Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
TEST BANK
FUNDAMENTALS OF NURSING
Patricia A. Potter, Anne G. Perry, Patricia A. Stockert, Amy Hall
9th Edition
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
Table of Contents:
1. Nursing Today
2. Health Care Delivery System
3. Community-Based Nursing Practice
4. Theoretical Foundations of Nursing Practice
5. Evidence-Based Practice
6. Health and Wellness
7. Caring in Nursing Practice
8. Caring for Patients with Chronic Illness
9. Cultural Competence
10. Family Dynamics
11. Developmental Theories
12. Conception Through Adolescence
13. Young and Middle Adults
14. Older Adults
15. Critical Thinking and Clinical Judgment
16. Nursing Assessment
17. Analysis and Nursing Diagnosis
18. Planning and Outcomes Identification in Nursing Care
19. Implementing Nursing Care
20. Evaluation
21. Managing Patient Care
22. Ethics and Values
23. Legal Implications in Nursing Practice
24. Communication
25. Patient Education
26. Informatics and Documentation
27. Patient Safety and Quality
28. Infection Prevention and Control
29. Vital Signs
30. Health Assessment and Physical Examination
31. Medication Administration
32. Complementary, Alternative, and Integrative Therapies
33. Self-Concept
34. Sexuality
35. Spiritual Health
36. Loss and Grief
37. Stress and Coping
38. Activity and Exercise
39. Immobility
40. Hygiene
41. Oxygenation
42. Fluid, Electrolyte, Acid-Base Balance
43. Sleep
44. Pain Management
45. Nutrition
46. Urinary Elimination
47. Bowel Elimination
48. Skin Integrity and Wound Care
49. Sensory Alterations
50. Perioperative Nursing Care
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
01: Nursing Today
Chapter 01: Nursing Today
Potter et al.: Fundamentals of Nursing, 9th Edition
MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after
Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was
instrumental in moving nursing education into universities. Clara Barton founded the American Red
Cross. Lillian Wald helped open the Henry Street Settlement.
DIF:Understand (comprehension)REF:5
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
nursing practice is the nurse following?
a. Assessment
b. Diagnosis
c. Planning
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
d. Implementation
ANS: C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to attain
expected outcomes. During assessment, the registered nurse collects comprehensive data pertinent to
the patient’s health and/or the situation. In diagnosis, the registered nurse analyzes the assessment
data to determine the diagnoses or issues. During implementation, the registered nurse implements
(carries out) the identified plan.
DIF:Understand (comprehension)REF:2
OBJ: Discuss the development of professional nursing roles. TOP: Planning
MSC:Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is
the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANS: A
A beginning nursing student or any nurse entering a situation in which there is no previous level of
experience (e.g., an experienced operating room nurse chooses to now practice in home health) is an
example of a novice nurse. A proficient nurse perceives a patient’s clinical situation as a whole, is
able to assess an entire situation, and can readily transfer knowledge gained from multiple previous
experiences to a situation. A competent nurse understands the organization and specific care required
by the type of patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a competent
practitioner who is able to anticipate nursing care and establish long-range goals. A nurse who has
had some level of experience with the situation is an advanced beginner. This experience may only
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
be observational in nature, but the nurse is able to identify meaningful aspects or principles of
nursing care.
DIF:Apply (application)REF:2
OBJ: Discuss the development of professional nursing roles. TOP: Evaluation
MSC:Management of Care
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids. The
nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of independent
nursing interventions without medical orders. To obtain licensure in the United States, the RN
candidate must pass the NCLEX-RN®. Beyond the NCLEX-RN®, the nurse may choose to work
toward certification in a specific area of nursing practice. Accountability means that you are
responsible, professionally and legally, for the type and quality of nursing care provided.
DIF:Apply (application)REF:3
OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC:Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
b. Manager
c. Advocate
d. Caregiver
ANS: B
A manager coordinates the activities of members of the nursing staff in delivering nursing care and
has personnel, policy, and budgetary responsibility for a specific nursing unit or facility. As an
educator, you explain concepts and facts about health, describe the reason for routine care activities,
demonstrate procedures such as self-care activities, reinforce learning or patient behavior, and
evaluate the patient’s progress in learning. As a patient advocate, you protect your patient’s human
and legal rights and provide assistance in asserting these rights if the need arises. As a caregiver, you
help patients maintain and regain health, manage disease and symptoms, and attain a maximal level
function and independence through the healing process.
DIF:Apply (application)REF:4
OBJ: Describe the roles and career opportunities for nurses. TOP: Implementation
MSC:Management of Care
6. The nurse has been working in the clinical setting for several years as an advanced practice nurse.
However, the nurse has a strong desire to pursue research and theory development. To fulfill this
desire, which program should the nurse attend?
a. Doctor of Nursing Science degree (DNSc)
b. Doctor of Philosophy degree (PhD)
c. Doctor of Nursing Practice degree (DNP)
d. Doctor in the Science of Nursing degree (DSN)
ANS: B
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
Some doctoral programs prepare nurses for more rigorous research and theory development and
award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral programs
in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical nursing. The DNP
is a practice doctorate that prepares advanced practice nurses such as nurse practitioners.
DIF:Understand (comprehension)REF:10
OBJ: Describe educational programs available for professional registered nurse (RN) education.
TOP:Teaching/LearningMSC:Management of Care
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
Association. Which type of education did the nurse receive?
a. Graduate education
b. Inservice education
c. Continuing education
d. Registered nurse education
ANS: C
Continuing education involves formal, organized educational programs offered by universities,
hospitals, state nurses associations, professional nursing organizations, and educational and health
care institutions. After obtaining a baccalaureate degree in nursing, you can pursue graduate
education leading to a master’s or doctoral degree in any number of graduate fields, including
nursing. Inservice education programs are instruction or training provided by a health care facility or
institution. Registered nurse education is the education preparation for an individual intending to be
an RN.
DIF:Apply (application)REF:10
OBJ: Describe educational programs available for professional registered nurse (RN) education.
TOP:Teaching/LearningMSC:Management of Care
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education for
Nurses (QSEN) competency is the nurse demonstrating?
a. Safety
b.
Patient-centered care
c. Quality improvement
d.
Teamwork and collaboration
ANS: C
Quality improvement identifies gaps between local and best practices. Safety minimizes risk of harm
to patients and providers through both system effectiveness and individual performance. Patient-
centered care recognizes the patient or designee as the source of control and full partner in providing
compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
Teamwork and collaboration allows effective functioning within nursing and interprofessional teams,
fostering open communication, mutual respect, and shared decision making.
DIF:Understand (comprehension)REF:7 | 8
OBJ: Describe the roles and career opportunities for nurses. TOP: Evaluation
MSC:Management of Care
9. A nurse has compassion fatigue. What is the nurse experiencing?
a. Lateral violence and intrapersonal conflict
b. Burnout and secondary traumatic stress
c. Short-term grief and single stressor
d. Physical and mental exhaustion
ANS: B
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic stress.
Compassion fatigue may contribute to what is described as lateral violence (nurse-nurse interactions,
not intrapersonal). Frequent, intense, or prolonged exposure to grief and loss places nurses at risk for
developing compassion fatigue. Stressors, not a single stressor, contribute to compassion fatigue.
Physical and mental exhaustion describes burnout only.
DIF:Understand (comprehension)REF:6
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Assessment MSC: Health Promotion and Maintenance
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient
tells the nurse, “I have no idea what is going to happen. I couldn’t ask any questions.” The nurse does
not allow the patient to sign the permit and notifies the health care provider of the situation. Which
role is the nurse displaying?
a. Manager
b. Patient educator
c. Patient advocate
d. Clinical nurse specialist
ANS: C
As a patient advocate, the nurse protects the patient’s human and legal rights, including the right of
the patient to understand procedures before signing permits. Although nurses can be educators, it is
the responsibility of the surgeon to provide education for the patient in preparation for surgery, and it
is the nurse’s responsibility to notify the health care provider if the patient is not properly educated.
Managers coordinate the activities of members of the nursing staff in delivering nursing care, and
clinical nurse specialists are experts in a specialized area of nursing practice in a variety of settings.
DIF:Apply (application)REF:3
OBJ: Describe the roles and career opportunities for nurses. TOP: Evaluation
MSC:Management of Care
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
11. The patient requires routine gynecological services after giving birth to her son, and while seeing
the nurse-midwife, the patient asks for a referral to a pediatrician for the newborn. Which action
should the nurse-midwife take initially?
a. Provide the referral as requested.
b. Offer to provide the newborn care.
c. Refer the patient to the supervising provider.
d. Tell the patient that is not allowed to make referrals.
ANS: B
The practice of nurse-midwifery involves providing independent care for women during normal
pregnancy, labor, and delivery, as well as care for the newborn. After being apprised of the
midwifery role, if the patient insists on seeing a pediatrician, the nurse-midwife should provide the
referral. The supervising provider is an obstetric provider, not a pediatrician. A nurse-midwife can
make referrals.
DIF:Analyze (analysis)REF:4
OBJ: Describe the roles and career opportunities for nurses. TOP: Implementation
MSC:Management of Care
12. The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity
is appropriate for a CRNA?
a. Manages gynecological services such as PAP smears
b. Works under the guidance of an anesthesiologist
c. Obtains a PhD degree in anesthesiology
d. Coordinates acute medical conditions
TEST BANK
FUNDAMENTALS OF NURSING
Patricia A. Potter, Anne G. Perry, Patricia A. Stockert, Amy Hall
9th Edition
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
Table of Contents:
1. Nursing Today
2. Health Care Delivery System
3. Community-Based Nursing Practice
4. Theoretical Foundations of Nursing Practice
5. Evidence-Based Practice
6. Health and Wellness
7. Caring in Nursing Practice
8. Caring for Patients with Chronic Illness
9. Cultural Competence
10. Family Dynamics
11. Developmental Theories
12. Conception Through Adolescence
13. Young and Middle Adults
14. Older Adults
15. Critical Thinking and Clinical Judgment
16. Nursing Assessment
17. Analysis and Nursing Diagnosis
18. Planning and Outcomes Identification in Nursing Care
19. Implementing Nursing Care
20. Evaluation
21. Managing Patient Care
22. Ethics and Values
23. Legal Implications in Nursing Practice
24. Communication
25. Patient Education
26. Informatics and Documentation
27. Patient Safety and Quality
28. Infection Prevention and Control
29. Vital Signs
30. Health Assessment and Physical Examination
31. Medication Administration
32. Complementary, Alternative, and Integrative Therapies
33. Self-Concept
34. Sexuality
35. Spiritual Health
36. Loss and Grief
37. Stress and Coping
38. Activity and Exercise
39. Immobility
40. Hygiene
41. Oxygenation
42. Fluid, Electrolyte, Acid-Base Balance
43. Sleep
44. Pain Management
45. Nutrition
46. Urinary Elimination
47. Bowel Elimination
48. Skin Integrity and Wound Care
49. Sensory Alterations
50. Perioperative Nursing Care
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
01: Nursing Today
Chapter 01: Nursing Today
Potter et al.: Fundamentals of Nursing, 9th Edition
MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after
Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was
instrumental in moving nursing education into universities. Clara Barton founded the American Red
Cross. Lillian Wald helped open the Henry Street Settlement.
DIF:Understand (comprehension)REF:5
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
nursing practice is the nurse following?
a. Assessment
b. Diagnosis
c. Planning
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
d. Implementation
ANS: C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to attain
expected outcomes. During assessment, the registered nurse collects comprehensive data pertinent to
the patient’s health and/or the situation. In diagnosis, the registered nurse analyzes the assessment
data to determine the diagnoses or issues. During implementation, the registered nurse implements
(carries out) the identified plan.
DIF:Understand (comprehension)REF:2
OBJ: Discuss the development of professional nursing roles. TOP: Planning
MSC:Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is
the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANS: A
A beginning nursing student or any nurse entering a situation in which there is no previous level of
experience (e.g., an experienced operating room nurse chooses to now practice in home health) is an
example of a novice nurse. A proficient nurse perceives a patient’s clinical situation as a whole, is
able to assess an entire situation, and can readily transfer knowledge gained from multiple previous
experiences to a situation. A competent nurse understands the organization and specific care required
by the type of patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a competent
practitioner who is able to anticipate nursing care and establish long-range goals. A nurse who has
had some level of experience with the situation is an advanced beginner. This experience may only
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
be observational in nature, but the nurse is able to identify meaningful aspects or principles of
nursing care.
DIF:Apply (application)REF:2
OBJ: Discuss the development of professional nursing roles. TOP: Evaluation
MSC:Management of Care
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids. The
nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of independent
nursing interventions without medical orders. To obtain licensure in the United States, the RN
candidate must pass the NCLEX-RN®. Beyond the NCLEX-RN®, the nurse may choose to work
toward certification in a specific area of nursing practice. Accountability means that you are
responsible, professionally and legally, for the type and quality of nursing care provided.
DIF:Apply (application)REF:3
OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC:Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
b. Manager
c. Advocate
d. Caregiver
ANS: B
A manager coordinates the activities of members of the nursing staff in delivering nursing care and
has personnel, policy, and budgetary responsibility for a specific nursing unit or facility. As an
educator, you explain concepts and facts about health, describe the reason for routine care activities,
demonstrate procedures such as self-care activities, reinforce learning or patient behavior, and
evaluate the patient’s progress in learning. As a patient advocate, you protect your patient’s human
and legal rights and provide assistance in asserting these rights if the need arises. As a caregiver, you
help patients maintain and regain health, manage disease and symptoms, and attain a maximal level
function and independence through the healing process.
DIF:Apply (application)REF:4
OBJ: Describe the roles and career opportunities for nurses. TOP: Implementation
MSC:Management of Care
6. The nurse has been working in the clinical setting for several years as an advanced practice nurse.
However, the nurse has a strong desire to pursue research and theory development. To fulfill this
desire, which program should the nurse attend?
a. Doctor of Nursing Science degree (DNSc)
b. Doctor of Philosophy degree (PhD)
c. Doctor of Nursing Practice degree (DNP)
d. Doctor in the Science of Nursing degree (DSN)
ANS: B
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
Some doctoral programs prepare nurses for more rigorous research and theory development and
award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral programs
in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical nursing. The DNP
is a practice doctorate that prepares advanced practice nurses such as nurse practitioners.
DIF:Understand (comprehension)REF:10
OBJ: Describe educational programs available for professional registered nurse (RN) education.
TOP:Teaching/LearningMSC:Management of Care
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
Association. Which type of education did the nurse receive?
a. Graduate education
b. Inservice education
c. Continuing education
d. Registered nurse education
ANS: C
Continuing education involves formal, organized educational programs offered by universities,
hospitals, state nurses associations, professional nursing organizations, and educational and health
care institutions. After obtaining a baccalaureate degree in nursing, you can pursue graduate
education leading to a master’s or doctoral degree in any number of graduate fields, including
nursing. Inservice education programs are instruction or training provided by a health care facility or
institution. Registered nurse education is the education preparation for an individual intending to be
an RN.
DIF:Apply (application)REF:10
OBJ: Describe educational programs available for professional registered nurse (RN) education.
TOP:Teaching/LearningMSC:Management of Care
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education for
Nurses (QSEN) competency is the nurse demonstrating?
a. Safety
b.
Patient-centered care
c. Quality improvement
d.
Teamwork and collaboration
ANS: C
Quality improvement identifies gaps between local and best practices. Safety minimizes risk of harm
to patients and providers through both system effectiveness and individual performance. Patient-
centered care recognizes the patient or designee as the source of control and full partner in providing
compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
Teamwork and collaboration allows effective functioning within nursing and interprofessional teams,
fostering open communication, mutual respect, and shared decision making.
DIF:Understand (comprehension)REF:7 | 8
OBJ: Describe the roles and career opportunities for nurses. TOP: Evaluation
MSC:Management of Care
9. A nurse has compassion fatigue. What is the nurse experiencing?
a. Lateral violence and intrapersonal conflict
b. Burnout and secondary traumatic stress
c. Short-term grief and single stressor
d. Physical and mental exhaustion
ANS: B
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic stress.
Compassion fatigue may contribute to what is described as lateral violence (nurse-nurse interactions,
not intrapersonal). Frequent, intense, or prolonged exposure to grief and loss places nurses at risk for
developing compassion fatigue. Stressors, not a single stressor, contribute to compassion fatigue.
Physical and mental exhaustion describes burnout only.
DIF:Understand (comprehension)REF:6
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Assessment MSC: Health Promotion and Maintenance
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient
tells the nurse, “I have no idea what is going to happen. I couldn’t ask any questions.” The nurse does
not allow the patient to sign the permit and notifies the health care provider of the situation. Which
role is the nurse displaying?
a. Manager
b. Patient educator
c. Patient advocate
d. Clinical nurse specialist
ANS: C
As a patient advocate, the nurse protects the patient’s human and legal rights, including the right of
the patient to understand procedures before signing permits. Although nurses can be educators, it is
the responsibility of the surgeon to provide education for the patient in preparation for surgery, and it
is the nurse’s responsibility to notify the health care provider if the patient is not properly educated.
Managers coordinate the activities of members of the nursing staff in delivering nursing care, and
clinical nurse specialists are experts in a specialized area of nursing practice in a variety of settings.
DIF:Apply (application)REF:3
OBJ: Describe the roles and career opportunities for nurses. TOP: Evaluation
MSC:Management of Care
, Test Bank - Fundamentals of Nursing 9th Edition (Potter, 2017)
11. The patient requires routine gynecological services after giving birth to her son, and while seeing
the nurse-midwife, the patient asks for a referral to a pediatrician for the newborn. Which action
should the nurse-midwife take initially?
a. Provide the referral as requested.
b. Offer to provide the newborn care.
c. Refer the patient to the supervising provider.
d. Tell the patient that is not allowed to make referrals.
ANS: B
The practice of nurse-midwifery involves providing independent care for women during normal
pregnancy, labor, and delivery, as well as care for the newborn. After being apprised of the
midwifery role, if the patient insists on seeing a pediatrician, the nurse-midwife should provide the
referral. The supervising provider is an obstetric provider, not a pediatrician. A nurse-midwife can
make referrals.
DIF:Analyze (analysis)REF:4
OBJ: Describe the roles and career opportunities for nurses. TOP: Implementation
MSC:Management of Care
12. The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity
is appropriate for a CRNA?
a. Manages gynecological services such as PAP smears
b. Works under the guidance of an anesthesiologist
c. Obtains a PhD degree in anesthesiology
d. Coordinates acute medical conditions
