Treas, Barnett & Smith | Chapters 1–46 300 Exam-Style Questions with Verified Answers &
Detailed Rationales
TABLE OF CONTENTS
| Section | Topic | Questions |
|---------|-------|-----------|
| 1 | Nursing Past & Present / Evolution of Nursing Thought | 1–20 |
| 2 | Clinical Judgment & Critical Thinking | 21–40 |
| 3 | The Nursing Process (Assessment, Diagnosis, Planning, Implementation, Evaluation) | 41–
75 |
| 4 | Evidence-Based Practice & Nursing Research | 76–95 |
| 5 | Life Span: Infancy Through Middle Adulthood | 96–115 |
| 6 | Life Span: Older Adults | 116–130 |
| 7 | Experiencing Health & Illness | 131–145 |
| 8 | Legal Accountability & Ethics | 146–170 |
| 9 | Communication & The Nurse-Client Relationship | 171–195 |
| 10 | Physical Assessment & Health History | 196–220 |
| 11 | Safety, Infection Control & Asepsis | 221–245 |
| 12 | Medication Administration & IV Therapy | 246–270 |
| 13 | Care of the Surgical Patient | 271–285 |
| 14 | Informatics, Documentation & Professional Practice | 286–300 |
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EXAM OVERVIEW
,Textbook: Davis Advantage Basic Nursing: Thinking, Doing, and Caring, 4th Edition
Authors: Leslie S. Treas, Karen L. Barnett, Mable H. Smith
Academic Year: 2025/2026
Format: 300 Multiple-Choice Questions
Question Types: NCLEX-style, clinical application, priority-setting, delegation, therapeutic
communication, medication administration, safety, and Next Generation NCLEX (NGN)-style
case-based questions
Topics Covered: All core domains of fundamental nursing practice including nursing history,
clinical judgment, nursing process, evidence-based practice, lifespan considerations,
health/illness concepts, legal/ethical issues, communication, physical assessment,
safety/infection control, medication administration, surgical care, and professional practice
Target Audience: Pre-licensure nursing students preparing for course exams, HESI, ATI, and
NCLEX-RN
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SECTION 1: NURSING PAST & PRESENT / EVOLUTION OF NURSING THOUGHT (Questions 1–20)
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Question 1
What is the most influential factor that has shaped the nursing profession throughout history?
A) Physicians' need for handmaidens
B) Societal need for healthcare outside the home
C) Military demand for nurses in the field
D) Germ theory influence on sanitation
,Correct Answer: C
Rationale: Throughout the centuries, stability of government has been related to the success of
the military to protect or extend its domain. As the survival and well-being of soldiers is critical,
nurses provided healthcare to the sick and injured at the battle site. The physician's
handmaiden was/is a nursing stereotype rather than an influence on nursing. Although there
has been need for healthcare outside the home throughout history, this has more influence on
the development of hospitals than on nursing. Germ theory and sanitation helped to improve
healthcare but did not shape nursing.
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Question 2
Which of the following contributions of Florence Nightingale had an immediate impact on
improving patients' health?
A) Providing a clean environment
B) Improving nursing education
C) Changing the delivery of care in hospitals
D) Establishing nursing as a distinct profession
Correct Answer: A
Rationale: Improved sanitation (a clean environment) greatly and immediately reduced the rate
of infection and mortality in hospitals. The other responses are all activities of Florence
Nightingale that improved healthcare or nursing, but their impact was long-range, not
immediate.
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Question 3
, A nursing student is studying the history of nursing. Which individual is credited with
establishing the first nursing school based on Nightingale's principles?
A) Dorothea Dix
B) Clara Barton
C) Linda Richards
D) Mary Mahoney
Correct Answer: C
Rationale: Linda Richards is credited with establishing the first nursing school based on Florence
Nightingale's principles in the United States. She also developed the first system of nursing
records. Dorothea Dix was a mental health reformer; Clara Barton founded the American Red
Cross; Mary Mahoney was the first African American professional nurse.
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Question 4
A nurse is caring for a patient who is a member of a minority population. The nurse recognizes
that health disparities in minority populations are most often related to:
A) Genetic predisposition to disease
B) Lack of access to quality healthcare
C) Cultural preferences for alternative medicine
D) Lower socioeconomic status only
Correct Answer: B
Rationale: Health disparities in minority populations are most often related to lack of access to
quality healthcare, including barriers such as lack of insurance, language barriers, and
geographic isolation. While genetic predisposition, cultural preferences, and socioeconomic
status may contribute, access to care is the most significant modifiable factor.