FUNDAMENTALS OF NURSING
12TH EDITION
• AUTHOR(S)PATRICIA A. POTTER;
ANNE G. PERRY; PATRICIA A.
STOCKERT; AMY HALL; WENDY
R. OSTENDORF
TEST BANK
,Question 1
A nurse is preparing to admit a patient who has never been
hospitalized. Which action should the nurse perform first to
promote a therapeutic nurse-patient relationship?
A. Explain all hospital policies in detail.
B. Introduce themselves and ask the patient how they prefer to
be addressed.
C. Complete the admission documentation before speaking
with the patient.
D. Begin collecting the patient's health history immediately.
Correct Answer: B
Rationale:
Establishing rapport begins with introducing oneself, addressing
the patient respectfully, and asking how the patient prefers to
be addressed. This promotes trust and patient-centered care
before collecting information or providing education.
Completing paperwork or discussing policies before establishing
rapport may increase anxiety and hinder communication.
Question 2
,A nurse is assessing a patient who reports dizziness upon
standing. Which assessment finding requires the nurse's
immediate intervention?
A. Blood pressure decreases from 132/80 mm Hg lying to
106/68 mm Hg standing with lightheadedness.
B. Heart rate increases by 8 beats/min when standing.
C. Respiratory rate remains unchanged after standing.
D. Skin is warm and dry.
Correct Answer: A
Rationale:
A significant drop in blood pressure accompanied by symptoms
indicates orthostatic hypotension, increasing the risk for falls
and injury. The nurse should implement fall precautions, assist
with ambulation, and notify the provider as appropriate. Mild
heart rate changes and stable respirations are expected
compensatory responses.
Question 3
A nurse observes a nursing assistant transferring a patient from
bed to chair without locking the wheelchair brakes. What is the
nurse's best action?
A. Correct the nursing assistant immediately and ensure the
brakes are locked before continuing.
B. Wait until after the transfer to discuss proper technique.
, C. Report the nursing assistant to the manager without
speaking to them.
D. Assume the assistant knows what they are doing.
Correct Answer: A
Rationale:
Patient safety takes priority. Immediate intervention prevents a
potential fall and reinforces safe transfer practices. Waiting until
after the transfer could place the patient at unnecessary risk.
Question 4
A patient states, "I'm afraid my surgery will not go well." Which
nurse's response demonstrates therapeutic communication?
A. "Everything will be fine."
B. "Many people have this surgery without problems."
C. "Tell me more about what concerns you."
D. "You shouldn't worry so much."
Correct Answer: C
Rationale:
Inviting the patient to express concerns encourages
communication, promotes trust, and allows the nurse to assess
fears accurately. Offering false reassurance or minimizing
concerns may discourage further discussion.
Question 5
12TH EDITION
• AUTHOR(S)PATRICIA A. POTTER;
ANNE G. PERRY; PATRICIA A.
STOCKERT; AMY HALL; WENDY
R. OSTENDORF
TEST BANK
,Question 1
A nurse is preparing to admit a patient who has never been
hospitalized. Which action should the nurse perform first to
promote a therapeutic nurse-patient relationship?
A. Explain all hospital policies in detail.
B. Introduce themselves and ask the patient how they prefer to
be addressed.
C. Complete the admission documentation before speaking
with the patient.
D. Begin collecting the patient's health history immediately.
Correct Answer: B
Rationale:
Establishing rapport begins with introducing oneself, addressing
the patient respectfully, and asking how the patient prefers to
be addressed. This promotes trust and patient-centered care
before collecting information or providing education.
Completing paperwork or discussing policies before establishing
rapport may increase anxiety and hinder communication.
Question 2
,A nurse is assessing a patient who reports dizziness upon
standing. Which assessment finding requires the nurse's
immediate intervention?
A. Blood pressure decreases from 132/80 mm Hg lying to
106/68 mm Hg standing with lightheadedness.
B. Heart rate increases by 8 beats/min when standing.
C. Respiratory rate remains unchanged after standing.
D. Skin is warm and dry.
Correct Answer: A
Rationale:
A significant drop in blood pressure accompanied by symptoms
indicates orthostatic hypotension, increasing the risk for falls
and injury. The nurse should implement fall precautions, assist
with ambulation, and notify the provider as appropriate. Mild
heart rate changes and stable respirations are expected
compensatory responses.
Question 3
A nurse observes a nursing assistant transferring a patient from
bed to chair without locking the wheelchair brakes. What is the
nurse's best action?
A. Correct the nursing assistant immediately and ensure the
brakes are locked before continuing.
B. Wait until after the transfer to discuss proper technique.
, C. Report the nursing assistant to the manager without
speaking to them.
D. Assume the assistant knows what they are doing.
Correct Answer: A
Rationale:
Patient safety takes priority. Immediate intervention prevents a
potential fall and reinforces safe transfer practices. Waiting until
after the transfer could place the patient at unnecessary risk.
Question 4
A patient states, "I'm afraid my surgery will not go well." Which
nurse's response demonstrates therapeutic communication?
A. "Everything will be fine."
B. "Many people have this surgery without problems."
C. "Tell me more about what concerns you."
D. "You shouldn't worry so much."
Correct Answer: C
Rationale:
Inviting the patient to express concerns encourages
communication, promotes trust, and allows the nurse to assess
fears accurately. Offering false reassurance or minimizing
concerns may discourage further discussion.
Question 5
