FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A nurse is speaking with a high school student who asks what
best distinguishes professional nursing from simply performing
healthcare tasks. Which response by the nurse is most
appropriate?
A. "Professional nursing focuses only on carrying out prescribed
treatments."
B. "Professional nursing combines scientific knowledge, clinical
judgment, compassionate care, and advocacy for patients."
C. "Professional nursing primarily involves completing physician
orders accurately."
D. "Professional nursing is limited to caring for hospitalized
patients."
Correct Answer: B
Rationale:
Professional nursing integrates evidence-based knowledge,
critical thinking, patient advocacy, ethical practice,
communication, and compassionate care to promote health
and well-being. Nurses collaborate with the healthcare team
while maintaining independent responsibilities within their
scope of practice. The other options describe only limited
aspects of nursing or are inaccurate.
Question 2
,A newly licensed registered nurse is uncertain whether a
planned intervention is permitted under state law. Which action
should the nurse take first?
A. Perform the intervention because another nurse
recommended it.
B. Ask the patient's family for permission.
C. Review the state's Nurse Practice Act and facility policies.
D. Perform the intervention if a physician is available.
Correct Answer: C
Rationale:
The Nurse Practice Act defines the legal scope of nursing
practice within each state. Reviewing applicable laws and
institutional policies is the safest first step before performing an
unfamiliar activity. Advice from coworkers or physician
availability does not replace legal accountability.
Question 3
A nurse is caring for a patient who refuses a scheduled
treatment after receiving complete information about the
benefits and risks. Which nursing action best demonstrates
respect for patient-centered care?
A. Tell the patient that refusing treatment is unacceptable.
B. Document the refusal, assess the patient's understanding,
and notify the healthcare provider.
, C. Administer the treatment while the patient is distracted.
D. Ask the family to override the patient's decision.
Correct Answer: B
Rationale:
Competent patients have the right to refuse treatment. The
nurse should verify that the patient understands the
consequences, document the refusal, and communicate with
the healthcare provider. Coercion or treatment without consent
violates ethical and legal principles.
Question 4
A nursing student asks why lifelong learning is emphasized
throughout a nursing career. Which response by the instructor
is most accurate?
A. Nursing knowledge and healthcare practices continue to
evolve.
B. Nurses are required to change specialties every few years.
C. Most nursing procedures remain unchanged after graduation.
D. Lifelong learning is necessary only for nurses seeking
management positions.
Correct Answer: A
Rationale:
Healthcare knowledge, technology, medications, evidence-
based practice, and patient safety recommendations continually