Test Bank_ Fundamentals
Of Nursing 12th Edition,
(2025) By Patricia A. Potter
& 4 more
A nurse is caring for a client who has been diagnosed with end-stage liver cancer.
Which of the following is an indication the client is in the denial phase of the grief
process?
A. "The doctor has been so good to me. I know he has tried everything he can. It is just
my time."
,B. "I can't believe the doctor graduated from medical school. He doesn't know a thing
about treating cancer!"
C. "The doctor says I only have a few months to live, but I know he is exaggerating to
get me to take my medication."
D. "Even though I am not hurting right now, I don't feel like I have the energy to get out
of bed." - ANSWERC. "The doctor says I only have a few months to live, but I know he
is exaggerating to get me to take my medication."
A nurse is assessing a client who is 3 days postoperative following abdominal surgery
and notes the absence of bowel sounds, abdominal distention, and the client passing no
flatus. Which of the following conditions should the nurse suspect?
A. Ulcerative colitis
B. Cholecystitis
C. Paralytic ileus
D. Wound dehiscence - ANSWERC. Paralytic ileus
A nurse is caring for a client who has cancer and is receiving palliative care. Which of
the following statements by the client indicates they understand this type of treatment?
A. "I am thinking of getting a second opinion."
B. "I am hoping this will limit my discomfort."
C. "This treatment should help me live a little longer."
D. "This is not working and I plan to stop my treatment." - ANSWERB. "I am hoping this
will limit my discomfort."
A nurse assess a hospice client. The assessment reveals BP 74/40, urine output 30 cc
over 3 hours, poor skin turgor and skin cool to touch, resp 8 and irregular, and
dysphagia. The nurse recognizes these combined assessment findings
A. Are signs of impending death.
B. Are signs of airway obstruction.
C. Are signs the patient may require resuscitation soon.
D. Are signs of the need to increase oral fluids to improve hydration. - ANSWERA. Are
signs of impending death.
A nurse is assessing a client who is experiencing chronic stress. Which of the following
findings should the nurse expect?
A. Hypotension
B. Viral infection
C. Increased energy
D. Increased cognitive awareness - ANSWERB. Viral infection
A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage
kidney disease. When he arrives for his first dialysis treatment, he tells the nurse, "I
, decided to come today, but I am not sure if I will need to come back again this week. I
am feeling much better since my discharge from the hospital and I think my kidneys are
working again." The nurse should identify that this client is demonstrating which of the
following Kübler-Ross stages of grieving?
A. Bargaining
B. Denial
C. Depression
D. Anger - ANSWERB. Denial
A nurse is changing the dressing of a client who is 1 week postoperative following
abdominal surgery and notes the presence of serosanguineous drainage. The nurse
should recognize that this is an indication of which of the following circumstances?
A. Serosanguineous drainage at this time is expected after abdominal surgery.
B. Serosanguineous drainage at this time is a manifestation of possible dehiscence.
C. Serosanguineous drainage at this time is a manifestation of hemorrhage.
D. Serosanguineous drainage at this time is a manifestation of infection. - ANSWERB.
Serosanguineous drainage at this time is a manifestation of possible dehiscence.
A nurse manager is discussing the differences between normal and maladaptive grief
with nursing staff. Which of the following findings should the nurse manager identify as
being a unique component of the maladaptive grieving process?
A. Anorexia
B. Sleep disturbances
C. Anergia
D. Low self-esteem - ANSWERD. Low self-esteem
A nurse in the PACU is assessing a client who has a endotracheal tube (ET) in place
and observes the absence of left-sided chest wall expansion upon respiration. Which of
the following complications should the nurse suspect?
A. Blockage of the ET tube by the client's tongue.
B. Passage of the ET tube into the esophagus.
C. Movement of the ET tube into the right main bronchus.
D. Infection of the vocal cords. - ANSWERC. Movement of the ET tube into the right
main bronchus.
A nurse is planning preoperative care for a client who will undergo surgery. Which of the
following is the priority action by the nurse?
A. Determine what the client knows about the surgery.
B. Identify the client's usual coping mechanisms.
C. Review the client's current home environment.
Of Nursing 12th Edition,
(2025) By Patricia A. Potter
& 4 more
A nurse is caring for a client who has been diagnosed with end-stage liver cancer.
Which of the following is an indication the client is in the denial phase of the grief
process?
A. "The doctor has been so good to me. I know he has tried everything he can. It is just
my time."
,B. "I can't believe the doctor graduated from medical school. He doesn't know a thing
about treating cancer!"
C. "The doctor says I only have a few months to live, but I know he is exaggerating to
get me to take my medication."
D. "Even though I am not hurting right now, I don't feel like I have the energy to get out
of bed." - ANSWERC. "The doctor says I only have a few months to live, but I know he
is exaggerating to get me to take my medication."
A nurse is assessing a client who is 3 days postoperative following abdominal surgery
and notes the absence of bowel sounds, abdominal distention, and the client passing no
flatus. Which of the following conditions should the nurse suspect?
A. Ulcerative colitis
B. Cholecystitis
C. Paralytic ileus
D. Wound dehiscence - ANSWERC. Paralytic ileus
A nurse is caring for a client who has cancer and is receiving palliative care. Which of
the following statements by the client indicates they understand this type of treatment?
A. "I am thinking of getting a second opinion."
B. "I am hoping this will limit my discomfort."
C. "This treatment should help me live a little longer."
D. "This is not working and I plan to stop my treatment." - ANSWERB. "I am hoping this
will limit my discomfort."
A nurse assess a hospice client. The assessment reveals BP 74/40, urine output 30 cc
over 3 hours, poor skin turgor and skin cool to touch, resp 8 and irregular, and
dysphagia. The nurse recognizes these combined assessment findings
A. Are signs of impending death.
B. Are signs of airway obstruction.
C. Are signs the patient may require resuscitation soon.
D. Are signs of the need to increase oral fluids to improve hydration. - ANSWERA. Are
signs of impending death.
A nurse is assessing a client who is experiencing chronic stress. Which of the following
findings should the nurse expect?
A. Hypotension
B. Viral infection
C. Increased energy
D. Increased cognitive awareness - ANSWERB. Viral infection
A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage
kidney disease. When he arrives for his first dialysis treatment, he tells the nurse, "I
, decided to come today, but I am not sure if I will need to come back again this week. I
am feeling much better since my discharge from the hospital and I think my kidneys are
working again." The nurse should identify that this client is demonstrating which of the
following Kübler-Ross stages of grieving?
A. Bargaining
B. Denial
C. Depression
D. Anger - ANSWERB. Denial
A nurse is changing the dressing of a client who is 1 week postoperative following
abdominal surgery and notes the presence of serosanguineous drainage. The nurse
should recognize that this is an indication of which of the following circumstances?
A. Serosanguineous drainage at this time is expected after abdominal surgery.
B. Serosanguineous drainage at this time is a manifestation of possible dehiscence.
C. Serosanguineous drainage at this time is a manifestation of hemorrhage.
D. Serosanguineous drainage at this time is a manifestation of infection. - ANSWERB.
Serosanguineous drainage at this time is a manifestation of possible dehiscence.
A nurse manager is discussing the differences between normal and maladaptive grief
with nursing staff. Which of the following findings should the nurse manager identify as
being a unique component of the maladaptive grieving process?
A. Anorexia
B. Sleep disturbances
C. Anergia
D. Low self-esteem - ANSWERD. Low self-esteem
A nurse in the PACU is assessing a client who has a endotracheal tube (ET) in place
and observes the absence of left-sided chest wall expansion upon respiration. Which of
the following complications should the nurse suspect?
A. Blockage of the ET tube by the client's tongue.
B. Passage of the ET tube into the esophagus.
C. Movement of the ET tube into the right main bronchus.
D. Infection of the vocal cords. - ANSWERC. Movement of the ET tube into the right
main bronchus.
A nurse is planning preoperative care for a client who will undergo surgery. Which of the
following is the priority action by the nurse?
A. Determine what the client knows about the surgery.
B. Identify the client's usual coping mechanisms.
C. Review the client's current home environment.
