Test Bank – Fundamentals of Nursing 12th
Edition | Patricia A. Potter | Latest Update
2026 | Graded A+ Exam Prep
| GUARANTEED PASS
The nurse is planning on administering eardrops to an infant. The nurse would plan to proceed by
taking which step to assure the appropriate instillation of the medication?
1. Pull down and back on the auricle, and direct the solution onto the eardrum
2. Pull up and back on the earlobe, and direct the solution toward the wall of the ear canal
3. Pull up and back on the auricle, and direct the solution toward the wall of the ear canal
4. Pull down and back on the auricle, and direct the solution toward the wall of the ear canal. –
Correct Answer :4
Rationale: The infant should be turned on the side with the affected ear uppermost. With the
nondominant hand, the nurse pulls down and back on the auricle. The wrist of the dominant hand is
rested on the infant's head. The medication is administered by aiming it at the wall of the ear canal
rather than directly onto the eardrum. The infant should be held or positioned with the affected ear
uppermost for 10 to 15 minutes to retain the solution. In the adult, the auricle is pulled up and back the
straighten the auditory canal.
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Which interventions should the nurse perform when inserting an indwelling urinary catheter in order to
maintain both the integrity of the catheter and the client's safety? (Select all the apply)
1. Use strict aseptic technique
2. Place the drainage bag lower than the bladder level
3. Inflate the balloon with 4 to 5 mL beyond its capacity
4. Swab the urinary catheter with sterile water before inserting
5. Advance the catheter 1 to 2 inches after urine appears in the tubing –
Correct Answer :1, 2, 5
Rationale: The nurse would use strict aseptic technique to insert the catheter. The drainage bag is
placed lower than bladder level to ensure drainage, prevent retrograde flow of urine, and reduce the
risk of infection. Advancing the catheter 1 to 2 inches beyond the point where the flow of urine is first
noted is also good practice because this ensures that the catheter balloon is completely in the bladder
before it's inflated. The nurse risks rupturing the catheter's balloon by overinflating it; therefore, the
nurse inflates the balloon with the specified volume for the catheter because inflating the balloon with
4 to 5 mL beyond it's capacity is unsafe. The urinary catheter is sterile, so it is inappropriate and
unnecessary to swab it with sterile water before inserting.
The home-care nurse visits an older client diagnosed with Parkinson's disease who requires instillation
of multiple eye drops. Which instruction for the administration of eye drops would the nurse plan to
provide to this client who demonstrates signs/symptoms of this diagnosis?
1. Administer the eye drops rapidly
2. Have a family member instill the eye drops
3. Lie down on a bed or sofa to instill the eye drops
4. Keep the eye drops in the refrigerator so that they will thicken –
Correct Answer :3
Rationale: Older adults diagnosed with Parkinson's disease will experience tremors, making it more
difficult to instill eye drops. The older client is instructed to lie down on a bed or sofa to instill eye
drops to provide control and allow the drops to be administered more easily. If multiple eye drops are
needed, there should be a wait time of 3 to 4 minutes between drops. It's reasonable to expect a
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family member to be available consistently to instill eye drops. Additionally, this discourages client
independence. Placing eye drops in the refrigerator should not be done unless specifically prescribed.
An 80 year-old woman with a history of diabetes and arthritis has made an appointment with her
health care provider for complaints of urinary incontinence (UI). The patient states that she has
recently become incontinent of urine and thinks it is because of her age. What is the best response
from the nurse?
a. "That is not normal. You must have a UTI."
b. "Are you having issues with walking to the bathroom or toileting?"
c. "You need to decrease your fluid intake so you don't have to go to the bathroom as often."
d. "As you get older the sensations that your bladder is full become hypersensitive and cause a person
to go to the bathroom more frequently."
- Correct Answer :b
A 56 year-old patient, who has recently become postmenopausal, made an appointment with her
health care provider for symptoms of a UTI. The patient has had three previously diagnosed UTIs in
the past 4 months. She asks the nurse if this is a normal occurrence with postmenopausal women.
What is the best response from the nurse?
a. "Yes, and this is why I'm not looking forward to going through menopause."
b. Yes, because as women go through menopause, the lining of the urethra becomes more
susceptible to infections."
c. "No, but why don't you ask your health care provider for some antibiotics to keep on hand?"
d. "Yes, and this must be frustrating because as we become older our body starts to cause us more
problems." –
Correct Answer :b
A male patient has been admitted with a fever and malaise. The HCP had ordered a clean catch
midstream specimen for urinalysis on this patient. To collect the urine specimen, the nurse should
instruct the patient to do which of the following?
a. Ask the patient to void into a cup or urine collection container
b. Cleanse his penis, begin his stream, and then void into a sterile cup
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c. Return to bed to obtain the specimen using a straight catheter insertion
d. Use sterile gloves to cleanse his penis and collect the specimen in a sterile cup. –
Correct Answer :b
A patient with a Foley catheter needs a urine sample for culture and sensitivity. What is the most
appropriate action for the nurse to take?
a. Insert a sterile blunt cannula in the catheter port to withdraw urine
b. Open the drainage bag and withdraw urine
c. Disconnect the drainage tube from the catheter
d. Withdraw urine from the close system drainage bag –
Correct Answer :a
The labor/delivery nurse is caring for a 33 year-old who is in labor with her first child. The patient
complained to the nurse about the hemorrhoids that she has experienced during the last month of
her pregnancy. She asks, "what can I do to prevent future problems with hemorrhoids?" That is the
nurse's best response?
a. "Hemorrhoids are caused by defecation of stools that are loose and watery"
b. "You need to soften your stools by drinking plenty of fluids"
c. "You should eat less carbohydrates"
d. "There is nothing that you can do to prevent hemorrhoids" –
Correct Answer :b
A patient is undergoing abdominal surgeries, which will most likely result in an ostomy. The patient
asks the nurse, "what will the stool from my ostomy look like?" What is the best answer?
a. "The consistency of your stools will be very soft"
b. "The consistency of your stools will depend on the location of the stoma (ostomy)"
c. "Your stools won't change from what they currently are"
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