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 a patient who is at risk for falls. Which
intervention is the most appropriate to ensure patient safety?
A. Place the bed in the highest position
B. Keep the call light within reach
C. Apply restraints without an order
D. Encourage the patient to ambulate independently
Correct Answer: B
Rationale: Keeping the call light within reach promotes patient
safety by allowing the patient to request assistance when
needed. Placing the bed in the highest position increases fall
risk. Restraints require a provider’s order and are used only as a
last resort. Encouraging independent ambulation without
assessment may increase the risk of injury.
Question 2
A nurse is prioritizing care for four patients. Which patient
should the nurse assess first?
A. A patient with a new onset of chest pain
B. A patient requesting pain medication
C. A patient needing assistance with hygiene
D. A patient scheduled for discharge teaching
,Correct Answer: A
Rationale: A patient with new onset chest pain may be
experiencing a life-threatening condition such as myocardial
infarction and requires immediate assessment. The other
patients have non-urgent needs that can be addressed after
ensuring the most critical patient is stable.
Question 3
A nurse is performing hand hygiene. Which action
demonstrates proper technique?
A. Using cold water to prevent skin irritation
B. Washing hands for at least 20 seconds
C. Drying hands on clothing
D. Skipping hand hygiene if gloves are worn
Correct Answer: B
Rationale: Effective hand hygiene includes washing hands with
soap and water for at least 20 seconds. Warm water is
preferred, and hands should be dried with a clean towel. Gloves
do not replace hand hygiene, and drying hands on clothing can
reintroduce contaminants.
Question 4
A nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?
, A. Assessing a patient’s pain level
B. Administering oral medications
C. Assisting with ambulation
D. Developing a care plan
Correct Answer: C
Rationale: Assisting with ambulation is within the scope of
practice for UAP. Assessment, medication administration, and
care planning are responsibilities of the registered nurse and
require clinical judgment.
Question 5
A patient expresses anxiety about an upcoming procedure.
Which response by the nurse is therapeutic?
A. “There is nothing to worry about.”
B. “Tell me what concerns you the most.”
C. “You should not feel anxious.”
D. “Others have gone through this without problems.”
Correct Answer: B
Rationale: Asking the patient to express concerns encourages
open communication and supports emotional needs. Dismissing
or minimizing feelings does not promote therapeutic
communication.
Question 6
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 a patient who is at risk for falls. Which
intervention is the most appropriate to ensure patient safety?
A. Place the bed in the highest position
B. Keep the call light within reach
C. Apply restraints without an order
D. Encourage the patient to ambulate independently
Correct Answer: B
Rationale: Keeping the call light within reach promotes patient
safety by allowing the patient to request assistance when
needed. Placing the bed in the highest position increases fall
risk. Restraints require a provider’s order and are used only as a
last resort. Encouraging independent ambulation without
assessment may increase the risk of injury.
Question 2
A nurse is prioritizing care for four patients. Which patient
should the nurse assess first?
A. A patient with a new onset of chest pain
B. A patient requesting pain medication
C. A patient needing assistance with hygiene
D. A patient scheduled for discharge teaching
,Correct Answer: A
Rationale: A patient with new onset chest pain may be
experiencing a life-threatening condition such as myocardial
infarction and requires immediate assessment. The other
patients have non-urgent needs that can be addressed after
ensuring the most critical patient is stable.
Question 3
A nurse is performing hand hygiene. Which action
demonstrates proper technique?
A. Using cold water to prevent skin irritation
B. Washing hands for at least 20 seconds
C. Drying hands on clothing
D. Skipping hand hygiene if gloves are worn
Correct Answer: B
Rationale: Effective hand hygiene includes washing hands with
soap and water for at least 20 seconds. Warm water is
preferred, and hands should be dried with a clean towel. Gloves
do not replace hand hygiene, and drying hands on clothing can
reintroduce contaminants.
Question 4
A nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?
, A. Assessing a patient’s pain level
B. Administering oral medications
C. Assisting with ambulation
D. Developing a care plan
Correct Answer: C
Rationale: Assisting with ambulation is within the scope of
practice for UAP. Assessment, medication administration, and
care planning are responsibilities of the registered nurse and
require clinical judgment.
Question 5
A patient expresses anxiety about an upcoming procedure.
Which response by the nurse is therapeutic?
A. “There is nothing to worry about.”
B. “Tell me what concerns you the most.”
C. “You should not feel anxious.”
D. “Others have gone through this without problems.”
Correct Answer: B
Rationale: Asking the patient to express concerns encourages
open communication and supports emotional needs. Dismissing
or minimizing feelings does not promote therapeutic
communication.
Question 6
