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 preparing to administer a scheduled oral medication
to a hospitalized patient who states, "I don't want to take that
medicine anymore." What is the nurse's best initial action?
A. Document the refusal and discard the medication.
B. Ask the patient to explain the reason for refusing the
medication.
C. Tell the patient the medication is required by the provider.
D. Notify the provider immediately without further discussion.
Correct Answer: B
Rationale:
Patients have the right to refuse treatment. The nurse should
first assess the patient's concerns or reasons for refusing the
medication. This information may identify misunderstandings,
adverse effects, or cultural beliefs that can be addressed
through education or collaboration. Documentation and
provider notification are appropriate after assessment, but
coercion is inappropriate.
Question 2
A nurse enters a patient's room and notices the patient
attempting to get out of bed without assistance. Which action
should the nurse take first?
,A. Activate the bed alarm.
B. Assist the patient safely back to bed or to a chair.
C. Complete an incident report.
D. Notify the healthcare provider.
Correct Answer: B
Rationale:
The immediate priority is patient safety. The nurse should
prevent a fall by assisting the patient safely before
implementing additional preventive measures such as activating
a bed alarm or notifying the provider. Incident reports are
completed only if an event occurs.
Question 3
A postoperative patient reports pain rated 8 out of 10 one hour
after surgery. Which nursing action is the priority?
A. Encourage deep breathing without additional assessment.
B. Assess the patient's pain characteristics and vital signs.
C. Delay intervention until the next scheduled assessment.
D. Tell the patient postoperative pain is expected.
Correct Answer: B
Rationale:
Effective pain management begins with a focused assessment,
including pain intensity, location, quality, timing, and associated
findings such as vital signs. This assessment guides safe and
, appropriate interventions. Pain should never be dismissed or
unnecessarily delayed.
Question 4
A nurse is caring for a patient with limited mobility. Which
intervention best reduces the risk of pressure injury
development?
A. Massage reddened bony prominences.
B. Reposition the patient at regular intervals.
C. Place multiple pillows directly under the knees.
D. Limit fluid intake to decrease skin moisture.
Correct Answer: B
Rationale:
Regular repositioning relieves prolonged pressure, promotes
circulation, and helps prevent tissue injury. Massaging
reddened areas may worsen tissue damage. Adequate
hydration supports skin integrity, and positioning should avoid
compromising circulation.
Question 5
A nurse delegates the task of obtaining routine vital signs for a
stable patient to assistive personnel. Which finding should be
reported to the nurse immediately?
A. Temperature of 37.0°C (98.6°F)
B. Heart rate of 58 beats/min in a trained athlete
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 a scheduled oral medication
to a hospitalized patient who states, "I don't want to take that
medicine anymore." What is the nurse's best initial action?
A. Document the refusal and discard the medication.
B. Ask the patient to explain the reason for refusing the
medication.
C. Tell the patient the medication is required by the provider.
D. Notify the provider immediately without further discussion.
Correct Answer: B
Rationale:
Patients have the right to refuse treatment. The nurse should
first assess the patient's concerns or reasons for refusing the
medication. This information may identify misunderstandings,
adverse effects, or cultural beliefs that can be addressed
through education or collaboration. Documentation and
provider notification are appropriate after assessment, but
coercion is inappropriate.
Question 2
A nurse enters a patient's room and notices the patient
attempting to get out of bed without assistance. Which action
should the nurse take first?
,A. Activate the bed alarm.
B. Assist the patient safely back to bed or to a chair.
C. Complete an incident report.
D. Notify the healthcare provider.
Correct Answer: B
Rationale:
The immediate priority is patient safety. The nurse should
prevent a fall by assisting the patient safely before
implementing additional preventive measures such as activating
a bed alarm or notifying the provider. Incident reports are
completed only if an event occurs.
Question 3
A postoperative patient reports pain rated 8 out of 10 one hour
after surgery. Which nursing action is the priority?
A. Encourage deep breathing without additional assessment.
B. Assess the patient's pain characteristics and vital signs.
C. Delay intervention until the next scheduled assessment.
D. Tell the patient postoperative pain is expected.
Correct Answer: B
Rationale:
Effective pain management begins with a focused assessment,
including pain intensity, location, quality, timing, and associated
findings such as vital signs. This assessment guides safe and
, appropriate interventions. Pain should never be dismissed or
unnecessarily delayed.
Question 4
A nurse is caring for a patient with limited mobility. Which
intervention best reduces the risk of pressure injury
development?
A. Massage reddened bony prominences.
B. Reposition the patient at regular intervals.
C. Place multiple pillows directly under the knees.
D. Limit fluid intake to decrease skin moisture.
Correct Answer: B
Rationale:
Regular repositioning relieves prolonged pressure, promotes
circulation, and helps prevent tissue injury. Massaging
reddened areas may worsen tissue damage. Adequate
hydration supports skin integrity, and positioning should avoid
compromising circulation.
Question 5
A nurse delegates the task of obtaining routine vital signs for a
stable patient to assistive personnel. Which finding should be
reported to the nurse immediately?
A. Temperature of 37.0°C (98.6°F)
B. Heart rate of 58 beats/min in a trained athlete
