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Nursing Fundamentals Practice Questions & Rationales (6th Ed. Aligned, NGN-Style)

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Nursing Fundamentals Practice Questions & Rationales (6th Ed. Aligned, NGN-Style) is a comprehensive, exam-focused study resource designed to help nursing students master core fundamentals through application, clinical judgment, and reasoning—not memorization. This document contains carefully written, original practice questions aligned to the core concepts and skills taught in Fundamentals of Nursing courses and the 6th Edition curriculum framework. Each question is paired with clear, detailed rationales explaining why the correct answer is right and why the alternatives are wrong, strengthening clinical decision-making and exam confidence. What’s Included: Exam-style nursing fundamentals practice questions Detailed rationales focused on nursing judgment and safety NGN-style items, including case-based and priority questions Coverage of all core fundamentals topics (patient safety, nursing process, infection control, communication, documentation, vital signs, basic care, and professional practice) Questions designed to reflect real nursing exams, not rote recall Why This Resource Works: Most nursing students fail not because they lack information, but because they struggle to apply concepts under exam pressure. This guide trains you to: Think like a nurse, not a memorizer Identify priority actions and patient safety risks Understand exam logic and distractor patterns Build confidence for course exams and NGN-style assessments Who This Is For: Nursing students taking Fundamentals of Nursing Students preparing for course exams, quizzes, or finals Learners transitioning to Next Gen NCLEX (NGN)-style thinking Anyone who wants practice questions with real explanations, not answer dumps ️ This resource is an original study aid created for educational purposes and is not an official publisher test bank. It is independently developed to support learning and exam preparation.

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Uploaded on
January 30, 2026
Number of pages
493
Written in
2025/2026
Type
Exam (elaborations)
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Nursing Fundamentals Practice Questions & Rationales (6th
Ed. Aligned, NGN-Style)

, Test Bank for Fundamental Concepts and Skills for Nursing 6th Edition
Williams-all chapters-2022- 2023

Chapter 01: Nursing and the Health Care System
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition


MULTIPLE CHOICE

1. Florence Nightingale’s contributions to nursing practice and education:
a. are historically important but have no validity for nursing today.
b. were neither recognized nor appreciated in her own time.
c. were a major factor in reducing the death rate in the Crimean War.
d. were limited only to the care of severe traumatic wounds.

ANS: C
By improving sanitation, nutrition ventilation, and handwashing techniques,
Florence Nightingale’s nurses dramatically reduced the death rate from
injuries in the Crimean War.

DIF: Cognitive Level: Knowledge REF: p. 2 OBJ:
Theory #1 TOP: Nursing History KEY: Nursing Process Step:
N/A MSC: NCLEX: N/A

2. Early nursing education and care in the United States:
a. were directed at community health.
b. provided independence for women through education and employment.
c. were an educational model based in institutions of higher learning.
d. have continued to be entirely focused on hospital nursing.

ANS: B
Because of the influence of early nNuUrRs iSnI gN GleTaBd.eCrOs ,Mn u r s i n g education
became more formalized through apprenticeships in Nightingale schools that
offered independence to women through education and employment.

DIF: Cognitive Level: Knowledge REF: p. 2 OBJ:
Theory #4 TOP: Nursing History KEY: Nursing Process Step:
N/A MSC: NCLEX: N/A

,3. In order to fulfill the common goals defined by nursing theorists (promote
wellness, prevent illness, facilitate coping, and restore health), the LPN
must take on the roles of:
a. caregiver, educator, and collaborator.
b. nursing assistant, delegator, and environmental specialist.
c. medication dispenser, collaborator, and transporter.
d. dietitian, manager, and housekeeper.

ANS: A
In order for the LPN to apply the common goals of nursing, he or she must
assume the roles of caregiver, educator, collaborator, manager, and
advocate.

DIF: Cognitive Level: Comprehension REF: p. 3
OBJ: Theory #2 TOP: Art and Science of Nursing
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A

4. Although nursing theories differ in their attempts to define nursing, all
of them base their beliefs on common concepts concerning:




VERIFIED-TEST

BANK

, a. self-actualization, fundamental needs, and belonging.
b. stress reduction, self-care, and a systems model.
c. curative care, restorative care, and terminal care.
d. human relationships, the environment, and health.
ANS: D
Although nursing theories differ, they all base their beliefs on human
relationships, the environment, and health.

DIF: Cognitive Level: Comprehension REF: p. 4
OBJ: Theory #2 TOP: Nursing Theories KEY:
Nursing Process Step: N/A MSC: NCLEX: N/A

5. Standards of care for the nursing practice of the LPN are established by the:
a. Boards of Nursing Examiners in each state.
b. National Council of States Boards of Nursing (NCSBN).
c. American Nurses Association (ANA).
d. National Federation of Licensed Practical Nurses.

ANS: D
The National Federation of Licensed Practical Nurses modified the standards
published by the ANA in 2015 to better fit the role of the LPN. In 2015 the
American Nurses Association (ANA) revised the Standards of Nursing Practice
which contained 17 standards of national practice of nursing, describing all
facets of nursing practice: who, what, when, where, how.

DIF: Cognitive Level: Comprehension REF: p. 6
OBJ: Theory #2 TOP: Standards of Care KEY:
Nursing Process Step: N/A MSC: NCLEX: N/A VERIFIED-
TEST BANK


6. The LPN demonstrates an evidence-based practice by:
a. using a drug manual to check compatibility of drugs.
b. using scientific information to guide decision making.
c. using medical history of a patient to direct nursing interventions.
d. basing nursing care on advice from an experienced nurse.

ANS: B
The use of scientific information from high-quality research to guide nursing
decisions is reflective of the application of evidence-based practice.

DIF: Cognitive Level: Knowledge REF: p. 7 OBJ:
Theory #3 TOP: Evidence-Based Practice KEY:
Nursing Process Step: N/A MSC: NCLEX: N/A

7. Lillian Wald and Mary Brewster established the Henry Street Settlement
Service in New York in 1893 in order to:
a. offer a shelter to injured war veterans.
b. found a nursing apprenticeship.
c. provide health care to poor persons living in tenements.
d. offer better housing to low-income families.
ANS: C
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Exam Practice & Rationales

I create exam-focused study resources designed to help students understand, apply, and retain key concepts across university-level courses. My materials emphasize practice questions, clear explanations, and structured rationales to support effective exam preparation and deeper learning. Each document is carefully developed to reflect real assessment formats, common exam challenges, and areas where students typically lose marks. The goal is not memorization, but confident application of concepts under exam conditions. These resources are suitable for students seeking reliable, well-organized study aids to support coursework, quizzes, and final examinations. If a document helps your understanding, your feedback helps other students discover effective study materials.

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