Advantage for Basic Nursing:
Thinking, Doing, and Caring:
Thinking, Doing, and Caring
Third Edition by Leslie S.
Treas ||ISBN
NO:10,1719642079||ISBN
NO:13,978-1719642071||All
Chapters||Complete Guide A+
,1|Page
Test Bank For Davis Advantage for Basic Nursing:
Thinking, Doing, and Caring: Thinking, Doing, and Caring
Third Edition by Leslie S. Treas ||ISBN
NO:10,1719642079||ISBN NO:13,978-1719642071||All
Chapters||Complete Guide A+
1. Which of the following is the primary purpose of the nursing process?
A) To provide a step-by-step guide for performing physical assessments
B) To develop a plan of care to address patient needs
C) To ensure that patients receive medications as prescribed
D) To evaluate the effectiveness of nursing interventions
Answer: B) To develop a plan of care to address patient needs
Rationale:
The nursing process is a systematic approach to providing individualized care to patients. It
involves assessing, diagnosing, planning, implementing, and evaluating the care plan. The
primary purpose is to address the patient’s needs in a holistic and personalized way.
2. A nurse is caring for a patient with a history of hypertension. Which of the
following is the best action to manage this condition?
A) Administer antihypertensive medications as prescribed
B) Encourage the patient to avoid taking blood pressure medications
C) Monitor the patient’s blood pressure regularly
D) Recommend the patient stop smoking immediately
Answer: C) Monitor the patient’s blood pressure regularly
Rationale:
While administering antihypertensive medications and recommending smoking cessation are
important, regularly monitoring the blood pressure allows the nurse to assess the effectiveness of
the treatment plan. Hypertension often requires ongoing evaluation to adjust treatment as needed.
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3. When preparing a patient for surgery, which of the following should be
included in the preoperative teaching?
A) Explain the risks of surgery in detail
B) Tell the patient that the surgery is routine and without risks
C) Discuss the general anesthesia process and possible side effects
D) Ask the patient to refrain from all medications indefinitely
Answer: C) Discuss the general anesthesia process and possible side effects
Rationale:
Preoperative teaching includes informing the patient about what to expect during and after
surgery. This includes explaining the anesthesia process, risks, and possible side effects to help
the patient feel prepared and reduce anxiety.
4. A nurse is administering a medication through a nasogastric (NG) tube. What
is the most important consideration before giving the medication?
A) Check for correct placement of the NG tube
B) Ensure the patient is lying flat
C) Use a syringe to inject the medication rapidly
D) Crush all tablets for easy administration
Answer: A) Check for correct placement of the NG tube
Rationale:
Before administering any medication through an NG tube, it is essential to confirm the tube's
placement in the stomach to avoid complications such as aspiration or incorrect administration of
the medication. This can be done by checking for gastric residuals or using pH testing.
5. Which of the following is the best nursing intervention for a patient
experiencing acute pain due to a kidney stone?
A) Apply a cold compress to the affected area
B) Encourage deep breathing exercises
C) Administer prescribed pain medication as ordered
D) Restrict the patient’s fluid intake
Answer: C) Administer prescribed pain medication as ordered
Rationale:
The primary intervention for managing acute pain is to provide pain relief through medication as
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prescribed. While deep breathing exercises and other methods can be supportive, managing pain
with appropriate medication is the priority.
6. A nurse is caring for a patient who is receiving a blood transfusion. Which of
the following signs indicates a possible transfusion reaction?
A) Mild fever and chills
B) Decreased blood pressure and shortness of breath
C) Increased heart rate and an elevated temperature
D) Hypotension and a flushed face
Answer: B) Decreased blood pressure and shortness of breath
Rationale:
Signs of a transfusion reaction include hypotension (low blood pressure), difficulty breathing,
fever, and chills. If these symptoms occur, the transfusion should be stopped immediately, and
the healthcare provider should be notified.
7. A patient has been prescribed warfarin (Coumadin). The nurse should
prioritize which of the following interventions?
A) Instruct the patient to eat a consistent amount of green leafy vegetables daily
B) Monitor the patient's blood pressure every 8 hours
C) Ensure the patient is taking the medication at the same time each day
D) Advise the patient to avoid all physical activity to prevent bleeding
Answer: A) Instruct the patient to eat a consistent amount of green leafy vegetables daily
Rationale:
Warfarin is an anticoagulant that works by inhibiting vitamin K-dependent clotting factors. A
consistent intake of vitamin K-rich foods (such as green leafy vegetables) is important to
maintain stable drug effects. Sudden fluctuations in dietary intake of vitamin K can interfere with
the medication’s action.
8. Which of the following is a common side effect of opioid analgesics?
A) Diarrhea
B) Insomnia
C) Constipation
D) Increased appetite