FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A newly licensed nurse asks why understanding the history of
nursing is important. Which response by the nurse educator is
most appropriate?
A. "Historical knowledge is only useful for nurses pursuing
leadership roles."
B. "Understanding nursing history helps explain how
professional standards and patient care have evolved."
C. "Knowledge of nursing history is primarily needed to pass
licensure examinations."
D. "Modern nursing practice is unrelated to historical
developments."
Correct Answer: B
Rationale:
Understanding the history of nursing helps nurses appreciate
how education, ethics, patient advocacy, and evidence-based
practice have developed over time. Historical events continue
to influence professional standards, healthcare delivery, and
nursing roles. The other options minimize the importance of
historical knowledge or provide inaccurate information.
Question 2
,A nursing student asks what primarily determines the legal
scope of nursing practice within a state. Which response by the
instructor is correct?
A. Individual hospital policy
B. The state's Nurse Practice Act
C. The patient's insurance provider
D. Recommendations from professional nursing organizations
alone
Correct Answer: B
Rationale:
Each state's Nurse Practice Act establishes the legal scope of
nursing practice, licensure requirements, and standards for safe
practice. Healthcare facilities may have additional policies, but
these cannot exceed or replace state law. Professional
organizations provide guidance but do not establish legal
authority.
Question 3
A nurse is assigned a task that is outside the legal scope of
practice established by state law. What is the nurse's best initial
action?
A. Perform the task because the provider requested it.
B. Ask another nurse to perform the task without clarification.
C. Decline the task and notify the appropriate supervisor.
, D. Perform the task if another experienced nurse is available
nearby.
Correct Answer: C
Rationale:
Nurses are professionally and legally accountable for practicing
within their scope of practice. If assigned an activity outside
that scope, the nurse should decline and notify the supervisor
so patient safety is maintained. Following orders does not
eliminate professional accountability.
Question 4
A nurse is demonstrating professionalism while caring for
hospitalized patients. Which behavior best reflects professional
nursing practice?
A. Discussing patient information in the cafeteria with
coworkers
B. Arriving prepared, communicating respectfully, and
maintaining patient confidentiality
C. Completing only assigned tasks regardless of patient
concerns
D. Avoiding collaboration with other healthcare professionals
Correct Answer: B
Rationale:
Professionalism includes accountability, ethical behavior,