Test Bank For Timby’s Introductory Medical-
Surgical Nursing 14th Edition | Loretta A.
Donnelly-Moreno & Brigitte Moseley | ISBN
9781975254124 PRACTICE QUESTIONS
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED COMPLETE
EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF
Foundations of Medical-Surgical Nursing
1.
,Which nursing action best demonstrates the principle of patient-
centered care?
A. Completing all care according to the nurse's preferred routine
B. Making decisions for the patient to save time
C. Including the patient in decisions about the plan of care
D. Asking the family to make all decisions
Rationale: Patient-centered care respects the patient's preferences,
values, needs, and participation in healthcare decisions.
2.
Which assessment finding should the nurse report immediately?
A. Temperature of 37.1°C (98.8°F)
B. Pulse of 78 beats/min
C. Respiratory rate of 16/min
D. Oxygen saturation of 84%
Rationale: An oxygen saturation of 84% indicates significant
hypoxemia and requires prompt assessment and intervention.
3.
Which action is most effective for preventing healthcare-associated
infections?
A. Wearing sterile gloves for every patient interaction
B. Performing hand hygiene at appropriate times
C. Keeping patients isolated routinely
D. Administering prophylactic antibiotics
Rationale: Proper hand hygiene is one of the most effective measures
for preventing transmission of microorganisms.
4.
A nurse is preparing to administer medication. Which action is
essential before administration?
,A. Ask another patient to identify the medication
B. Verify the medication against the prescription and patient
identifiers
C. Administer the medication before checking allergies
D. Leave the medication at the bedside
Rationale: Medication administration requires verification of the
order, patient identity, medication, dose, route, timing, and relevant
safety factors.
5.
Which position generally promotes lung expansion in a patient
experiencing dyspnea?
A. Supine
B. Prone
C. Trendelenburg
D. High-Fowler's
Rationale: High-Fowler's positioning facilitates diaphragmatic
expansion and can improve ventilation.
6.
Which finding is most concerning in a patient receiving opioid
analgesia?
A. Pain rating of 4/10
B. Mild nausea
C. Respiratory rate of 8/min
D. Drowsiness after administration
Rationale: Respiratory depression is a potentially life-threatening
adverse effect of opioid medications.
7.
What is the primary purpose of obtaining a nursing history?
, A. To establish a medical diagnosis
B. To replace the physical examination
C. To collect information needed to identify patient needs and plan
care
D. To determine insurance eligibility
Rationale: The nursing history provides information used to identify
actual and potential health problems and develop individualized
nursing care.
8.
Which finding is an example of subjective data?
A. Blood pressure of 150/90 mm Hg
B. Temperature of 38.5°C
C. Patient reports, “My pain is 8 out of 10.”
D. Skin is warm to touch
Rationale: Subjective data are symptoms or experiences reported by
the patient.
9.
Which finding represents objective data?
A. “I feel dizzy.”
B. “My stomach hurts.”
C. “I feel anxious.”
D. Blood pressure is 168/94 mm Hg.
Rationale: Objective data are observable or measurable findings
obtained through assessment.
10.
Which nursing intervention is appropriate for preventing pressure
injuries?
Surgical Nursing 14th Edition | Loretta A.
Donnelly-Moreno & Brigitte Moseley | ISBN
9781975254124 PRACTICE QUESTIONS
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED COMPLETE
EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF
Foundations of Medical-Surgical Nursing
1.
,Which nursing action best demonstrates the principle of patient-
centered care?
A. Completing all care according to the nurse's preferred routine
B. Making decisions for the patient to save time
C. Including the patient in decisions about the plan of care
D. Asking the family to make all decisions
Rationale: Patient-centered care respects the patient's preferences,
values, needs, and participation in healthcare decisions.
2.
Which assessment finding should the nurse report immediately?
A. Temperature of 37.1°C (98.8°F)
B. Pulse of 78 beats/min
C. Respiratory rate of 16/min
D. Oxygen saturation of 84%
Rationale: An oxygen saturation of 84% indicates significant
hypoxemia and requires prompt assessment and intervention.
3.
Which action is most effective for preventing healthcare-associated
infections?
A. Wearing sterile gloves for every patient interaction
B. Performing hand hygiene at appropriate times
C. Keeping patients isolated routinely
D. Administering prophylactic antibiotics
Rationale: Proper hand hygiene is one of the most effective measures
for preventing transmission of microorganisms.
4.
A nurse is preparing to administer medication. Which action is
essential before administration?
,A. Ask another patient to identify the medication
B. Verify the medication against the prescription and patient
identifiers
C. Administer the medication before checking allergies
D. Leave the medication at the bedside
Rationale: Medication administration requires verification of the
order, patient identity, medication, dose, route, timing, and relevant
safety factors.
5.
Which position generally promotes lung expansion in a patient
experiencing dyspnea?
A. Supine
B. Prone
C. Trendelenburg
D. High-Fowler's
Rationale: High-Fowler's positioning facilitates diaphragmatic
expansion and can improve ventilation.
6.
Which finding is most concerning in a patient receiving opioid
analgesia?
A. Pain rating of 4/10
B. Mild nausea
C. Respiratory rate of 8/min
D. Drowsiness after administration
Rationale: Respiratory depression is a potentially life-threatening
adverse effect of opioid medications.
7.
What is the primary purpose of obtaining a nursing history?
, A. To establish a medical diagnosis
B. To replace the physical examination
C. To collect information needed to identify patient needs and plan
care
D. To determine insurance eligibility
Rationale: The nursing history provides information used to identify
actual and potential health problems and develop individualized
nursing care.
8.
Which finding is an example of subjective data?
A. Blood pressure of 150/90 mm Hg
B. Temperature of 38.5°C
C. Patient reports, “My pain is 8 out of 10.”
D. Skin is warm to touch
Rationale: Subjective data are symptoms or experiences reported by
the patient.
9.
Which finding represents objective data?
A. “I feel dizzy.”
B. “My stomach hurts.”
C. “I feel anxious.”
D. Blood pressure is 168/94 mm Hg.
Rationale: Objective data are observable or measurable findings
obtained through assessment.
10.
Which nursing intervention is appropriate for preventing pressure
injuries?
