12TH EDITION
• AUTHOR(S)PATRICIA A. POTTER;
ANNE G. PERRY; PATRICIA A.
STOCKERT; AMY HALL; WENDY
R. OSTENDORF
TEST BANK
,Question 1
A registered nurse is caring for several patients on a medical-
surgical unit. Which action best demonstrates professional
accountability?
A. Completing only the tasks assigned by the charge nurse
B. Reporting a medication error promptly and participating in
measures to prevent recurrence
C. Delegating all routine care to assistive personnel
D. Accepting verbal orders without clarification to save time
Correct Answer: B
Rationale:
Professional accountability requires nurses to take responsibility
for their actions, disclose errors promptly, and participate in
improving patient safety. Reporting errors supports a culture of
safety and quality improvement. Completing assigned tasks
alone does not fully demonstrate accountability. Delegating all
routine care without considering patient needs is inappropriate.
Accepting unclear verbal orders increases the risk of patient
harm.
Question 2
,A nursing student asks why evidence-based practice is
important. Which response by the instructor is most
appropriate?
A. "It replaces clinical judgment with standardized protocols."
B. "It combines the best available research, clinical expertise,
and patient preferences."
C. "It focuses primarily on reducing hospital costs."
D. "It eliminates the need for continuing education."
Correct Answer: B
Rationale:
Evidence-based practice integrates current scientific evidence,
clinical expertise, and the patient's values and preferences to
achieve the best outcomes. Clinical judgment remains essential.
Cost considerations may be important but are not the primary
purpose. Continuing education remains necessary because
evidence evolves over time.
Question 3
A newly licensed nurse is preparing to administer an unfamiliar
medication. What is the nurse's priority action?
A. Ask another nurse to administer the medication.
B. Review reliable drug information before administration.
C. Delay the medication until the next shift.
D. Administer the medication because it was prescribed.
, Correct Answer: B
Rationale:
Professional nurses are responsible for ensuring they possess
adequate knowledge before administering medications.
Consulting reliable references promotes safe medication
administration and protects the patient. Delegating
responsibility or delaying therapy without justification is
inappropriate. A prescription alone does not eliminate the
nurse's responsibility to administer medications safely.
Question 4
A nurse is caring for a patient who refuses a scheduled dressing
change after receiving an explanation of the procedure. What is
the nurse's best response?
A. Perform the dressing change despite the refusal.
B. Document the refusal, assess the patient's concerns, and
notify the provider if indicated.
C. Ask the patient's family to persuade the patient.
D. Remove the patient from the treatment schedule.
Correct Answer: B
Rationale:
Respect for patient autonomy includes honoring informed
refusals while assessing the reasons for the decision, providing
additional education if needed, documenting the refusal, and