NURSING
12TH EDITION
• AUTHOR(S)CAROLINE ROSDAHL
TEST BANK
1) Florence Nightingale and environmental nursing
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Clinical Stem:
An LPN is caring for an older adult admitted with pneumonia.
The patient says, “The room is too hot, and there is clutter
around my bed.” The nurse recalls that early nursing leaders
emphasized conditions that supported healing. Which action
best reflects that heritage?
A. Leave the room as it is to avoid disturbing the patient
B. Reduce clutter, improve ventilation, and make the
,environment safer
C. Provide extra pain medication before changing the room
D. Ask the patient to remain in bed without additional room
care
Correct Answer: B
Rationale — Correct Answer:
Florence Nightingale emphasized that a clean, well-ventilated,
orderly environment promotes healing. Reducing clutter and
improving ventilation supports comfort, safety, and recovery.
This is an appropriate fundamental nursing action.
Rationale — Incorrect Options:
A. Leaving hazards in place ignores basic safety and healing
principles.
C. Medication does not correct the environmental problem
identified in the stem.
D. Bed rest alone does not address unsafe or unhealthy
surroundings.
Teaching Point: Environmental cleanliness and safety remain
foundational nursing priorities.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
2) Role of nursing pioneers
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
,Clinical Stem:
A student nurse is asked why Florence Nightingale is still
discussed in modern nursing classes. Which response by the
LPN best reflects her historical significance?
A. She developed modern laboratory medicine
B. She promoted the idea that the environment affects recovery
C. She created the first nursing union
D. She was the first physician to train nurses
Correct Answer: B
Rationale — Correct Answer:
Nightingale is best known for linking patient outcomes with
environmental conditions such as cleanliness, air, and
sanitation. Her work helped shape modern nursing care and
infection prevention.
Rationale — Incorrect Options:
A. She did not develop laboratory medicine.
C. Nursing unions are a much later development.
D. She was not a physician.
Teaching Point: Nursing heritage includes leaders who shaped
safe, sanitary patient care.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
3) Early nursing in the United States
, Reference: Ch. 1 — The Origins of Nursing — Nursing in the
United States
Clinical Stem:
An LPN is teaching a patient why hospitals became safer over
time. The patient asks how nursing in the United States
changed from its earliest days. Which statement is most
accurate?
A. Nursing developed as an unstructured service with no formal
education at first
B. Nursing education began immediately in universities for all
nurses
C. Nurses initially worked only in outpatient clinics
D. The first nurses were trained solely to administer anesthesia
Correct Answer: A
Rationale — Correct Answer:
Early nursing in the United States was largely informal before
structured education programs developed. Over time, training
schools and professional standards improved the quality of
care.
Rationale — Incorrect Options:
B. Formal university education came later and was not the
starting point for all nurses.
C. Nursing care was not limited to outpatient settings.
D. Anesthesia was not the sole early focus of nursing.