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 preparing to assess a newly admitted patient. Which
action best demonstrates the first step of the nursing process?
A. Administer prescribed medications.
B. Collect subjective and objective patient data.
C. Develop measurable patient outcomes.
D. Evaluate whether the plan of care was effective.
Correct Answer: B
Rationale:
Assessment is the first step of the nursing process and involves
collecting both subjective data (what the patient reports) and
objective data (observable and measurable findings). Accurate
assessment provides the foundation for nursing diagnoses,
planning, interventions, and evaluation. Administering
medications is an intervention, developing outcomes occurs
during planning, and evaluating effectiveness is the final step.
Question 2
A patient says, "I'm worried that my surgery won't go well."
Which nurse response demonstrates therapeutic
communication?
A. "There's nothing to worry about."
B. "Many people have this surgery without problems."
,C. "Tell me more about what concerns you most."
D. "You should think positively."
Correct Answer: C
Rationale:
Inviting the patient to discuss concerns encourages expression
of feelings and promotes therapeutic communication. False
reassurance, minimizing concerns, and giving unsolicited advice
can inhibit communication and may make the patient feel
misunderstood.
Question 3
A nurse enters a patient's room and identifies that the patient is
attempting to get out of bed without assistance despite being
weak. Which action should the nurse take first?
A. Activate the bed alarm.
B. Assist the patient safely back to bed.
C. Notify the provider.
D. Document the incident.
Correct Answer: B
Rationale:
Patient safety is the immediate priority. Preventing a fall by
assisting the patient safely is the first action. Additional fall-
prevention measures, provider notification if indicated, and
documentation should occur after the patient is safe.
, Question 4
A nurse is preparing to administer medications. Which action
best helps prevent medication errors?
A. Ask another patient to verify the medication.
B. Compare the medication label with the medication
administration record before administration.
C. Prepare medications for multiple patients at the same time.
D. Leave medications at the bedside for later administration.
Correct Answer: B
Rationale:
Comparing the medication label with the medication
administration record according to agency policy helps ensure
the correct medication is administered. Preparing medications
for multiple patients, leaving medications unattended, or
relying on another patient for verification increases the risk of
medication errors.
Question 5
A nurse is caring for a patient with limited mobility. Which
intervention best helps reduce the risk of pressure injuries?
A. Massage reddened bony prominences.
B. Reposition the patient at regular intervals.
C. Place the patient in one position for uninterrupted sleep.
D. Use donut-shaped cushions under the sacrum.
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 preparing to assess a newly admitted patient. Which
action best demonstrates the first step of the nursing process?
A. Administer prescribed medications.
B. Collect subjective and objective patient data.
C. Develop measurable patient outcomes.
D. Evaluate whether the plan of care was effective.
Correct Answer: B
Rationale:
Assessment is the first step of the nursing process and involves
collecting both subjective data (what the patient reports) and
objective data (observable and measurable findings). Accurate
assessment provides the foundation for nursing diagnoses,
planning, interventions, and evaluation. Administering
medications is an intervention, developing outcomes occurs
during planning, and evaluating effectiveness is the final step.
Question 2
A patient says, "I'm worried that my surgery won't go well."
Which nurse response demonstrates therapeutic
communication?
A. "There's nothing to worry about."
B. "Many people have this surgery without problems."
,C. "Tell me more about what concerns you most."
D. "You should think positively."
Correct Answer: C
Rationale:
Inviting the patient to discuss concerns encourages expression
of feelings and promotes therapeutic communication. False
reassurance, minimizing concerns, and giving unsolicited advice
can inhibit communication and may make the patient feel
misunderstood.
Question 3
A nurse enters a patient's room and identifies that the patient is
attempting to get out of bed without assistance despite being
weak. Which action should the nurse take first?
A. Activate the bed alarm.
B. Assist the patient safely back to bed.
C. Notify the provider.
D. Document the incident.
Correct Answer: B
Rationale:
Patient safety is the immediate priority. Preventing a fall by
assisting the patient safely is the first action. Additional fall-
prevention measures, provider notification if indicated, and
documentation should occur after the patient is safe.
, Question 4
A nurse is preparing to administer medications. Which action
best helps prevent medication errors?
A. Ask another patient to verify the medication.
B. Compare the medication label with the medication
administration record before administration.
C. Prepare medications for multiple patients at the same time.
D. Leave medications at the bedside for later administration.
Correct Answer: B
Rationale:
Comparing the medication label with the medication
administration record according to agency policy helps ensure
the correct medication is administered. Preparing medications
for multiple patients, leaving medications unattended, or
relying on another patient for verification increases the risk of
medication errors.
Question 5
A nurse is caring for a patient with limited mobility. Which
intervention best helps reduce the risk of pressure injuries?
A. Massage reddened bony prominences.
B. Reposition the patient at regular intervals.
C. Place the patient in one position for uninterrupted sleep.
D. Use donut-shaped cushions under the sacrum.
