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 administer a prescribed oral medication.
The patient states, "That pill doesn't look like the one I usually
take." What is the nurse's best action?
A. Explain that manufacturers frequently change pill colors.
B. Administer the medication because it matches the
medication administration record.
C. Withhold the medication until its identity is verified.
D. Ask another nurse to administer the medication.
Correct Answer: C
Rationale:
Patient concerns about medications should always be taken
seriously. The nurse should verify the medication before
administration to prevent errors. Administering the medication
without verification could jeopardize patient safety.
Reassurance alone is insufficient, and delegating administration
does not resolve the concern.
Question 2
A nurse enters a patient's room and finds the patient lying on
the floor. Which action should the nurse take first?
,A. Assist the patient back to bed.
B. Assess the patient for injuries and level of consciousness.
C. Notify the health care provider.
D. Complete an incident report.
Correct Answer: B
Rationale:
Assessment is the priority after a fall. The nurse should evaluate
airway, breathing, circulation, neurological status, and injuries
before moving the patient. Notifications and documentation
occur after immediate safety needs are addressed.
Question 3
A hospitalized patient asks why hand hygiene is performed so
frequently. Which response by the nurse is most appropriate?
A. "It prevents all infections."
B. "It reduces the spread of microorganisms between people
and surfaces."
C. "Hospital policy requires it."
D. "It is mainly important before sterile procedures."
Correct Answer: B
Rationale:
Hand hygiene significantly reduces transmission of
microorganisms and lowers infection risk but does not eliminate
all infections. It is important before and after patient contact,
, after contact with potentially contaminated items, and before
clean or aseptic procedures.
Question 4
A nurse is caring for four patients. Which patient should the
nurse assess first?
A. A patient reporting new-onset chest pain rated 8/10.
B. A patient requesting assistance with a bath.
C. A patient awaiting discharge instructions.
D. A patient asking for a fresh pitcher of water.
Correct Answer: A
Rationale:
New chest pain may indicate a life-threatening condition
requiring immediate assessment. The remaining needs are
important but not as urgent.
Question 5
A patient receiving opioids becomes difficult to awaken. Which
assessment finding requires immediate action?
A. Respiratory rate of 8 breaths/minute.
B. Blood pressure of 132/78 mm Hg.
C. Temperature of 37.1°C (98.8°F).
D. Heart rate of 82 beats/minute.
Correct Answer: A
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 administer a prescribed oral medication.
The patient states, "That pill doesn't look like the one I usually
take." What is the nurse's best action?
A. Explain that manufacturers frequently change pill colors.
B. Administer the medication because it matches the
medication administration record.
C. Withhold the medication until its identity is verified.
D. Ask another nurse to administer the medication.
Correct Answer: C
Rationale:
Patient concerns about medications should always be taken
seriously. The nurse should verify the medication before
administration to prevent errors. Administering the medication
without verification could jeopardize patient safety.
Reassurance alone is insufficient, and delegating administration
does not resolve the concern.
Question 2
A nurse enters a patient's room and finds the patient lying on
the floor. Which action should the nurse take first?
,A. Assist the patient back to bed.
B. Assess the patient for injuries and level of consciousness.
C. Notify the health care provider.
D. Complete an incident report.
Correct Answer: B
Rationale:
Assessment is the priority after a fall. The nurse should evaluate
airway, breathing, circulation, neurological status, and injuries
before moving the patient. Notifications and documentation
occur after immediate safety needs are addressed.
Question 3
A hospitalized patient asks why hand hygiene is performed so
frequently. Which response by the nurse is most appropriate?
A. "It prevents all infections."
B. "It reduces the spread of microorganisms between people
and surfaces."
C. "Hospital policy requires it."
D. "It is mainly important before sterile procedures."
Correct Answer: B
Rationale:
Hand hygiene significantly reduces transmission of
microorganisms and lowers infection risk but does not eliminate
all infections. It is important before and after patient contact,
, after contact with potentially contaminated items, and before
clean or aseptic procedures.
Question 4
A nurse is caring for four patients. Which patient should the
nurse assess first?
A. A patient reporting new-onset chest pain rated 8/10.
B. A patient requesting assistance with a bath.
C. A patient awaiting discharge instructions.
D. A patient asking for a fresh pitcher of water.
Correct Answer: A
Rationale:
New chest pain may indicate a life-threatening condition
requiring immediate assessment. The remaining needs are
important but not as urgent.
Question 5
A patient receiving opioids becomes difficult to awaken. Which
assessment finding requires immediate action?
A. Respiratory rate of 8 breaths/minute.
B. Blood pressure of 132/78 mm Hg.
C. Temperature of 37.1°C (98.8°F).
D. Heart rate of 82 beats/minute.
Correct Answer: A
