CRAVEN & HIRNLES FUNDAMENTALS OF NURSING
TESTBANK BY CHRISTINE HENSHAW EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANNSWERS) Q&A 2027 |INSTANT DOWNLOAD PDF
1. Which action is most important when a nurse first enters a
patient's room before providing care?
A. Assess the patient's pain
B. Review the medication record
C. Perform hand hygiene
D. Obtain the patient's temperature
Answer: C. Perform hand hygiene
Rationale: Hand hygiene is the most effective basic measure for
preventing transmission of microorganisms during patient care.
2. Which assessment finding requires the nurse's immediate
attention?
A. Temperature of 37.2°C (99°F)
B. Respiratory rate of 8/min
C. Pulse of 78/min
D. Blood pressure of 118/72 mmHg
,Answer: B. Respiratory rate of 8/min
Rationale: Bradypnea can indicate respiratory depression and
inadequate ventilation and requires prompt assessment.
3. Which position is generally most appropriate for a patient
experiencing difficulty breathing?
A. Supine
B. Prone
C. High-Fowler's
D. Trendelenburg
Answer: C. High-Fowler's
Rationale: High-Fowler's positioning promotes lung expansion
and can decrease the work of breathing.
4. Which nursing action demonstrates the principle of patient-
centered care?
A. Making decisions for the patient
B. Incorporating the patient's preferences into the plan of care
C. Following routines without modification
D. Asking family members to make all decisions
Answer: B. Incorporating the patient's preferences into the
plan of care
Rationale: Patient-centered care recognizes the patient's
values, preferences, needs, and goals.
,5. Which statement best describes an objective assessment
finding?
A. “I feel dizzy.”
B. “My pain is severe.”
C. “I feel nauseated.”
D. “The patient's skin is warm and dry.”
Answer: D. “The patient's skin is warm and dry.”
Rationale: Objective data are observable or measurable by the
nurse.
6. A nurse asks, “Can you describe what brought you to the
hospital?” This is an example of which type of question?
A. Closed-ended
B. Leading
C. Open-ended
D. Multiple-choice
Answer: C. Open-ended
Rationale: Open-ended questions encourage patients to
provide detailed information in their own words.
7. Which intervention is most appropriate for preventing
pressure injuries in an immobile patient?
, A. Massage reddened bony prominences
B. Reposition the patient regularly
C. Keep the patient in one position
D. Limit fluid intake
Answer: B. Reposition the patient regularly
Rationale: Regular repositioning relieves prolonged pressure
and helps maintain tissue perfusion.
8. Which area is generally assessed first when performing an
initial assessment of an acutely ill patient?
A. Airway
B. Nutrition
C. Sleep pattern
D. Elimination
Answer: A. Airway
Rationale: The ABC approach prioritizes airway, breathing, and
circulation because these are essential for immediate survival.
9. Which finding is most consistent with dehydration?
A. Moist mucous membranes
B. Bounding pulse
C. Poor skin turgor
D. Peripheral edema
TESTBANK BY CHRISTINE HENSHAW EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANNSWERS) Q&A 2027 |INSTANT DOWNLOAD PDF
1. Which action is most important when a nurse first enters a
patient's room before providing care?
A. Assess the patient's pain
B. Review the medication record
C. Perform hand hygiene
D. Obtain the patient's temperature
Answer: C. Perform hand hygiene
Rationale: Hand hygiene is the most effective basic measure for
preventing transmission of microorganisms during patient care.
2. Which assessment finding requires the nurse's immediate
attention?
A. Temperature of 37.2°C (99°F)
B. Respiratory rate of 8/min
C. Pulse of 78/min
D. Blood pressure of 118/72 mmHg
,Answer: B. Respiratory rate of 8/min
Rationale: Bradypnea can indicate respiratory depression and
inadequate ventilation and requires prompt assessment.
3. Which position is generally most appropriate for a patient
experiencing difficulty breathing?
A. Supine
B. Prone
C. High-Fowler's
D. Trendelenburg
Answer: C. High-Fowler's
Rationale: High-Fowler's positioning promotes lung expansion
and can decrease the work of breathing.
4. Which nursing action demonstrates the principle of patient-
centered care?
A. Making decisions for the patient
B. Incorporating the patient's preferences into the plan of care
C. Following routines without modification
D. Asking family members to make all decisions
Answer: B. Incorporating the patient's preferences into the
plan of care
Rationale: Patient-centered care recognizes the patient's
values, preferences, needs, and goals.
,5. Which statement best describes an objective assessment
finding?
A. “I feel dizzy.”
B. “My pain is severe.”
C. “I feel nauseated.”
D. “The patient's skin is warm and dry.”
Answer: D. “The patient's skin is warm and dry.”
Rationale: Objective data are observable or measurable by the
nurse.
6. A nurse asks, “Can you describe what brought you to the
hospital?” This is an example of which type of question?
A. Closed-ended
B. Leading
C. Open-ended
D. Multiple-choice
Answer: C. Open-ended
Rationale: Open-ended questions encourage patients to
provide detailed information in their own words.
7. Which intervention is most appropriate for preventing
pressure injuries in an immobile patient?
, A. Massage reddened bony prominences
B. Reposition the patient regularly
C. Keep the patient in one position
D. Limit fluid intake
Answer: B. Reposition the patient regularly
Rationale: Regular repositioning relieves prolonged pressure
and helps maintain tissue perfusion.
8. Which area is generally assessed first when performing an
initial assessment of an acutely ill patient?
A. Airway
B. Nutrition
C. Sleep pattern
D. Elimination
Answer: A. Airway
Rationale: The ABC approach prioritizes airway, breathing, and
circulation because these are essential for immediate survival.
9. Which finding is most consistent with dehydration?
A. Moist mucous membranes
B. Bounding pulse
C. Poor skin turgor
D. Peripheral edema
