NURSING
12TH EDITION
• AUTHOR(S)CAROLINE ROSDAHL
TEST BANK
1) Nursing’s Heritage — Environmental Care
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
An LPN is caring for an older adult who is recovering from
pneumonia. The room is cluttered, the curtains are closed, and
the linens are damp from perspiration. Which nursing action
best reflects the heritage of early nursing practice and supports
recovery?
A. Leave the room dark and quiet to reduce stimulation
B. Open the curtains, remove damp linens, and improve room
,air circulation
C. Limit all patient movement to prevent fatigue
D. Ask the family to bring in scented sprays to freshen the room
Correct Answer: B
Rationale — Correct Answer:
Improving light, cleanliness, and air circulation reflects the
historical emphasis on environmental healing. These actions
also support comfort and reduce conditions that can worsen
infection or slow recovery. This is appropriate basic care within
the LPN scope.
Rationale — Incorrect Options:
A. Quiet may be helpful, but a dark room is not therapeutic and
does not support healing.
C. Rest is useful, but total immobility can contribute to
weakness and complications.
D. Scented sprays may irritate the respiratory system and are
not a priority.
Teaching Point:
Clean, light, fresh environments remain basic nursing priorities.
Citation:
Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing (12th
ed.). Ch. 1.
2) Nursing’s Heritage — Observation and Reporting
,Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
During a routine shift, an LPN notices that a postoperative
patient’s dressing is dry, but the patient looks pale and weak
and says, “I feel worse than this morning.” Which action best
reflects sound nursing judgment?
A. Reassure the patient and return later
B. Document the patient’s statement and report the change to
the RN
C. Change the dressing immediately
D. Tell the patient this is expected after surgery
Correct Answer: B
Rationale — Correct Answer:
The patient’s change in condition is more important than the
appearance of the dressing. The LPN should report the
unexpected assessment finding to the RN for further
evaluation. This reflects the nursing heritage of careful
observation and prompt reporting.
Rationale — Incorrect Options:
A. Delaying action may miss a significant change in condition.
C. Dressing changes may be appropriate later, but they do not
address the patient’s new symptoms.
D. The statement should not be dismissed without further
assessment.
, Teaching Point:
Unexpected changes in condition must be reported promptly.
Citation:
Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing (12th
ed.). Ch. 1.
3) Nursing’s Heritage — Comfort and Dignity
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
An LPN is assisting a patient who is anxious before a procedure.
The patient’s bed is unmade, the room is noisy, and visitors are
talking loudly. Which intervention best supports the nursing
tradition of comfort and healing?
A. Ask the patient to ignore the environment
B. Close the door, reduce noise, and straighten the bed linens
C. Offer pain medication without an order
D. Keep the room busy so the patient is distracted
Correct Answer: B
Rationale — Correct Answer:
Reducing noise and improving the bed environment promotes
comfort, rest, and dignity. These are basic nursing actions that
support healing and reduce anxiety. They are appropriate for
the LPN to perform independently.