FUNDAMENTAL CONCEPTS AND SKILLS
FOR NURSING
7TH EDITION
• AUTHOR(S)PATRICIA A. WILLIAMS
TEST BANK
Q1
Reference
Ch. 1 — Nursing and the Health Care System — Historical
Overview & Florence Nightingale
Clinical stem
A newly hired LPN on a medical unit is reviewing the facility’s
infection-control policies. The nurse manager asks the LPN to
explain why Florence Nightingale is considered foundational to
modern nursing practice. Which statement by the LPN best
reflects Nightingale’s contribution and its relevance to current
nursing practice?
A. “She established the first nursing licensing exam that remains
the standard today.”
,B. “She used statistical data and sanitation improvements to
reduce mortality, linking environment and patient outcomes.”
C. “She focused solely on spiritual care and left scientific
practices to physicians.”
D. “She advocated for nurse-led prescriptive authority for
community health.”
Correct answer: B
Rationale — Correct (B)
Florence Nightingale emphasized sanitation, data collection,
and environmental influence on health; this evidence-based
focus underlies modern infection control and quality
improvement. This is foundational to nursing’s role in improving
patient outcomes through environmental and systems
interventions.
Rationales — Incorrect
A. Incorrect — Nightingale did not create today’s licensing
examinations; licensure evolved much later.
C. Incorrect — Nightingale integrated scientific observation with
compassionate care; she did not limit nursing to spirituality.
D. Incorrect — Nurse prescriptive authority is a modern
advanced practice development, not Nightingale’s advocacy.
Teaching point:
Nightingale linked environment, data, and patient outcomes—
early evidence-based practice.
,Citation:
Williams, P. A. (7th ed.). Fundamental Concepts and Skills for
Nursing. Ch. 1.
Q2
Reference
Ch. 1 — Nursing and the Health Care System — Nursing in
North America, Current Nursing Practice
Clinical stem
An LPN is caring for an older adult discharged from a skilled
nursing facility to home with home health nursing follow-up.
Which action best demonstrates the LPN’s role within the
current health care delivery system?
A. Developing the physician’s discharge summary.
B. Performing wound dressing changes and reporting changes
to the RN or provider.
C. Independently changing the medication orders for pain
control.
D. Refusing to document phone calls to the home health
agency.
Correct answer: B
Rationale — Correct (B)
Providing direct care (wound care), monitoring, and
communicating changes fits the LPN role in many settings; the
, LPN implements tasks, observes, and reports findings to
RNs/providers, supporting continuity of care.
Rationales — Incorrect
A. Incorrect — Discharge summaries are provider or RN
responsibilities, not LPN primary tasks.
C. Incorrect — Medication orders must be changed by an
authorized prescriber; LPNs follow orders.
D. Incorrect — Documentation and communication are required
for safe transitions; refusal is unsafe and noncompliant.
Teaching point:
LPNs implement direct care, assess, and promptly report
changes to support continuity.
Citation:
Williams, P. A. (7th ed.). Fundamental Concepts and Skills for
Nursing. Ch. 1.
Q3
Reference
Ch. 1 — Delivery of Nursing Care — Delivery Care Systems
Clinical stem
A community hospital is switching from a task-based model to
patient-centered team nursing. The LPN’s supervisor asks which
change the LPN should expect. Which response is best?
FOR NURSING
7TH EDITION
• AUTHOR(S)PATRICIA A. WILLIAMS
TEST BANK
Q1
Reference
Ch. 1 — Nursing and the Health Care System — Historical
Overview & Florence Nightingale
Clinical stem
A newly hired LPN on a medical unit is reviewing the facility’s
infection-control policies. The nurse manager asks the LPN to
explain why Florence Nightingale is considered foundational to
modern nursing practice. Which statement by the LPN best
reflects Nightingale’s contribution and its relevance to current
nursing practice?
A. “She established the first nursing licensing exam that remains
the standard today.”
,B. “She used statistical data and sanitation improvements to
reduce mortality, linking environment and patient outcomes.”
C. “She focused solely on spiritual care and left scientific
practices to physicians.”
D. “She advocated for nurse-led prescriptive authority for
community health.”
Correct answer: B
Rationale — Correct (B)
Florence Nightingale emphasized sanitation, data collection,
and environmental influence on health; this evidence-based
focus underlies modern infection control and quality
improvement. This is foundational to nursing’s role in improving
patient outcomes through environmental and systems
interventions.
Rationales — Incorrect
A. Incorrect — Nightingale did not create today’s licensing
examinations; licensure evolved much later.
C. Incorrect — Nightingale integrated scientific observation with
compassionate care; she did not limit nursing to spirituality.
D. Incorrect — Nurse prescriptive authority is a modern
advanced practice development, not Nightingale’s advocacy.
Teaching point:
Nightingale linked environment, data, and patient outcomes—
early evidence-based practice.
,Citation:
Williams, P. A. (7th ed.). Fundamental Concepts and Skills for
Nursing. Ch. 1.
Q2
Reference
Ch. 1 — Nursing and the Health Care System — Nursing in
North America, Current Nursing Practice
Clinical stem
An LPN is caring for an older adult discharged from a skilled
nursing facility to home with home health nursing follow-up.
Which action best demonstrates the LPN’s role within the
current health care delivery system?
A. Developing the physician’s discharge summary.
B. Performing wound dressing changes and reporting changes
to the RN or provider.
C. Independently changing the medication orders for pain
control.
D. Refusing to document phone calls to the home health
agency.
Correct answer: B
Rationale — Correct (B)
Providing direct care (wound care), monitoring, and
communicating changes fits the LPN role in many settings; the
, LPN implements tasks, observes, and reports findings to
RNs/providers, supporting continuity of care.
Rationales — Incorrect
A. Incorrect — Discharge summaries are provider or RN
responsibilities, not LPN primary tasks.
C. Incorrect — Medication orders must be changed by an
authorized prescriber; LPNs follow orders.
D. Incorrect — Documentation and communication are required
for safe transitions; refusal is unsafe and noncompliant.
Teaching point:
LPNs implement direct care, assess, and promptly report
changes to support continuity.
Citation:
Williams, P. A. (7th ed.). Fundamental Concepts and Skills for
Nursing. Ch. 1.
Q3
Reference
Ch. 1 — Delivery of Nursing Care — Delivery Care Systems
Clinical stem
A community hospital is switching from a task-based model to
patient-centered team nursing. The LPN’s supervisor asks which
change the LPN should expect. Which response is best?
