FULL TEST BANK
TEST BANK FOR FUNDAMENTALS OF NURSING 11TH
EDITION BY PATRICIA POTTER, ANNE PERRY,
PATRICIASTOCKERT, AMY HALL 9780323810340
CHAPTER 1-50 COMPLETE GUIDE.
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,Table of Contents
1. Chapter 01: Nursing Today
2. Chapter 02: Health Care Delivery System
3. Chapter 03: Community-Based Nursing Practice
4. Chapter 04: Theoretical Foundations of Nursing Practice
5. Chapter 05: Evidence-Based Practice
6. Chapter 06: Health and Wellness
7. Chapter 07: Caring in Nursing Practice
8. Chapter 08: Caring for Patients with Chronic Illness
9. Chapter 09: Cultural Competence
10. Chapter 10: Family Dynamics
11. Chapter 11: Developmental Theories
12. Chapter 12: Conception Through Adolescence
13. Chapter 13: Young and Middle Adults
14. Chapter 14: Older Adults
15. Chapter 15: Critical Thinking and Clinical Judgment
16. Chapter 16: Nursing Assessment
17. Chapter 17: Analysis and Nursing Diagnosis
18. Chapter 18: Planning and Outcomes Identification in Nursing Care
19. Chapter 19: Implementing Nursing Care
20. Chapter 20: Evaluation
21. Chapter 21: Managing Patient Care
22. Chapter 22: Ethics and Values
23. Chapter 23: Legal Implications in Nursing Practice
24. Chapter 24: Communication
25. Chapter 25: Patient Education
26. Chapter 26: Informatics and Documentation
27. Chapter 27: Patient Safety and Quality
28. Chapter 28: Infection Prevention and Control
29. Chapter 29: Vital Signs
30. Chapter 30: Health Assessment and Physical Examination
31. Chapter 31: Medication Administration
32. Chapter 32: Complementary,Alternative, and Integrative Therapies
33. Chapter 33: Self-Concept
34. Chapter 34: Sexuality
35. Chapter 35: Spiritual Health
36. Chapter 36: Loss and Grief
37. Chapter 37: Stress and Coping
38. Chapter 38: Activity and Exercise
39. Chapter 39: Immobility
40. Chapter 40: Hygiene
41. Chapter 41: Oxygenation
42. Chapter 42: Fluid, Electrolyte, Acid-Base Balance
43. Chapter 43: Sleep
44. Chapter 44: Pain Management
45. Chapter 45: Nutrition
46. Chapter 46: Urinary Elimination
,47. Chapter 47: Bowel Elimination
48. Chapter 48: Skin Integrity and Wound Care
49. Chapter 49: Sensory Alterations
50. Chapter 50: Perioperative Nursing Care
,Chapter 01: Nursing Today
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANSWER: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
came after Nightingale, each contributing to the nursing profession in her own way. Mary
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
DIF: Understanding (comprehension)
OBJECTIVE: Discuss the influence of social, historical, political, and economic changes on nursing
practices.
TOPIC: EVALUATION MED SC: HEALTH PROMOTION
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
nursing practice is the nurse following?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANSWER: C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
attain expected outcomes. During assessment, the registered nurse collects comprehensive
data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
registered nurse implements (carries out) the identified plan.
DIF:Understand (comprehension)
OBJECTIVE:Discuss the development of professional nursing roles.
TOPIC:
Planning MED SC: Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANSWER: A
, A beginning nursing student or any nurse entering a situation in which there is no previous
level of experience (e.g., an experienced operating room nurse chooses to now practice in
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
gained from multiple previous experiences to a situation. A competent nurse understands the
organization and specific care required by the type of patients (e.g., surgical, oncology, or
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
care and establish long-range goals. A nurse who has had some level of experience with the
situation is an advanced beginner. This experience may only be observational in nature, but
the nurse is able to identify meaningful aspects or principles of NURSING care.
DIF:Apply (application)
OBJECTIVE:Discuss the development of professional NURSING roles. TOPIC:
EVALUATION MED SC: Management of Care
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANSWER: B
Autonomy is an essential element of professional NURSING that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the United
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
may choose to work toward certification in a specific area of nursing practice. Accountability
means that you are responsible, professionally and legally, for the type and quality of nursing
care provided.
DIF:Apply (application)
OBJECTIVE:Discuss the roles and career opportunities for nurses. TOPIC:
Implementation MED SC: Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANSWER: B
, A manager coordinates the activities of members of the NURSING staff in delivering
NURSING care and has personnel, policy, and budgetary responsibility for a specific
NURSING unit or facility. As an educator, you explain concepts and facts about health,
describe the reason for routine care activities, demonstrate procedures such as self-care
activities, reinforce learning or PATIENT behavior, and evaluate the PATIENT’s progress in
learning. As a PATIENT advocate, you protect your PATIENT’s human and legal rights and
provide assistance in asserting these rights if the need arises. As a caregiver, you help
PATIENTs maintain and regain health, manage disease and symptoms, and attain a maximal
level function and independence through the healing process.
DIF:Apply (application)
OBJECTIVE:Discuss the roles and career opportunities for nurses. TOPIC:
Implementation MED SC: Management of Care
6. The nurse has been working in the clinical setting for several years as an advanced practice
nurse. However, the nurse has a strong desire to pursue research and theory development. To
fulfill this desire, which program should the nurse attend?
a. Doctor of NURSING Science degree (DNSc)
b. Doctor of Philosophy degree (PhD)
c. Doctor of NURSING Practice degree (DNP)
d. Doctor in the Science of NURSING degree (DSN)
ANSWER: B
Some doctoral programs prepare nurses for more rigorous research and theory development
and award the research-oriented Doctor of Philosophy (PhD) in NURSING. Professional
doctoral programs in NURSING (DSN or DNSc) prepare graduates to apply research findings
to clinical NURSING. The DNP is a practice doctorate that prepares advanced practice nurses
such as nurse practitioners.
DIF:Understand (comprehension)
OBJECTIVE:Compare and contrast the educational programs available for professional registered
nurse (RN) education. TOPIC: Teaching/Learning MED SC: Management of Care
7. A nurse attends a workshop on current NURSING issues provided by the American
Nurses Association. Which type of education did the nurse receive?
a. Graduate education
b. Inservice education
c. Continuing education
d. Registered nurse education
ANSWER: C
Continuing education involves formal, organized educational programs offered by
universities, hospitals, state nurses associations, professional NURSING organizations, and
educational and health care institutions. After obtaining a baccalaureate degree in NURSING,
you can pursue graduate education leading to a master’s or doctoral degree in any number of
graduate fields, including NURSING. Inservice education programs are instruction or training
provided by a health care facility or institution. Registered nurse education is the education
preparation for an individual intending to be an RN.
DIF:Apply (application)
OBJECTIVE:Compare and contrast the educational programs available for professional registered nurse
(RN)
, education. TOPIC: Teaching/Learning MED SC: Management of Care
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
for Nurses (QSEN) competency is the nurse demonstrating?
a. Safety
b. PATIENT-centered care
c. Quality improvement
d. Teamwork and collaboration
ANSWER: C
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
of harm to PATIENTs and providers through both system effectiveness and individual
performance. PATIENT-centered care recognizes the PATIENT or designee as the source of
control and full partner in providing compassionate and coordinated care based on respect for
PATIENT’s preferences, values, and needs. Teamwork and collaboration allows effective
functioning within NURSING and interprofessional teams, fostering open communication,
mutual respect, and shared decision making.
DIF:Understand (comprehension)
OBJECTIVE:Discuss the roles and career opportunities for nurses. TOPIC:
EVALUATION MED SC: Management of Care
9. A nurse has compassion fatigue. What is the nurse experiencing?
a. Lateral violence and intrapersonal conflict
b. Burnout and secondary traumatic stress
c. Short-term grief and single stressor
d. Physical and mental exhaustion
ANSWER: B
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic
stress. Compassion fatigue may contribute to what is described as lateral violence
(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief
and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
only.
DIF:Understand (comprehension)
OBJECTIVE:Discuss the influence of social, historical, political, and economic changes on NURSING
practices.
TOPIC: Assessment MED SC: HEALTH PROMOTION
10. A PATIENT is scheduled for surgery. When getting ready to obtain the informed consent,
the PATIENT tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any
questions.‖ The nurse does not allow the PATIENT to sign the permit and notifies the health
care provider of the situation. Which role is the nurse displaying?
a. Manager
b. PATIENT educator
c. PATIENT advocate
d. Clinical nurse specialist
ANSWER: C
, As a PATIENT advocate, the nurse protects the PATIENT’s human and legal rights,
including the right of the PATIENT to understand procedures before signing permits.
Although nurses can be educators, it is the responsibility of the surgeon to provide education
for the PATIENT in preparation for surgery, and it is the nurse’s responsibility to notify the
health care provider if the PATIENT is not properly educated. Managers coordinate the
activities of members of the NURSING staff in delivering NURSING care, and clinical nurse
specialists are experts in a specialized area of NURSING practice in a variety of settings.
DIF:Apply (application)
OBJECTIVE:Discuss the roles and career opportunities for nurses. TOPIC:
EVALUATION MED SC: Management of Care
11. The PATIENT requires routine gynecological services after giving birth to her son, and
while seeing the nurse-midwife, the PATIENT asks for a referral to a pediatrician for the
newborn. Which action should the nurse-midwife take initially?
a. Provide the referral as requested.
b. Offer to provide the newborn care.
c. Refer the PATIENT to the supervising provider.
d. Tell the PATIENT that is not allowed to make referrals.
ANSWER: B
The practice of nurse-midwifery involves providing independent care for women during
normal pregnancy, labor, and delivery, as well as care for the newborn. After being apprised
of the midwifery role, if the PATIENT insists on seeing a pediatrician, the nurse-midwife
should provide the referral. The supervising provider is an obstetric provider, not a
pediatrician. A nurse-midwife can make referrals.
DIF:Analyze (analysis)
OBJECTIVE:Discuss the roles and career opportunities for nurses. TOPIC:
Implementation MED SC: Management of Care
12. The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which
activity is appropriate for a CRNA?
a. Manages gynecological services such as PAP smears.
b. Works under the guidance of an anesthesiologist.
c. Obtains a PhD degree in anesthesiology.
d. Coordinates acute medical conditions.
ANSWER: B
Nurse anesthetists provide surgical anesthesia under the guidance and supervision of an
anesthesiologist, who is a physician (health care provider) with advanced knowledge of
surgical anesthesia. Nurse practitioners, not CRNAs, manage self-limiting acute and chronic
stable medical conditions; certified nurse-midwives provide gynecological services such as
routine Papanicolaou (Pap) smears. The CRNA is an RN with an advanced education in a
nurse anesthesia accredited program. A PhD is not a requirement.
DIF:Understand (comprehension)
OBJECTIVE:Discuss the roles and career opportunities for nurses. TOPIC:
Implementation MED SC: Management of Care
,13. A nurse teaches a group of NURSING students about nurse practice acts. Which information is
most important to include in the teaching session about nurse practice acts?
a. Protects the nurse.
b. Protects the public.
c. Protects the provider.
d. Protects the hospital.
ANSWER: B
The nurse practice acts regulate the scope of NURSING practice and protect public health,
safety, and welfare. They do not protect the nurse, provider, or hospital.
DIF:Understand (comprehension)
OBJECTIVE:Discuss the influence of social, historical, political, and economic changes on NURSING
practices.
TOPIC: Teaching/Learning MED SC: Management of Care
14. A bill has been submitted to the State House of Representatives that is designed to reduce the
cost of health care by increasing the PATIENT-to-nurse ratio from a maximum of 2:1 in
intensive care units to 3:1. What should the nurse realize?
a. Legislation is politics beyond the nurse’s control.
b. National programs have no bearing on state politics.
c. The individual nurse can influence legislative decisions.
d. Focusing on NURSING care provides the best PATIENT benefit.
ANSWER: C
Nurses can influence policy decisions at all governmental levels. One way is to get involved
by participating in local and national efforts. This effort is critical in exerting nurses’
influence early in the political process. Legislation is not beyond the nurse’s control. National
program can have bearing on state politics. The question is focusing on legislation and health
care costs, not NURSING care.
DIF:Analyze (analysis)
OBJECTIVE:Discuss the influence of social, historical, political, and economic changes on NURSING
practices.
TOPIC: EVALUATION MED SC: Management of Care
15. A nurse is using a guide that provides principles of right and wrong to provide care to
PATIENTs. Which guide is the nurse using?
a. Code of ethics
b. Standards of practice
c. Standards of professional performance
d. Quality and safety education for nurses
ANSWER: A
The code of ethics is the philosophical ideals of right and wrong that define the principles you
will use to provide care to your PATIENTs. The standards of practice describe a competent
level of NURSING care. The ANA Standards of Professional Performance describe a
competent level of behavior in the professional role. Quality and safety education for nurses
addresses the challenge to prepare nurses with the competencies needed to continuously
improve the quality of care in their work environments.
DIF:Understand (comprehension)
OBJECTIVE:Discuss the influence of social, historical, political, and economic changes on NURSING
practices.
TOPIC: Implementation MED SC: Management of Care
, 16. A graduate of a baccalaureate degree program plans to start working as a registered nurse
(RN) in the emergency department. Which action must the nurse take first?
a. Obtain certification for an emergency nurse.
b. Pass the National Council Licensure Examination.
c. Take a course on genomics to provide competent emergency care.
d. Complete the Hospital Consumer Assessment of Healthcare Providers Systems.
ANSWER: B
Currently, in the United States, the most common way to become a registered nurse (RN) is
through completion of an associate degree or baccalaureate degree program. Graduates of
both programs are eligible to take the National Council Licensure Examination for Registered
Nurses (NCLEX-RN) to become registered nurses in the state in which they will practice.
Certification can be obtained after passing the NCLEX and working for the specified amount
of time. Genomics is a newer term that describes the study of all the genes in a person and
interactions of these genes with one another and with that person’s environment. Consumers
can also access Hospital Consumer Assessment of Healthcare Providers Systems (HCAHPS)
to obtain information about PATIENTs’ perspectives on hospital care.
DIF:Remember (knowledge)
OBJECTIVE:Compare and contrast the educational programs available for professional registered
nurse (RN) education. TOPIC: Implementation MED SC: Management of Care
17. While providing care to a PATIENT, the nurse is responsible, both professionally and legally,
for the appropriateness and proper execution of the care. Which concept does this describe?
a. Autonomy
b. Accountability
c. PATIENT advocacy
d. PATIENT education
ANSWER: B
Accountability means that the nurse is responsible, professionally and legally, for the type and
quality of NURSING care provided. Autonomy is an essential element of professional
NURSING that involves the initiation of independent NURSING interventions without
medical orders. As a PATIENT advocate, the nurse protects the PATIENT’s human and legal
rights and provides assistance in asserting these rights if the need arises. As an educator, the
nurse explains concepts and facts about health, describes the reasons for routine care
activities, demonstrates procedures such as self-care activities, reinforces learning or
PATIENT behavior, and evaluates the PATIENT’s progress in learning.
DIF:Remember (knowledge)
OBJECTIVE:Discuss the influence of social, historical, political, and economic changes on NURSING
practices.
TOPIC: EVALUATION MED SC: Management of Care
18. A nurse is teaching the staff about Benner’s levels of proficiency. In which order should the
nurse place the levels from beginning level to ending level?
1. Expert
2. Novice
3. Proficient
4. Competent
5. Advanced beginner