Fundamentals of Nursing, The Art and Science of Person-
Centered Care, 10th Edition Test Bank | Taylor, Lynn & Bartlett
| Verified Q&A 2026/2027 EXAM with Questions and
Answers/Plus a Rationale Updated 2026 A+/Instant Download
PDF
EXAM COVERAGE
1. Foundations of Nursing Practice, Professional Roles, and Evidence-Based Practice
2. Person-Centered Care Processes, Blended Competencies, and Clinical Reasoning
3. Healthcare Delivery Systems, Interprofessional Collaboration, and Informatics
4. Life Span Development, Cultural Diversity, and Psychosocial Health
5. Fundamental Patient Safety, Asepsis, Infection Control, and Clinical Skills
1. An experienced oncology nurse with a master's degree and national certification provides direct
patient care, educates staff, and conducts clinical research on an inpatient unit. Which
professional nursing role best characterizes this position?
A. Nurse Practitioner
B. Clinical Nurse Specialist
C. Nurse Entrepreneur
D. Nurse Educator
CORRECT ANSWER : B
Rationale: A clinical nurse specialist holds an advanced degree and specialized expertise,
engaging in direct patient care, staff consultation, education, and clinical research. A nurse
practitioner focuses primarily on primary care and advanced clinical diagnosis, while nurse
educators and entrepreneurs focus on teaching or business management.
2. What fundamental guidelines do professional nurses use to identify client needs, establish a
comprehensive plan of care, and evaluate health outcomes?
, A. Evidence-based practice guidelines
B. The nursing process
C. Nurse Practice Acts
D. ANA Standards of Professional Performance
CORRECT ANSWER : B
Rationale: The nursing process (assessment, diagnosis, planning, implementation, evaluation) is
the core operational framework and clinical guideline that directs nursing practice and clinical
judgment. The other options provide legal bounds, professional standards, or research evidence
but do not constitute the foundational process itself.
3. A nurse is performing an admission assessment on a newly hospitalized adult client. Which
finding represents subjective data provided by the client?
A. Blood pressure of 138/88 mmHg and heart rate of 84 beats per minute.
B. Client statement: "My chest feels tight and hurts like a sharp weight."
C. Visible diaphoresis and mild tachypnea upon exertion.
D. Serum potassium level of 3.6 mEq/L.
CORRECT ANSWER : B
Rationale: Subjective data consists of information reported exclusively by the client, such as
feelings, perceptions, values, and symptom descriptions like chest pain. Vital signs, observable
physical signs, and laboratory values represent objective data directly observed or measured by
the clinician.
4. A nurse manager is implementing transformational leadership strategies to improve staff
retention and unit safety culture. Which leadership behavior best aligns with transformational
leadership?
A. Implementing strict punitive fines for minor documentation delays.
B. Inspiring staff through a shared vision, providing individualized coaching, and
encouraging critical thinking.
C. Relying exclusively on transactional financial bonuses for meeting shift attendance goals.
D. Delegating all unit operational decisions entirely to hospital executive administrators.
, CORRECT ANSWER : B
Rationale: Transformational leadership focuses on inspiring and motivating staff through a
shared vision, intellectual stimulation, and individualized consideration, fostering professional
growth. Transactional leadership relies on rewards and punishments, while autocratic
leadership excludes shared decision-making.
5. A nurse prepares to administer a scheduled morning medication to a hospitalized adult client.
Which action is critical for the nurse to perform first to ensure safe medication administration?
A. Open the medication package at the medication cart.
B. Verify the client's identity using at least two unique client identifiers.
C. Document the administration immediately in the electronic health record.
D. Check the medication expiration date against the pharmacy supply log.
CORRECT ANSWER : B
Rationale: The National Patient Safety Goals mandate using at least two unique identifiers (such
as name and date of birth) before administering medications, blood products, or treatments.
Opening packages or documenting prematurely violates safety protocols.
6. A client admitted with severe sepsis requires intravenous fluid resuscitation and broad-spectrum
antibiotic therapy via a newly inserted peripherally inserted central catheter (PICC). Which
infection control practice is most effective in preventing catheter-related bloodstream infections
(CLABSI)?
A. Flushing the PICC line with sterile water every 2 hours routinely.
B. Performing strict hand hygiene and maintaining maximal sterile barrier precautions
during insertion and dressing changes.
C. Changing the central line tubing every 72 hours without exception.
D. Applying topical antibiotic ointment over the insertion site at each shift change.
CORRECT ANSWER : B
Rationale: Maximal sterile barrier precautions (cap, mask, sterile gown, sterile gloves, and
large full-body sterile drape) during insertion combined with meticulous hand hygiene and
chlorhexidine antisepsis are proven measures to prevent CLABSI. Routine topical antibiotic
ointments can foster fungal resistance.
, 7. A nurse is teaching a community group of young adults about health promotion and disease
prevention. Which activity represents a primary prevention intervention?
A. Conducting free cholesterol and blood pressure screening fairs at a local mall.
B. Facilitating an educational workshop on heart-healthy nutrition and regular exercise.
C. Referring a client with newly diagnosed hypertension to a cardiologist for therapy initiation.
D. Managing cardiac rehabilitation support groups for post-myocardial infarction survivors.
CORRECT ANSWER : B
Rationale: Primary prevention focuses on health promotion and preventing disease onset by
eliminating risk factors or promoting healthy behaviors. Screening represents secondary
prevention, whereas rehabilitation and disease management represent tertiary prevention.
8. An adult client with type 1 diabetes mellitus is found unresponsive in bed. A fingerstick blood
glucose reads 34 mg/dL. The client has an intravenous access line with normal saline running at
keep-vein-open rate. What is the nurse's priority action?
A. Administer regular insulin subcutaneously according to the sliding scale.
B. Administer a 50 mL bolus of 50% dextrose in water (D50W) intravenously.
C. Provide an oral glass of orange juice mixed with two packets of sugar.
D. Administer 1 mg of glucagon intramuscularly and wait 30 minutes.
CORRECT ANSWER : B
Rationale: An unresponsive client with severe hypoglycemia cannot safely swallow oral fluids,
making intravenous D50W administration the fastest, most effective way to restore euglycemia.
Glucagon is appropriate if IV access is absent, and insulin would be fatal.
9. A nurse is caring for a preschool-age child admitted with acute bacterial meningitis. Which
transmission-based precaution must the nurse implement immediately upon admission?
A. Standard precautions only.
B. Droplet precautions in addition to standard precautions.
C. Airborne precautions with negative pressure airflow isolation.
D. Protective environment isolation to shield the child from nosocomial pathogens.
Centered Care, 10th Edition Test Bank | Taylor, Lynn & Bartlett
| Verified Q&A 2026/2027 EXAM with Questions and
Answers/Plus a Rationale Updated 2026 A+/Instant Download
EXAM COVERAGE
1. Foundations of Nursing Practice, Professional Roles, and Evidence-Based Practice
2. Person-Centered Care Processes, Blended Competencies, and Clinical Reasoning
3. Healthcare Delivery Systems, Interprofessional Collaboration, and Informatics
4. Life Span Development, Cultural Diversity, and Psychosocial Health
5. Fundamental Patient Safety, Asepsis, Infection Control, and Clinical Skills
1. An experienced oncology nurse with a master's degree and national certification provides direct
patient care, educates staff, and conducts clinical research on an inpatient unit. Which
professional nursing role best characterizes this position?
A. Nurse Practitioner
B. Clinical Nurse Specialist
C. Nurse Entrepreneur
D. Nurse Educator
CORRECT ANSWER : B
Rationale: A clinical nurse specialist holds an advanced degree and specialized expertise,
engaging in direct patient care, staff consultation, education, and clinical research. A nurse
practitioner focuses primarily on primary care and advanced clinical diagnosis, while nurse
educators and entrepreneurs focus on teaching or business management.
2. What fundamental guidelines do professional nurses use to identify client needs, establish a
comprehensive plan of care, and evaluate health outcomes?
, A. Evidence-based practice guidelines
B. The nursing process
C. Nurse Practice Acts
D. ANA Standards of Professional Performance
CORRECT ANSWER : B
Rationale: The nursing process (assessment, diagnosis, planning, implementation, evaluation) is
the core operational framework and clinical guideline that directs nursing practice and clinical
judgment. The other options provide legal bounds, professional standards, or research evidence
but do not constitute the foundational process itself.
3. A nurse is performing an admission assessment on a newly hospitalized adult client. Which
finding represents subjective data provided by the client?
A. Blood pressure of 138/88 mmHg and heart rate of 84 beats per minute.
B. Client statement: "My chest feels tight and hurts like a sharp weight."
C. Visible diaphoresis and mild tachypnea upon exertion.
D. Serum potassium level of 3.6 mEq/L.
CORRECT ANSWER : B
Rationale: Subjective data consists of information reported exclusively by the client, such as
feelings, perceptions, values, and symptom descriptions like chest pain. Vital signs, observable
physical signs, and laboratory values represent objective data directly observed or measured by
the clinician.
4. A nurse manager is implementing transformational leadership strategies to improve staff
retention and unit safety culture. Which leadership behavior best aligns with transformational
leadership?
A. Implementing strict punitive fines for minor documentation delays.
B. Inspiring staff through a shared vision, providing individualized coaching, and
encouraging critical thinking.
C. Relying exclusively on transactional financial bonuses for meeting shift attendance goals.
D. Delegating all unit operational decisions entirely to hospital executive administrators.
, CORRECT ANSWER : B
Rationale: Transformational leadership focuses on inspiring and motivating staff through a
shared vision, intellectual stimulation, and individualized consideration, fostering professional
growth. Transactional leadership relies on rewards and punishments, while autocratic
leadership excludes shared decision-making.
5. A nurse prepares to administer a scheduled morning medication to a hospitalized adult client.
Which action is critical for the nurse to perform first to ensure safe medication administration?
A. Open the medication package at the medication cart.
B. Verify the client's identity using at least two unique client identifiers.
C. Document the administration immediately in the electronic health record.
D. Check the medication expiration date against the pharmacy supply log.
CORRECT ANSWER : B
Rationale: The National Patient Safety Goals mandate using at least two unique identifiers (such
as name and date of birth) before administering medications, blood products, or treatments.
Opening packages or documenting prematurely violates safety protocols.
6. A client admitted with severe sepsis requires intravenous fluid resuscitation and broad-spectrum
antibiotic therapy via a newly inserted peripherally inserted central catheter (PICC). Which
infection control practice is most effective in preventing catheter-related bloodstream infections
(CLABSI)?
A. Flushing the PICC line with sterile water every 2 hours routinely.
B. Performing strict hand hygiene and maintaining maximal sterile barrier precautions
during insertion and dressing changes.
C. Changing the central line tubing every 72 hours without exception.
D. Applying topical antibiotic ointment over the insertion site at each shift change.
CORRECT ANSWER : B
Rationale: Maximal sterile barrier precautions (cap, mask, sterile gown, sterile gloves, and
large full-body sterile drape) during insertion combined with meticulous hand hygiene and
chlorhexidine antisepsis are proven measures to prevent CLABSI. Routine topical antibiotic
ointments can foster fungal resistance.
, 7. A nurse is teaching a community group of young adults about health promotion and disease
prevention. Which activity represents a primary prevention intervention?
A. Conducting free cholesterol and blood pressure screening fairs at a local mall.
B. Facilitating an educational workshop on heart-healthy nutrition and regular exercise.
C. Referring a client with newly diagnosed hypertension to a cardiologist for therapy initiation.
D. Managing cardiac rehabilitation support groups for post-myocardial infarction survivors.
CORRECT ANSWER : B
Rationale: Primary prevention focuses on health promotion and preventing disease onset by
eliminating risk factors or promoting healthy behaviors. Screening represents secondary
prevention, whereas rehabilitation and disease management represent tertiary prevention.
8. An adult client with type 1 diabetes mellitus is found unresponsive in bed. A fingerstick blood
glucose reads 34 mg/dL. The client has an intravenous access line with normal saline running at
keep-vein-open rate. What is the nurse's priority action?
A. Administer regular insulin subcutaneously according to the sliding scale.
B. Administer a 50 mL bolus of 50% dextrose in water (D50W) intravenously.
C. Provide an oral glass of orange juice mixed with two packets of sugar.
D. Administer 1 mg of glucagon intramuscularly and wait 30 minutes.
CORRECT ANSWER : B
Rationale: An unresponsive client with severe hypoglycemia cannot safely swallow oral fluids,
making intravenous D50W administration the fastest, most effective way to restore euglycemia.
Glucagon is appropriate if IV access is absent, and insulin would be fatal.
9. A nurse is caring for a preschool-age child admitted with acute bacterial meningitis. Which
transmission-based precaution must the nurse implement immediately upon admission?
A. Standard precautions only.
B. Droplet precautions in addition to standard precautions.
C. Airborne precautions with negative pressure airflow isolation.
D. Protective environment isolation to shield the child from nosocomial pathogens.
