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 clients at the beginning of the shift.
Which client should the nurse assess first?
A. A client reporting new-onset chest pain rated 8/10
B. A client requesting assistance with bathing
C. A client awaiting discharge instructions
D. A client asking for a scheduled snack
Correct Answer: A
Rationale:
New-onset chest pain may indicate a life-threatening cardiac
event and requires immediate assessment using the ABCs
(airway, breathing, circulation) and priority-setting principles.
The other clients have needs that are important but not
immediately life-threatening.
Question 2
A nurse enters a client's room and finds the client on the floor.
What is the nurse's priority action?
A. Help the client back into bed immediately
B. Assess the client for injury and level of consciousness
C. Notify the provider before assessing the client
D. Complete an incident report before documenting
,Correct Answer: B
Rationale:
The nurse should first assess the client for injuries, level of
consciousness, pain, and vital signs before moving the client.
Assessment findings determine whether it is safe to reposition
the client and what additional interventions are needed.
Incident reports are completed after the client receives
appropriate care and are not part of the medical record.
Question 3
A client is prescribed bed rest. Which intervention is most
effective for reducing the risk of pressure injuries?
A. Massage reddened areas every shift
B. Reposition the client at least every 2 hours
C. Place the client in a high-Fowler position continuously
D. Limit fluid intake to reduce incontinence
Correct Answer: B
Rationale:
Regular repositioning relieves pressure over bony prominences,
promotes circulation, and helps prevent pressure injuries.
Reddened skin should not be massaged because tissue damage
may worsen. Adequate hydration supports skin integrity, and
prolonged high-Fowler positioning increases pressure and shear
forces.
, Question 4
A nurse is preparing to administer oral medication. Which
action demonstrates safe medication administration?
A. Confirm the client's identity using two identifiers
B. Ask another client to verify the medication
C. Administer the medication before reviewing allergies
D. Leave medications at the bedside for later administration
Correct Answer: A
Rationale:
Using two approved identifiers before medication
administration helps prevent patient identification errors.
Allergy verification is also essential before administration.
Medications should not be left unattended unless specifically
authorized by policy.
Question 5
A client expresses anxiety before surgery. Which nurse response
best demonstrates therapeutic communication?
A. "You shouldn't worry because this surgery is routine."
B. "Tell me what concerns you most about the surgery."
C. "Everything will be fine."
D. "Many people have surgery every 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 is caring for four clients at the beginning of the shift.
Which client should the nurse assess first?
A. A client reporting new-onset chest pain rated 8/10
B. A client requesting assistance with bathing
C. A client awaiting discharge instructions
D. A client asking for a scheduled snack
Correct Answer: A
Rationale:
New-onset chest pain may indicate a life-threatening cardiac
event and requires immediate assessment using the ABCs
(airway, breathing, circulation) and priority-setting principles.
The other clients have needs that are important but not
immediately life-threatening.
Question 2
A nurse enters a client's room and finds the client on the floor.
What is the nurse's priority action?
A. Help the client back into bed immediately
B. Assess the client for injury and level of consciousness
C. Notify the provider before assessing the client
D. Complete an incident report before documenting
,Correct Answer: B
Rationale:
The nurse should first assess the client for injuries, level of
consciousness, pain, and vital signs before moving the client.
Assessment findings determine whether it is safe to reposition
the client and what additional interventions are needed.
Incident reports are completed after the client receives
appropriate care and are not part of the medical record.
Question 3
A client is prescribed bed rest. Which intervention is most
effective for reducing the risk of pressure injuries?
A. Massage reddened areas every shift
B. Reposition the client at least every 2 hours
C. Place the client in a high-Fowler position continuously
D. Limit fluid intake to reduce incontinence
Correct Answer: B
Rationale:
Regular repositioning relieves pressure over bony prominences,
promotes circulation, and helps prevent pressure injuries.
Reddened skin should not be massaged because tissue damage
may worsen. Adequate hydration supports skin integrity, and
prolonged high-Fowler positioning increases pressure and shear
forces.
, Question 4
A nurse is preparing to administer oral medication. Which
action demonstrates safe medication administration?
A. Confirm the client's identity using two identifiers
B. Ask another client to verify the medication
C. Administer the medication before reviewing allergies
D. Leave medications at the bedside for later administration
Correct Answer: A
Rationale:
Using two approved identifiers before medication
administration helps prevent patient identification errors.
Allergy verification is also essential before administration.
Medications should not be left unattended unless specifically
authorized by policy.
Question 5
A client expresses anxiety before surgery. Which nurse response
best demonstrates therapeutic communication?
A. "You shouldn't worry because this surgery is routine."
B. "Tell me what concerns you most about the surgery."
C. "Everything will be fine."
D. "Many people have surgery every day."
Correct Answer: B
