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 enters a client's room and finds the client lying on the
floor beside the bed. What is the nurse's priority action?
A. Assist the client back into bed immediately.
B. Assess the client for responsiveness and injuries.
C. Complete an incident report before notifying the provider.
D. Ask the client why they attempted to get out of bed.
Correct Answer: B
Rationale:
The priority is to assess the client's airway, breathing,
circulation, level of consciousness, and possible injuries before
moving the client. Moving a client before assessment could
worsen an undetected injury. After assessment, the nurse
should obtain assistance, notify the provider, complete required
documentation, and implement measures to prevent future
falls.
Question 2
A postoperative client reports pain rated 8 out of 10. Which
nursing action best demonstrates patient-centered care?
A. Encourage the client to tolerate the pain to avoid medication
side effects.
B. Assess the characteristics of the pain before selecting an
intervention.
,C. Tell the client that pain is expected after surgery.
D. Delay intervention until the next scheduled assessment.
Correct Answer: B
Rationale:
Effective pain management begins with a comprehensive
assessment of pain location, intensity, quality, onset, duration,
aggravating factors, and associated symptoms. This information
guides appropriate pharmacologic and nonpharmacologic
interventions. Pain should not be ignored or minimized.
Question 3
A nurse is preparing to administer oral medications. Which
action best reduces the risk of medication errors?
A. Administer medications prepared by another nurse.
B. Verify the client's identity using two approved identifiers.
C. Ask the client to state only their room number.
D. Skip barcode scanning if the client is familiar to the nurse.
Correct Answer: B
Rationale:
Using two approved identifiers, such as the client's name and
date of birth, helps ensure medications are administered to the
correct client. Familiarity with the client or room number alone
is not an acceptable identifier. Independent verification and
adherence to safety procedures reduce medication errors.
, Question 4
A nurse is caring for a client with limited mobility. Which
intervention is most effective for preventing pressure injuries?
A. Massage reddened bony prominences every shift.
B. Reposition the client at regular intervals and inspect the skin.
C. Elevate the head of the bed above 60 degrees continuously.
D. Apply powder to all pressure areas daily.
Correct Answer: B
Rationale:
Regular repositioning and routine skin assessment are key
evidence-based interventions for preventing pressure injuries.
Massaging reddened skin may cause tissue damage. Excessive
head-of-bed elevation increases shear forces, and powders are
not primary preventive measures.
Question 5
A nurse is delegating tasks to an experienced assistive
personnel (AP). Which task is appropriate to delegate?
A. Evaluate a client's response to pain medication.
B. Teach a client how to use an incentive spirometer.
C. Measure and record routine vital signs for a stable client.
D. Assess a newly admitted client's respiratory status.
Correct Answer: C
12TH EDITION
• AUTHOR(S)PATRICIA A. POTTER;
ANNE G. PERRY; PATRICIA A.
STOCKERT; AMY HALL; WENDY
R. OSTENDORF
TEST BANK
,Question 1
A nurse enters a client's room and finds the client lying on the
floor beside the bed. What is the nurse's priority action?
A. Assist the client back into bed immediately.
B. Assess the client for responsiveness and injuries.
C. Complete an incident report before notifying the provider.
D. Ask the client why they attempted to get out of bed.
Correct Answer: B
Rationale:
The priority is to assess the client's airway, breathing,
circulation, level of consciousness, and possible injuries before
moving the client. Moving a client before assessment could
worsen an undetected injury. After assessment, the nurse
should obtain assistance, notify the provider, complete required
documentation, and implement measures to prevent future
falls.
Question 2
A postoperative client reports pain rated 8 out of 10. Which
nursing action best demonstrates patient-centered care?
A. Encourage the client to tolerate the pain to avoid medication
side effects.
B. Assess the characteristics of the pain before selecting an
intervention.
,C. Tell the client that pain is expected after surgery.
D. Delay intervention until the next scheduled assessment.
Correct Answer: B
Rationale:
Effective pain management begins with a comprehensive
assessment of pain location, intensity, quality, onset, duration,
aggravating factors, and associated symptoms. This information
guides appropriate pharmacologic and nonpharmacologic
interventions. Pain should not be ignored or minimized.
Question 3
A nurse is preparing to administer oral medications. Which
action best reduces the risk of medication errors?
A. Administer medications prepared by another nurse.
B. Verify the client's identity using two approved identifiers.
C. Ask the client to state only their room number.
D. Skip barcode scanning if the client is familiar to the nurse.
Correct Answer: B
Rationale:
Using two approved identifiers, such as the client's name and
date of birth, helps ensure medications are administered to the
correct client. Familiarity with the client or room number alone
is not an acceptable identifier. Independent verification and
adherence to safety procedures reduce medication errors.
, Question 4
A nurse is caring for a client with limited mobility. Which
intervention is most effective for preventing pressure injuries?
A. Massage reddened bony prominences every shift.
B. Reposition the client at regular intervals and inspect the skin.
C. Elevate the head of the bed above 60 degrees continuously.
D. Apply powder to all pressure areas daily.
Correct Answer: B
Rationale:
Regular repositioning and routine skin assessment are key
evidence-based interventions for preventing pressure injuries.
Massaging reddened skin may cause tissue damage. Excessive
head-of-bed elevation increases shear forces, and powders are
not primary preventive measures.
Question 5
A nurse is delegating tasks to an experienced assistive
personnel (AP). Which task is appropriate to delegate?
A. Evaluate a client's response to pain medication.
B. Teach a client how to use an incentive spirometer.
C. Measure and record routine vital signs for a stable client.
D. Assess a newly admitted client's respiratory status.
Correct Answer: C
