Test Bank For Fundamentals Of Nursing 9th Edition By Patricia
A. Potter, RN, MSN, PhD, FAAN, Anne Griffin Perry, RN, EdD,
FAAN, Patricia Stockert, RN, BS 9780323327404 Chapter 1-50
Complete Guide .
1. Which of the following best reflects the philosophy of critical thinking as taught by
a nurse educator to a nursing student?
1. "Think about several interventions that you could use with this client."
2. "Don't draw subjective inferences about your client—be more objective."
3. "Please think harder—there is a single solution for which I am looking."
4. "Trust your feelings—don't be concerned about trying to find a rationale to
support your decision." - ANSWER: "Think about several interventions that you could
use with this client."
2. The second component of critical thinking in the "critical thinking model" is:
1. Experience
2. Competencies
3. Specific knowledge
4. Diagnostic reasoning - ANSWER: Experience
3. The nurse enters the room of a client who has a history of heart disease. On
looking at the client, the nurse feels that something is "not right" with the client and
proceeds to take the vital signs. This is the nurse acting on:
1. Intuition
2. Reflection
3. Knowledge
4. Scientific methodology - ANSWER: Intuition
4. The nurse manager has developed a staff protocol for peer evaluation. The nurses
on her surgical unit are nervous about using her instrument. If the nurse manager
continues to implement the new strategy, which of the following critical thinking
attitudes is she portraying?
1. Humility
2. Risk-taking
3. Accountability
4. Independent thinking - ANSWER: Risk-taking
5. The nurse is working with a client who has recently had a colostomy and is having
difficulty using the provided supplies. The nurse works with the client to see which
alternative supplies are easier for the client to use. This is an example of the critical
thinking strategy of:
1. Inference
2. Management
3. Problem-solving
4. Diagnostic reasoning - ANSWER: Problem-solving
,6. Which of the following is an example of a nurse's statement that reflects using the
scientific method in the nursing process?
1. "I believe that this client is getting depressed."
2. "The client doesn't look right to me; I think something is wrong."
3. "The client's husband told me that she is feeling very uncomfortable."
4. "The client reports more pain than yesterday and her blood pressure is elevated."
- ANSWER: "The client reports more pain than yesterday and her blood pressure is
elevated."
7. The nurse decides to administer tablets of Tylenol instead of the intramuscular
Demerol she has previously been providing her orthopedic client. Which step of the
nursing process does this address?
1. Assessment
2. Nursing diagnosis
3. Planning
4. Implementation - ANSWER: Implementation
8. The nurse has a multiple client assignment on the surgical unit. On beginning the
shift, the nurse needs to determine which postoperative client should be seen first.
Of the following, the nurse should go to see the client who:
1. Has a documented blood pressure of 90/50
2. Was medicated for back pain 10 minutes ago
3. Has an order to be out of bed and ambulated
4. Requires instructions for wound care before discharge - ANSWER: Has a
documented blood pressure of 90/50
9. There are a variety of levels of critical thinking. An example of critical thinking at
the complex level is:
1. Giving medication at the time ordered
2. Following a procedure for catheterization step-by-step
3. Reviewing all clients' medical records thoroughly
4. Discussing various alternative pain management techniques - ANSWER: Discussing
various alternative pain management techniques
10. The nurse is deciding on the type of dressing to use for a client. Which step of the
decision-making process is being used when the nurse observes the absorbency of
different dressing brands?
1. Defining the problem
2. Making final decisions
3. Testing possible options
4. Considering consequences - ANSWER: Testing possible options
11. Which one of the following examples demonstrates the critical thinking attitude
of responsibility and authority?
1. Reporting client difficulties
2. Offering an alternative approach
,3. Looking for a different treatment option
4. Sharing ideas about nursing interventions - ANSWER: Reporting client difficulties
12. Use of the intellectual standard of critical thinking implies that the nurse:
1. Questions the physician's order
2. Recognizes conflicts of interest
3. Listens to both sides of the story
4. Approaches assessment logically - ANSWER: Approaches assessment logically
13. A client requires urinary catheterization but has difficulty keeping her legs in the
usual position needed for this procedure. The nurse has worked for many years and
adapts the procedure to allow the client to lie on her side. This action is based on the
critical thinking element of:
1. Curiosity
2. Experience
3. Perseverance
4. Scientific knowledge - ANSWER: Experience
14. Which of the following statements made by a nursing student concerning the use
of critical thinking and client care requires follow-up by the nursing instructor?
1. "I feel it's good practice to always have alternative interventions in mind."
2. "I trust my feelings about a client's needs since I work hard at knowing my client."
3. "I always try to keep an open mind about what interventions my client will
require."
4. "I will wait until my assessment is completed before determining the client's
needs." - ANSWER: "I trust my feelings about a client's needs since I work hard at
knowing my client."
15. Which of the following is the best example of a nurse's use of reflection?
1. The nurse places a client experiencing respiratory difficulties in a high-Fowler's
position.
2. The nurse calls the provider when a client reports feeling "chilled and achy" while
having an oral temperature of 100.2° F.
3. While caring for a client with a history of asthma, the nurse assesses the client's
pulse oximetry reading when he "doesn't sound right."
4. A nurse tells a client; "When you refused to go to physical therapy earlier today I
believe you were upset about something else besides the appointment time." -
ANSWER: A nurse tells a client; "When you refused to go to physical therapy earlier
today I believe you were upset about something else besides the appointment time."
16. Which of the following nursing situations best reflects accountability?
1. The nurse takes the oncology nursing certification examination.
2. The nurse files an incident report regarding a medication error.
3. The nurse assesses the client for the possible cause of his pain.
4. The nurse tells the client, "I don't know but I will find out for you." - ANSWER: The
nurse files an incident report regarding a medication error.
, 17. Which of the following nursing actions is the best example of problem solving?
1. Requesting the IV team to start an antibiotic drip on a client with a history of being
a difficult stick
2. Offering to call the kitchen to provide an alternate breakfast for a client who does
not like cooked cereal
3. Trying several difficult wound dressings to determine which one the client can
apply the most effectively
4. Calling for another pain medication order when the current drug results in the
client experiencing nausea - ANSWER: Trying several difficult wound dressings to
determine which one the client can apply the most effectively
18. Which of the following clients should be prioritized with the most urgent need
for a nursing assessment?
1. A new admission admitted for swelling in the right ankle and knee
2. A second day postoperative client who received pain medication 30 minutes ago
3. A client who the nursing assistant found crying in the bathroom
4. A client ready for discharge who requires a final assessment and documentation -
ANSWER: A client who the nursing assistant found crying in the bathroom
19. Which of the following nursing interventions is the best example of the
implementation step of the nursing process?
1. Determining that the client's ankle edema is worse after he ambulates
2. Asking the client to rate his ankle pain after receiving oral pain medication
3. Arranging for the client to receive pain medication 30 minutes before his ordered
ambulation
4. Crushing the client's pain medication to facilitate easier swallowing and thus
minimize the risk of choking - ANSWER: Crushing the client's pain medication to
facilitate easier swallowing and thus minimize the risk of choking
20. Which of the following nursing actions best reflects the consequence stage of the
decision-making process?
1. Being physically present when a client is given the results of a tissue biopsy
2. Witnessing the client sign consent for surgery forms before cardiac surgery
3. The client is informed of the various treatments available for his condition.
4. The nurse explains to the client the risks of leaving the hospital against medical
advice. - ANSWER: The nurse explains to the client the risks of leaving the hospital
against medical advice.
21. The concept of nursing responsibility is best reflected in which of the following
nursing actions?
1. Providing accurate and timely documentation regarding an incident resulting in a
client fall
2. Suggesting that a client might prefer taking a particular medication at bedtime
instead of in the morning
3. Posting a note on the unit Kardex how to best apply a dressing to a skin wound on
a particular client
A. Potter, RN, MSN, PhD, FAAN, Anne Griffin Perry, RN, EdD,
FAAN, Patricia Stockert, RN, BS 9780323327404 Chapter 1-50
Complete Guide .
1. Which of the following best reflects the philosophy of critical thinking as taught by
a nurse educator to a nursing student?
1. "Think about several interventions that you could use with this client."
2. "Don't draw subjective inferences about your client—be more objective."
3. "Please think harder—there is a single solution for which I am looking."
4. "Trust your feelings—don't be concerned about trying to find a rationale to
support your decision." - ANSWER: "Think about several interventions that you could
use with this client."
2. The second component of critical thinking in the "critical thinking model" is:
1. Experience
2. Competencies
3. Specific knowledge
4. Diagnostic reasoning - ANSWER: Experience
3. The nurse enters the room of a client who has a history of heart disease. On
looking at the client, the nurse feels that something is "not right" with the client and
proceeds to take the vital signs. This is the nurse acting on:
1. Intuition
2. Reflection
3. Knowledge
4. Scientific methodology - ANSWER: Intuition
4. The nurse manager has developed a staff protocol for peer evaluation. The nurses
on her surgical unit are nervous about using her instrument. If the nurse manager
continues to implement the new strategy, which of the following critical thinking
attitudes is she portraying?
1. Humility
2. Risk-taking
3. Accountability
4. Independent thinking - ANSWER: Risk-taking
5. The nurse is working with a client who has recently had a colostomy and is having
difficulty using the provided supplies. The nurse works with the client to see which
alternative supplies are easier for the client to use. This is an example of the critical
thinking strategy of:
1. Inference
2. Management
3. Problem-solving
4. Diagnostic reasoning - ANSWER: Problem-solving
,6. Which of the following is an example of a nurse's statement that reflects using the
scientific method in the nursing process?
1. "I believe that this client is getting depressed."
2. "The client doesn't look right to me; I think something is wrong."
3. "The client's husband told me that she is feeling very uncomfortable."
4. "The client reports more pain than yesterday and her blood pressure is elevated."
- ANSWER: "The client reports more pain than yesterday and her blood pressure is
elevated."
7. The nurse decides to administer tablets of Tylenol instead of the intramuscular
Demerol she has previously been providing her orthopedic client. Which step of the
nursing process does this address?
1. Assessment
2. Nursing diagnosis
3. Planning
4. Implementation - ANSWER: Implementation
8. The nurse has a multiple client assignment on the surgical unit. On beginning the
shift, the nurse needs to determine which postoperative client should be seen first.
Of the following, the nurse should go to see the client who:
1. Has a documented blood pressure of 90/50
2. Was medicated for back pain 10 minutes ago
3. Has an order to be out of bed and ambulated
4. Requires instructions for wound care before discharge - ANSWER: Has a
documented blood pressure of 90/50
9. There are a variety of levels of critical thinking. An example of critical thinking at
the complex level is:
1. Giving medication at the time ordered
2. Following a procedure for catheterization step-by-step
3. Reviewing all clients' medical records thoroughly
4. Discussing various alternative pain management techniques - ANSWER: Discussing
various alternative pain management techniques
10. The nurse is deciding on the type of dressing to use for a client. Which step of the
decision-making process is being used when the nurse observes the absorbency of
different dressing brands?
1. Defining the problem
2. Making final decisions
3. Testing possible options
4. Considering consequences - ANSWER: Testing possible options
11. Which one of the following examples demonstrates the critical thinking attitude
of responsibility and authority?
1. Reporting client difficulties
2. Offering an alternative approach
,3. Looking for a different treatment option
4. Sharing ideas about nursing interventions - ANSWER: Reporting client difficulties
12. Use of the intellectual standard of critical thinking implies that the nurse:
1. Questions the physician's order
2. Recognizes conflicts of interest
3. Listens to both sides of the story
4. Approaches assessment logically - ANSWER: Approaches assessment logically
13. A client requires urinary catheterization but has difficulty keeping her legs in the
usual position needed for this procedure. The nurse has worked for many years and
adapts the procedure to allow the client to lie on her side. This action is based on the
critical thinking element of:
1. Curiosity
2. Experience
3. Perseverance
4. Scientific knowledge - ANSWER: Experience
14. Which of the following statements made by a nursing student concerning the use
of critical thinking and client care requires follow-up by the nursing instructor?
1. "I feel it's good practice to always have alternative interventions in mind."
2. "I trust my feelings about a client's needs since I work hard at knowing my client."
3. "I always try to keep an open mind about what interventions my client will
require."
4. "I will wait until my assessment is completed before determining the client's
needs." - ANSWER: "I trust my feelings about a client's needs since I work hard at
knowing my client."
15. Which of the following is the best example of a nurse's use of reflection?
1. The nurse places a client experiencing respiratory difficulties in a high-Fowler's
position.
2. The nurse calls the provider when a client reports feeling "chilled and achy" while
having an oral temperature of 100.2° F.
3. While caring for a client with a history of asthma, the nurse assesses the client's
pulse oximetry reading when he "doesn't sound right."
4. A nurse tells a client; "When you refused to go to physical therapy earlier today I
believe you were upset about something else besides the appointment time." -
ANSWER: A nurse tells a client; "When you refused to go to physical therapy earlier
today I believe you were upset about something else besides the appointment time."
16. Which of the following nursing situations best reflects accountability?
1. The nurse takes the oncology nursing certification examination.
2. The nurse files an incident report regarding a medication error.
3. The nurse assesses the client for the possible cause of his pain.
4. The nurse tells the client, "I don't know but I will find out for you." - ANSWER: The
nurse files an incident report regarding a medication error.
, 17. Which of the following nursing actions is the best example of problem solving?
1. Requesting the IV team to start an antibiotic drip on a client with a history of being
a difficult stick
2. Offering to call the kitchen to provide an alternate breakfast for a client who does
not like cooked cereal
3. Trying several difficult wound dressings to determine which one the client can
apply the most effectively
4. Calling for another pain medication order when the current drug results in the
client experiencing nausea - ANSWER: Trying several difficult wound dressings to
determine which one the client can apply the most effectively
18. Which of the following clients should be prioritized with the most urgent need
for a nursing assessment?
1. A new admission admitted for swelling in the right ankle and knee
2. A second day postoperative client who received pain medication 30 minutes ago
3. A client who the nursing assistant found crying in the bathroom
4. A client ready for discharge who requires a final assessment and documentation -
ANSWER: A client who the nursing assistant found crying in the bathroom
19. Which of the following nursing interventions is the best example of the
implementation step of the nursing process?
1. Determining that the client's ankle edema is worse after he ambulates
2. Asking the client to rate his ankle pain after receiving oral pain medication
3. Arranging for the client to receive pain medication 30 minutes before his ordered
ambulation
4. Crushing the client's pain medication to facilitate easier swallowing and thus
minimize the risk of choking - ANSWER: Crushing the client's pain medication to
facilitate easier swallowing and thus minimize the risk of choking
20. Which of the following nursing actions best reflects the consequence stage of the
decision-making process?
1. Being physically present when a client is given the results of a tissue biopsy
2. Witnessing the client sign consent for surgery forms before cardiac surgery
3. The client is informed of the various treatments available for his condition.
4. The nurse explains to the client the risks of leaving the hospital against medical
advice. - ANSWER: The nurse explains to the client the risks of leaving the hospital
against medical advice.
21. The concept of nursing responsibility is best reflected in which of the following
nursing actions?
1. Providing accurate and timely documentation regarding an incident resulting in a
client fall
2. Suggesting that a client might prefer taking a particular medication at bedtime
instead of in the morning
3. Posting a note on the unit Kardex how to best apply a dressing to a skin wound on
a particular client
