Test Bank for Concepts for Nursing Practice, 4th Edition
2026/2027 – Jean Foret Giddens
,Test Bank for Concepts for Nursing Practice, 4th Edition 2026/2027 –
Jean Foret Giddens
Nursing Concepts, Clinical Judgment & Professional Practice
1. A nurse uses assessment findings to determine which patient
problem requires immediate intervention. Which clinical-judgment
process is being demonstrated?
A. Recognizing cues
B. Generating solutions
C. Taking action
D. Evaluating outcomes
Answer: A
Rationale: Identifying significant assessment findings is the process of
recognizing cues.
2. Which nursing action best demonstrates patient-centered care?
A. Applying the same intervention to every patient
B. Incorporating the patient's preferences into the care plan
C. Allowing family members to make all decisions
D. Following routines without modification
Answer: B
Rationale: Patient-centered care incorporates the individual's
preferences, values, needs, and goals.
3. A nurse questions whether a prescribed treatment is appropriate
because the patient's condition has changed. What should the nurse do
first?
A. Ignore the change
B. Carry out the prescription immediately
C. Assess the patient and relevant clinical data
,D. Ask another patient what should be done
Answer: C
Rationale: Assessment provides the information needed for safe clinical
decision-making.
4. Which action best reflects evidence-based nursing practice?
A. Using tradition alone
B. Combining research evidence with clinical expertise and patient
preferences
C. Following coworkers' habits
D. Avoiding research findings
Answer: B
Rationale: Evidence-based practice integrates best available evidence,
clinical expertise, and patient values.
5. A nurse identifies a patient's sudden change in mental status as an
important finding. What is the priority?
A. Document it at the end of the shift
B. Determine possible causes and assess the patient further
C. Assume it is normal aging
D. Ask the patient to sleep
Answer: B
Rationale: Acute mental-status changes can signal serious problems
and require prompt assessment.
6. Which finding most strongly suggests a patient's condition is
deteriorating?
A. Stable appetite
B. New confusion and decreasing blood pressure
C. Improved sleep
D. Increased participation in care
Answer: B
, Rationale: New confusion combined with hypotension can indicate
impaired perfusion or systemic deterioration.
7. Which nursing behavior demonstrates professional accountability?
A. Blaming another nurse for an error
B. Reporting and appropriately addressing one's own error
C. Hiding a medication error
D. Altering documentation
Answer: B
Rationale: Accountability requires taking responsibility for one's actions
and promoting patient safety.
8. What is the primary purpose of nursing documentation?
A. Entertain staff
B. Provide a communication and legal record of patient care
C. Replace verbal communication completely
D. Reduce patient interaction
Answer: B
Rationale: Documentation communicates patient status and care while
serving as a legal record.
9. A nurse receives an incomplete handoff. What is the best action?
A. Assume missing information is unimportant
B. Seek clarification about clinically relevant information
C. Ignore the handoff
D. Discharge the patient
Answer: B
Rationale: Complete communication is essential for continuity and
safety.
10. Which statement reflects the concept of autonomy?
A. The nurse chooses the treatment
B. The patient participates in decisions about personal care
2026/2027 – Jean Foret Giddens
,Test Bank for Concepts for Nursing Practice, 4th Edition 2026/2027 –
Jean Foret Giddens
Nursing Concepts, Clinical Judgment & Professional Practice
1. A nurse uses assessment findings to determine which patient
problem requires immediate intervention. Which clinical-judgment
process is being demonstrated?
A. Recognizing cues
B. Generating solutions
C. Taking action
D. Evaluating outcomes
Answer: A
Rationale: Identifying significant assessment findings is the process of
recognizing cues.
2. Which nursing action best demonstrates patient-centered care?
A. Applying the same intervention to every patient
B. Incorporating the patient's preferences into the care plan
C. Allowing family members to make all decisions
D. Following routines without modification
Answer: B
Rationale: Patient-centered care incorporates the individual's
preferences, values, needs, and goals.
3. A nurse questions whether a prescribed treatment is appropriate
because the patient's condition has changed. What should the nurse do
first?
A. Ignore the change
B. Carry out the prescription immediately
C. Assess the patient and relevant clinical data
,D. Ask another patient what should be done
Answer: C
Rationale: Assessment provides the information needed for safe clinical
decision-making.
4. Which action best reflects evidence-based nursing practice?
A. Using tradition alone
B. Combining research evidence with clinical expertise and patient
preferences
C. Following coworkers' habits
D. Avoiding research findings
Answer: B
Rationale: Evidence-based practice integrates best available evidence,
clinical expertise, and patient values.
5. A nurse identifies a patient's sudden change in mental status as an
important finding. What is the priority?
A. Document it at the end of the shift
B. Determine possible causes and assess the patient further
C. Assume it is normal aging
D. Ask the patient to sleep
Answer: B
Rationale: Acute mental-status changes can signal serious problems
and require prompt assessment.
6. Which finding most strongly suggests a patient's condition is
deteriorating?
A. Stable appetite
B. New confusion and decreasing blood pressure
C. Improved sleep
D. Increased participation in care
Answer: B
, Rationale: New confusion combined with hypotension can indicate
impaired perfusion or systemic deterioration.
7. Which nursing behavior demonstrates professional accountability?
A. Blaming another nurse for an error
B. Reporting and appropriately addressing one's own error
C. Hiding a medication error
D. Altering documentation
Answer: B
Rationale: Accountability requires taking responsibility for one's actions
and promoting patient safety.
8. What is the primary purpose of nursing documentation?
A. Entertain staff
B. Provide a communication and legal record of patient care
C. Replace verbal communication completely
D. Reduce patient interaction
Answer: B
Rationale: Documentation communicates patient status and care while
serving as a legal record.
9. A nurse receives an incomplete handoff. What is the best action?
A. Assume missing information is unimportant
B. Seek clarification about clinically relevant information
C. Ignore the handoff
D. Discharge the patient
Answer: B
Rationale: Complete communication is essential for continuity and
safety.
10. Which statement reflects the concept of autonomy?
A. The nurse chooses the treatment
B. The patient participates in decisions about personal care
