Test Bank For Mosby's Essentials for Nursing
exam Questions and Correct Answers (Verified
Answers) Plus Rationale 2027 Q&A| Instant
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1. Which nursing action best demonstrates the principle of patient-
centered care?
A. Completing all care according to the nurse's preferred schedule
B. Making decisions for the patient without consultation
C. Involving the patient in decisions about their care
D. Asking the patient's family to make all health decisions
Rationale: Patient-centered care recognizes the patient as an active
participant in healthcare decisions. Nurses should respect the patient's
preferences, values, needs, and right to make informed choices.
2. Which assessment finding should the nurse recognize as an
objective datum?
,A. "I feel dizzy."
B. "My pain is severe."
C. "I am nauseated."
D. Blood pressure is 148/92 mm Hg
Rationale: Objective data are observable or measurable findings
obtained through assessment, examination, or diagnostic testing.
Blood pressure is measurable, whereas the other statements
represent subjective symptoms reported by the patient.
3. Which action is most appropriate when performing hand hygiene
with soap and water?
A. Rinse the hands before applying soap
B. Rub all hand surfaces thoroughly with soap and water
C. Dry the hands before rinsing
D. Touch the sink immediately after washing
Rationale: Effective hand hygiene requires friction and coverage of all
hand surfaces, followed by thorough rinsing and drying. Avoiding
contact with contaminated surfaces afterward helps prevent
recontamination.
4. Which position is generally most appropriate for a patient
experiencing difficulty breathing?
,A. Supine
B. Prone
C. High-Fowler's
D. Trendelenburg
Rationale: High-Fowler's position elevates the upper body and
promotes maximum lung expansion. It is commonly used to improve
ventilation in patients experiencing respiratory difficulty.
5. Which nursing intervention is most appropriate for preventing
pressure injuries in an immobile patient?
A. Massage reddened areas vigorously
B. Keep the patient in one position
C. Reposition the patient regularly and relieve pressure over bony
prominences
D. Restrict fluid intake
Rationale: Frequent repositioning and pressure redistribution are
fundamental to preventing pressure injuries. Reddened areas should
not be vigorously massaged because tissue damage may already be
present.
6. Which assessment finding is most consistent with dehydration?
, A. Bounding pulse
B. Moist mucous membranes
C. Peripheral edema
D. Dry mucous membranes
Rationale: Dehydration commonly causes dry mucous membranes,
thirst, decreased urine output, and other signs of reduced fluid
volume. Edema and bounding pulses are more commonly associated
with excess fluid volume.
7. What is the primary purpose of obtaining a nursing health
history?
A. To replace the physical examination
B. To determine the patient's insurance status
C. To collect information relevant to the patient's health and care
needs
D. To establish the physician's diagnosis
Rationale: The health history provides subjective information about
the patient's health status, symptoms, medications, lifestyle, and
concerns. This information supports comprehensive nursing
assessment and care planning.
8. Which pulse site is commonly used to assess circulation in the
lower extremity?
exam Questions and Correct Answers (Verified
Answers) Plus Rationale 2027 Q&A| Instant
Download Pdf
1. Which nursing action best demonstrates the principle of patient-
centered care?
A. Completing all care according to the nurse's preferred schedule
B. Making decisions for the patient without consultation
C. Involving the patient in decisions about their care
D. Asking the patient's family to make all health decisions
Rationale: Patient-centered care recognizes the patient as an active
participant in healthcare decisions. Nurses should respect the patient's
preferences, values, needs, and right to make informed choices.
2. Which assessment finding should the nurse recognize as an
objective datum?
,A. "I feel dizzy."
B. "My pain is severe."
C. "I am nauseated."
D. Blood pressure is 148/92 mm Hg
Rationale: Objective data are observable or measurable findings
obtained through assessment, examination, or diagnostic testing.
Blood pressure is measurable, whereas the other statements
represent subjective symptoms reported by the patient.
3. Which action is most appropriate when performing hand hygiene
with soap and water?
A. Rinse the hands before applying soap
B. Rub all hand surfaces thoroughly with soap and water
C. Dry the hands before rinsing
D. Touch the sink immediately after washing
Rationale: Effective hand hygiene requires friction and coverage of all
hand surfaces, followed by thorough rinsing and drying. Avoiding
contact with contaminated surfaces afterward helps prevent
recontamination.
4. Which position is generally most appropriate for a patient
experiencing difficulty breathing?
,A. Supine
B. Prone
C. High-Fowler's
D. Trendelenburg
Rationale: High-Fowler's position elevates the upper body and
promotes maximum lung expansion. It is commonly used to improve
ventilation in patients experiencing respiratory difficulty.
5. Which nursing intervention is most appropriate for preventing
pressure injuries in an immobile patient?
A. Massage reddened areas vigorously
B. Keep the patient in one position
C. Reposition the patient regularly and relieve pressure over bony
prominences
D. Restrict fluid intake
Rationale: Frequent repositioning and pressure redistribution are
fundamental to preventing pressure injuries. Reddened areas should
not be vigorously massaged because tissue damage may already be
present.
6. Which assessment finding is most consistent with dehydration?
, A. Bounding pulse
B. Moist mucous membranes
C. Peripheral edema
D. Dry mucous membranes
Rationale: Dehydration commonly causes dry mucous membranes,
thirst, decreased urine output, and other signs of reduced fluid
volume. Edema and bounding pulses are more commonly associated
with excess fluid volume.
7. What is the primary purpose of obtaining a nursing health
history?
A. To replace the physical examination
B. To determine the patient's insurance status
C. To collect information relevant to the patient's health and care
needs
D. To establish the physician's diagnosis
Rationale: The health history provides subjective information about
the patient's health status, symptoms, medications, lifestyle, and
concerns. This information supports comprehensive nursing
assessment and care planning.
8. Which pulse site is commonly used to assess circulation in the
lower extremity?
