1
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Nursing: A Concept Based Approach
to Learning, Volume 1 Test Bank
Edition/Reference: 5th Edition
(Published by Pearson, March 3, 2026)
Modules
1. Acid-Base Balance
2. Cellular Regulation
3. Comfort
4. Digestion
5. Elimination
6. Fluids and Electrolytes
7. Health, Wellness, and Illness
8. Immunity
9. Infection
10. Inflammation
11. Intracranial Regulation
12. Metabolism
13. Mobility
14. Nutrition
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15. Oxygenation
16. Perfusion
17. Perioperative Care
18. Sensory Perception
19. Sexuality
20. Thermoregulation
21. Tissue Integrity
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Module 1: Acid-Base Balance
Question 1. A nurse is helping a team address acid-base balance. Which action best
demonstrates the highest-priority step for safe, effective concept-based nursing
care?
A. Identify the most immediate factor affecting acid-base and act on it before
expanding the plan to secondary issues.
B. delay action until balance even when urgent information about acid-base is still
missing.
C. Standardize all actions around balance application without considering
individual context, available evidence, or stakeholder priorities.
D. Choose the easiest short-term step and postpone deeper analysis of acid-base
until after outcomes worsen.
✅ Correct Answer: A
Rationale: Identify the most immediate factor affecting acid-base and act on it
before expanding the plan to secondary issues. is correct because effective work in
acid-base balance begins with nursing judgment that matches the immediate
context, uses trustworthy evidence, and connects action to measurable results. This
option addresses acid-base in a way that supports safe decision-making for the
patient and strengthens the nurse’s ability to support outcomes. The other options
are less appropriate because they either delay essential analysis, overgeneralize
care, or emphasize convenience instead of a structured response grounded in
assessment findings.
DIF: Easy
TOP: Acid-Base Balance / Acid-Base / Priority Application
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
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Question 2. When assessing factors related to acid-base balance, which finding
should the nurse recognize as most important to clarify before planning
interventions?
A. delegate entirely to balance even when urgent information about acid-base is
still missing.
B. Standardize all actions around balance application without considering
individual context, available evidence, or stakeholder priorities.
C. Choose the easiest short-term step and postpone deeper analysis of acid-base
until after outcomes worsen.
D. Clarify baseline data, contextual influences, and current indicators linked to
acid-base before selecting interventions.
✅ Correct Answer: D
Rationale: Clarify baseline data, contextual influences, and current indicators
linked to acid-base before selecting interventions. is correct because effective work
in acid-base balance begins with nursing judgment that matches the immediate
context, uses trustworthy evidence, and connects action to measurable results. This
option addresses acid-base in a way that supports safe decision-making for the
patient and strengthens the nurse’s ability to support outcomes. The other options
are less appropriate because they either delay essential analysis, overgeneralize
care, or emphasize convenience instead of a structured response grounded in
assessment findings.
DIF: Moderate
TOP: Acid-Base Balance / Acid-Base / Assessment Application
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Safety and Infection Control
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Question 3. The nurse is preparing teaching about acid-base balance. Which
statement shows that education is being framed most appropriately?
A. Standardize all actions around balance application without considering
individual context, available evidence, or stakeholder priorities.
B. Choose the easiest short-term step and postpone deeper analysis of acid-base
until after outcomes worsen.
C. Tailor teaching to the learner’s literacy, culture, readiness, and specific concerns
about acid-base.
D. document without balance even when urgent information about acid-base is still
missing.
✅ Correct Answer: C
Rationale: Tailor teaching to the learner’s literacy, culture, readiness, and specific
concerns about acid-base. is correct because effective work in acid-base balance
begins with nursing judgment that matches the immediate context, uses trustworthy
evidence, and connects action to measurable results. This option addresses acid-
base in a way that supports safe decision-making for the patient and strengthens the
nurse’s ability to support outcomes. The other options are less appropriate because
they either delay essential analysis, overgeneralize care, or emphasize convenience
instead of a structured response grounded in assessment findings.
DIF: Hard
TOP: Acid-Base Balance / Acid-Base / Teaching Application
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 4. During work focused on acid-base balance, which task is most
appropriate for the nurse to retain rather than delegate?
A. Choose the easiest short-term step and postpone deeper analysis of acid-base
until after outcomes worsen.
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B. Keep the initial assessment, synthesis, and clinical judgment about acid-base
with the registered nurse.
C. use a uniform approach for balance even when urgent information about acid-
base is still missing.
D. Standardize all actions around balance application without considering
individual context, available evidence, or stakeholder priorities.
✅ Correct Answer: B
Rationale: Keep the initial assessment, synthesis, and clinical judgment about acid-
base with the registered nurse. is correct because effective work in acid-base
balance begins with nursing judgment that matches the immediate context, uses
trustworthy evidence, and connects action to measurable results. This option
addresses acid-base in a way that supports safe decision-making for the patient and
strengthens the nurse’s ability to support outcomes. The other options are less
appropriate because they either delay essential analysis, overgeneralize care, or
emphasize convenience instead of a structured response grounded in assessment
findings.
DIF: Easy
TOP: Acid-Base Balance / Acid-Base / Delegation Application
MSC: NCLEX Client Needs Category: Psychosocial Integrity
Question 5. Which outcome best indicates that interventions related to acid-base
balance are achieving the intended result?
A. Measure a defined improvement in outcomes related to acid-base using
preestablished criteria and follow-up data.
B. assume the issue reflects balance even when urgent information about acid-base
is still missing.
C. Standardize all actions around balance application without considering
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individual context, available evidence, or stakeholder priorities.
D. Choose the easiest short-term step and postpone deeper analysis of acid-base
until after outcomes worsen.
✅ Correct Answer: A
Rationale: Measure a defined improvement in outcomes related to acid-base using
preestablished criteria and follow-up data. is correct because effective work in
acid-base balance begins with nursing judgment that matches the immediate
context, uses trustworthy evidence, and connects action to measurable results. This
option addresses acid-base in a way that supports safe decision-making for the
patient and strengthens the nurse’s ability to support outcomes. The other options
are less appropriate because they either delay essential analysis, overgeneralize
care, or emphasize convenience instead of a structured response grounded in
assessment findings.
DIF: Moderate
TOP: Acid-Base Balance / Acid-Base / Evaluation Application
MSC: NCLEX Client Needs Category: Physiological Integrity: Basic Care and
Comfort
Question 6. A nurse faces competing concerns while addressing acid-base balance.
Which response is most ethically sound?
A. wait for worsening before balance even when urgent information about acid-
base is still missing.
B. Standardize all actions around balance application without considering
individual context, available evidence, or stakeholder priorities.
C. Choose the easiest short-term step and postpone deeper analysis of acid-base
until after outcomes worsen.
D. Use a transparent, patient-centered process that balances autonomy, safety,
, 2
Nursing: A Concept Based Approach
to Learning, Volume 1 Test Bank
Edition/Reference: 5th Edition
(Published by Pearson, March 3, 2026)
Modules
1. Acid-Base Balance
2. Cellular Regulation
3. Comfort
4. Digestion
5. Elimination
6. Fluids and Electrolytes
7. Health, Wellness, and Illness
8. Immunity
9. Infection
10. Inflammation
11. Intracranial Regulation
12. Metabolism
13. Mobility
14. Nutrition
, 3
15. Oxygenation
16. Perfusion
17. Perioperative Care
18. Sensory Perception
19. Sexuality
20. Thermoregulation
21. Tissue Integrity
, 4
Module 1: Acid-Base Balance
Question 1. A nurse is helping a team address acid-base balance. Which action best
demonstrates the highest-priority step for safe, effective concept-based nursing
care?
A. Identify the most immediate factor affecting acid-base and act on it before
expanding the plan to secondary issues.
B. delay action until balance even when urgent information about acid-base is still
missing.
C. Standardize all actions around balance application without considering
individual context, available evidence, or stakeholder priorities.
D. Choose the easiest short-term step and postpone deeper analysis of acid-base
until after outcomes worsen.
✅ Correct Answer: A
Rationale: Identify the most immediate factor affecting acid-base and act on it
before expanding the plan to secondary issues. is correct because effective work in
acid-base balance begins with nursing judgment that matches the immediate
context, uses trustworthy evidence, and connects action to measurable results. This
option addresses acid-base in a way that supports safe decision-making for the
patient and strengthens the nurse’s ability to support outcomes. The other options
are less appropriate because they either delay essential analysis, overgeneralize
care, or emphasize convenience instead of a structured response grounded in
assessment findings.
DIF: Easy
TOP: Acid-Base Balance / Acid-Base / Priority Application
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
, 5
Question 2. When assessing factors related to acid-base balance, which finding
should the nurse recognize as most important to clarify before planning
interventions?
A. delegate entirely to balance even when urgent information about acid-base is
still missing.
B. Standardize all actions around balance application without considering
individual context, available evidence, or stakeholder priorities.
C. Choose the easiest short-term step and postpone deeper analysis of acid-base
until after outcomes worsen.
D. Clarify baseline data, contextual influences, and current indicators linked to
acid-base before selecting interventions.
✅ Correct Answer: D
Rationale: Clarify baseline data, contextual influences, and current indicators
linked to acid-base before selecting interventions. is correct because effective work
in acid-base balance begins with nursing judgment that matches the immediate
context, uses trustworthy evidence, and connects action to measurable results. This
option addresses acid-base in a way that supports safe decision-making for the
patient and strengthens the nurse’s ability to support outcomes. The other options
are less appropriate because they either delay essential analysis, overgeneralize
care, or emphasize convenience instead of a structured response grounded in
assessment findings.
DIF: Moderate
TOP: Acid-Base Balance / Acid-Base / Assessment Application
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Safety and Infection Control
, 6
Question 3. The nurse is preparing teaching about acid-base balance. Which
statement shows that education is being framed most appropriately?
A. Standardize all actions around balance application without considering
individual context, available evidence, or stakeholder priorities.
B. Choose the easiest short-term step and postpone deeper analysis of acid-base
until after outcomes worsen.
C. Tailor teaching to the learner’s literacy, culture, readiness, and specific concerns
about acid-base.
D. document without balance even when urgent information about acid-base is still
missing.
✅ Correct Answer: C
Rationale: Tailor teaching to the learner’s literacy, culture, readiness, and specific
concerns about acid-base. is correct because effective work in acid-base balance
begins with nursing judgment that matches the immediate context, uses trustworthy
evidence, and connects action to measurable results. This option addresses acid-
base in a way that supports safe decision-making for the patient and strengthens the
nurse’s ability to support outcomes. The other options are less appropriate because
they either delay essential analysis, overgeneralize care, or emphasize convenience
instead of a structured response grounded in assessment findings.
DIF: Hard
TOP: Acid-Base Balance / Acid-Base / Teaching Application
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 4. During work focused on acid-base balance, which task is most
appropriate for the nurse to retain rather than delegate?
A. Choose the easiest short-term step and postpone deeper analysis of acid-base
until after outcomes worsen.
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B. Keep the initial assessment, synthesis, and clinical judgment about acid-base
with the registered nurse.
C. use a uniform approach for balance even when urgent information about acid-
base is still missing.
D. Standardize all actions around balance application without considering
individual context, available evidence, or stakeholder priorities.
✅ Correct Answer: B
Rationale: Keep the initial assessment, synthesis, and clinical judgment about acid-
base with the registered nurse. is correct because effective work in acid-base
balance begins with nursing judgment that matches the immediate context, uses
trustworthy evidence, and connects action to measurable results. This option
addresses acid-base in a way that supports safe decision-making for the patient and
strengthens the nurse’s ability to support outcomes. The other options are less
appropriate because they either delay essential analysis, overgeneralize care, or
emphasize convenience instead of a structured response grounded in assessment
findings.
DIF: Easy
TOP: Acid-Base Balance / Acid-Base / Delegation Application
MSC: NCLEX Client Needs Category: Psychosocial Integrity
Question 5. Which outcome best indicates that interventions related to acid-base
balance are achieving the intended result?
A. Measure a defined improvement in outcomes related to acid-base using
preestablished criteria and follow-up data.
B. assume the issue reflects balance even when urgent information about acid-base
is still missing.
C. Standardize all actions around balance application without considering
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individual context, available evidence, or stakeholder priorities.
D. Choose the easiest short-term step and postpone deeper analysis of acid-base
until after outcomes worsen.
✅ Correct Answer: A
Rationale: Measure a defined improvement in outcomes related to acid-base using
preestablished criteria and follow-up data. is correct because effective work in
acid-base balance begins with nursing judgment that matches the immediate
context, uses trustworthy evidence, and connects action to measurable results. This
option addresses acid-base in a way that supports safe decision-making for the
patient and strengthens the nurse’s ability to support outcomes. The other options
are less appropriate because they either delay essential analysis, overgeneralize
care, or emphasize convenience instead of a structured response grounded in
assessment findings.
DIF: Moderate
TOP: Acid-Base Balance / Acid-Base / Evaluation Application
MSC: NCLEX Client Needs Category: Physiological Integrity: Basic Care and
Comfort
Question 6. A nurse faces competing concerns while addressing acid-base balance.
Which response is most ethically sound?
A. wait for worsening before balance even when urgent information about acid-
base is still missing.
B. Standardize all actions around balance application without considering
individual context, available evidence, or stakeholder priorities.
C. Choose the easiest short-term step and postpone deeper analysis of acid-base
until after outcomes worsen.
D. Use a transparent, patient-centered process that balances autonomy, safety,
