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 enter a client's room after reviewing the
medical record. Which action best demonstrates the use of
clinical judgment before providing care?
A. Review the client's allergies, current orders, and recent
assessment findings.
B. Ask another nurse to summarize the client's condition.
C. Gather only the supplies routinely used for all clients.
D. Enter the room immediately to avoid delaying care.
Correct Answer: A
Rationale:
Reviewing allergies, provider orders, and recent assessment
findings allows the nurse to anticipate needs, identify safety
concerns, and individualize care before interacting with the
client. This preparation supports safe, patient-centered care.
Relying on another nurse's summary may omit important
information, using routine supplies may not meet the client's
specific needs, and entering without preparation increases the
risk of errors.
Question 2
A nurse enters a client's room and finds the client lying on the
floor. Which action should the nurse take first?
,A. Assist the client back into bed.
B. Assess the client for responsiveness and injuries.
C. Complete an incident report.
D. Notify the provider immediately.
Correct Answer: B
Rationale:
The priority is to assess the client's condition for
responsiveness, airway, breathing, circulation, and possible
injuries before moving the client. Assessment findings
determine the need for emergency assistance and additional
interventions. Incident reporting and provider notification occur
after the client's immediate safety needs have been addressed.
The client should not be moved until it is safe to do so.
Question 3
A nurse is delegating care to an experienced unlicensed
assistive personnel (UAP). Which task is appropriate to
delegate?
A. Assess a client admitted with chest pain.
B. Reinforce teaching about insulin administration.
C. Obtain and record routine vital signs on a stable client.
D. Evaluate the effectiveness of pain medication.
Correct Answer: C
, Rationale:
Obtaining routine vital signs for a stable client is within the role
of trained UAP. Assessment, teaching, and evaluation require
nursing judgment and remain the responsibility of the
registered nurse.
Question 4
A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client reporting sudden shortness of breath.
B. A client requesting assistance to the bathroom.
C. A client awaiting discharge instructions.
D. A client asking for a blanket.
Correct Answer: A
Rationale:
Sudden shortness of breath may indicate a life-threatening
airway or breathing problem requiring immediate assessment.
The remaining requests are important but are lower priorities
because they do not suggest an immediate threat to life.
Question 5
A client states, "I'm afraid my surgery won't go well." Which
nurse response best demonstrates therapeutic communication?
A. "Everything will be fine."
B. "Many people feel nervous before surgery. Tell me more
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 enter a client's room after reviewing the
medical record. Which action best demonstrates the use of
clinical judgment before providing care?
A. Review the client's allergies, current orders, and recent
assessment findings.
B. Ask another nurse to summarize the client's condition.
C. Gather only the supplies routinely used for all clients.
D. Enter the room immediately to avoid delaying care.
Correct Answer: A
Rationale:
Reviewing allergies, provider orders, and recent assessment
findings allows the nurse to anticipate needs, identify safety
concerns, and individualize care before interacting with the
client. This preparation supports safe, patient-centered care.
Relying on another nurse's summary may omit important
information, using routine supplies may not meet the client's
specific needs, and entering without preparation increases the
risk of errors.
Question 2
A nurse enters a client's room and finds the client lying on the
floor. Which action should the nurse take first?
,A. Assist the client back into bed.
B. Assess the client for responsiveness and injuries.
C. Complete an incident report.
D. Notify the provider immediately.
Correct Answer: B
Rationale:
The priority is to assess the client's condition for
responsiveness, airway, breathing, circulation, and possible
injuries before moving the client. Assessment findings
determine the need for emergency assistance and additional
interventions. Incident reporting and provider notification occur
after the client's immediate safety needs have been addressed.
The client should not be moved until it is safe to do so.
Question 3
A nurse is delegating care to an experienced unlicensed
assistive personnel (UAP). Which task is appropriate to
delegate?
A. Assess a client admitted with chest pain.
B. Reinforce teaching about insulin administration.
C. Obtain and record routine vital signs on a stable client.
D. Evaluate the effectiveness of pain medication.
Correct Answer: C
, Rationale:
Obtaining routine vital signs for a stable client is within the role
of trained UAP. Assessment, teaching, and evaluation require
nursing judgment and remain the responsibility of the
registered nurse.
Question 4
A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client reporting sudden shortness of breath.
B. A client requesting assistance to the bathroom.
C. A client awaiting discharge instructions.
D. A client asking for a blanket.
Correct Answer: A
Rationale:
Sudden shortness of breath may indicate a life-threatening
airway or breathing problem requiring immediate assessment.
The remaining requests are important but are lower priorities
because they do not suggest an immediate threat to life.
Question 5
A client states, "I'm afraid my surgery won't go well." Which
nurse response best demonstrates therapeutic communication?
A. "Everything will be fine."
B. "Many people feel nervous before surgery. Tell me more
