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 assessing a postoperative patient who reports
increasing pain despite prescribed analgesics. What is the
nurse’s priority action?
A. Document the patient’s pain level
B. Reassess pain in 30 minutes
C. Notify the provider of uncontrolled pain
D. Encourage the patient to use distraction techniques
Correct Answer: C
Rationale: Uncontrolled pain despite prescribed medication
requires prompt intervention. The nurse should notify the
provider to adjust pain management. Documentation and
reassessment are important but secondary to addressing
ineffective treatment. Nonpharmacologic methods may help
but are insufficient for escalating pain.
Question 2
Which action by a nurse demonstrates proper hand hygiene to
prevent infection?
A. Using alcohol-based sanitizer after removing gloves
B. Wearing gloves instead of washing hands
,C. Washing hands only after patient contact
D. Using the same gloves between patients
Correct Answer: A
Rationale: Alcohol-based hand sanitizer is appropriate after
glove removal if hands are not visibly soiled. Gloves do not
replace hand hygiene. Hands should be cleaned before and
after patient contact, and gloves must be changed between
patients to prevent cross-contamination.
Question 3
A nurse delegates ambulation of a stable patient to an
unlicensed assistive personnel (UAP). Which instruction is most
appropriate?
A. “Assist the patient to walk and report any dizziness.”
B. “Walk the patient as far as possible without stopping.”
C. “Encourage independence and avoid helping.”
D. “Document the patient’s gait pattern.”
Correct Answer: A
Rationale: The nurse should provide clear instructions, including
safety monitoring and reporting abnormalities. UAPs should not
be assigned tasks requiring assessment or documentation of
clinical findings like gait evaluation.
Question 4
, Which patient requires immediate assessment by the nurse?
A. A patient with a blood pressure of 130/80 mm Hg
B. A patient with a new onset of confusion
C. A patient requesting assistance with hygiene
D. A patient awaiting discharge instructions
Correct Answer: B
Rationale: Acute confusion may indicate serious conditions such
as hypoxia, infection, or neurologic compromise and requires
immediate assessment. The other situations are stable and less
urgent.
Question 5
A nurse is educating a patient about a new medication. Which
statement indicates effective teaching?
A. “I will take this medication whenever I feel pain.”
B. “I will stop taking it if I feel better.”
C. “I will follow the prescribed schedule and dosage.”
D. “I will double the dose if I miss one.”
Correct Answer: C
Rationale: Adherence to prescribed dosing ensures therapeutic
effectiveness and safety. The other statements indicate
misunderstanding and potential for harm.
Question 6