Test Bank for Fundamentals of Nursing 11th
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And Correct Detailed Answers| Brand New
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1. Which action demonstrates the nurse’s understanding of patient
confidentiality?
A. Discussing the patient’s condition with a coworker in the break
room
B. Posting a patient photo on social media
C. Sharing patient information only with authorized personnel
D. Talking about patient details in the hospital cafeteria
Rationale: Confidentiality requires patient information to be shared
only with those directly involved in the patient’s care.
2. The nurse notes that a patient’s pulse is 48 beats per minute.
Which term describes this finding?
A. Tachycardia
B. Bradycardia
C. Hypertension
D. Hypotension
Rationale: Bradycardia is defined as a heart rate less than 60 bpm,
while tachycardia is over 100 bpm.
3. A patient reports pain at a surgical site. Which action is the
nurse’s priority?
A. Encourage ambulation
B. Assess the pain using a standardized scale
,C. Administer fluids
D. Document the observation
Rationale: Assessment is the first step in managing pain according to
the nursing process.
4. What is the primary purpose of standard precautions?
A. Prevent the spread of infection
B. Protect both patients and healthcare personnel
C. Ensure proper documentation
D. Promote patient comfort
Rationale: Standard precautions are designed to prevent
transmission of pathogens in healthcare settings.
5. Which nursing action demonstrates patient advocacy?
A. Performing all patient care independently
B. Speaking up when a physician’s order may harm a patient
C. Following all orders without question
D. Documenting only positive patient outcomes
Rationale: Advocacy involves supporting and protecting the patient’s
rights and safety.
6. When auscultating the lungs, the nurse hears high-pitched
musical sounds. This is known as:
A. Crackles
B. Rhonchi
C. Wheezing
D. Stridor
,Rationale: Wheezing is a high-pitched musical sound produced by
narrowed airways, common in asthma.
7. A patient is receiving IV fluids. Which site complication should
the nurse monitor for?
A. Urticaria
B. Phlebitis
C. Hematuria
D. Tachycardia
Rationale: Phlebitis is inflammation of the vein, often caused by IV
therapy.
8. Which technique is correct for hand hygiene before patient
contact?
A. Wiping hands with a towel
B. Washing hands with soap and water for at least 20 seconds
C. Wearing gloves only
D. Rinsing hands briefly under water
Rationale: Proper hand hygiene reduces the risk of pathogen
transmission.
9. Which action is appropriate when a patient experiences
orthostatic hypotension?
A. Encourage sudden standing
B. Assist the patient to rise slowly from a sitting or lying position
C. Restrict fluids
D. Administer IV medication immediately
, Rationale: Slow position changes prevent dizziness and falls
associated with orthostatic hypotension.
10. What is the correct order of the nursing process?
A. Planning, Assessment, Implementation, Evaluation
B. Assessment, Diagnosis, Planning, Implementation, Evaluation
C. Diagnosis, Assessment, Planning, Evaluation, Implementation
D. Evaluation, Planning, Assessment, Implementation, Diagnosis
Rationale: The nursing process follows a systematic approach
starting with assessment.
11. A nurse is caring for a patient with an NG tube. Which action
prevents aspiration?
A. Placing the patient supine
B. Elevating the head of the bed to at least 30–45 degrees
C. Disconnecting suction intermittently
D. Feeding rapidly
Rationale: Elevating the head of the bed reduces the risk of gastric
contents entering the lungs.
12. Which statement reflects a correctly written SMART goal for a
patient?
A. “Patient will feel better soon.”
B. “Patient will ambulate 50 feet with a walker by the end of the
day.”
C. “Patient will exercise more.”
D. “Patient will eat better.”
Edition Exam Newest With Complete Questions
And Correct Detailed Answers| Brand New
Version
1. Which action demonstrates the nurse’s understanding of patient
confidentiality?
A. Discussing the patient’s condition with a coworker in the break
room
B. Posting a patient photo on social media
C. Sharing patient information only with authorized personnel
D. Talking about patient details in the hospital cafeteria
Rationale: Confidentiality requires patient information to be shared
only with those directly involved in the patient’s care.
2. The nurse notes that a patient’s pulse is 48 beats per minute.
Which term describes this finding?
A. Tachycardia
B. Bradycardia
C. Hypertension
D. Hypotension
Rationale: Bradycardia is defined as a heart rate less than 60 bpm,
while tachycardia is over 100 bpm.
3. A patient reports pain at a surgical site. Which action is the
nurse’s priority?
A. Encourage ambulation
B. Assess the pain using a standardized scale
,C. Administer fluids
D. Document the observation
Rationale: Assessment is the first step in managing pain according to
the nursing process.
4. What is the primary purpose of standard precautions?
A. Prevent the spread of infection
B. Protect both patients and healthcare personnel
C. Ensure proper documentation
D. Promote patient comfort
Rationale: Standard precautions are designed to prevent
transmission of pathogens in healthcare settings.
5. Which nursing action demonstrates patient advocacy?
A. Performing all patient care independently
B. Speaking up when a physician’s order may harm a patient
C. Following all orders without question
D. Documenting only positive patient outcomes
Rationale: Advocacy involves supporting and protecting the patient’s
rights and safety.
6. When auscultating the lungs, the nurse hears high-pitched
musical sounds. This is known as:
A. Crackles
B. Rhonchi
C. Wheezing
D. Stridor
,Rationale: Wheezing is a high-pitched musical sound produced by
narrowed airways, common in asthma.
7. A patient is receiving IV fluids. Which site complication should
the nurse monitor for?
A. Urticaria
B. Phlebitis
C. Hematuria
D. Tachycardia
Rationale: Phlebitis is inflammation of the vein, often caused by IV
therapy.
8. Which technique is correct for hand hygiene before patient
contact?
A. Wiping hands with a towel
B. Washing hands with soap and water for at least 20 seconds
C. Wearing gloves only
D. Rinsing hands briefly under water
Rationale: Proper hand hygiene reduces the risk of pathogen
transmission.
9. Which action is appropriate when a patient experiences
orthostatic hypotension?
A. Encourage sudden standing
B. Assist the patient to rise slowly from a sitting or lying position
C. Restrict fluids
D. Administer IV medication immediately
, Rationale: Slow position changes prevent dizziness and falls
associated with orthostatic hypotension.
10. What is the correct order of the nursing process?
A. Planning, Assessment, Implementation, Evaluation
B. Assessment, Diagnosis, Planning, Implementation, Evaluation
C. Diagnosis, Assessment, Planning, Evaluation, Implementation
D. Evaluation, Planning, Assessment, Implementation, Diagnosis
Rationale: The nursing process follows a systematic approach
starting with assessment.
11. A nurse is caring for a patient with an NG tube. Which action
prevents aspiration?
A. Placing the patient supine
B. Elevating the head of the bed to at least 30–45 degrees
C. Disconnecting suction intermittently
D. Feeding rapidly
Rationale: Elevating the head of the bed reduces the risk of gastric
contents entering the lungs.
12. Which statement reflects a correctly written SMART goal for a
patient?
A. “Patient will feel better soon.”
B. “Patient will ambulate 50 feet with a walker by the end of the
day.”
C. “Patient will exercise more.”
D. “Patient will eat better.”
