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Test Bank - Basic Nursing: Thinking, Doing, and Caring, 4th Edition (Treas, 2026), Chapter 1-40 + Next Generation NCLEX Questions | All Chapters

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Test Bank - Basic Nursing: Thinking, Doing, and Caring, 4th Edition (Treas, 2026), Chapter 1-40 + Next Generation NCLEX Questions | All Chapters

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TEST BANK
Davis Advantage for Basic Nursing: Thinking, Doing, and
Caring

Leslie S. Treas, Karen L. Barnett, and Mable H. Smith
4th Edition

,Table of Contents

Chapter 01 Evolution of Nursing Thought & Action 1
Chapter 02 Clinical Judgment 36
Chapter 03 The Steps of the Nursing Process 57
Chapter 04 Evidence-Based Practice: Theory & Research 91
Chapter 05 Life Span: Infancy Through Middle Adulthood 113
Chapter 06 Life Span: Older Adults 145
Chapter 07 Experiencing Health & Illness 173
Chapter 08 Stress & Adaptation 202
Chapter 09 Psychosocial Health & Illness 231
Chapter 10 Family Health 266
Chapter 11 Caring in Multicultural Healthcare Environments 290
Chapter 12 Spirituality 320
Chapter 13 Experiencing Loss 344
Chapter 14 Communicating & Therapeutic Relationships 378
Chapter 15 Patient Education 415
Chapter 16 Interprofessional Partnerships: Documenting & Reporting 438
Chapter 17 Measuring Vital Signs 467
Chapter 18 Physical Assessment 508
Chapter 19 Promoting Asepsis & Preventing Infection 554
Chapter 20 Safety 585
Chapter 21 Facilitating Hygiene 609
Chapter 22 Medication Safety & Administration 633
Chapter 23 Nutrition 678
Chapter 24 Urinary Elimination 720
Chapter 25 Bowel Elimination 755
Chapter 26 Sensation, Perception, & Response 789
Chapter 27 Pain 822
Chapter 28 Physical Activity & Immobility 866
Chapter 29 Sexual Health 901
Chapter 30 Sleep & Rest 935
Chapter 31 Skin Integrity & Wound Healing 966
Chapter 32 Oxygenation 1016
Chapter 33 Circulation & Perfusion 1052
Chapter 34 Hydration & Homeostasis 1080
Chapter 35 Caring for the Surgical Patient 1130
Chapter 36 Community & Home Health Nursing 1169
Chapter 37 Nursing Informatics 1199
Chapter 38 Legal Accountability 1221
Chapter 39 Ethics & Values 1248
Chapter 40 Leading & Managing 1282

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Test Bank - Basic Nursing: Thinking, Doing, and Caring, 4th Edition (Treas, 2026)




Chapter 1. Evolution of Nursing Thought & Action



Multiple Choice
Identify the choice that best completes the statement or answers the question.




____ 1. Which is an example of an illness prevention activity in a community health-
promotion clinic?
1. Encouraging the use of a food diary
2. Joining a cancer support group
3. Administering immunization for human papillomavirus (HPV)
4. Teaching a diabetic patient about their diet



____ 2. Which organization can require nurses to obtain a specified amount of continuing
education courses for license renewal?
1. American Nurses Association
2. National League for Nursing
3. Sigma Theta Tau
4. State Board of Nursing



____ 3. An experienced nurse uses knowledge of patient medical conditions and intuition to
identify patient problems. The nurse often fulfills the role of a resource for other
nurses on the unit. At this point, which stage of proficiency has this nurse achieved?
1. Novice
2. Advanced beginner
3. Competent
4. Expert



____ 4. Which statement best explains the importance of standards of practice in the nursing
profession?
1. Nurses have the same standards of practice as other healthcare professionals.
2. Standards of practice are applied exclusively to nurses working in hospital settings.
3. Standards of practice identify the components nurses need to provide safe care.
4. Standards of practice differ among registered nurses (RNs), based on the
population they serve.




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Test Bank - Basic Nursing: Thinking, Doing, and Caring, 4th Edition (Treas, 2026)




____ 5. Which primary goal of the National League for Nursing (NLN) will most strongly
impact a nursing instructor’s consideration to become a member?
1. Emphasizing the necessity for RNs to promote patient safety
2. Establishing and maintaining identified standards for nursing education
3. Supporting global health policies and improving health worldwide
4. Fostering nursing scholarship, leadership, and service to improve health



____ 6. Which type of care will the nurse recognize as the best choice for a patient who
experienced a debilitating stroke?
1. Primary care
2. Secondary care
3. Tertiary care
4. Preventive care



____ 7. The nurse is providing care for an older adult patient in an acute care setting for
various age-related health issues. When planning for discharge, the patient states
concern about being able to adequately provide for health maintenance and self-care
needs. Which type of facility does the nurse recognize as appropriate for this patient?
1. Skilled nursing facility
2. Assisted living facility
3. Nursing home facility
4. Independent living facility



____ 8. Which best describes the most important reason for developing a definition for the
profession of nursing?
1. More people will be informed about and recruited as nurses.
2. A definition provides a means for evaluating role satisfaction in nurses.
3. Stereotypical images about nurses and nursing are dispelled.
4. The nursing role is differentiated from the role of other healthcare professionals.



____ 9. Which outcome demonstrates support for the contribution made by advanced practice
nurses (APNs) within healthcare?
1. Reduced use of diagnostics using advanced technology
2. Decreased number of unnecessary visits to the emergency department
3. Improved patient compliance with prescribed treatments
4. Increased use of complementary and alternative therapies




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Test Bank - Basic Nursing: Thinking, Doing, and Caring, 4th Edition (Treas, 2026)




____ 10. The nurse is caring for a pediatric patient whose parents express concern about
medical costs. The parents state, “We have jobs, but we don’t make a lot of money and
have no insurance.” Which medical assistance program does the nurse recognize as
being most appropriate for this family?
1. Children’s Health Insurance Program (CHIP)
2. Medicare
3. Medicaid
4. Local charity



____ 11. The nurse who is working in a rehabilitation facility has a physician prescription for
therapy as needed for the patient. The patient needs assistance with bathing and
grooming. Which therapist does the nurse contact to assist the patient to regain these
skills?
1. Physical therapist
2. Occupational therapist
3. Speech-language pathologist
4. Respiratory therapist



____ 12. An older adult patient is diagnosed with type 1 diabetes mellitus. The patient can
perform self-care activities but needs assistance with shopping, meal preparation,
blood glucose monitoring, and insulin administration. Which type of healthcare facility
is most appropriate for the patient?
1. Acute care facility
2. Ambulatory care facility
3. Extended care facility
4. Assisted living facility



____ 13. The nurse in the intensive care unit is providing care for only one patient, who was
admitted with a diagnosis of septic shock. Which care delivery model is this nurse
following?
1. Functional
2. Primary
3. Case method
4. Team




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,______________________________________________________________________________________________
Test Bank - Basic Nursing: Thinking, Doing, and Caring, 4th Edition (Treas, 2026)




____ 14. The nurse is providing care for a patient who needs extensive acute care; however, the
patient is refusing because of financial and family stressors. Which healthcare worker
will the nurse consult to counsel this patient?
1. Social worker
2. Occupational therapist
3. Physician assistant
4. Technologist



____ 15. Which type of managed care provides patients with the greatest choice of in-network
providers, medications, and medical devices?
1. Health maintenance organization
2. Integrated delivery network
3. Preferred provider organization
4. Employment-based private insurance



____ 16. Which statement by the nurse is the most appropriate to inform the patient about an
assisted living facility?
1. “Therapists will work with you daily to help you regain your functional abilities.”
2. “You will be provided with 24-hour nursing care for the next 6 weeks.”
3. “Assistance with meals and housekeeping tasks is available to you.”
4. “A nurse will come to your home and provide you with nursing care.”



____ 17. Which member of the healthcare team typically serves as the case manager?
1. Social worker
2. Physician
3. Physician assistant
4. RN



____ 18. Which nursing function is considered a primary care service?
1. Providing wound care
2. Administering childhood immunizations
3. Providing drug rehabilitation
4. Providing outpatient hernia repair




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,______________________________________________________________________________________________
Test Bank - Basic Nursing: Thinking, Doing, and Caring, 4th Edition (Treas, 2026)




____ 19. A patient who is 80 years of age is in an acute care facility because of a fractured hip
resulting from a fall. Previously, the patient lived at home and managed activities of
daily living (ADLs) independently. The patient goal is to return to the previous living
style. The patient is to be discharged because of insurance regulations. If the patient
cannot walk or provide self-care, to which type of facility will the patient be
transferred?
1. Nursing home
2. Rehabilitation center
3. Outpatient therapy center
4. None of these; they should receive home healthcare



____ 20. Which characteristic is common among all pathways to achieve initial licensure to
practice as an RN?
1. All graduates meet minimum criteria on the NCLEX-RN examination.
2. Certifications allowing medication administration are completed.
3. Licensure indicates qualifications to practice in acute or long-term care settings.
4. Initial licensure can be for standard or advanced practice roles.



____ 21. A nurse who has been practicing for 3 years is caring for a postsurgical patient. The
nurse observes an abnormal change in vital signs and associates these changes with a
postoperative bleeding problem. Which level of proficiency is the nurse
demonstrating?
1. Advanced beginner
2. Competent
3. Proficient
4. Expert



____ 22. Which agency is responsible for each state’s nurse practice act?
1. American Nurses Association
2. Institute of Medicine
3. State Board of Nursing
4. National League for Nursing




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Test Bank - Basic Nursing: Thinking, Doing, and Caring, 4th Edition (Treas, 2026)




____ 23. During orientation to their new position, the nurse is given a chart describing each
person’s role on the assigned unit. The chart shows that RNs are responsible for all
admission and discharge assessments and patient treatments. Licensed practical nurses
(LPNs) administer medications and certified nursing assistants (CNAs) obtain vital
signs and perform personal care. Which model of care does the nurse recognize?
1. Case method
2. Team
3. Primary
4. Functional



____ 24. Which trend is a primary cause for changes in the nursing profession?
1. The expected increase in the number of older adults in society
2. The large amount of medical information that is technically accessible
3. The increasing demands for more medical care from all aspects of society
4. The multiple medical care expectations implemented by the government



____ 25. A patient is preparing to be discharged after total knee replacement. The patient tells
the case manager, “I feel pretty good, but I am having a hard time getting in and out of
the bathroom.” Which is the most appropriate response by the case manager?
1. “I’ll be sure to teach your family how to help you with this.”
2. “Once you are home for a while, it will get easier.”
3. “I can have a recreational therapist help you take your mind off your concerns.”
4. “A physical therapist can be ordered to assist you in this area.”



____ 26. An older adult patient is preparing for discharge and tells the case manager, “I don’t
know what I am going to do when I get home. I cannot afford the medications the
doctor has ordered for me.” Which is the most appropriate response by the case
manager?
1. “We can have a social worker see you when you get home.”
2. “Medications are expensive, but you will need to take them.”
3. “I will check if some of the medications can be discontinued.”
4. “The home health nurse will address this when they see you.”




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,______________________________________________________________________________________________
Test Bank - Basic Nursing: Thinking, Doing, and Caring, 4th Edition (Treas, 2026)




____ 27. A patient in an ambulatory clinic asks the nurse, “Why does every visit cost me $10
even though I have insurance.” Which is the most appropriate response by the nurse?
1. “I am not involved in your insurance; you need to contact the insurance company.”
2. “Let’s check if this is a copayment described by your insurance plan for each
visit.”
3. “Healthcare is expensive and insurance companies can’t pay all of the costs.”
4. “This charge is actually part of the insurance premium that you pay monthly.”



____ 28. The nursing staff on a surgical unit expresses to the manager concerns about not
having enough time to complete all wound care and dressing changes. Which is the
initial action the manager takes?
1. Decrease the patient-to-nurse ratio within budget limits.
2. Offer an in-service session on time management strategies.
3. Suggest a continuing quality improvement committee to assess the issue.
4. Report the concerns to the director of nurses at the next management meeting.



Multiple Response
Identify one or more choices that best complete the statement or answer the question.



____ 29. Which activities are included in direct nursing care? Select all that apply.
1. Bathing a patient
2. Administering a medication
3. Teaching a patient to change a wound dressing
4. Making work assignments for the shift
5. Evaluating patient progress toward goals



____ 30. Which actions by the nurse are considered “skilled nursing care”? Select all that apply.
1. Changing a wound dressing
2. Assisting with bathing and grooming
3. Monitoring intravenous (IV) antibiotic administration
4. Teaching a patient how to use a blood glucose monitor
5. Helping a patient to get dressed




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, ______________________________________________________________________________________________
Test Bank - Basic Nursing: Thinking, Doing, and Caring, 4th Edition (Treas, 2026)




____ 31. To reflect the changes in healthcare and nurses’ expanded roles, the International
Council of Nurses revised the definition of nursing. Which statements are consistent
with the revised definition of nursing? Select all that apply.
1. Nursing encompasses the autonomous and collaborative care of others.
2. Nursing includes the care of ill, disabled, and dying people.
3. Nursing is involved in shaping health policy and system management.
4. Nursing involves the use of the nursing process to plan care.
5. Nursing requires knowledge regarding the process of nursing education.



____ 32. According to the American Nurses Association, which statements best describe the
characteristics of registered nursing? Select all that apply.
1. Nursing practice is individualized.
2. Nursing practice is similar to medical practice.
3. Caring is central to the practice of the RN.
4. Nurses coordinate care by establishing partnerships.
5. Nurses promote health through political involvement.



____ 33. The field of nursing has struggled to prove that nursing is a profession. Which
strategies assist in promoting professionalism? Select all that apply.
1. Standardizing the educational requirements for entry into practice
2. Mandating uniform continuing education requirements for licensure
3. Guaranteeing that all nurses will obtain employment upon graduation
4. Encouraging participation of nurses in professional organizations
5. Educating the public about the true nature of nursing practice



____ 34. Each U.S. state has its own state board of nursing responsible for protecting the health,
safety, and welfare of the general public. The state boards of nursing meet these
responsibilities by performing which functions? Select all that apply.
1. Advocating for nursing student issues
2. Determining the nurse’s scope of practice
3. Enforcing the rules that govern nursing
4. Writing the laws that regulate nursing
5. Regulating the number of licensed nurses




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