FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A newly licensed registered nurse (RN) asks what primarily
defines professional nursing practice. Which response by the
charge nurse is most accurate?
A. Performing only technical procedures correctly
B. Following provider prescriptions without question
C. Integrating clinical judgment, evidence, ethics, and patient-
centered care
D. Delegating all routine care to assistive personnel
Correct Answer: C
Rationale:
Professional nursing extends beyond technical skills. It requires
integrating clinical judgment, current evidence, ethical decision-
making, communication, and patient-centered care to promote
safe, high-quality outcomes. Technical competence is important
but is only one component of professional practice.
Question 2
A nurse is caring for a patient who refuses a scheduled
treatment after receiving appropriate education. Which nursing
action best demonstrates respect for patient autonomy?
A. Notify security immediately.
B. Document the refusal, assess understanding, and notify the
provider.
,C. Administer the treatment because it was prescribed.
D. Ask another nurse to convince the patient to comply.
Correct Answer: B
Rationale:
Competent adults have the right to refuse treatment. The nurse
should ensure the patient understands the risks and benefits,
document the discussion and refusal, and notify the provider.
Treatment should not be forced except under legally authorized
circumstances.
Question 3
Which action best reflects accountability in nursing practice?
A. Completing documentation before providing care
B. Accepting responsibility for actions and reporting errors
promptly
C. Delegating all patient teaching to another nurse
D. Avoiding difficult patient assignments
Correct Answer: B
Rationale:
Accountability means accepting responsibility for one's actions,
recognizing errors, reporting them appropriately, and
participating in corrective measures that improve patient safety.
Question 4
, A nurse is assigned a task that requires specialized knowledge
beyond the nurse's current competency. What is the priority
action?
A. Perform the task independently.
B. Refuse all patient assignments.
C. Seek guidance, supervision, or additional training before
performing the task.
D. Ask a nursing assistant to complete the task.
Correct Answer: C
Rationale:
Professional responsibility includes recognizing personal
limitations and obtaining appropriate supervision or education
before performing unfamiliar skills. This promotes patient safety
and maintains professional standards.
Question 5
Which situation best demonstrates evidence-informed nursing
practice?
A. Performing interventions based only on personal preference
B. Choosing care based solely on tradition
C. Combining current research, clinical expertise, and patient
preferences when planning care
D. Using interventions because another nurse recommends
them