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 next to the bed. What is the nurse's priority action?
A. Assist the patient back into bed immediately.
B. Assess the patient for responsiveness and injuries.
C. Complete an incident report before notifying the provider.
D. Ask the patient why they attempted to get out of bed.
Correct Answer: B
Rationale:
The nurse's first priority is to assess the patient's condition,
including level of consciousness, airway, breathing, circulation,
pain, and possible injuries. Moving the patient before
assessment could worsen an undetected injury. After
assessment, the nurse should obtain assistance, notify the
provider as appropriate, document objectively, and complete
institutional reporting procedures.
Question 2
A nurse is preparing to administer an oral medication. Which
action best demonstrates adherence to safe medication
administration practices?
A. Confirm the patient's identity using two identifiers before
administration.
,B. Ask a family member to identify the patient.
C. Administer the medication immediately after entering the
room to avoid delays.
D. Verify the medication only after it has been given.
Correct Answer: A
Rationale:
Using two approved patient identifiers before medication
administration is a fundamental safety practice that reduces the
risk of medication errors. Family members should not replace
approved identification methods, and medication verification
occurs before—not after—administration.
Question 3
A hospitalized patient says, "I'm worried that I'll never get
better." Which nursing response is most therapeutic?
A. "Everything will be fine."
B. "You shouldn't think that way."
C. "Tell me more about what concerns you."
D. "Other patients recover from this every day."
Correct Answer: C
Rationale:
An open-ended response encourages the patient to express
feelings and concerns while allowing the nurse to gather
additional information. False reassurance and dismissive
, statements can discourage communication and minimize the
patient's emotions.
Question 4
A nurse delegates routine vital sign measurement to an assistive
personnel (AP). Which finding requires the AP to notify the
nurse immediately?
A. Temperature of 36.8°C (98.2°F)
B. Blood pressure of 84/50 mm Hg in a patient who was
previously stable
C. Respiratory rate of 16 breaths/min
D. Heart rate of 76 beats/min
Correct Answer: B
Rationale:
A significant drop in blood pressure may indicate deterioration
and requires prompt nursing assessment. Stable, expected vital
signs do not require immediate reporting. AP should recognize
abnormal findings and promptly report them to the supervising
nurse.
Question 5
A nurse is teaching a patient about using an incentive
spirometer after surgery. Which patient statement indicates
correct understanding?
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 next to the bed. What is the nurse's priority action?
A. Assist the patient back into bed immediately.
B. Assess the patient for responsiveness and injuries.
C. Complete an incident report before notifying the provider.
D. Ask the patient why they attempted to get out of bed.
Correct Answer: B
Rationale:
The nurse's first priority is to assess the patient's condition,
including level of consciousness, airway, breathing, circulation,
pain, and possible injuries. Moving the patient before
assessment could worsen an undetected injury. After
assessment, the nurse should obtain assistance, notify the
provider as appropriate, document objectively, and complete
institutional reporting procedures.
Question 2
A nurse is preparing to administer an oral medication. Which
action best demonstrates adherence to safe medication
administration practices?
A. Confirm the patient's identity using two identifiers before
administration.
,B. Ask a family member to identify the patient.
C. Administer the medication immediately after entering the
room to avoid delays.
D. Verify the medication only after it has been given.
Correct Answer: A
Rationale:
Using two approved patient identifiers before medication
administration is a fundamental safety practice that reduces the
risk of medication errors. Family members should not replace
approved identification methods, and medication verification
occurs before—not after—administration.
Question 3
A hospitalized patient says, "I'm worried that I'll never get
better." Which nursing response is most therapeutic?
A. "Everything will be fine."
B. "You shouldn't think that way."
C. "Tell me more about what concerns you."
D. "Other patients recover from this every day."
Correct Answer: C
Rationale:
An open-ended response encourages the patient to express
feelings and concerns while allowing the nurse to gather
additional information. False reassurance and dismissive
, statements can discourage communication and minimize the
patient's emotions.
Question 4
A nurse delegates routine vital sign measurement to an assistive
personnel (AP). Which finding requires the AP to notify the
nurse immediately?
A. Temperature of 36.8°C (98.2°F)
B. Blood pressure of 84/50 mm Hg in a patient who was
previously stable
C. Respiratory rate of 16 breaths/min
D. Heart rate of 76 beats/min
Correct Answer: B
Rationale:
A significant drop in blood pressure may indicate deterioration
and requires prompt nursing assessment. Stable, expected vital
signs do not require immediate reporting. AP should recognize
abnormal findings and promptly report them to the supervising
nurse.
Question 5
A nurse is teaching a patient about using an incentive
spirometer after surgery. Which patient statement indicates
correct understanding?
