Test bank for
Timby's fundamental nursing skills and concepts
author: donnelly-moreno, loretta
13thedition
,table of contents
unit 1 exploring contemporary nursing .............................................................4
chapter 1 - nursing foundations................................................................................................................ 4
chapter 2 - nursing process ..................................................................................................................... 18
unit 2 integrating basic concepts.................................................................... 33
chapter 3 - laws and ethics ..................................................................................................................... 33
chapter 4 - health and illness .................................................................................................................. 54
chapter 5 - homeostasis, adaptation, and stress .................................................................................... 72
chapter 6 - culture and ethnicity ............................................................................................................ 96
chapter 7 - the nurse-client relationship .............................................................................................. 114
chapter 8 - client teaching .................................................................................................................... 132
chapter 9 - recording and reporting ..................................................................................................... 155
unit 4 performing basic client care ............................................................... 176
chapter 10 - asepsis .............................................................................................................................. 176
chapter 11 - admission, discharge, transfer, and referrals ................................................................... 195
chapter 12 - vital signs .......................................................................................................................... 215
chapter 13 - physical assessment ......................................................................................................... 234
chapter 14 - special examinations and tests ......................................................................................... 258
unit 5 assisting with basic needs .................................................................. 278
chapter 15 - nutrition............................................................................................................................ 278
chapter 16: fluid and chemical balance ................................................................................................ 298
chapter 17 - hygiene ............................................................................................................................. 319
chapter 18 - comfort, rest, and sleep ................................................................................................... 339
chapter 19 - safety ................................................................................................................................ 358
chapter 20 - pain management............................................................................................................. 381
chapter 21 - oxygenation ...................................................................................................................... 401
chapter 22 - infection control ............................................................................................................... 424
unit 6 assisting the inactive client ................................................................ 448
chapter 23 - body mechanics, positioning, and moving ....................................................................... 448
chapter 24 - fitness and therapeutic exercise ...................................................................................... 473
chapter 25 - mechanical immobilization............................................................................................... 497
, chapter 26 - ambulatory aids ................................................................................................................ 521
unit 7 the surgical client................................................................................ 541
chapter 27 - perioperative care ............................................................................................................ 541
chapter 28 - wound care ....................................................................................................................... 566
chapter 29 - gastrointestinal intubation ............................................................................................... 585
unit 8 promoting elimination ......................................................................... 605
chapter 30 - urinary elimination ........................................................................................................... 605
chapter 31 - bowel elimination ............................................................................................................. 625
unit 9 medication administration .................................................................. 644
chapter 32 - oral medications ............................................................................................................... 644
chapter 33 - topical and inhalant medications ..................................................................................... 665
chapter 34 - parenteral medications .................................................................................................... 687
chapter 35 - intravenous medications .................................................................................................. 709
unit 10 intervening in emergency situations ................................................. 730
chapter 36 - airway management ......................................................................................................... 730
chapter 37 - resuscitation ..................................................................................................................... 752
unit 11 caring for the terminally ill ................................................................ 774
chapter 38 - end-of-life care ................................................................................................................. 774
,Unit 1 exploring contemporary nursing
Chapter 1 - nursing foundations
timby's fundamental nursing skills and concepts (13th)
1. A client reports to the emergency department with ankle pain due to a minor road accident. By asking
the client to describe the accident, which type of nursing skill is the nurse using?
A. Assessment skills
B. Comforting skills
C. Counseling skills
D. Caring Skills
answer:>a
Rationale: by asking the client to describe the accident, the nurse is using assessment skills to collect
more information about the client's condition. The nurse is interviewing the client to collect related
data. The nurse is not using comforting skills, as the nurse is not providing any emotional support. The
counseling skills of the nurse are also not used, as no health education is provided. Caring skills include
assistance provided with the activities of daily living, which is not applicable in this scenario.
Question format: multiple choice
Chapter 1: nursing foundations
Cognitive level: understand
Client needs: safe, effective care environment: management of care integrated
Process: nursing process
Reference: p. 15
2. One of the nursing achievements in the crimean war was that the death rate of soldiers dropped from
60% to 1%. What is the most appropriate reason for the fall in the death rate?
A. Increased motivation among the soldiers
B. Decreased rate of infection and gangrene
,C. Increased funds courtesy of donations from families
D. College-based education and training of Nurses
answer:>b
Rationale: during the crimean war, the death rate of british soldiers was 60%, which dropped to 1%
due to the nursing care provided. The nurses improved the ventilation, nutritional, and sanitary
conditions of the soldiers, leading to decreased rates of infection and gangrene. As a result, the death
rate dropped. The families and the soldiers donated funds after the war, not during the war, through
which an organized education and training facility for nurses was started.
Question format: multiple choice
Chapter 1: nursing foundations
Cognitive level: remember
Client needs: safe, effective care environment: safety and infection control integrated
Process: nursing process
Reference: p. 3
3. A nurse at a health care facility provides information, assistance, and encouragement to clients during
the various phases of nursing care. In which activity does the nurse use counseling skills?
A. Educating a group of young girls about aids
B. Telling a client to localize the pain in his abdomen
C. Encouraging a client to walk without support
D. Assisting a lactating mother in feeding her Child
answer:>a
, Rationale: the activity of educating a group of young girls about aids is based on the nurse using
counseling skills. Telling a client to localize his pain is an assessment skill.
Encouraging a client to walk without support can be both a comforting skill and a caring skill. Assisting a
lactating mother in feeding her baby is an example of a caring skill.
Question format: multiple choice
Chapter 1: nursing foundations
Cognitive level: understand
Client needs pn: safe, effective care environment: coordinated care client needs: safe, effective care
environment: management of care client needs: health promotion and maintenance
Client needs pn: health promotion and maintenance integrated process: teaching/learning
Reference: p. 15
4. A nurse is conducting an interview of a 40-year-old client who is admitted with chest pain. Which
action by the nurse indicates active listening?
A. Listening to the client silently
B. Interrupting after each sentence
C. Asking for clarifications and repetitions
D. Talking about the nurse's own
Experience answer:>c
Rationale: active listening is an important component of counseling skills. It encourages the client to
open up and express their concerns. The nurse may ask the client to repeat and clarify statements.
Interrupting after every sentence may annoy the client.
When the nurse listens to the client silently, the client may feel that the nurse is not interested. On the
other hand, if the nurse talks about the nurse's own experience, the focus of the session shifts to the
nurse rather than to the client.
Question format: multiple choice
Chapter 1: nursing foundations
Timby's fundamental nursing skills and concepts
author: donnelly-moreno, loretta
13thedition
,table of contents
unit 1 exploring contemporary nursing .............................................................4
chapter 1 - nursing foundations................................................................................................................ 4
chapter 2 - nursing process ..................................................................................................................... 18
unit 2 integrating basic concepts.................................................................... 33
chapter 3 - laws and ethics ..................................................................................................................... 33
chapter 4 - health and illness .................................................................................................................. 54
chapter 5 - homeostasis, adaptation, and stress .................................................................................... 72
chapter 6 - culture and ethnicity ............................................................................................................ 96
chapter 7 - the nurse-client relationship .............................................................................................. 114
chapter 8 - client teaching .................................................................................................................... 132
chapter 9 - recording and reporting ..................................................................................................... 155
unit 4 performing basic client care ............................................................... 176
chapter 10 - asepsis .............................................................................................................................. 176
chapter 11 - admission, discharge, transfer, and referrals ................................................................... 195
chapter 12 - vital signs .......................................................................................................................... 215
chapter 13 - physical assessment ......................................................................................................... 234
chapter 14 - special examinations and tests ......................................................................................... 258
unit 5 assisting with basic needs .................................................................. 278
chapter 15 - nutrition............................................................................................................................ 278
chapter 16: fluid and chemical balance ................................................................................................ 298
chapter 17 - hygiene ............................................................................................................................. 319
chapter 18 - comfort, rest, and sleep ................................................................................................... 339
chapter 19 - safety ................................................................................................................................ 358
chapter 20 - pain management............................................................................................................. 381
chapter 21 - oxygenation ...................................................................................................................... 401
chapter 22 - infection control ............................................................................................................... 424
unit 6 assisting the inactive client ................................................................ 448
chapter 23 - body mechanics, positioning, and moving ....................................................................... 448
chapter 24 - fitness and therapeutic exercise ...................................................................................... 473
chapter 25 - mechanical immobilization............................................................................................... 497
, chapter 26 - ambulatory aids ................................................................................................................ 521
unit 7 the surgical client................................................................................ 541
chapter 27 - perioperative care ............................................................................................................ 541
chapter 28 - wound care ....................................................................................................................... 566
chapter 29 - gastrointestinal intubation ............................................................................................... 585
unit 8 promoting elimination ......................................................................... 605
chapter 30 - urinary elimination ........................................................................................................... 605
chapter 31 - bowel elimination ............................................................................................................. 625
unit 9 medication administration .................................................................. 644
chapter 32 - oral medications ............................................................................................................... 644
chapter 33 - topical and inhalant medications ..................................................................................... 665
chapter 34 - parenteral medications .................................................................................................... 687
chapter 35 - intravenous medications .................................................................................................. 709
unit 10 intervening in emergency situations ................................................. 730
chapter 36 - airway management ......................................................................................................... 730
chapter 37 - resuscitation ..................................................................................................................... 752
unit 11 caring for the terminally ill ................................................................ 774
chapter 38 - end-of-life care ................................................................................................................. 774
,Unit 1 exploring contemporary nursing
Chapter 1 - nursing foundations
timby's fundamental nursing skills and concepts (13th)
1. A client reports to the emergency department with ankle pain due to a minor road accident. By asking
the client to describe the accident, which type of nursing skill is the nurse using?
A. Assessment skills
B. Comforting skills
C. Counseling skills
D. Caring Skills
answer:>a
Rationale: by asking the client to describe the accident, the nurse is using assessment skills to collect
more information about the client's condition. The nurse is interviewing the client to collect related
data. The nurse is not using comforting skills, as the nurse is not providing any emotional support. The
counseling skills of the nurse are also not used, as no health education is provided. Caring skills include
assistance provided with the activities of daily living, which is not applicable in this scenario.
Question format: multiple choice
Chapter 1: nursing foundations
Cognitive level: understand
Client needs: safe, effective care environment: management of care integrated
Process: nursing process
Reference: p. 15
2. One of the nursing achievements in the crimean war was that the death rate of soldiers dropped from
60% to 1%. What is the most appropriate reason for the fall in the death rate?
A. Increased motivation among the soldiers
B. Decreased rate of infection and gangrene
,C. Increased funds courtesy of donations from families
D. College-based education and training of Nurses
answer:>b
Rationale: during the crimean war, the death rate of british soldiers was 60%, which dropped to 1%
due to the nursing care provided. The nurses improved the ventilation, nutritional, and sanitary
conditions of the soldiers, leading to decreased rates of infection and gangrene. As a result, the death
rate dropped. The families and the soldiers donated funds after the war, not during the war, through
which an organized education and training facility for nurses was started.
Question format: multiple choice
Chapter 1: nursing foundations
Cognitive level: remember
Client needs: safe, effective care environment: safety and infection control integrated
Process: nursing process
Reference: p. 3
3. A nurse at a health care facility provides information, assistance, and encouragement to clients during
the various phases of nursing care. In which activity does the nurse use counseling skills?
A. Educating a group of young girls about aids
B. Telling a client to localize the pain in his abdomen
C. Encouraging a client to walk without support
D. Assisting a lactating mother in feeding her Child
answer:>a
, Rationale: the activity of educating a group of young girls about aids is based on the nurse using
counseling skills. Telling a client to localize his pain is an assessment skill.
Encouraging a client to walk without support can be both a comforting skill and a caring skill. Assisting a
lactating mother in feeding her baby is an example of a caring skill.
Question format: multiple choice
Chapter 1: nursing foundations
Cognitive level: understand
Client needs pn: safe, effective care environment: coordinated care client needs: safe, effective care
environment: management of care client needs: health promotion and maintenance
Client needs pn: health promotion and maintenance integrated process: teaching/learning
Reference: p. 15
4. A nurse is conducting an interview of a 40-year-old client who is admitted with chest pain. Which
action by the nurse indicates active listening?
A. Listening to the client silently
B. Interrupting after each sentence
C. Asking for clarifications and repetitions
D. Talking about the nurse's own
Experience answer:>c
Rationale: active listening is an important component of counseling skills. It encourages the client to
open up and express their concerns. The nurse may ask the client to repeat and clarify statements.
Interrupting after every sentence may annoy the client.
When the nurse listens to the client silently, the client may feel that the nurse is not interested. On the
other hand, if the nurse talks about the nurse's own experience, the focus of the session shifts to the
nurse rather than to the client.
Question format: multiple choice
Chapter 1: nursing foundations
