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 is caring for four hospitalized clients. Which client
should the nurse assess first?
A. A client who reports new-onset shortness of breath after
walking to the bathroom
B. A client requesting pain medication for chronic back pain
rated 6/10
C. A client asking for assistance with a meal tray
D. A client scheduled for discharge in 2 hours who needs
teaching reinforced
Correct Answer: A
Rationale:
Airway and breathing take priority when determining which
client to assess first. New-onset shortness of breath may
indicate a life-threatening respiratory or cardiovascular
complication that requires immediate assessment and
intervention. Pain management, meal assistance, and discharge
teaching are important but can safely be delayed until the
client's respiratory status is evaluated.
Question 2
,A nurse enters a client's room and finds the client lying on the
floor next to the bed. What is the nurse's priority action?
A. Help the client back into bed immediately
B. Assess the client for injuries and level of consciousness
C. Notify the provider before assessing the client
D. Complete an incident report before providing care
Correct Answer: B
Rationale:
The nurse should first assess the client for injuries,
responsiveness, pain, and vital signs before moving the client.
Assessment determines the need for emergency interventions
and whether movement could worsen an injury. The provider
should be notified after the assessment, and an incident report
is completed after appropriate client care has been provided.
Question 3
A nurse is preparing to administer oral medications. Which
action best promotes medication safety?
A. Administer medications prepared by another nurse to avoid
delays
B. Compare the medication label with the medication
administration record during preparation
C. Leave medications at the bedside for the client to take later
, D. Document medication administration before the client
swallows the medication
Correct Answer: B
Rationale:
Comparing the medication label with the medication
administration record during preparation helps ensure the
correct medication is selected. Medications should not be
administered if prepared by another nurse, should not be left
unattended unless specifically ordered and appropriate, and
documentation should occur after the medication has been
administered.
Question 4
A client is prescribed bed rest. Which intervention is most
effective in reducing the risk of pressure injury development?
A. Massage reddened areas over bony prominences
B. Reposition the client at regular intervals and assess the skin
frequently
C. Place the client in a high-Fowler position continuously
D. Restrict fluid intake to reduce incontinence
Correct Answer: B
Rationale:
Regular repositioning and frequent skin assessment reduce
prolonged pressure on tissues and allow early identification of
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 caring for four hospitalized clients. Which client
should the nurse assess first?
A. A client who reports new-onset shortness of breath after
walking to the bathroom
B. A client requesting pain medication for chronic back pain
rated 6/10
C. A client asking for assistance with a meal tray
D. A client scheduled for discharge in 2 hours who needs
teaching reinforced
Correct Answer: A
Rationale:
Airway and breathing take priority when determining which
client to assess first. New-onset shortness of breath may
indicate a life-threatening respiratory or cardiovascular
complication that requires immediate assessment and
intervention. Pain management, meal assistance, and discharge
teaching are important but can safely be delayed until the
client's respiratory status is evaluated.
Question 2
,A nurse enters a client's room and finds the client lying on the
floor next to the bed. What is the nurse's priority action?
A. Help the client back into bed immediately
B. Assess the client for injuries and level of consciousness
C. Notify the provider before assessing the client
D. Complete an incident report before providing care
Correct Answer: B
Rationale:
The nurse should first assess the client for injuries,
responsiveness, pain, and vital signs before moving the client.
Assessment determines the need for emergency interventions
and whether movement could worsen an injury. The provider
should be notified after the assessment, and an incident report
is completed after appropriate client care has been provided.
Question 3
A nurse is preparing to administer oral medications. Which
action best promotes medication safety?
A. Administer medications prepared by another nurse to avoid
delays
B. Compare the medication label with the medication
administration record during preparation
C. Leave medications at the bedside for the client to take later
, D. Document medication administration before the client
swallows the medication
Correct Answer: B
Rationale:
Comparing the medication label with the medication
administration record during preparation helps ensure the
correct medication is selected. Medications should not be
administered if prepared by another nurse, should not be left
unattended unless specifically ordered and appropriate, and
documentation should occur after the medication has been
administered.
Question 4
A client is prescribed bed rest. Which intervention is most
effective in reducing the risk of pressure injury development?
A. Massage reddened areas over bony prominences
B. Reposition the client at regular intervals and assess the skin
frequently
C. Place the client in a high-Fowler position continuously
D. Restrict fluid intake to reduce incontinence
Correct Answer: B
Rationale:
Regular repositioning and frequent skin assessment reduce
prolonged pressure on tissues and allow early identification of
