FUNDAMENTAL CONCEPTS AND SKILLS
FOR NURSING
7TH EDITION
• AUTHOR(S)PATRICIA A. WILLIAMS
TEST BANK
1
Reference
Ch. 1 — Nursing and the Health Care System — Historical
Overview
Clinical stem
A recently hired LPN on a medical–surgical unit reads about
Florence Nightingale’s contributions and asks the charge nurse
how Nightingale’s work still affects nursing today. Which nursing
practice example best illustrates Nightingale’s legacy that the
LPN can apply to daily care?
A. Administering medications as ordered without question.
B. Prioritizing hand hygiene and a clean environment for
infection prevention.
,C. Delegating all patient education to the RN.
D. Documenting only major events to save time.
Correct answer: B
Rationales
B — Correct. Nightingale emphasized sanitation and
environment as central to nursing care; prioritizing hand
hygiene and cleanliness reduces infection risk and supports
patient recovery. This reflects ADPIE assessment/intervention
focus and immediate patient safety.
A — Incorrect. While medication administration is
important, Nightingale’s core legacy centers on environmental
and public health measures, not unquestioning procedure
adherence.
C — Incorrect. Delegation of education is inappropriate;
bedside nurses provide basic education within scope.
D — Incorrect. Incomplete documentation is unsafe and
contrary to Nightingale’s data-informed approach.
Teaching point: Clean environment and hand hygiene are
foundational to safe nursing care.
Citation: Williams, P. A. (7th ed.). Fundamental Concepts and
Skills for Nursing. Ch. 1.
2
,Reference
Ch. 1 — Nursing and the Health Care System — Nursing in
North America
Clinical stem
An LPN is preparing discharge instructions for a patient after a
short inpatient stay. Which action best demonstrates
understanding of the evolution of nursing roles in North
America and current expectations for practical nurses?
A. Leaving all discharge teaching to the physician.
B. Reviewing medication timing, wound care, and community
resources with the patient.
C. Telling the patient to call only if severe problems occur.
D. Scheduling a follow-up without confirming patient
understanding.
Correct answer: B
Rationales
B — Correct. Practical nurses are expected to provide basic
teaching on meds, wound care, and community resources; this
reflects growth of nursing roles and patient-centered care. It
addresses safety and continuity.
A — Incorrect. Physicians cannot and should not perform all
teaching; nurses play a central role.
C — Incorrect. Passive instructions risk missed
complications; proactive education is safer.
, D — Incorrect. Scheduling follow-up is good, but failing to
confirm understanding risks unsafe transitions.
Teaching point: LPNs must teach safe self-care measures and
verify patient understanding.
Citation: Williams, P. A. (7th ed.). Fundamental Concepts and
Skills for Nursing. Ch. 1.
3
Reference
Ch. 1 — The Art and Science of Nursing
Clinical stem
A patient with chronic obstructive pulmonary disease becomes
anxious during an oxygen mask change. The LPN’s best action
that combines the “art” and “science” of nursing is to:
A. Quickly place the new mask and ignore the anxiety to
maintain efficiency.
B. Pause, explain the procedure, encourage slow breaths, then
proceed with the mask change.
C. Tell the patient anxiety is irrational and is not related to
oxygen use.
D. Leave the mask off and ask the RN to handle the situation.
Correct answer: B
Rationales
B — Correct. Pausing to explain and use calming techniques
FOR NURSING
7TH EDITION
• AUTHOR(S)PATRICIA A. WILLIAMS
TEST BANK
1
Reference
Ch. 1 — Nursing and the Health Care System — Historical
Overview
Clinical stem
A recently hired LPN on a medical–surgical unit reads about
Florence Nightingale’s contributions and asks the charge nurse
how Nightingale’s work still affects nursing today. Which nursing
practice example best illustrates Nightingale’s legacy that the
LPN can apply to daily care?
A. Administering medications as ordered without question.
B. Prioritizing hand hygiene and a clean environment for
infection prevention.
,C. Delegating all patient education to the RN.
D. Documenting only major events to save time.
Correct answer: B
Rationales
B — Correct. Nightingale emphasized sanitation and
environment as central to nursing care; prioritizing hand
hygiene and cleanliness reduces infection risk and supports
patient recovery. This reflects ADPIE assessment/intervention
focus and immediate patient safety.
A — Incorrect. While medication administration is
important, Nightingale’s core legacy centers on environmental
and public health measures, not unquestioning procedure
adherence.
C — Incorrect. Delegation of education is inappropriate;
bedside nurses provide basic education within scope.
D — Incorrect. Incomplete documentation is unsafe and
contrary to Nightingale’s data-informed approach.
Teaching point: Clean environment and hand hygiene are
foundational to safe nursing care.
Citation: Williams, P. A. (7th ed.). Fundamental Concepts and
Skills for Nursing. Ch. 1.
2
,Reference
Ch. 1 — Nursing and the Health Care System — Nursing in
North America
Clinical stem
An LPN is preparing discharge instructions for a patient after a
short inpatient stay. Which action best demonstrates
understanding of the evolution of nursing roles in North
America and current expectations for practical nurses?
A. Leaving all discharge teaching to the physician.
B. Reviewing medication timing, wound care, and community
resources with the patient.
C. Telling the patient to call only if severe problems occur.
D. Scheduling a follow-up without confirming patient
understanding.
Correct answer: B
Rationales
B — Correct. Practical nurses are expected to provide basic
teaching on meds, wound care, and community resources; this
reflects growth of nursing roles and patient-centered care. It
addresses safety and continuity.
A — Incorrect. Physicians cannot and should not perform all
teaching; nurses play a central role.
C — Incorrect. Passive instructions risk missed
complications; proactive education is safer.
, D — Incorrect. Scheduling follow-up is good, but failing to
confirm understanding risks unsafe transitions.
Teaching point: LPNs must teach safe self-care measures and
verify patient understanding.
Citation: Williams, P. A. (7th ed.). Fundamental Concepts and
Skills for Nursing. Ch. 1.
3
Reference
Ch. 1 — The Art and Science of Nursing
Clinical stem
A patient with chronic obstructive pulmonary disease becomes
anxious during an oxygen mask change. The LPN’s best action
that combines the “art” and “science” of nursing is to:
A. Quickly place the new mask and ignore the anxiety to
maintain efficiency.
B. Pause, explain the procedure, encourage slow breaths, then
proceed with the mask change.
C. Tell the patient anxiety is irrational and is not related to
oxygen use.
D. Leave the mask off and ask the RN to handle the situation.
Correct answer: B
Rationales
B — Correct. Pausing to explain and use calming techniques
