[Test Bank Foundations and Adult Health
Nursing, 9th Edition by Kim Cooper| Chapter 1-
58] EXAM with Questions and Answers/Plus a
Rationale Updated 2026 A+/Instant Download
PDF
EXAM COVERAGE
1. Nursing History and Education
2. Legal and Ethical Aspects of Nursing
3. Documentation and Informatics
4. Communication and the Nurse-Patient Relationship
5. Nursing Process and Critical Thinking
6. Cultural Competence and Spiritual Needs
7. Growth and Development
8. Fluid, Electrolyte, and Acid-Base Balance
9. Infection Control and Sterile Technique
10. Vital Signs and Physical Assessment
11. Medication Administration and Pharmacology
,12. Perioperative Nursing
13. Pain Management and Palliative Care
14. Skin Integrity and Wound Care
15. Respiratory, Cardiovascular, and Neurological Disorders
16. Endocrine, Gastrointestinal, and Urinary System Health
1. A nurse is caring for an older adult patient who is confused and at risk for falls. The family
requests that the nurse apply soft wrist restraints to keep the patient in bed. What is the nurse's
priority action based on legal and ethical standards?
A. Apply the restraints immediately to ensure patient safety and prevent injury.
B. Obtain a physician’s order for restraints after documenting the failure of less restrictive
interventions.
C. Inform the family that restraints are a violation of the patient's rights and refuse the request.
D. Apply the restraints and then notify the healthcare provider to obtain a retroactive order.
Answer: B
Rationale: Restraints are a measure of last resort; federal regulations and nursing standards
require that less restrictive interventions be attempted and documented first. Option A and D
violate the requirement for a prior assessment and order, while Option C is dismissive of the
family's valid safety concerns.
CORRECT ANSWER : B
2. A patient is being discharged after a total hip arthroplasty. Which intervention demonstrates the
nurse's application of the nursing process during the discharge planning phase?
A. Identifying that the patient has a high risk for infection.
B. Evaluating the patient's ability to demonstrate safe transfer techniques and use of assistive
devices.
C. Documenting the patient’s vital signs in the electronic health record.
, D. Administering pain medication as prescribed.
Answer: B
Rationale: Evaluation is the final step of the nursing process, where the nurse determines if
goals and outcomes have been met. Option A is an assessment/diagnosis step, while Options C
and D are implementation activities.
CORRECT ANSWER : B
3. A nurse is providing care to a patient from a different culture who insists on using herbal
remedies alongside prescribed antibiotics. What is the most appropriate approach for the nurse?
A. Instruct the patient to stop the herbal remedies immediately as they may interact with
medications.
B. Research potential interactions between the specific herbs and the antibiotics and discuss
findings with the patient and physician.
C. Ignore the herbal use as long as the patient takes the prescribed antibiotics as scheduled.
D. Document that the patient is non-compliant with the treatment plan.
Answer: B
Rationale: Culturally competent care involves respecting patient practices while ensuring safety
through evidence-based assessment. Option B facilitates safe integration of care, whereas
Option A is paternalistic and Option C/D ignore the patient's health needs.
CORRECT ANSWER : B
4. A patient with a stage 2 pressure ulcer requires a dressing change. Which nursing action is most
critical to prevent the spread of infection during this procedure?
A. Wearing sterile gloves for the entire procedure.
B. Performing meticulous hand hygiene before and after the dressing change.
C. Cleaning the wound with hydrogen peroxide.
D. Applying a thick layer of antibiotic ointment to the wound bed.
Answer: B
, Rationale: Hand hygiene is the single most effective method for preventing healthcare-
associated infections. Option A is not always required for stage 2 ulcers (clean technique may be
used), Option C can damage healthy tissue, and Option D is not universally indicated.
CORRECT ANSWER : B
5. A patient receiving an intravenous antibiotic infusion suddenly complains of itching and
shortness of breath. What is the priority nursing action?
A. Slow the rate of the infusion.
B. Stop the infusion immediately and notify the healthcare provider.
C. Assess the patient's lung sounds.
D. Administer an antihistamine as ordered.
Answer: B
Rationale: The patient is exhibiting signs of an anaphylactic reaction; the priority is to stop the
causative agent to prevent further exposure. Options A, C, and D are secondary actions
following the cessation of the infusion.
CORRECT ANSWER : B
6. A nurse is educating a patient about managing type 2 diabetes. Which statement by the patient
indicates an understanding of the long-term implications of blood glucose control?
A. "If I keep my sugar normal, I can prevent all complications of diabetes."
B. "Tight control of my blood glucose levels can help prevent or delay complications like
neuropathy and retinopathy."
C. "I only need to worry about my blood sugar if I feel dizzy or shaky."
D. "Diabetes complications are genetic and cannot be altered by my diet or exercise."
Answer: B
Rationale: Long-term management of glucose levels is linked to reduced morbidity in
microvascular and macrovascular complications. Options A and D are medically inaccurate,
and Option C reflects a failure to understand the need for chronic disease management.
CORRECT ANSWER : B
Nursing, 9th Edition by Kim Cooper| Chapter 1-
58] EXAM with Questions and Answers/Plus a
Rationale Updated 2026 A+/Instant Download
EXAM COVERAGE
1. Nursing History and Education
2. Legal and Ethical Aspects of Nursing
3. Documentation and Informatics
4. Communication and the Nurse-Patient Relationship
5. Nursing Process and Critical Thinking
6. Cultural Competence and Spiritual Needs
7. Growth and Development
8. Fluid, Electrolyte, and Acid-Base Balance
9. Infection Control and Sterile Technique
10. Vital Signs and Physical Assessment
11. Medication Administration and Pharmacology
,12. Perioperative Nursing
13. Pain Management and Palliative Care
14. Skin Integrity and Wound Care
15. Respiratory, Cardiovascular, and Neurological Disorders
16. Endocrine, Gastrointestinal, and Urinary System Health
1. A nurse is caring for an older adult patient who is confused and at risk for falls. The family
requests that the nurse apply soft wrist restraints to keep the patient in bed. What is the nurse's
priority action based on legal and ethical standards?
A. Apply the restraints immediately to ensure patient safety and prevent injury.
B. Obtain a physician’s order for restraints after documenting the failure of less restrictive
interventions.
C. Inform the family that restraints are a violation of the patient's rights and refuse the request.
D. Apply the restraints and then notify the healthcare provider to obtain a retroactive order.
Answer: B
Rationale: Restraints are a measure of last resort; federal regulations and nursing standards
require that less restrictive interventions be attempted and documented first. Option A and D
violate the requirement for a prior assessment and order, while Option C is dismissive of the
family's valid safety concerns.
CORRECT ANSWER : B
2. A patient is being discharged after a total hip arthroplasty. Which intervention demonstrates the
nurse's application of the nursing process during the discharge planning phase?
A. Identifying that the patient has a high risk for infection.
B. Evaluating the patient's ability to demonstrate safe transfer techniques and use of assistive
devices.
C. Documenting the patient’s vital signs in the electronic health record.
, D. Administering pain medication as prescribed.
Answer: B
Rationale: Evaluation is the final step of the nursing process, where the nurse determines if
goals and outcomes have been met. Option A is an assessment/diagnosis step, while Options C
and D are implementation activities.
CORRECT ANSWER : B
3. A nurse is providing care to a patient from a different culture who insists on using herbal
remedies alongside prescribed antibiotics. What is the most appropriate approach for the nurse?
A. Instruct the patient to stop the herbal remedies immediately as they may interact with
medications.
B. Research potential interactions between the specific herbs and the antibiotics and discuss
findings with the patient and physician.
C. Ignore the herbal use as long as the patient takes the prescribed antibiotics as scheduled.
D. Document that the patient is non-compliant with the treatment plan.
Answer: B
Rationale: Culturally competent care involves respecting patient practices while ensuring safety
through evidence-based assessment. Option B facilitates safe integration of care, whereas
Option A is paternalistic and Option C/D ignore the patient's health needs.
CORRECT ANSWER : B
4. A patient with a stage 2 pressure ulcer requires a dressing change. Which nursing action is most
critical to prevent the spread of infection during this procedure?
A. Wearing sterile gloves for the entire procedure.
B. Performing meticulous hand hygiene before and after the dressing change.
C. Cleaning the wound with hydrogen peroxide.
D. Applying a thick layer of antibiotic ointment to the wound bed.
Answer: B
, Rationale: Hand hygiene is the single most effective method for preventing healthcare-
associated infections. Option A is not always required for stage 2 ulcers (clean technique may be
used), Option C can damage healthy tissue, and Option D is not universally indicated.
CORRECT ANSWER : B
5. A patient receiving an intravenous antibiotic infusion suddenly complains of itching and
shortness of breath. What is the priority nursing action?
A. Slow the rate of the infusion.
B. Stop the infusion immediately and notify the healthcare provider.
C. Assess the patient's lung sounds.
D. Administer an antihistamine as ordered.
Answer: B
Rationale: The patient is exhibiting signs of an anaphylactic reaction; the priority is to stop the
causative agent to prevent further exposure. Options A, C, and D are secondary actions
following the cessation of the infusion.
CORRECT ANSWER : B
6. A nurse is educating a patient about managing type 2 diabetes. Which statement by the patient
indicates an understanding of the long-term implications of blood glucose control?
A. "If I keep my sugar normal, I can prevent all complications of diabetes."
B. "Tight control of my blood glucose levels can help prevent or delay complications like
neuropathy and retinopathy."
C. "I only need to worry about my blood sugar if I feel dizzy or shaky."
D. "Diabetes complications are genetic and cannot be altered by my diet or exercise."
Answer: B
Rationale: Long-term management of glucose levels is linked to reduced morbidity in
microvascular and macrovascular complications. Options A and D are medically inaccurate,
and Option C reflects a failure to understand the need for chronic disease management.
CORRECT ANSWER : B
