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 lying
motionless in bed. What should the nurse do first?
A. Begin chest compressions immediately.
B. Check the client's responsiveness and breathing.
C. Call the health care provider.
D. Obtain the client's medical record.
Correct Answer: B
Rationale:
The nurse should first assess responsiveness and determine
whether the client is breathing normally. This rapid assessment
guides the next actions, including activation of the emergency
response system and initiation of cardiopulmonary resuscitation
(CPR) if indicated. Beginning compressions without confirming
unresponsiveness and abnormal breathing may be
inappropriate.
Question 2
A nurse is preparing to administer an oral medication. Which
action best supports safe medication administration?
,A. Ask the client to state their full name and date of birth before
giving the medication.
B. Verify the medication only after administration.
C. Leave the medication at the bedside for the client to take
later.
D. Rely on the room number as the primary client identifier.
Correct Answer: A
Rationale:
Using two approved identifiers, such as the client's full name
and date of birth, helps ensure the correct client receives the
medication. Room numbers should not be used as identifiers,
medications should not be left unattended unless specifically
appropriate, and verification occurs before administration.
Question 3
A hospitalized client reports feeling dizzy when standing. Which
nursing intervention is the priority?
A. Encourage the client to walk independently.
B. Instruct the client to change positions slowly and request
assistance before ambulating.
C. Restrict all oral fluids.
D. Keep the client on complete bed rest without reassessment.
Correct Answer: B
, Rationale:
Orthostatic dizziness increases the risk for falls. Teaching the
client to rise slowly and request assistance promotes safety
while allowing further assessment of the cause. Complete bed
rest without reassessment and fluid restriction are
inappropriate unless prescribed.
Question 4
A nurse is delegating care to an assistive personnel (AP). Which
task is appropriate to delegate?
A. Assessing a client's pain after medication administration
B. Developing the nursing care plan
C. Assisting a stable client with bathing
D. Teaching a client how to administer insulin
Correct Answer: C
Rationale:
Routine hygiene for a stable client is an appropriate task for AP.
Assessment, teaching, evaluation, and nursing judgment remain
the responsibility of the registered nurse.
Question 5
A client with limited mobility is at increased risk for pressure
injuries. Which intervention is most effective in reducing this
risk?
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 lying
motionless in bed. What should the nurse do first?
A. Begin chest compressions immediately.
B. Check the client's responsiveness and breathing.
C. Call the health care provider.
D. Obtain the client's medical record.
Correct Answer: B
Rationale:
The nurse should first assess responsiveness and determine
whether the client is breathing normally. This rapid assessment
guides the next actions, including activation of the emergency
response system and initiation of cardiopulmonary resuscitation
(CPR) if indicated. Beginning compressions without confirming
unresponsiveness and abnormal breathing may be
inappropriate.
Question 2
A nurse is preparing to administer an oral medication. Which
action best supports safe medication administration?
,A. Ask the client to state their full name and date of birth before
giving the medication.
B. Verify the medication only after administration.
C. Leave the medication at the bedside for the client to take
later.
D. Rely on the room number as the primary client identifier.
Correct Answer: A
Rationale:
Using two approved identifiers, such as the client's full name
and date of birth, helps ensure the correct client receives the
medication. Room numbers should not be used as identifiers,
medications should not be left unattended unless specifically
appropriate, and verification occurs before administration.
Question 3
A hospitalized client reports feeling dizzy when standing. Which
nursing intervention is the priority?
A. Encourage the client to walk independently.
B. Instruct the client to change positions slowly and request
assistance before ambulating.
C. Restrict all oral fluids.
D. Keep the client on complete bed rest without reassessment.
Correct Answer: B
, Rationale:
Orthostatic dizziness increases the risk for falls. Teaching the
client to rise slowly and request assistance promotes safety
while allowing further assessment of the cause. Complete bed
rest without reassessment and fluid restriction are
inappropriate unless prescribed.
Question 4
A nurse is delegating care to an assistive personnel (AP). Which
task is appropriate to delegate?
A. Assessing a client's pain after medication administration
B. Developing the nursing care plan
C. Assisting a stable client with bathing
D. Teaching a client how to administer insulin
Correct Answer: C
Rationale:
Routine hygiene for a stable client is an appropriate task for AP.
Assessment, teaching, evaluation, and nursing judgment remain
the responsibility of the registered nurse.
Question 5
A client with limited mobility is at increased risk for pressure
injuries. Which intervention is most effective in reducing this
risk?
