FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A newly licensed nurse is asked to perform a procedure that is
outside the legal scope of practice for the nurse's licensure.
Which action is most appropriate?
A. Perform the procedure because the charge nurse requested
it.
B. Decline the procedure and notify the appropriate supervisor.
C. Ask an experienced nursing assistant to perform the
procedure.
D. Perform the procedure if another nurse is available to
observe.
Correct Answer: B
Rationale:
Nurses are accountable for practicing within the legal scope
established by applicable laws and regulations. Declining an
assignment outside one's scope and notifying the supervisor
protects patient safety and professional accountability.
Performing the procedure simply because it was requested or
observed does not eliminate legal or ethical responsibility.
Question 2
A nurse demonstrates professionalism by taking which action
after realizing that a medication was administered 1 hour later
than prescribed?
,A. Omitting documentation to avoid disciplinary action.
B. Reporting the delay, assessing the patient, and documenting
accurately.
C. Asking a coworker to document the medication
administration.
D. Changing the documented administration time to match the
prescription.
Correct Answer: B
Rationale:
Professional nurses accept responsibility for their actions,
prioritize patient safety, promptly assess the patient, report the
event according to policy, and document accurately. Falsifying
or omitting documentation is unethical and potentially illegal.
Question 3
A nursing student asks why continuing education is important
after licensure. Which response by the instructor is best?
A. "It is necessary only if you plan to become a nurse manager."
B. "Healthcare remains constant, so additional learning is
optional."
C. "Lifelong learning helps nurses maintain competence and
provide current evidence-informed care."
D. "Continuing education replaces clinical experience."
Correct Answer: C
, Rationale:
Healthcare knowledge, technology, and standards evolve
continuously. Lifelong learning supports clinical competence,
patient safety, professional growth, and high-quality care
throughout a nurse's career.
Question 4
Which nursing action best reflects patient-centered care?
A. Following routines without considering patient preferences.
B. Encouraging the patient to participate in planning care.
C. Making healthcare decisions without patient input.
D. Prioritizing staff convenience over patient goals.
Correct Answer: B
Rationale:
Patient-centered care respects individual values, preferences,
and goals while encouraging active participation in decision-
making. Collaboration improves satisfaction and clinical
outcomes.
Question 5
A nurse is caring for several patients. Which patient should the
nurse assess first?
A. A patient requesting assistance with a television remote.
B. A postoperative patient reporting sudden shortness of
breath.