Fundamentals of Nursing 8th Edition Taylor Test Bank All Chapters
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1. The nursing student uses evidence-based practice findings in the development of a care
plan. This is an example of which type of nursing skill?
A) Cognitive skill
B) Technical skill
C) Interpersonal skill
D) Ethical/legal skill
2. A nurse has come on day shift and is assessing the client's intravenous setup. The nurse
notes that there is a mini-bag of the client's antibiotic hanging as a piggyback, but that
the bag is still full. The nurse examines the patient's medication administration record
(MAR) and concludes that the night nurse likely hung the antibiotic but failed to start
the infusion. As a result, the antibiotic is three hours late and the nurse has consequently
filled out an incident report. In doing so, the nurse has exhibited which of the following?
A) Ethical/legal skills
B) Technical skills
C) Interpersonal skills
D) Cognitive skills
3. A client who has been admitted to the hospital for the treatment of a gastrointestinal
bleed requires a transfusion of packed red blood cells. Which of the following aspects of
the nurse's execution of this order demonstrates technical skill?
A) Starting a new, large-gauge intravenous site on the client, and priming the infusion
tubing
B) Understanding the Rh system that underlies the client's blood type
C) Ensuring that informed consent has been obtained and properly filed in the client's
chart
D) Explaining the process that will be involved in preparing and administering the
transfusion
4. In which of the following situations would the nurse be most justified in implementing
trial-and-error problem solving?
A) The nurse is attempting to landmark an obese client's apical pulse.
B) The nurse is attempting to determine the range of motion of a client's hip joint
following hip surgery.
C) The nurse is attempting to determine which PRN (as needed) analgesic to offer a
client who is in pain.
D) The nurse is attempting to determine whether a poststroke client has a swallowing
deficit.
Page 1
5. What nursing organization first legitimized the use of the nursing process?
A) National League for Nursing
B) American Nurses Association
C) International Council of Nursing
D) State Board of Nursing
6. A client comes to the emergency department complaining of severe chest pain. The
nurse asks the client questions and takes vital signs. Which step of the nursing process is
the nurse demonstrating?
A) Assessing
B) Diagnosing
C) Planning
D) Implementing
7. A nurse is examining a child two years of age. Based on her findings, she initiates a care
plan for a potential problem with normal growth and development. Which step of the
nursing process identifies actual and potential problems?
A) Assessing
B) Diagnosing
C) Planning
D) Implementing
8. A home health nurse reviews the nursing care with the client and family and then
mutually discusses the expected outcomes of the nursing care to be provided. Which
step of the nursing process is the nurse illustrating?
A) Diagnosing
B) Planning
C) Implementing
D) Evaluating
9. Based on an established plan of care, a nurse turns a client every two hours. What part
of the nursing process is the nurse using?
A) Assessing
B) Planning
C) Implementing
D) Evaluating
Page 2
10. What name is given to standardized plans of care?
A) Critical pathways
B) Computer databases
C) Nursing problems
D) Care plan templates
11. Which of the following groups developed standard language to increase the visibility of
nursing's contribution to client care by continuing to develop, refine, and classify
phenomena of concern to nurses?
A) NANDA
B) NIC
C) NOC
D) HHCC (now CCC)
12. Legally speaking, how would the nurse ensure that care was not negligent?
A) Verbally reporting assessments to the client's physician
B) Keeping private notes about the care given to each assigned client
C) Documenting the nursing actions in the client's record
D) Tape recording complete information for each oncoming shift
13. A nurse interviews a pregnant teenager and documents her answers on the client record.
At the same time, the nurse responds to the client's concerns and makes a referral for
counseling and maternity care. This scenario is an example of which of the descriptors
of the nursing process?
A) Systematic
B) Dynamic
C) Outcome oriented
D) Universally applicable
14. An experienced ICU nurse is mentoring a student. The nurse tells the student, "I think
something is going wrong with your client." What type of clinical decision making is
the experienced nurse demonstrating?
A) Trial-and-error problem solving
B) Intuitive thinking
C) Scientific problem solving
D) Methodical reasoning
Page 3
15. A nurse is caring for a client in the ER who was injured in a snowmobile accident. The
nurse documents the following client data: uncontrollable shivering, weakness, pale and
cold skin. Th nurse suspects the client is experiencing hypothermia. Upon further
assessment, the nurse notes a heart rate of 53 BPM and core internal temperature of
90°F, which confirms the initial diagnosis. The nurse then devises a plan of care and
continues to monitor the client to evaluate the outcomes. This nurse is using which of
the following types of problem solving in her care of this client?
A) Trial-and-error
B) Scientific
C) Intuitive
D) Critical thinking
16. Which of the following is one example of a client benefit of using the nursing process?
A) Greater personal satisfaction
B) Decreased reliance on the nursing staff
C) Continuity of care
D) Decreased incidence of medical errors
18. What step in the nursing process is most closely associated with cognitively skilled
nurses?
A) Assessing
B) Planning
C) Implementing
D) Evaluating
19. A nurse asks a multidisciplinary team to collaborate in developing the most appropriate
plan of care to meet the needs of an adolescent with a severe head injury. Which of the
blended skills essential to nursing practice is the nurse using?
A) Cognitive skills
B) Interpersonal skills
C) Technical skills
D) Ethical/legal skills
Page 4
20. A student is asked to perform a skill for which he is not prepared. When using the
method of critical thinking, what would be the first step to resolve the situation?
A) Purpose of thinking
B) Adequacy of knowledge
C) Potential problems
D) Helpful resources
21. Members of the staff on a hospital unit are critical of a client's family, who has different
cultural beliefs about health and illness. A student assigned to the patient does not
agree,based on her care of the client and family. What critical thinking attitude is the
student demonstrating?
A) Being curious and persevering
B) Being creative
C) Demonstrating confidence
D) Thinking independently
22. As a beginning student in nursing, what is essential to the mastery of technical skills,
such as giving an injection?
A) Read the steps of the procedure before clinical assignments.
B) Even if you do not know how to give an injection, act as if you do.
C) Practice giving injections in the learning laboratory until you feel comfortable.
D) Tell your instructor that you don't think you can ever give an injection.
23. Which of the following interpersonal skills is essential to the practice of nursing?
A) Performing technical skills knowledgeably and safely
B) Maintaining emotional distance from clients and families
C) Keeping personal information among shared clients confidential
D) Promoting the dignity and respect of patients as people
24. A client age 50 years reports to a primary care unit with an open wound due to a fall in
the bathroom. Which of the following nursing actions represents caring skills?
A) The nurse cleans the wound and applies a dressing to it.
B) The nurse inspects and examines the wound for swelling.
C) The nurse tells the client to use caution while on slippery surfaces.
D) The nurse informs the client that the wound is small and will heal easily.
Page 5
25. The nurse, after gathering data, analyzes the information to derive meaning. The nurse is
involved in which phase of the nursing process?
A) Planning
B) Diagnosis
C) Implementation
D) Outcome identification
26. After completing an assessment of a client, the nurse uses critical thinking and clinical
reasoning to prioritize the client's problems. Which of the following would the nurse
determine is the highest priority?
A) Severe bleeding from a wound
B) History of asthma
C) Diabetes
D) Lack of family support
27. When the nurse is administering Lasix 20 mg to a client in congestive heart failure, what
phase of the nursing process does this represent?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
28. When the nurse assesses the client's blood sugar, what is the term for the type of skill
the nurse is using?
A) Technical
B) Therapeutic
C) Interactional
D) Adaptive
29. Nurses apply critical thinking to clinical reasoning and judgment in their nursing
practice every day. Which of the following are characteristics of this practice? Select all
that apply.
A) It is guided by standards, policies and procedures, ethics codes, and laws.
B) It is based on principles of nursing process, problem solving, and the scientific
method.
C) It carefully identifies the key problems, issues, and risks involved.
D) It is driven by the nurse's need to document competent, efficient care.
E) It calls for strategies that make the most of human potential.
Page 6
30. Nurses make decisions in their practice every day. Which of the following are potential
errors in this decision-making process? Select all that apply.
A) Placing emphasis on the last data received
B) Avoiding information contrary to one's opinion
C) Selecting alternatives to maintain status quo
D) Being predisposed to multiple solutions
E) Prioritizing problems in order of importance
31. Which of the following is an essential feature of professional nursing? Select all that
apply.
A) Providing a caring relationship to facilitate health and healing
B) Attention to a range of human experiences and responses to health and illness
C) Use of objective data to negate the client's subjective experience
D) Use of judgment and critical thinking to form a medical diagnosis
E) Advancement of professional nursing knowledge through scholarly inquiry
32. Self-evaluation is a method that nurses use to promote their own development, and to
grow in confidence in their nursing roles. This process is referred to as what?
A) Promoting the nurse's self-esteem.
B) Reflective practice.
C) Assessment of oneself.
D) Learning from mistakes.
33. Nursing is a profession in a rapidly changing health care environment. What is the most
important reason for the nurse to develop critical thinking and clinical reasoning?
A) To be able to employ the nursing process in client care.
B) The licensing examination requires nurses to be adept at critical thinking.
C) Because clients deserve experts who know how to care for them.
D) To provide quality care with nursing ability and knowledge.
Page 7
34. The nurse is providing care for a pediatric client on night shift. At 0400, the nurse notes
that the child has a high fever but does not have an order for an antipyretic. What
nursing action represents a good example of teamwork and collaboration as defined by
the Quality and Safety Education for Nurses (QSEN) competencies? The nurse:
A) calls the health care practitioner, reports her findings, and requests an order for an
antipyretic.
B) gives the child a common over-the-counter antipyretic based on dosing
recommendations and reports this to the oncoming nurse.
C) reports to the oncoming nurse at 0700 that the child has a fever so that when the
healthcare provider comes in, she can obtain an order for an antipyretic.
D) requests that the child 's mother give the child something for the fever that she
brought from home.
35. Which of the following group of terms best describes the nursing process?
A) nursing goals, medical terminology, linear
B) nurse-centered, single focus, blended skills
C) patient-centered, systematic, outcomes-oriented
D) family-centered, single point in time, intuitive
Page 8
Answer Key
1. A
2. A
3. A
4. A
5. B
6. A
7. B
8. B
9. C
10. A
11. A
12. C
13. B
14. B
15. B
16. C
17. A
18. B
19. B
20. A
21. D
22. C
23. D
24. A
25. B
26. A
27. C
28. A
29. A, B, C, E
30. B, C
31. A, B, E
32. B
33. D
34. A
35. C
Page 9
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Darlington, September 21, 1758.
G. W.
LETTER MCCXV.
To Mr. S――.
G. W.
LETTER MCCXVI.
To the Reverend Mr. G――.
G. W.
LETTER MCCXVII.
To Mr. ――.
G. W.
LETTER MCCXVIII.
London, November 3, 1758.
Dear Sir,
G. W.
LETTER MCCXIX.
To Mr. D――.
I WAS very glad to receive your kind letter dated August. Blessed be
God that the family is so far reduced, and that I can send you
word a never-failing Providence hath put it into my power to pay off
all Bethesda’s arrears. I know this will gladden your heart, and
strengthen your faith in the Lord God of Bethesda. As yet I hear
nothing of the children. With this you have some bibles and other
books. The Lord Jesus direct me about coming over! I long for an
opportunity. I daily talk of it. But as yet the door seems to be shut.
However, the door for preaching the gospel opens wider and wider.
Neither the new chapel nor the Tabernacle are near big enough. An
awakening as well as comforting influence attends the word, and I
trust such are daily added to the church as shall be saved. I hope if
Mr. Zubly settles in Georgia, you will receive frequent benefit from
his ministry. You do not mention how J―― P―― is disposed of. I
am sensible what a weight must now lie upon you and dear Mrs.
C――. But he is faithful who hath promised, “that as our day is, so
shall our strength be.” I wish you would send me a particular account
of the state of my affairs, and let me know where the children are put
out, how they behave, and whether the colony is in a growing
situation. Grace, mercy, and peace be multiplied upon all! Amen, and
Amen! My wife joins in sending cordial respects. My blessing to the
children. I can but thank you a thousand and a thousand times for all
your labours of love, and praying that great may be your reward in
heaven, I subscribe myself, dear Mr. D――,
G. W.
LETTER MCCXX.
To Mrs. C――.
London, November 14, 1758.
I HAVE waited with some degree of impatience for the arrival of Mrs.
B――, with whom, I suppose, you sent your letters. The childrens
passage comes hard upon me: but God’s will be done! Mr. J――n’s
being at Georgia surprizes me. I told Mrs. H――s what she must
expect to meet with. But he is faithful who hath promised, “that all
things shall work together for good to those that love Him.” Blessed
be our God, whose mercy endureth for ever! I am talking every day
of coming over; but how to do it in war time, or how to get the chapel
and Tabernacle supplied, I cannot as yet be clear in. My eyes are
waiting upon him, who hath promised to direct the paths of those
who trust in him. Surely he will richly reward you, who have left your
kindred and native country, and carefully watched over so many
infant lambs in that new world. I can only send you my most grateful
acknowledgments, and pray continually, “that as your day is, so your
strength may be.” Do send me your thoughts about every thing. It
seems by Mr. D――’s catalogue, that several of the children are
almost fit to be put out. I want your opinion of A―― W――. Lord,
help me to bear every thing for thy great name’s sake! I must have
some thorns; for the word seems to run and be glorified in town and
country more and more. Praise the Lord, O our souls! I shall here
break off, hoping that before the ship sails, I shall receive the other
letters, and then more shall be added by, dear Mrs. C――,
G. W.
LETTER MCCXXI.
To Mrs. C――.
G. W.
LETTER MCCXXII.
To Mr. D――.
G. W.
LETTER MCCXXIII.
To Mrs. C――.
G. W.
LETTER MCCXXIV.
To Mr. S――.
G. W.
LETTER MCCXXV.
To Mr. S――.
G. W.
LETTER MCCXXVI.
To the Reverend Mr. G――.
LETTER MCCXXVII.
To the Reverend Mr. T――.
G. W.
LETTER MCCXXVIII.
To the Reverend Mr. T――.
Edinburgh, July 12, 1759.
G. W.
LETTER MCCXXIX.
To Mrs. W――.
M AKE no apology for writing your mind. I see the disease, but
know not how to come at a cure. Labourers are wanting of the
old stamp: but vines are very apt to degenerate. If I am not mistaken,
we shall be purged with a witness. God grant it may be that we may
bring forth more fruit. I want the purgation most of all. I dread a
corpulent body. But it breaks in upon me like an armed man. O that
my heart may not wax gross at the same time! I would fain not flag,
but rather begin at least to begin in the latter stages of my road.
Congregations in Scotland are very large. I am glad to hear that the
shout of a king is among you. Pray remember me in the kindest
manner to all in conference, and to all that are so kind as to enquire
after, dear Mrs. W――,
G. W.
LETTER MCCXXX.
To Mrs. C――.
G. W.
LETTER MCCXXXI.
Newcastle, August 16, 1759.
G. W.
LETTER MCCXXXII.
To Mrs. C――.
G. W.
LETTER MCCXXXIII.
To Mrs. C――.
London, September 12, 1759.
Your sister I hear turns out very well. Would to God I could say so of
all my relations!
G. W.
LETTER MCCXXXIV.
To Mr. D――.