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 assessing a newly admitted adult patient who reports
feeling dizzy when standing. Which action should the nurse
perform first?
A. Encourage the patient to walk to improve circulation.
B. Assess the patient's blood pressure while lying, sitting, and
standing.
C. Instruct the patient to increase fluid intake immediately.
D. Notify the healthcare provider before completing the
assessment.
Correct Answer: B
Rationale:
The priority is to assess for orthostatic hypotension by
measuring blood pressure and heart rate in different positions
before implementing interventions. This assessment helps
identify the cause of the dizziness and guides safe nursing care.
Encouraging ambulation before assessment may increase fall
risk. Increasing fluids may be appropriate later if indicated, and
notifying the provider should occur after collecting relevant
assessment data.
Question 2
,A nurse is preparing to administer an oral medication. The
patient states, "That pill doesn't look like the one I usually take."
What is the nurse's best response?
A. "The pharmacy probably changed manufacturers."
B. "Take it now, and I'll check later."
C. "I'll verify the medication before giving it."
D. "The healthcare provider ordered this medication."
Correct Answer: C
Rationale:
The nurse should immediately verify the medication before
administration. Patient concerns about medications should
always be investigated to promote medication safety and
prevent errors. Assuming the medication is correct or delaying
verification places the patient at unnecessary risk.
Question 3
A postoperative patient reports pain rated 8 on a scale of 0 to
10. Which nursing action demonstrates patient-centered care?
A. Delay pain medication until the patient ambulates.
B. Administer the prescribed analgesic and reassess pain after
the expected onset of action.
C. Explain that postoperative pain is expected and unavoidable.
D. Encourage the patient to tolerate the discomfort to avoid
medication dependence.
, Correct Answer: B
Rationale:
Effective pain management includes assessing pain,
administering appropriate interventions, and reassessing the
patient's response. Timely reassessment determines treatment
effectiveness and guides additional care. Delaying treatment or
minimizing the patient's pain does not support quality nursing
care.
Question 4
A nurse enters a patient's room and observes smoke coming
from an electrical infusion pump. What is the nurse's priority
action?
A. Complete documentation before leaving the room.
B. Remove the patient from immediate danger.
C. Continue the infusion until another pump arrives.
D. Disconnect all electrical equipment in nearby rooms.
Correct Answer: B
Rationale:
Patient safety is the highest priority. Removing the patient from
immediate danger follows emergency response principles. Once
the patient is safe, the nurse can activate emergency
procedures, remove the faulty equipment from service, and
notify appropriate personnel.
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 newly admitted adult patient who reports
feeling dizzy when standing. Which action should the nurse
perform first?
A. Encourage the patient to walk to improve circulation.
B. Assess the patient's blood pressure while lying, sitting, and
standing.
C. Instruct the patient to increase fluid intake immediately.
D. Notify the healthcare provider before completing the
assessment.
Correct Answer: B
Rationale:
The priority is to assess for orthostatic hypotension by
measuring blood pressure and heart rate in different positions
before implementing interventions. This assessment helps
identify the cause of the dizziness and guides safe nursing care.
Encouraging ambulation before assessment may increase fall
risk. Increasing fluids may be appropriate later if indicated, and
notifying the provider should occur after collecting relevant
assessment data.
Question 2
,A nurse is preparing to administer an oral medication. The
patient states, "That pill doesn't look like the one I usually take."
What is the nurse's best response?
A. "The pharmacy probably changed manufacturers."
B. "Take it now, and I'll check later."
C. "I'll verify the medication before giving it."
D. "The healthcare provider ordered this medication."
Correct Answer: C
Rationale:
The nurse should immediately verify the medication before
administration. Patient concerns about medications should
always be investigated to promote medication safety and
prevent errors. Assuming the medication is correct or delaying
verification places the patient at unnecessary risk.
Question 3
A postoperative patient reports pain rated 8 on a scale of 0 to
10. Which nursing action demonstrates patient-centered care?
A. Delay pain medication until the patient ambulates.
B. Administer the prescribed analgesic and reassess pain after
the expected onset of action.
C. Explain that postoperative pain is expected and unavoidable.
D. Encourage the patient to tolerate the discomfort to avoid
medication dependence.
, Correct Answer: B
Rationale:
Effective pain management includes assessing pain,
administering appropriate interventions, and reassessing the
patient's response. Timely reassessment determines treatment
effectiveness and guides additional care. Delaying treatment or
minimizing the patient's pain does not support quality nursing
care.
Question 4
A nurse enters a patient's room and observes smoke coming
from an electrical infusion pump. What is the nurse's priority
action?
A. Complete documentation before leaving the room.
B. Remove the patient from immediate danger.
C. Continue the infusion until another pump arrives.
D. Disconnect all electrical equipment in nearby rooms.
Correct Answer: B
Rationale:
Patient safety is the highest priority. Removing the patient from
immediate danger follows emergency response principles. Once
the patient is safe, the nurse can activate emergency
procedures, remove the faulty equipment from service, and
notify appropriate personnel.
