12th Edition by Patricia A. Potter, Anne
G. Perry 100% Verified Questions and
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Fundamentals of Nursing
Practice Multiple-Choice Questions
Question 1
A nurse is preparing to assess a newly admitted patient. Which
action should the nurse perform first?
A. Review the patient's laboratory results
B. Obtain the patient's complete medical history
C. Assess the patient's airway and breathing
D. Document the patient's medication history
Answer: C. Assess the patient's airway and breathing
Airway and breathing are immediate priorities when assessing a
patient. The nurse should first identify and address problems that
threaten life before addressing less urgent needs.
Question 2
Which nursing action best demonstrates the principle of standard
precautions?
,A. Wearing gloves only when caring for patients with infections
B. Treating all blood and body fluids as potentially infectious
C. Wearing an N95 respirator for every patient interaction
D. Placing every patient in a private isolation room
_Answer: B. Treating all blood and body fluids as potentially
infectious
Standard precautions are used for all patients and are based on the
assumption that blood and certain body fluids may contain
infectious microorganisms. Appropriate personal protective
equipment is selected according to the anticipated exposure.
Question 3
A patient reports pain rated 8 out of 10. Which nursing response
is most appropriate?
A. "You don't appear to be experiencing severe pain."
B. "Pain rated 8 out of 10 is considered severe."
C. "You should wait until the pain becomes unbearable."
D. "I'll document your pain after I finish my other tasks."
Answer: B. "Pain rated 8 out of 10 is considered severe."
Pain is subjective, and the patient's self-report is the primary source
for assessing pain intensity. A rating of 8 on a 0-to-10 scale
generally indicates severe pain and should prompt appropriate
assessment and intervention.
,Question 4
Which intervention is most effective for reducing the transmission
of microorganisms in healthcare settings?
A. Wearing a surgical mask during all patient interactions
B. Performing hand hygiene at appropriate times
C. Administering antibiotics prophylactically
D. Keeping patients in their rooms at all times
_Answer: B. Performing hand hygiene at appropriate times
Hand hygiene is one of the most important measures for preventing
the transmission of microorganisms in healthcare settings. It should
be performed before and after appropriate patient-care activities
and whenever indicated.
Question 5
A nurse is developing a care plan with a patient. Which action
best demonstrates patient-centered care?
A. Making decisions based entirely on the nurse's preferences
B. Providing the same intervention to every patient with the same
diagnosis
C. Incorporating the patient's preferences, values, and goals into
care
D. Asking the patient's family to make all healthcare decisions
_Answer: C. Incorporating the patient's preferences, values,
and goals into care
, Patient-centered care recognizes the patient as an active
participant in healthcare decisions. Nursing interventions should
consider the patient's individual preferences, values, needs, and
goals.
Question 6
Which finding should the nurse recognize as requiring immediate
attention?
A. Respiratory rate of 8 breaths/minute
B. Temperature of 37.2°C (99.0°F)
C. Pulse rate of 78 beats/minute
D. Blood pressure of 118/72 mmHg
_Answer: A. Respiratory rate of 8 breaths/minute
A respiratory rate of 8 breaths/minute represents significant
respiratory depression in an adult and requires prompt assessment
and intervention. The other findings are within commonly accepted
adult reference ranges.
Question 7
A nurse is teaching a patient how to use an incentive spirometer.
Which instruction is appropriate?
A. "Exhale forcefully into the device."
B. "Inhale slowly and deeply through the mouthpiece."