FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A newly licensed nurse is discussing professional responsibilities
with a mentor. Which action best demonstrates accountability
in nursing practice?
A. Delegating all routine tasks to assistive personnel
B. Accepting responsibility for actions and outcomes of care
provided
C. Following physician prescriptions without question
D. Avoiding participation in quality improvement activities
Correct Answer: B
Rationale:
Accountability means being responsible for one's actions,
decisions, and the outcomes of nursing care. Nurses are
expected to answer for their practice and take appropriate
action when errors or concerns occur. Delegating all routine
tasks is inappropriate, following prescriptions without critical
thinking is unsafe, and avoiding quality improvement activities
does not demonstrate professional accountability.
Question 2
A nurse is caring for a patient whose condition has changed
significantly since the previous assessment. What is the nurse's
priority action?
,A. Wait until the next scheduled assessment
B. Notify the health care provider after the shift report
C. Assess the patient thoroughly and communicate significant
findings promptly
D. Ask another nurse to assume responsibility for the patient
Correct Answer: C
Rationale:
When a patient's condition changes, the nurse must assess the
patient and communicate important findings promptly. This
reflects clinical judgment, patient advocacy, and responsibility
for patient safety. Delaying assessment or communication may
place the patient at risk.
Question 3
A nursing student asks why continuing education is important.
What is the best response by the instructor?
A. It is only required for nurses seeking management positions.
B. It helps nurses maintain competence and incorporate current
evidence into practice.
C. It eliminates the need for clinical experience.
D. It replaces licensure requirements.
Correct Answer: B
Rationale:
Continuing education supports lifelong learning, professional
, growth, and evidence-based practice. Nursing knowledge
evolves continually, requiring nurses to update skills and
knowledge. Clinical experience remains important, and
continuing education does not replace licensure requirements.
Question 4
A nurse discovers that a medication dosage appears higher than
expected. Which action best reflects professional nursing
practice?
A. Administer the medication because it was prescribed
B. Ask a coworker to administer the medication
C. Verify the prescription and clarify concerns before
administration
D. Omit the medication without documentation
Correct Answer: C
Rationale:
Nurses have a professional responsibility to use critical thinking
and question prescriptions that appear unsafe. Clarifying
concerns before administration protects patient safety. Blindly
following prescriptions or omitting medications without
appropriate action is inappropriate.
Question 5
A nurse is caring for patients from diverse cultural backgrounds.
Which behavior best demonstrates professional nursing care?