Test Bank – Timby’s Fundamental Nursing Skills and
Concepts 13th Edition Loretta A Donnelly-Moreno,
2026. All Chapters 1-38
,TABLE OF CONTENTS
UNIT 1: Exploring Contemporary Nursing
1.Nursing Foundations
2.Nursing Process
UNIT 2: Integrating Basic Concepts
3. Laws and Ethics
4. Health and Illness
5. Homeostasis, Adaptation, and Stress
6. Culture and Ethnicity
UNIT 3: Fostering Communication
7. The Nurse-Client Relationship
8. Client Teaching
9. Recording and Reporting
UNIT 4: Performing Basic Client Care
10. Asepsis
11. Admission, Discharge, Transfer, and Referrals
12. Vital Signs
13. Physical Assessment
2
,14. Special Examinations and Tests
UNIT 5: Assisting With Basic Needs
15. Nutrition
16. Fluid and Chemical Balance
17. Hygiene
18. Comfort, Rest, and Sleep
19. Safety
20. Pain Management
21. Oxygenation
22. Infection Control
UNIT 6: Assisting the Inactive Client
23. Body Mechanics, Positioning, and Moving
24. Fitness and Therapeutic Exercise
25. Mechanical Immobilization
26. Ambulatory Aids
UNIT 7: The Surgical Client
27. Perioperative Care
28. Wound Care
3
,29. Gastrointestinal Intubation
UNIT 8: Promoting Elimination
30. Urinary Elimination
31. Bowel Elimination
UNIT 9: Medication Administration
32. Oral Medications
33. Topical and Inhalant Medications
34. Parenteral Medications
35. Intravenous Medications
UNIT 10: Intervening in Emergency Situations
36. Airway Management
37. Resuscitation
UNIT 11: Caring for the Terminally Ill
38. End-of-Life Care
4
,1. A client reports to the emergency department with ankle pain due to a minor road 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
Answer: A
Rationale: By asking the client to describe the accident, the nurse is using assessment skills to
collect more information about the client's condition. The nurse is interviewing the client to
collect related data. The nurse is not using comforting skills, as the nurse is not providing any
emotional support. The counseling skills of the nurse are also not used, as no health education
is provided. Caring skills include assistance provided with the activities of daily living, which
is not applicable in this scenario.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 15
2. One of the nursing achievements in the Crimean War was that the death rate of soldiers
dropped from 60% to 1%. What is the most appropriate reason for the fall in the death rate?
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
Answer: B
Rationale: During the Crimean War, the death rate of British soldiers was 60%, which
dropped to 1% due to the nursing care provided. The nurses improved the ventilation,
nutritional, and sanitary conditions of the soldiers, leading to decreased rates of infection and
gangrene. As a result, the death rate dropped. The families and the soldiers donated funds
after the war, not during the war, through which an organized education and training facility
for nurses was started.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Safety and Infection Control
Integrated Process: Nursing Process
Reference: p. 3
3. A nurse at a health care facility provides information, assistance, and encouragement to
clients during the various phases of nursing care. In which activity does the nurse use
counseling skills?
A. educating a group of young girls about AIDS
B. telling a client to localize the pain in his abdomen
C. encouraging a client to walk without support
,D. assisting a lactating mother in feeding her child
Answer: A
Rationale: The activity of educating a group of young girls about AIDS is based on the nurse
using counseling skills. Telling a client to localize his pain is an assessment skill.
Encouraging a client to walk without support can be both a comforting skill and a caring
skill. Assisting a lactating mother in feeding her baby is an example of a caring skill.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
Client Needs: Safe, Effective Care Environment: Management of Care
Client Needs: Health Promotion and Maintenance
Client Needs Pn: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 15
4. A nurse is conducting an interview of a 40-year-old client who is 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
Answer: C
Rationale: Active listening is an important component of counseling skills. It encourages the
client to open up and express their concerns. The nurse may ask the client to repeat and
clarify statements. Interrupting after every sentence may annoy the client. When the nurse
listens to the client silently, the client may feel that the nurse is not interested. On the other
hand, if the nurse talks about the nurse's own experience, the focus of the session shifts to the
nurse rather than to the client.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Caring
Reference: p. 15
5. A student wants to attend a nursing program that prepares its graduates for both staff and
managerial positions. Which type of nursing program should the nurse suggest for this
student?
A. hospital-based diploma
B. baccalaureate nursing program
C. associate degree program
D. continuing nursing program
Answer: B
, Rationale: Baccalaureate-prepared nurses have the greatest potential for qualifying for
nursing positions at both staff and managerial levels. Hospital-based diploma programs are 3-
year courses and provide maximum exposure to clinical nursing. Students becoming nurses
through the associate degree program would not be expected to work in a management
position. Continuing nursing programs are on-the-job educational programs.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning
Reference: p. 11
6. A client is brought to the emergency department with a head injury following an all-terrain
vehicle (ATV) accident. The nurse asks the family members to describe how the accident
occurred. The nurse is implementing which type of skill?
A. assessment skills
B. caring skills
C. counseling skills
D. comforting skills
Answer: A
Rationale: The immediate requirement when a client is brought to the emergency department
with a head injury is to assess the injury and the system affected, as well as a description of
how the accident occurred. This requires implementation of assessment skills. Subsequently,
the nurse can implement caring skills, counseling skills, and comforting skills; however,
assessment should be the priority.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 15
7. Training schools for nurses were established in the United States after the Civil War. The
standards of U.S. schools deviated from those of the Nightingale paradigm. Which statement
is true about U.S. training schools?
A. Training schools were affiliated with a few select hospitals.
B. Training of nurses provided no financial advantages to the hospital.
C. Training was formal, based on nursing care.
D. Training schools eliminated the need to pay employees.
Answer: D
Rationale: Training schools in the United States profited by eliminating the need to pay
employees because students worked without pay in return for training, which usually
consisted of chores. U.S. training schools were established by any hospital; there was no
formal training. Training was an outcome of work, which eliminated the need to pay
employees. Nightingale training schools were affiliated with a few select hospitals, training
Concepts 13th Edition Loretta A Donnelly-Moreno,
2026. All Chapters 1-38
,TABLE OF CONTENTS
UNIT 1: Exploring Contemporary Nursing
1.Nursing Foundations
2.Nursing Process
UNIT 2: Integrating Basic Concepts
3. Laws and Ethics
4. Health and Illness
5. Homeostasis, Adaptation, and Stress
6. Culture and Ethnicity
UNIT 3: Fostering Communication
7. The Nurse-Client Relationship
8. Client Teaching
9. Recording and Reporting
UNIT 4: Performing Basic Client Care
10. Asepsis
11. Admission, Discharge, Transfer, and Referrals
12. Vital Signs
13. Physical Assessment
2
,14. Special Examinations and Tests
UNIT 5: Assisting With Basic Needs
15. Nutrition
16. Fluid and Chemical Balance
17. Hygiene
18. Comfort, Rest, and Sleep
19. Safety
20. Pain Management
21. Oxygenation
22. Infection Control
UNIT 6: Assisting the Inactive Client
23. Body Mechanics, Positioning, and Moving
24. Fitness and Therapeutic Exercise
25. Mechanical Immobilization
26. Ambulatory Aids
UNIT 7: The Surgical Client
27. Perioperative Care
28. Wound Care
3
,29. Gastrointestinal Intubation
UNIT 8: Promoting Elimination
30. Urinary Elimination
31. Bowel Elimination
UNIT 9: Medication Administration
32. Oral Medications
33. Topical and Inhalant Medications
34. Parenteral Medications
35. Intravenous Medications
UNIT 10: Intervening in Emergency Situations
36. Airway Management
37. Resuscitation
UNIT 11: Caring for the Terminally Ill
38. End-of-Life Care
4
,1. A client reports to the emergency department with ankle pain due to a minor road 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
Answer: A
Rationale: By asking the client to describe the accident, the nurse is using assessment skills to
collect more information about the client's condition. The nurse is interviewing the client to
collect related data. The nurse is not using comforting skills, as the nurse is not providing any
emotional support. The counseling skills of the nurse are also not used, as no health education
is provided. Caring skills include assistance provided with the activities of daily living, which
is not applicable in this scenario.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 15
2. One of the nursing achievements in the Crimean War was that the death rate of soldiers
dropped from 60% to 1%. What is the most appropriate reason for the fall in the death rate?
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
Answer: B
Rationale: During the Crimean War, the death rate of British soldiers was 60%, which
dropped to 1% due to the nursing care provided. The nurses improved the ventilation,
nutritional, and sanitary conditions of the soldiers, leading to decreased rates of infection and
gangrene. As a result, the death rate dropped. The families and the soldiers donated funds
after the war, not during the war, through which an organized education and training facility
for nurses was started.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Safety and Infection Control
Integrated Process: Nursing Process
Reference: p. 3
3. A nurse at a health care facility provides information, assistance, and encouragement to
clients during the various phases of nursing care. In which activity does the nurse use
counseling skills?
A. educating a group of young girls about AIDS
B. telling a client to localize the pain in his abdomen
C. encouraging a client to walk without support
,D. assisting a lactating mother in feeding her child
Answer: A
Rationale: The activity of educating a group of young girls about AIDS is based on the nurse
using counseling skills. Telling a client to localize his pain is an assessment skill.
Encouraging a client to walk without support can be both a comforting skill and a caring
skill. Assisting a lactating mother in feeding her baby is an example of a caring skill.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
Client Needs: Safe, Effective Care Environment: Management of Care
Client Needs: Health Promotion and Maintenance
Client Needs Pn: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 15
4. A nurse is conducting an interview of a 40-year-old client who is 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
Answer: C
Rationale: Active listening is an important component of counseling skills. It encourages the
client to open up and express their concerns. The nurse may ask the client to repeat and
clarify statements. Interrupting after every sentence may annoy the client. When the nurse
listens to the client silently, the client may feel that the nurse is not interested. On the other
hand, if the nurse talks about the nurse's own experience, the focus of the session shifts to the
nurse rather than to the client.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Caring
Reference: p. 15
5. A student wants to attend a nursing program that prepares its graduates for both staff and
managerial positions. Which type of nursing program should the nurse suggest for this
student?
A. hospital-based diploma
B. baccalaureate nursing program
C. associate degree program
D. continuing nursing program
Answer: B
, Rationale: Baccalaureate-prepared nurses have the greatest potential for qualifying for
nursing positions at both staff and managerial levels. Hospital-based diploma programs are 3-
year courses and provide maximum exposure to clinical nursing. Students becoming nurses
through the associate degree program would not be expected to work in a management
position. Continuing nursing programs are on-the-job educational programs.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning
Reference: p. 11
6. A client is brought to the emergency department with a head injury following an all-terrain
vehicle (ATV) accident. The nurse asks the family members to describe how the accident
occurred. The nurse is implementing which type of skill?
A. assessment skills
B. caring skills
C. counseling skills
D. comforting skills
Answer: A
Rationale: The immediate requirement when a client is brought to the emergency department
with a head injury is to assess the injury and the system affected, as well as a description of
how the accident occurred. This requires implementation of assessment skills. Subsequently,
the nurse can implement caring skills, counseling skills, and comforting skills; however,
assessment should be the priority.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 15
7. Training schools for nurses were established in the United States after the Civil War. The
standards of U.S. schools deviated from those of the Nightingale paradigm. Which statement
is true about U.S. training schools?
A. Training schools were affiliated with a few select hospitals.
B. Training of nurses provided no financial advantages to the hospital.
C. Training was formal, based on nursing care.
D. Training schools eliminated the need to pay employees.
Answer: D
Rationale: Training schools in the United States profited by eliminating the need to pay
employees because students worked without pay in return for training, which usually
consisted of chores. U.S. training schools were established by any hospital; there was no
formal training. Training was an outcome of work, which eliminated the need to pay
employees. Nightingale training schools were affiliated with a few select hospitals, training
