Potter & Perry Chapter 19 Test Bank
Questions 2025\2026 All Answered
Correct Graded A+.
1. A nurse working on a surgery floor is assigned five pts and has a pt care technician assisting
her. Which of the following shows the nurse's understanding and ability to safely delegate to the
pt care tech? (Select all that apply.)
1. The nurse considers the time available to gather routine vital signs on one pt before checking
on a second pt arriving from a diagnostic test.
2. Determining what is the pt care technician's current workload.
3. The nurse chooses to delegate the measurement of a stable pt's vital signs and not the
assessment of the pt arriving from a diagnostic test.
4. The nurse reviews with the NAP, newly hired to the floor, her experience in measuring a
blood pressure.
5. The nurse confers with another registered nurse about organizing priorities. - Answer 1.
Answer: 1, 2, 3. A nurse must consider priorities of all her assigned patients in deciding what
activities should be delegated to NAP. When the decision is vital signs versus a patient arriving
from a diagnostic test, delegation of vital signs is appropriate. Assuring a NAP is competent with
an activity is also important.
2. The nurse administers a tube feeding via a pt's nasogastric tube. This is an example of which
of the following?
1. Physical care technique
2. Activity of daily living
3. Indirect care measure
4. Lifesaving measure - Answer 2. Answer: 1. Administering a tube feeding is an example of a
physical care, direct care technique.
3. A nurse is caring for a complicated pt 3 days in a row. The nurse attends an interdisciplinary
conference to discuss the pt's plan of care. In which ways can the nurse develop trust with
members of the conference team? (Select all that apply.)
1. Is willing to challenge other members' ideas because the nurse disagrees with their rationale
2. Shows competence in how to monitor pts' clinical status and inform the physician of critical
changes
3. Asks a more experienced nurse to attend the conference
, might be less familiar with the patient would not promote trust. Challenging other ideas just
because of disagreement does not foster trust.
4. Which principle is most important for a nurse to follow when using a clinical practice
guideline for an assigned pt?
1. Knowing the source of the guideline
2. Reviewing evidence used to develop guideline
3. Individualizing how to apply clinical guideline for a pt
4. Explaining to a pt the purpose of the guideline - Answer 4. Answer: 3. Individualizing patient
care is still the important principle for implementing care, even when a clinical guideline is used.
Explaining any interventions in a guideline to the patient is important but not the most critical
factor in implementing care. Reviewing the source of the guideline and applicable evidence will
not directly benefit a patient.
5. A nurse is visiting a pt in the home and is assessing the pt's adherence to medications. While
talking with the family caregiver, the nurse learns that the pt has been missing doses. The nurse
wants to perform interventions to improve the pt's adherence. Which of the following will affect
how this nurse will make clinical decisions about how to implement care for this pt? (Select all
that apply.)
1. Reviewing the family caregiver's availability during medication administration times
2. Making a judgment of the value of improved adherence for the pt
3. Reviewing the number of medications and time each is to be taken
4. Determining all consequences associated with the pt missing specific medicines
5. Reviewing the therapeutic actions of the medications - Answer 5. Answer: 2, 4. Tips for
making good clinical decisions during implementation include: Making a judgment of the value
of the consequence to the patient, Review all possible consequences associated with each
nursing action, determine the probability of all possible consequences and review the set of all
possible nursing interventions for a patient's problems.
6. The nurse enters a pt's room and finds that the pt was incontinent of liquid stool. B/c the pt
has recurrent redness in the perineal area, the nurse worries about risk of the pt developing a
pressure ulcer. The nurse cleanses the pt, inspects the skin, and applies a barrier ointment to
the perineal area. The nurse consults the ostomy and wound care nurse specialist for
recommended skin care measures. Which of the following correctly describe the nurse's
actions? (Select all that apply.)
1. The application of the skin barrier is a dependent care measure.
2. The call to the ostomy and wound care specialist is an indirect care measure.
Questions 2025\2026 All Answered
Correct Graded A+.
1. A nurse working on a surgery floor is assigned five pts and has a pt care technician assisting
her. Which of the following shows the nurse's understanding and ability to safely delegate to the
pt care tech? (Select all that apply.)
1. The nurse considers the time available to gather routine vital signs on one pt before checking
on a second pt arriving from a diagnostic test.
2. Determining what is the pt care technician's current workload.
3. The nurse chooses to delegate the measurement of a stable pt's vital signs and not the
assessment of the pt arriving from a diagnostic test.
4. The nurse reviews with the NAP, newly hired to the floor, her experience in measuring a
blood pressure.
5. The nurse confers with another registered nurse about organizing priorities. - Answer 1.
Answer: 1, 2, 3. A nurse must consider priorities of all her assigned patients in deciding what
activities should be delegated to NAP. When the decision is vital signs versus a patient arriving
from a diagnostic test, delegation of vital signs is appropriate. Assuring a NAP is competent with
an activity is also important.
2. The nurse administers a tube feeding via a pt's nasogastric tube. This is an example of which
of the following?
1. Physical care technique
2. Activity of daily living
3. Indirect care measure
4. Lifesaving measure - Answer 2. Answer: 1. Administering a tube feeding is an example of a
physical care, direct care technique.
3. A nurse is caring for a complicated pt 3 days in a row. The nurse attends an interdisciplinary
conference to discuss the pt's plan of care. In which ways can the nurse develop trust with
members of the conference team? (Select all that apply.)
1. Is willing to challenge other members' ideas because the nurse disagrees with their rationale
2. Shows competence in how to monitor pts' clinical status and inform the physician of critical
changes
3. Asks a more experienced nurse to attend the conference
, might be less familiar with the patient would not promote trust. Challenging other ideas just
because of disagreement does not foster trust.
4. Which principle is most important for a nurse to follow when using a clinical practice
guideline for an assigned pt?
1. Knowing the source of the guideline
2. Reviewing evidence used to develop guideline
3. Individualizing how to apply clinical guideline for a pt
4. Explaining to a pt the purpose of the guideline - Answer 4. Answer: 3. Individualizing patient
care is still the important principle for implementing care, even when a clinical guideline is used.
Explaining any interventions in a guideline to the patient is important but not the most critical
factor in implementing care. Reviewing the source of the guideline and applicable evidence will
not directly benefit a patient.
5. A nurse is visiting a pt in the home and is assessing the pt's adherence to medications. While
talking with the family caregiver, the nurse learns that the pt has been missing doses. The nurse
wants to perform interventions to improve the pt's adherence. Which of the following will affect
how this nurse will make clinical decisions about how to implement care for this pt? (Select all
that apply.)
1. Reviewing the family caregiver's availability during medication administration times
2. Making a judgment of the value of improved adherence for the pt
3. Reviewing the number of medications and time each is to be taken
4. Determining all consequences associated with the pt missing specific medicines
5. Reviewing the therapeutic actions of the medications - Answer 5. Answer: 2, 4. Tips for
making good clinical decisions during implementation include: Making a judgment of the value
of the consequence to the patient, Review all possible consequences associated with each
nursing action, determine the probability of all possible consequences and review the set of all
possible nursing interventions for a patient's problems.
6. The nurse enters a pt's room and finds that the pt was incontinent of liquid stool. B/c the pt
has recurrent redness in the perineal area, the nurse worries about risk of the pt developing a
pressure ulcer. The nurse cleanses the pt, inspects the skin, and applies a barrier ointment to
the perineal area. The nurse consults the ostomy and wound care nurse specialist for
recommended skin care measures. Which of the following correctly describe the nurse's
actions? (Select all that apply.)
1. The application of the skin barrier is a dependent care measure.
2. The call to the ostomy and wound care specialist is an indirect care measure.
