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 patient's room and finds the patient
attempting to get out of bed without assistance after receiving
pain medication. What is the nurse's priority action?
A. Ask the patient why they got out of bed.
B. Assist the patient back into bed safely.
C. Notify the health care provider immediately.
D. Document the patient's behavior before intervening.
Correct Answer: B
Rationale:
The immediate priority is patient safety. The nurse should assist
the patient back into bed or to a safe position to prevent a fall.
Assessment and communication can occur after the patient is
safe. Documentation should never delay interventions that
prevent harm.
Question 2
A nurse is preparing to administer an oral medication. Which
action best demonstrates adherence to safe medication
administration?
A. Ask another nurse whether the medication appears correct.
B. Verify the patient's identity using two approved identifiers.
C. Rely on the room number to confirm the patient's identity.
D. Administer all medications before reviewing allergies.
,Correct Answer: B
Rationale:
Using two approved patient identifiers before medication
administration is a fundamental safety practice that reduces the
risk of medication errors. Room numbers and physical
appearance are not reliable identifiers, and allergy verification
must occur before medication administration.
Question 3
A hospitalized patient states, "I'm afraid I won't recover." Which
nursing response best promotes therapeutic communication?
A. "Everything will be fine."
B. "You shouldn't think that way."
C. "Tell me more about what concerns you."
D. "Many people recover from this illness."
Correct Answer: C
Rationale:
Inviting the patient to discuss concerns encourages expression
of feelings and helps the nurse assess emotional needs.
Offering false reassurance, minimizing concerns, or giving
generalized statements may discourage further communication.
Question 4
, A nurse observes that a patient has a reddened area over the
sacrum that does not blanch when pressure is applied. Which
intervention is most appropriate?
A. Massage the reddened area.
B. Reposition the patient and reduce pressure on the area.
C. Apply heat for 20 minutes.
D. Leave the patient in the current position to rest.
Correct Answer: B
Rationale:
A nonblanchable area of redness suggests early pressure injury.
Pressure should be relieved immediately by repositioning the
patient and implementing pressure-reduction strategies.
Massaging affected tissue may increase injury, and heat is not
indicated.
Question 5
A nurse is caring for a patient with an indwelling urinary
catheter. Which intervention is most effective in reducing the
risk of catheter-associated urinary tract infection?
A. Disconnect the drainage tubing daily for cleaning.
B. Maintain a closed drainage system.
C. Irrigate the catheter every shift.
D. Empty the drainage bag only once each day.
Correct Answer: B
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 patient's room and finds the patient
attempting to get out of bed without assistance after receiving
pain medication. What is the nurse's priority action?
A. Ask the patient why they got out of bed.
B. Assist the patient back into bed safely.
C. Notify the health care provider immediately.
D. Document the patient's behavior before intervening.
Correct Answer: B
Rationale:
The immediate priority is patient safety. The nurse should assist
the patient back into bed or to a safe position to prevent a fall.
Assessment and communication can occur after the patient is
safe. Documentation should never delay interventions that
prevent harm.
Question 2
A nurse is preparing to administer an oral medication. Which
action best demonstrates adherence to safe medication
administration?
A. Ask another nurse whether the medication appears correct.
B. Verify the patient's identity using two approved identifiers.
C. Rely on the room number to confirm the patient's identity.
D. Administer all medications before reviewing allergies.
,Correct Answer: B
Rationale:
Using two approved patient identifiers before medication
administration is a fundamental safety practice that reduces the
risk of medication errors. Room numbers and physical
appearance are not reliable identifiers, and allergy verification
must occur before medication administration.
Question 3
A hospitalized patient states, "I'm afraid I won't recover." Which
nursing response best promotes therapeutic communication?
A. "Everything will be fine."
B. "You shouldn't think that way."
C. "Tell me more about what concerns you."
D. "Many people recover from this illness."
Correct Answer: C
Rationale:
Inviting the patient to discuss concerns encourages expression
of feelings and helps the nurse assess emotional needs.
Offering false reassurance, minimizing concerns, or giving
generalized statements may discourage further communication.
Question 4
, A nurse observes that a patient has a reddened area over the
sacrum that does not blanch when pressure is applied. Which
intervention is most appropriate?
A. Massage the reddened area.
B. Reposition the patient and reduce pressure on the area.
C. Apply heat for 20 minutes.
D. Leave the patient in the current position to rest.
Correct Answer: B
Rationale:
A nonblanchable area of redness suggests early pressure injury.
Pressure should be relieved immediately by repositioning the
patient and implementing pressure-reduction strategies.
Massaging affected tissue may increase injury, and heat is not
indicated.
Question 5
A nurse is caring for a patient with an indwelling urinary
catheter. Which intervention is most effective in reducing the
risk of catheter-associated urinary tract infection?
A. Disconnect the drainage tubing daily for cleaning.
B. Maintain a closed drainage system.
C. Irrigate the catheter every shift.
D. Empty the drainage bag only once each day.
Correct Answer: B
