ROSDAHL'S TEXTBOOK OF BASIC
NURSING
12TH EDITION
• AUTHOR(S)CAROLINE ROSDAHL
TEST BANK
1. Reference
Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem
A student nurse is caring for an older adult who has limited
mobility and is recovering from pneumonia. The room is
cluttered, the linens are damp, and the patient says the room
“feels stuffy.” Which action best reflects the heritage of nursing
associated with Florence Nightingale?
Options
A. Turn off the lights so the patient can rest
,B. Improve the environment by cleaning the area and
promoting fresh air
C. Reassure the patient that the room condition is not the
nurse’s concern
D. Ask the patient to request room changes from the provider
Correct Answer
B
Rationales
B. Nightingale emphasized the healing value of a clean,
orderly, well-ventilated environment. For an LPN, improving the
patient’s surroundings is a basic, appropriate nursing action that
supports comfort and recovery.
A. Rest is important, but darkness alone does not address
the unsafe, unhealthy environment.
C. Environmental conditions are part of nursing care and
should not be ignored.
D. The LPN should act within scope by addressing
environmental needs and reporting unresolved concerns.
Teaching Point
Clean, well-ventilated surroundings support healing.
Citation
Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing (12th
ed.). Ch. 1.
,2. Reference
Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem
An LPN notices that a patient with a wound has soiled dressings
and a foul odor coming from the bedside area. The patient is
afebrile and says the wound “just started hurting more.” What
is the best nursing action?
Options
A. Document the finding and wait until the end of the shift
B. Clean the bedside area, change the dressing as ordered, and
report the change in wound condition
C. Tell the patient that discomfort is expected during healing
D. Apply a heating pad to the wound without an order
Correct Answer
B
Rationales
B. Nightingale’s heritage emphasizes sanitation,
observation, and prompt response to signs of change. The LPN
can perform ordered wound care, reduce contamination, and
report worsening symptoms to the RN.
A. Delaying action may allow infection or deterioration to
progress.
C. Increased pain and odor are unexpected findings and
should not be dismissed.
, D. Heat may worsen some wounds and is not appropriate
without an order.
Teaching Point
Report unexpected wound changes promptly.
Citation
Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing (12th
ed.). Ch. 1.
3. Reference
Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem
During clinical orientation, a supervisor asks which nursing
behavior best reflects Nightingale’s emphasis on careful
observation. Which response is best?
Options
A. “A nurse should rely only on the provider’s assessment.”
B. “A nurse should notice and report subtle changes in the
patient’s condition.”
C. “A nurse should avoid documenting normal findings.”
D. “A nurse should focus only on tasks, not the patient’s
response.”
Correct Answer
B
NURSING
12TH EDITION
• AUTHOR(S)CAROLINE ROSDAHL
TEST BANK
1. Reference
Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem
A student nurse is caring for an older adult who has limited
mobility and is recovering from pneumonia. The room is
cluttered, the linens are damp, and the patient says the room
“feels stuffy.” Which action best reflects the heritage of nursing
associated with Florence Nightingale?
Options
A. Turn off the lights so the patient can rest
,B. Improve the environment by cleaning the area and
promoting fresh air
C. Reassure the patient that the room condition is not the
nurse’s concern
D. Ask the patient to request room changes from the provider
Correct Answer
B
Rationales
B. Nightingale emphasized the healing value of a clean,
orderly, well-ventilated environment. For an LPN, improving the
patient’s surroundings is a basic, appropriate nursing action that
supports comfort and recovery.
A. Rest is important, but darkness alone does not address
the unsafe, unhealthy environment.
C. Environmental conditions are part of nursing care and
should not be ignored.
D. The LPN should act within scope by addressing
environmental needs and reporting unresolved concerns.
Teaching Point
Clean, well-ventilated surroundings support healing.
Citation
Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing (12th
ed.). Ch. 1.
,2. Reference
Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem
An LPN notices that a patient with a wound has soiled dressings
and a foul odor coming from the bedside area. The patient is
afebrile and says the wound “just started hurting more.” What
is the best nursing action?
Options
A. Document the finding and wait until the end of the shift
B. Clean the bedside area, change the dressing as ordered, and
report the change in wound condition
C. Tell the patient that discomfort is expected during healing
D. Apply a heating pad to the wound without an order
Correct Answer
B
Rationales
B. Nightingale’s heritage emphasizes sanitation,
observation, and prompt response to signs of change. The LPN
can perform ordered wound care, reduce contamination, and
report worsening symptoms to the RN.
A. Delaying action may allow infection or deterioration to
progress.
C. Increased pain and odor are unexpected findings and
should not be dismissed.
, D. Heat may worsen some wounds and is not appropriate
without an order.
Teaching Point
Report unexpected wound changes promptly.
Citation
Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing (12th
ed.). Ch. 1.
3. Reference
Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem
During clinical orientation, a supervisor asks which nursing
behavior best reflects Nightingale’s emphasis on careful
observation. Which response is best?
Options
A. “A nurse should rely only on the provider’s assessment.”
B. “A nurse should notice and report subtle changes in the
patient’s condition.”
C. “A nurse should avoid documenting normal findings.”
D. “A nurse should focus only on tasks, not the patient’s
response.”
Correct Answer
B
