FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A nurse is caring for several patients on a medical-surgical unit.
Which action best demonstrates professional accountability?
A. Delegating all patient education to assistive personnel
B. Accepting responsibility for personal nursing decisions and
actions
C. Completing documentation only at the end of the shift
D. Performing procedures beyond the legal scope of practice
when the unit is busy
Correct Answer: B
Rationale:
Professional accountability requires nurses to accept
responsibility for their own decisions, actions, and professional
conduct. Timely documentation, adherence to legal standards,
and practicing within scope are essential aspects of
accountability. Delegating all education or practicing beyond
one's scope places patients at risk.
Question 2
A newly licensed nurse asks why the state nurse practice act is
important. Which response by the nurse educator is most
accurate?
A. It establishes the daily schedule for every nurse.
B. It defines the legal scope and standards of nursing practice
,within the state.
C. It replaces facility policies and procedures.
D. It determines the salary of registered nurses.
Correct Answer: B
Rationale:
Each state's nurse practice act establishes the legal authority,
scope of practice, licensure requirements, and standards for
nursing practice. Healthcare facilities develop policies that
complement, but do not replace, the nurse practice act.
Question 3
A nursing student asks why Florence Nightingale is considered
influential in modern nursing. Which statement by the
instructor is most appropriate?
A. She promoted evidence-based improvements in sanitation
and patient care.
B. She developed the first electronic health record.
C. She introduced robotic surgery.
D. She eliminated the need for nursing education.
Correct Answer: A
Rationale:
Florence Nightingale emphasized sanitation, environmental
improvements, observation, and collection of health data to
, improve patient outcomes. Her work laid the foundation for
modern professional nursing and quality improvement.
Question 4
A registered nurse is assigned to care for a patient requiring a
complex wound dressing. Which action demonstrates practicing
within the nurse's scope of practice?
A. Performing the procedure after verifying competency and
following agency policy
B. Asking an unlicensed assistive personnel to complete the
dressing independently
C. Refusing the assignment without assessing personal
competence
D. Allowing a family member to perform the dressing without
instruction
Correct Answer: A
Rationale:
Nurses should perform procedures for which they have received
appropriate education, demonstrated competency, and that fall
within their legal scope of practice. Delegating complex sterile
procedures to unlicensed personnel is generally inappropriate.
Question 5