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 caring for a postoperative patient who suddenly
reports shortness of breath and chest pain. Which action should
the nurse take first?
A. Administer the prescribed pain medication.
B. Assess the patient's respiratory status and oxygen saturation.
C. Notify the health care provider immediately.
D. Document the patient's symptoms in the medical record.
Correct Answer: B
Rationale:
The nurse should first assess the patient's airway, breathing,
and circulation to determine the severity of the condition.
Obtaining respiratory findings and oxygen saturation provides
essential information for immediate clinical judgment and
guides further interventions. After assessment, the nurse
should provide appropriate interventions and notify the
provider as indicated. Pain medication and documentation are
not the initial priorities.
Question 2
A patient with newly diagnosed hypertension asks why lifestyle
changes are important even though medication has been
prescribed. Which response by the nurse is most appropriate?
,A. "Medication alone is usually enough to control blood
pressure."
B. "Lifestyle changes help improve blood pressure control and
reduce health risks."
C. "You should stop exercising until your blood pressure is
normal."
D. "Once your blood pressure improves, you can discontinue all
treatment."
Correct Answer: B
Rationale:
Healthy lifestyle practices such as regular physical activity,
reducing sodium intake, maintaining a healthy weight, and
avoiding tobacco complement medication therapy and decrease
cardiovascular risk. Patients should understand that
medications and lifestyle changes often work together for
optimal outcomes.
Question 3
A nurse prepares to administer a medication and notices that
the patient's identification band is missing. What is the nurse's
best action?
A. Ask another nurse to identify the patient.
B. Administer the medication because the patient is familiar to
the nurse.
C. Obtain a new identification band before administering the
, medication.
D. Ask the patient to state the room number before giving the
medication.
Correct Answer: C
Rationale:
Patient identification using approved identifiers is an essential
safety practice before medication administration. A missing
identification band requires replacement before medications
are administered. Familiarity with the patient or room number
is not an acceptable substitute for proper identification
procedures.
Question 4
A nurse enters a patient's room and observes the patient
attempting to get out of bed without assistance despite being
identified as a high fall risk. What should the nurse do first?
A. Tell the patient to remain in bed.
B. Assist the patient safely and determine why the patient is
getting up.
C. Complete an incident report.
D. Lower all four side rails.
Correct Answer: B
Rationale:
The nurse should first ensure the patient's immediate safety by
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 caring for a postoperative patient who suddenly
reports shortness of breath and chest pain. Which action should
the nurse take first?
A. Administer the prescribed pain medication.
B. Assess the patient's respiratory status and oxygen saturation.
C. Notify the health care provider immediately.
D. Document the patient's symptoms in the medical record.
Correct Answer: B
Rationale:
The nurse should first assess the patient's airway, breathing,
and circulation to determine the severity of the condition.
Obtaining respiratory findings and oxygen saturation provides
essential information for immediate clinical judgment and
guides further interventions. After assessment, the nurse
should provide appropriate interventions and notify the
provider as indicated. Pain medication and documentation are
not the initial priorities.
Question 2
A patient with newly diagnosed hypertension asks why lifestyle
changes are important even though medication has been
prescribed. Which response by the nurse is most appropriate?
,A. "Medication alone is usually enough to control blood
pressure."
B. "Lifestyle changes help improve blood pressure control and
reduce health risks."
C. "You should stop exercising until your blood pressure is
normal."
D. "Once your blood pressure improves, you can discontinue all
treatment."
Correct Answer: B
Rationale:
Healthy lifestyle practices such as regular physical activity,
reducing sodium intake, maintaining a healthy weight, and
avoiding tobacco complement medication therapy and decrease
cardiovascular risk. Patients should understand that
medications and lifestyle changes often work together for
optimal outcomes.
Question 3
A nurse prepares to administer a medication and notices that
the patient's identification band is missing. What is the nurse's
best action?
A. Ask another nurse to identify the patient.
B. Administer the medication because the patient is familiar to
the nurse.
C. Obtain a new identification band before administering the
, medication.
D. Ask the patient to state the room number before giving the
medication.
Correct Answer: C
Rationale:
Patient identification using approved identifiers is an essential
safety practice before medication administration. A missing
identification band requires replacement before medications
are administered. Familiarity with the patient or room number
is not an acceptable substitute for proper identification
procedures.
Question 4
A nurse enters a patient's room and observes the patient
attempting to get out of bed without assistance despite being
identified as a high fall risk. What should the nurse do first?
A. Tell the patient to remain in bed.
B. Assist the patient safely and determine why the patient is
getting up.
C. Complete an incident report.
D. Lower all four side rails.
Correct Answer: B
Rationale:
The nurse should first ensure the patient's immediate safety by
