse enters a patient's room and finds the patient lying on
the floor. What is the nurse's priority action?
A. Assist the patient back into bed.
B. Assess the patient for injuries and level of consciousness.
,C. Notify the provider immediately.
D. Complete an incident report.
Correct Answer: B
Rationale:
The nurse's first priority is to assess the patient for injuries,
responsiveness, pain, and vital signs before moving the patient.
Returning the patient to bed before assessment could worsen
injuries. The provider should be notified after assessment, and
incident reporting is completed according to facility policy after
immediate patient needs are addressed.
Question 3
A patient tells the nurse, "I'm afraid this surgery won't help."
Which response by the nurse demonstrates therapeutic
communication?
A. "Everything will be fine."
B. "Why do you feel that way?"
C. "Tell me more about what's worrying you."
D. "You shouldn't think negatively."
Correct Answer: C
Rationale:
Inviting the patient to elaborate encourages expression of
feelings and supports therapeutic communication. False
reassurance minimizes concerns. Asking "why" may make
, patients feel defensive. Telling the patient not to think
negatively dismisses the patient's emotions.
Question 4
A nurse is reviewing hand hygiene practices with a newly hired
nursing assistant. Which statement indicates correct
understanding?
A. Alcohol-based hand rub is appropriate unless hands are
visibly soiled.
B. Gloves eliminate the need for hand hygiene.
C. Hand hygiene is only necessary before patient contact.
D. Soap and water should always be used instead of alcohol-
based hand rub.
Correct Answer: A
Rationale:
Alcohol-based hand rub is effective for routine hand hygiene
unless hands are visibly dirty or contaminated with certain
organisms such as spores. Gloves do not replace hand hygiene.
Hand hygiene should be performed before and after patient
contact and after glove removal.
Question 5
A nurse is preparing to administer oral medication. Which
action best supports safe medication administration?