Te
st Bank Questions, Chapter 1: Nursing Foundations
Test Bank Answer Key : Page 105 for All chapters
1. A client reports to the emergency department with ankle pain due to a minor
accident. By asking the client to describe the accident, which type of nursing skill is
the nurse using?
A. assessment skills
B. comforting skills
C. counseling skills
D. caring skills
2. One of the nursing achievements in the Crimean War was that the death rate of
soldiers dropped from 60% to 1%. Why did the death rate fall?
A. increased motivation among the soldiers
B. decreased rate of infection and gangrene
C. increased funds courtesy of donations from families
D. college-based education and training of nurses
3. A nurse is conducting an interview with a 40-year-old client who has been admitted
with chest pain. Which action by the nurse indicates active listening?
A. listening to the client silently
B. interrupting after each sentence
C. asking for clarifications and repetitions
D. talking about the nurse's own experience
4. A 50-year-old client reports to a primary care unit with an open wound due to a fall
in the bathroom. Which nursing action represents caring skills?
A. The nurse cleans the wound and applies a dressing to it.
B. The nurse inspects and examines the wound for swelling.
C. The nurse tells the client to use caution while on slippery surfaces.
D. The nurse informs the client that the wound is small and will heal easily.
5. A nursing student has begun a clinical placement at a large hospital that serves a
diverse population. The student, as a result of this experience, has acquired a new
appreciation for the profession, knowing that nursing combines art with science. What
is the clearest manifestation of the scientific basis for nursing?
A. mentoring students and junior nurses
B. providing evidence-based nursing care
C. maintaining an attitude of curiosity
D. participating in continuing educational activities
6. Beginning with Florence Nightingale, many definitions of nursing have been put
forth by individual nurses and by nursing organizations. Which statement describes an
aspect of the changes in these definitions over time?
A. drawing a clear distinction between the art of nursing and science of nursing
,B. definitions of nursing that have become narrower in scope over time
C. characterization of nursing as a discipline that is a distinct alternative to medical
treatment
D. definition of an independent health care practice that is not solely dependent on
health care providers
7. A team of nurses who provide care in a community hospital have been encouraged
to participate in continuing education activities. Why is continuing education needed
in nursing?
A. Continuing education helps to delineate the distinctions between nurses and health
care providers.
B. Continuing education increases the public visibility of individual nurses and the
nursing profession.
C. Continuing education has the potential to partially alleviate the nursing shortage.
D. Continuing education allows for safer division of labor on hospital units and more
effective delegation of tasks.
8. A nurse has completed a hospital-based educational program that has allowed the
nurse to become cross-trained. A nurse who is cross-trained is able to:
A. perform certain non-nursing duties in addition to traditional nursing duties.
B. adopt a work schedule that deviates from the normal shift rotation at the hospital.
C. orient new graduates and nursing students to the hospital.
D. retire with full benefits at an earlier date than a nurse who is not cross-trained.
9. A medical-surgical unit manager intends to have licensed practical nurses (LPNs) in
the unit administer intravenous push (IVP) medications. What source would the
manager contact to determine if this procedure is included in the scope of practice for
an LPN?
A. American Nurses Association (ANA)
B. state nurse practice act (NPA)
C. facility policies and procedures committee
D. National League for Nursing (NLN)
10. The nurse is caring for a client who cannot meet health needs independently.
Which action made by the nurse depicts concern and attachment?
A. telling the client, "I will be back in 15 minutes to change your dressing."
B. asking the client, "How are you today? I am really worried about you."
C. talking about diabetes and teaching the client how to perform foot care
D. organizing the work for the day and evaluating how the day went
11. A middle-aged nurse is concerned about a potential shortage of nurses when the
Baby Boomer generation retires. What proactive intervention can the nurse take to
address this anticipated deficit of nurses?
A. Develop a community program related to healthy nutrition and exercise.
B. Recruit more nurses to the acute care facility.
C. Encourage parents to immunize their children.
D. Lobby to increase the retirement age.
,12. The nurse is caring for a client at the end stage of life. The client is crying and
states to the nurse, "I just cannot believe I am going to be leaving my children without
a parent. I am not ready to go." Which response by the nurse demonstrates the
expression of empathy to the client?
A. "This is so sad and I feel so bad that you are in this situation."
B. "It sounds as though you are most concerned about how your children will feel."
C. "I am so sorry that I am crying with you when you need my support the most."
D. "This is just not fair at all; I do not understand why this is happening to you."
13. The nurse is delegating tasks to the unlicensed assistive personnel (UAP) prior to
beginning a shift on the acute care unit. Which task is appropriate to delegate to the
UAP?
A. starting an IV for a client with dehydration
B. inserting a nasogastric tube for a client with a small-bowel obstruction
C. assisting an older adult client with using the bedside commode
D. performing an assessment on a newly admitted client
Te
st Bank Questions, Chapter 2: Nursing Process
1. A client with HIV has been admitted to a health care facility. Which nursing
diagnosis should be the priority, keeping in mind the client's condition?
A. activity intolerance risk
B. inadequate coping risk
C. infection risk
D. altered nutrition risk
2. A client who has to undergo a parathyroidectomy is worried about possibly having
to wear a scarf around their neck after surgery. Which nursing diagnosis should the
nurse document in the care plan?
A. altered physical mobility risk associated with surgery
B. inadequate denial associated with poor coping mechanisms
C. altered body image associated with incision scar
D. injury risk associated with surgical outcomes
3. A nurse is giving postoperative care to a client after knee arthroplasty. What is a
possible short-term goal for this client?
A. The client will ambulate to a bedside chair with assistance from the nurse.
B. The client will return to performing activities of daily living.
C. The client will walk 1 mile briskly five times per week.
D. The client will not undergo repeat surgery.
4. A client is brought to the emergency department unconscious. The client's spouse
provides the previous medical files and points out that the client suddenly fell
unconscious after trying to get out of bed. Which is a primary source of information in
this case?
A. client's spouse
B. client's medical documents
, C. client's test results
D. client's assessment data
5. Which action is a priority role of the nurse when caring for a client with
collaborative problems?
A. assessing the client's understanding of risk factors
B. resolving health issues through independent nursing measures
C. reporting trends that suggest the development of complications
D. managing an emerging problem with the help of another nurse
6. A nurse is evaluating and revising the plan of care for a client with cardiac
catheterization. Which action should the nurse perform before revising a plan of care?
A. Discuss any lack of progress with the client.
B. Collect information on abnormal functions.
C. Identify the client's health-related problems.
D. Select appropriate nursing interventions.
7. Which action will the nurse perform in the assessment phase of the nursing
process?
A. Develop a plan to manage the client's health problems.
B. Identify a nursing concern based on a potential health risk.
C. Ask the client whether they have cultural preferences.
D. Determine whether the client's goals for wellness have been met.
8. The nurse demonstrates proper understanding of collaborative problems by making
which statement?
A. "A medical diagnosis of heart failure with the possible consequence of fluid in the
lungs could lead to the collaborative problem of pulmonary edema."
B. "The collaborative problem is the combination of the nursing diagnosis and the
medical diagnosis, once it is approved by the health care provider."
C. "A physiologic human need could possibly result in a collaborative nursing diagnosis
of altered swallowing."
D. "The client has reached the goals, because treatment was implemented
consistently, so nursing orders can be discontinued on the basis of collaborative
problems."
9. Which of the following is an example of a subjective finding that the nurse would
likely obtain when performing a review of systems (ROS)?
A. blood glucose level of 108 mg/dl (5.99 mmol/l)
B. client report of shooting pain up the left leg
C. grip weakness in the right hand
D. crackles in bilateral lung bases
10. The nurse is caring for a client who is suspected of having a kidney infection.
Which scenario involves the use of subjective data from the primary source?
A. The nurse tells the client to attempt to void.
B. The client tells the nurse that there is a burning sensation when voiding.
C. The health care provider prescribes medication to help the client void.
D. The client's spouse reports that the client experienced incontinence a few days ago.
st Bank Questions, Chapter 1: Nursing Foundations
Test Bank Answer Key : Page 105 for All chapters
1. A client reports to the emergency department with ankle pain due to a minor
accident. By asking the client to describe the accident, which type of nursing skill is
the nurse using?
A. assessment skills
B. comforting skills
C. counseling skills
D. caring skills
2. One of the nursing achievements in the Crimean War was that the death rate of
soldiers dropped from 60% to 1%. Why did the death rate fall?
A. increased motivation among the soldiers
B. decreased rate of infection and gangrene
C. increased funds courtesy of donations from families
D. college-based education and training of nurses
3. A nurse is conducting an interview with a 40-year-old client who has been admitted
with chest pain. Which action by the nurse indicates active listening?
A. listening to the client silently
B. interrupting after each sentence
C. asking for clarifications and repetitions
D. talking about the nurse's own experience
4. A 50-year-old client reports to a primary care unit with an open wound due to a fall
in the bathroom. Which nursing action represents caring skills?
A. The nurse cleans the wound and applies a dressing to it.
B. The nurse inspects and examines the wound for swelling.
C. The nurse tells the client to use caution while on slippery surfaces.
D. The nurse informs the client that the wound is small and will heal easily.
5. A nursing student has begun a clinical placement at a large hospital that serves a
diverse population. The student, as a result of this experience, has acquired a new
appreciation for the profession, knowing that nursing combines art with science. What
is the clearest manifestation of the scientific basis for nursing?
A. mentoring students and junior nurses
B. providing evidence-based nursing care
C. maintaining an attitude of curiosity
D. participating in continuing educational activities
6. Beginning with Florence Nightingale, many definitions of nursing have been put
forth by individual nurses and by nursing organizations. Which statement describes an
aspect of the changes in these definitions over time?
A. drawing a clear distinction between the art of nursing and science of nursing
,B. definitions of nursing that have become narrower in scope over time
C. characterization of nursing as a discipline that is a distinct alternative to medical
treatment
D. definition of an independent health care practice that is not solely dependent on
health care providers
7. A team of nurses who provide care in a community hospital have been encouraged
to participate in continuing education activities. Why is continuing education needed
in nursing?
A. Continuing education helps to delineate the distinctions between nurses and health
care providers.
B. Continuing education increases the public visibility of individual nurses and the
nursing profession.
C. Continuing education has the potential to partially alleviate the nursing shortage.
D. Continuing education allows for safer division of labor on hospital units and more
effective delegation of tasks.
8. A nurse has completed a hospital-based educational program that has allowed the
nurse to become cross-trained. A nurse who is cross-trained is able to:
A. perform certain non-nursing duties in addition to traditional nursing duties.
B. adopt a work schedule that deviates from the normal shift rotation at the hospital.
C. orient new graduates and nursing students to the hospital.
D. retire with full benefits at an earlier date than a nurse who is not cross-trained.
9. A medical-surgical unit manager intends to have licensed practical nurses (LPNs) in
the unit administer intravenous push (IVP) medications. What source would the
manager contact to determine if this procedure is included in the scope of practice for
an LPN?
A. American Nurses Association (ANA)
B. state nurse practice act (NPA)
C. facility policies and procedures committee
D. National League for Nursing (NLN)
10. The nurse is caring for a client who cannot meet health needs independently.
Which action made by the nurse depicts concern and attachment?
A. telling the client, "I will be back in 15 minutes to change your dressing."
B. asking the client, "How are you today? I am really worried about you."
C. talking about diabetes and teaching the client how to perform foot care
D. organizing the work for the day and evaluating how the day went
11. A middle-aged nurse is concerned about a potential shortage of nurses when the
Baby Boomer generation retires. What proactive intervention can the nurse take to
address this anticipated deficit of nurses?
A. Develop a community program related to healthy nutrition and exercise.
B. Recruit more nurses to the acute care facility.
C. Encourage parents to immunize their children.
D. Lobby to increase the retirement age.
,12. The nurse is caring for a client at the end stage of life. The client is crying and
states to the nurse, "I just cannot believe I am going to be leaving my children without
a parent. I am not ready to go." Which response by the nurse demonstrates the
expression of empathy to the client?
A. "This is so sad and I feel so bad that you are in this situation."
B. "It sounds as though you are most concerned about how your children will feel."
C. "I am so sorry that I am crying with you when you need my support the most."
D. "This is just not fair at all; I do not understand why this is happening to you."
13. The nurse is delegating tasks to the unlicensed assistive personnel (UAP) prior to
beginning a shift on the acute care unit. Which task is appropriate to delegate to the
UAP?
A. starting an IV for a client with dehydration
B. inserting a nasogastric tube for a client with a small-bowel obstruction
C. assisting an older adult client with using the bedside commode
D. performing an assessment on a newly admitted client
Te
st Bank Questions, Chapter 2: Nursing Process
1. A client with HIV has been admitted to a health care facility. Which nursing
diagnosis should be the priority, keeping in mind the client's condition?
A. activity intolerance risk
B. inadequate coping risk
C. infection risk
D. altered nutrition risk
2. A client who has to undergo a parathyroidectomy is worried about possibly having
to wear a scarf around their neck after surgery. Which nursing diagnosis should the
nurse document in the care plan?
A. altered physical mobility risk associated with surgery
B. inadequate denial associated with poor coping mechanisms
C. altered body image associated with incision scar
D. injury risk associated with surgical outcomes
3. A nurse is giving postoperative care to a client after knee arthroplasty. What is a
possible short-term goal for this client?
A. The client will ambulate to a bedside chair with assistance from the nurse.
B. The client will return to performing activities of daily living.
C. The client will walk 1 mile briskly five times per week.
D. The client will not undergo repeat surgery.
4. A client is brought to the emergency department unconscious. The client's spouse
provides the previous medical files and points out that the client suddenly fell
unconscious after trying to get out of bed. Which is a primary source of information in
this case?
A. client's spouse
B. client's medical documents
, C. client's test results
D. client's assessment data
5. Which action is a priority role of the nurse when caring for a client with
collaborative problems?
A. assessing the client's understanding of risk factors
B. resolving health issues through independent nursing measures
C. reporting trends that suggest the development of complications
D. managing an emerging problem with the help of another nurse
6. A nurse is evaluating and revising the plan of care for a client with cardiac
catheterization. Which action should the nurse perform before revising a plan of care?
A. Discuss any lack of progress with the client.
B. Collect information on abnormal functions.
C. Identify the client's health-related problems.
D. Select appropriate nursing interventions.
7. Which action will the nurse perform in the assessment phase of the nursing
process?
A. Develop a plan to manage the client's health problems.
B. Identify a nursing concern based on a potential health risk.
C. Ask the client whether they have cultural preferences.
D. Determine whether the client's goals for wellness have been met.
8. The nurse demonstrates proper understanding of collaborative problems by making
which statement?
A. "A medical diagnosis of heart failure with the possible consequence of fluid in the
lungs could lead to the collaborative problem of pulmonary edema."
B. "The collaborative problem is the combination of the nursing diagnosis and the
medical diagnosis, once it is approved by the health care provider."
C. "A physiologic human need could possibly result in a collaborative nursing diagnosis
of altered swallowing."
D. "The client has reached the goals, because treatment was implemented
consistently, so nursing orders can be discontinued on the basis of collaborative
problems."
9. Which of the following is an example of a subjective finding that the nurse would
likely obtain when performing a review of systems (ROS)?
A. blood glucose level of 108 mg/dl (5.99 mmol/l)
B. client report of shooting pain up the left leg
C. grip weakness in the right hand
D. crackles in bilateral lung bases
10. The nurse is caring for a client who is suspected of having a kidney infection.
Which scenario involves the use of subjective data from the primary source?
A. The nurse tells the client to attempt to void.
B. The client tells the nurse that there is a burning sensation when voiding.
C. The health care provider prescribes medication to help the client void.
D. The client's spouse reports that the client experienced incontinence a few days ago.
