FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A nurse is discussing the evolution of nursing with a group of
students. Which statement best reflects the impact of nursing
history on current practice?
A. Nursing practice is based primarily on physician preferences.
B. Historical developments helped shape evidence-based,
patient-centered nursing care.
C. Modern nursing no longer relies on principles established by
early nursing leaders.
D. Nursing history has little influence on professional standards.
Correct Answer: B
Rationale:
The development of nursing over time established standards for
patient-centered care, education, sanitation, quality
improvement, and professional accountability. Historical
contributions continue to influence evidence-based practice
and professional nursing today. The other options incorrectly
minimize or misrepresent the influence of nursing history.
Question 2
A newly licensed nurse asks why a Nurse Practice Act is
important. Which response by the charge nurse is most
accurate?
,A. It establishes salary guidelines for registered nurses.
B. It defines the legal scope and responsibilities of nursing
practice within a jurisdiction.
C. It replaces facility policies and procedures.
D. It determines hospital accreditation standards.
Correct Answer: B
Rationale:
Nurse Practice Acts establish the legal scope of nursing practice,
define licensure requirements, and protect public safety. They
do not determine salaries, replace employer policies, or
establish accreditation standards.
Question 3
A registered nurse is asked to perform a procedure that is not
permitted under the state's Nurse Practice Act. What is the
nurse's best action?
A. Perform the procedure because the provider requested it.
B. Ask another nurse to perform the procedure.
C. Decline the procedure and follow the appropriate chain of
communication.
D. Perform the procedure if another nurse supervises.
Correct Answer: C
Rationale:
Nurses are legally accountable for practicing within their
, authorized scope. If asked to perform an activity outside that
scope, the nurse should decline and communicate concerns
through appropriate channels. A provider's request or
supervision does not remove the nurse's legal responsibility.
Question 4
A nurse is planning professional development activities. Which
action best demonstrates lifelong learning?
A. Attending continuing education programs to maintain and
improve competence
B. Depending only on knowledge gained during nursing school
C. Avoiding new clinical technologies until they become
mandatory
D. Limiting learning to annual competency evaluations
Correct Answer: A
Rationale:
Lifelong learning includes participating in continuing education,
reviewing current evidence, developing new competencies, and
adapting to changes in healthcare. Professional growth extends
beyond mandatory training requirements.
Question 5
A nurse consistently arrives on time, maintains patient
confidentiality, and accepts responsibility for clinical decisions.
Which professional characteristic is best demonstrated?