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 patient's room and finds the patient lying on
the floor beside the bed. What is the nurse's priority action?
A. Complete an incident report immediately
B. Assess the patient for injury and level of consciousness
C. Return the patient to bed
D. Notify the health care provider
Correct Answer: B
Rationale:
When a patient is found on the floor, the nurse's first priority is
assessment. The nurse should determine the patient's level of
consciousness, airway, breathing, circulation, pain, and
potential injuries before moving the patient. Returning the
patient to bed without assessment may worsen injuries.
Notification and documentation occur after the patient is
stabilized and assessed.
Question 2
A postoperative patient reports pain rated 8 on a 0-to-10 scale.
Which nursing action best demonstrates patient-centered care?
A. Administer prescribed pain medication and reassess
effectiveness
B. Explain that postoperative pain is expected
,C. Encourage the patient to tolerate the pain
D. Delay intervention until the next scheduled assessment
Correct Answer: A
Rationale:
Effective pain management requires timely intervention and
reassessment. Administering prescribed medication and
evaluating the response addresses the patient's expressed need
and supports comfort. Simply explaining pain or delaying
treatment does not adequately address the patient's
discomfort.
Question 3
A nurse is caring for four patients. Which patient should the
nurse assess first?
A. A patient with a blood pressure of 138/84 mm Hg
B. A patient requesting assistance to the bathroom
C. A patient with new-onset shortness of breath
D. A patient awaiting discharge instructions
Correct Answer: C
Rationale:
New-onset shortness of breath may indicate a life-threatening
respiratory problem and requires immediate assessment.
Prioritization is based on airway, breathing, and circulation
, principles. The other patients have needs that are important
but less urgent.
Question 4
A nurse delegates the task of obtaining routine vital signs to
assistive personnel (AP). Which finding should the nurse
instruct the AP to report immediately?
A. Temperature of 37°C (98.6°F)
B. Respiratory rate of 10 breaths/min
C. Pulse of 82 beats/min
D. Blood pressure of 126/78 mm Hg
Correct Answer: B
Rationale:
A respiratory rate of 10 breaths/min is below normal and may
indicate respiratory depression requiring immediate nursing
assessment. The other findings are within expected ranges for
many adults and do not require urgent reporting.
Question 5
A nurse is preparing to administer medication. Which action
best promotes medication safety?
A. Administering medications as quickly as possible
B. Comparing the medication label with the medication
administration record before administration
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 patient's room and finds the patient lying on
the floor beside the bed. What is the nurse's priority action?
A. Complete an incident report immediately
B. Assess the patient for injury and level of consciousness
C. Return the patient to bed
D. Notify the health care provider
Correct Answer: B
Rationale:
When a patient is found on the floor, the nurse's first priority is
assessment. The nurse should determine the patient's level of
consciousness, airway, breathing, circulation, pain, and
potential injuries before moving the patient. Returning the
patient to bed without assessment may worsen injuries.
Notification and documentation occur after the patient is
stabilized and assessed.
Question 2
A postoperative patient reports pain rated 8 on a 0-to-10 scale.
Which nursing action best demonstrates patient-centered care?
A. Administer prescribed pain medication and reassess
effectiveness
B. Explain that postoperative pain is expected
,C. Encourage the patient to tolerate the pain
D. Delay intervention until the next scheduled assessment
Correct Answer: A
Rationale:
Effective pain management requires timely intervention and
reassessment. Administering prescribed medication and
evaluating the response addresses the patient's expressed need
and supports comfort. Simply explaining pain or delaying
treatment does not adequately address the patient's
discomfort.
Question 3
A nurse is caring for four patients. Which patient should the
nurse assess first?
A. A patient with a blood pressure of 138/84 mm Hg
B. A patient requesting assistance to the bathroom
C. A patient with new-onset shortness of breath
D. A patient awaiting discharge instructions
Correct Answer: C
Rationale:
New-onset shortness of breath may indicate a life-threatening
respiratory problem and requires immediate assessment.
Prioritization is based on airway, breathing, and circulation
, principles. The other patients have needs that are important
but less urgent.
Question 4
A nurse delegates the task of obtaining routine vital signs to
assistive personnel (AP). Which finding should the nurse
instruct the AP to report immediately?
A. Temperature of 37°C (98.6°F)
B. Respiratory rate of 10 breaths/min
C. Pulse of 82 beats/min
D. Blood pressure of 126/78 mm Hg
Correct Answer: B
Rationale:
A respiratory rate of 10 breaths/min is below normal and may
indicate respiratory depression requiring immediate nursing
assessment. The other findings are within expected ranges for
many adults and do not require urgent reporting.
Question 5
A nurse is preparing to administer medication. Which action
best promotes medication safety?
A. Administering medications as quickly as possible
B. Comparing the medication label with the medication
administration record before administration
