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 administer medications to several
patients on a medical-surgical unit. Which action demonstrates
safe medication administration practice?
A. Preparing medications for multiple patients at the same time
to improve efficiency
B. Verifying the patient’s identity using two approved identifiers
before administration
C. Asking a family member to confirm the patient’s name before
giving medications
D. Documenting medication administration before the patient
receives the medication
Correct Answer: B
Rationale:
Using two approved patient identifiers, such as the patient’s
name and date of birth, is a critical safety practice that helps
prevent medication errors. Preparing medications for multiple
patients increases the risk of errors, family members should not
be used as the primary identifier, and documentation must
occur after medication administration to accurately reflect care
provided.
,Question 2
A nurse enters a patient’s room and finds the patient lying on
the floor beside the bed. What is the nurse’s priority action?
A. Complete an incident report before assessing the patient
B. Assist the patient back into bed immediately
C. Assess the patient for injury and level of consciousness
D. Notify the patient’s family about the fall
Correct Answer: C
Rationale:
The nurse’s first priority after a fall is assessing the patient for
potential injury, including level of consciousness, pain, bleeding,
and mobility status. Completing documentation, notifying
family, and assisting the patient back to bed occur after the
patient has been assessed and immediate safety needs are
addressed.
Question 3
A nurse is caring for a patient who appears anxious before a
scheduled procedure. Which communication technique is most
appropriate?
A. Changing the subject to distract the patient from anxiety
B. Providing reassurance by saying, “Everything will be fine”
C. Encouraging the patient to express concerns and ask
, questions
D. Limiting discussion to prevent increased emotional distress
Correct Answer: C
Rationale:
Encouraging patients to express concerns promotes therapeutic
communication and allows the nurse to identify specific fears or
misconceptions. False reassurance may minimize patient
concerns, changing the subject avoids communication, and
limiting discussion prevents the nurse from addressing the
patient’s needs.
Question 4
A nurse is teaching a patient how to use an incentive
spirometer after surgery. Which patient statement indicates
correct understanding?
A. “I will use it only when I feel short of breath.”
B. “I will inhale slowly through the device and repeat the
exercises regularly.”
C. “I should breathe out forcefully into the device.”
D. “I should use it once before going to sleep each night.”
Correct Answer: B
Rationale:
An incentive spirometer promotes lung expansion by
encouraging slow, deep inhalation. Regular use as instructed