TEST BANK FOR
Fundamentals of Nursing: Concepts and Competencies for Practice
by Craven & Hirnle — 10th Edition
1000+ NCLEX-Style Original Questions with Detailed Rationales
Chapter-Aligned Comprehensive Nursing Review
Designed for Nursing Students Preparing for Exams, Clinical Reasoning Practice, and NCLEX
Success
KEY FEATURES
✓ 1000 High-Quality NCLEX-Style Questions
✓ Chapter-Aligned Coverage Based on Craven & Hirnle 10th Edition
✓ Detailed Answer Rationales for Every Question
✓ Includes Multiple Choice and Select-All-That-Apply Questions
✓ Application-Based Clinical Judgment Scenarios
✓ Designed to Strengthen Critical Thinking and Exam Readiness
,1. A patient admitted for treatment of a chronic illness tells the nurse, “I do not want this
procedure because it conflicts with my personal beliefs.” The healthcare team believes the
procedure would improve the patient's condition. Which action by the nurse best
demonstrates professional nursing practice?
A. Explain that the healthcare team has determined the procedure is necessary and encourage
acceptance
B. Document the refusal and immediately request that the provider speak with the patient
C. Explore the patient's concerns, provide accurate information, and support an informed
decision
D. Ask the patient's family to discuss the importance of accepting the procedure
Correct Answer: C
Rationale:
Professional nursing practice requires advocacy, respect for autonomy, and support for informed
decision-making. The nurse should first seek to understand the patient's values, provide
education, and ensure the decision is made with adequate information. The nurse does not coerce
the patient or transfer responsibility to family members.
2. A nurse caring for a patient recognizes that successful nursing care involves more than
completing clinical tasks. Which situation best demonstrates the professional role of the
nurse?
A. Completing prescribed treatments efficiently while minimizing patient interaction
B. Combining clinical knowledge, evidence-based decisions, communication, and patient
advocacy during care
C. Following healthcare provider instructions because nurses do not make independent decisions
D. Focusing primarily on disease treatment because emotional needs are outside nursing practice
Correct Answer: B
Rationale:
Nursing is a professional discipline that integrates scientific knowledge, clinical judgment,
communication, caring, education, advocacy, and patient-centered care. Nurses use independent
judgment while collaborating with the healthcare team.
,3. A nurse caring for a postoperative patient notices that the patient's pain remains
uncontrolled despite receiving prescribed medication. Which action demonstrates effective
critical thinking?
A. Continue the current plan because the medication was prescribed by the provider
B. Reassess the patient, analyze possible causes, and modify interventions based on findings
C. Document that pain control was unsuccessful and wait for further instructions
D. Request another nurse evaluate the patient because the intervention was ineffective
Correct Answer: B
Rationale:
Critical thinking requires nurses to evaluate patient responses, interpret assessment findings,
identify problems, and adjust care when outcomes are not achieved. Following a plan without
reassessment does not demonstrate clinical judgment.
4. A nurse is developing a care plan for a patient whose cultural beliefs influence decisions
about healthcare treatments. Which nursing action demonstrates culturally competent
practice?
A. Provide identical care approaches to all patients to ensure fairness
B. Ask the patient how cultural values and beliefs influence healthcare decisions
C. Avoid discussing cultural practices because they may interfere with treatment
D. Encourage the patient to follow standard healthcare practices without modification
Correct Answer: B
Rationale:
Culturally competent nursing recognizes that patients' beliefs, values, and traditions may
influence healthcare choices. Nurses should assess individual preferences and incorporate
cultural considerations while maintaining safe care.
5. A newly graduated nurse begins practice on a medical-surgical unit. The nurse asks why
professional nursing standards are important. Which response by the nurse educator is
most appropriate?
A. “Standards establish expectations for safe, ethical, and competent nursing practice while
guiding clinical decisions.”
, B. “Standards provide rules that prevent nurses from making independent judgments.”
C. “Standards are mainly used to evaluate advanced practice nurses.”
D. “Standards replace the need for nurses to use evidence and clinical reasoning.”
Correct Answer: A
Rationale:
Professional standards define expectations for nursing practice, promote patient safety, support
ethical care, and guide professional accountability. They do not replace clinical judgment;
instead, they provide a framework for decision-making.
6. A nurse enters a patient's room and notices the patient appears anxious before
a procedure. Which nursing response best demonstrates therapeutic
communication?
A. “There is nothing to worry about because this procedure is routine.”
B. “You seem concerned. Can you tell me what is worrying you?”
C. “Your family should help you feel calmer.”
D. “Try not to think about the procedure.”
Correct Answer: B
Rationale:
Therapeutic communication encourages patients to express feelings and allows nurses to identify
concerns. Providing false reassurance or dismissing emotions may prevent meaningful
communication.
7. A nurse uses research findings, clinical experience, and patient preferences
when planning care. Which concept is the nurse applying?
A. Task delegation
B. Evidence-based practice
C. Primary prevention
D. Administrative management
Correct Answer: B
Fundamentals of Nursing: Concepts and Competencies for Practice
by Craven & Hirnle — 10th Edition
1000+ NCLEX-Style Original Questions with Detailed Rationales
Chapter-Aligned Comprehensive Nursing Review
Designed for Nursing Students Preparing for Exams, Clinical Reasoning Practice, and NCLEX
Success
KEY FEATURES
✓ 1000 High-Quality NCLEX-Style Questions
✓ Chapter-Aligned Coverage Based on Craven & Hirnle 10th Edition
✓ Detailed Answer Rationales for Every Question
✓ Includes Multiple Choice and Select-All-That-Apply Questions
✓ Application-Based Clinical Judgment Scenarios
✓ Designed to Strengthen Critical Thinking and Exam Readiness
,1. A patient admitted for treatment of a chronic illness tells the nurse, “I do not want this
procedure because it conflicts with my personal beliefs.” The healthcare team believes the
procedure would improve the patient's condition. Which action by the nurse best
demonstrates professional nursing practice?
A. Explain that the healthcare team has determined the procedure is necessary and encourage
acceptance
B. Document the refusal and immediately request that the provider speak with the patient
C. Explore the patient's concerns, provide accurate information, and support an informed
decision
D. Ask the patient's family to discuss the importance of accepting the procedure
Correct Answer: C
Rationale:
Professional nursing practice requires advocacy, respect for autonomy, and support for informed
decision-making. The nurse should first seek to understand the patient's values, provide
education, and ensure the decision is made with adequate information. The nurse does not coerce
the patient or transfer responsibility to family members.
2. A nurse caring for a patient recognizes that successful nursing care involves more than
completing clinical tasks. Which situation best demonstrates the professional role of the
nurse?
A. Completing prescribed treatments efficiently while minimizing patient interaction
B. Combining clinical knowledge, evidence-based decisions, communication, and patient
advocacy during care
C. Following healthcare provider instructions because nurses do not make independent decisions
D. Focusing primarily on disease treatment because emotional needs are outside nursing practice
Correct Answer: B
Rationale:
Nursing is a professional discipline that integrates scientific knowledge, clinical judgment,
communication, caring, education, advocacy, and patient-centered care. Nurses use independent
judgment while collaborating with the healthcare team.
,3. A nurse caring for a postoperative patient notices that the patient's pain remains
uncontrolled despite receiving prescribed medication. Which action demonstrates effective
critical thinking?
A. Continue the current plan because the medication was prescribed by the provider
B. Reassess the patient, analyze possible causes, and modify interventions based on findings
C. Document that pain control was unsuccessful and wait for further instructions
D. Request another nurse evaluate the patient because the intervention was ineffective
Correct Answer: B
Rationale:
Critical thinking requires nurses to evaluate patient responses, interpret assessment findings,
identify problems, and adjust care when outcomes are not achieved. Following a plan without
reassessment does not demonstrate clinical judgment.
4. A nurse is developing a care plan for a patient whose cultural beliefs influence decisions
about healthcare treatments. Which nursing action demonstrates culturally competent
practice?
A. Provide identical care approaches to all patients to ensure fairness
B. Ask the patient how cultural values and beliefs influence healthcare decisions
C. Avoid discussing cultural practices because they may interfere with treatment
D. Encourage the patient to follow standard healthcare practices without modification
Correct Answer: B
Rationale:
Culturally competent nursing recognizes that patients' beliefs, values, and traditions may
influence healthcare choices. Nurses should assess individual preferences and incorporate
cultural considerations while maintaining safe care.
5. A newly graduated nurse begins practice on a medical-surgical unit. The nurse asks why
professional nursing standards are important. Which response by the nurse educator is
most appropriate?
A. “Standards establish expectations for safe, ethical, and competent nursing practice while
guiding clinical decisions.”
, B. “Standards provide rules that prevent nurses from making independent judgments.”
C. “Standards are mainly used to evaluate advanced practice nurses.”
D. “Standards replace the need for nurses to use evidence and clinical reasoning.”
Correct Answer: A
Rationale:
Professional standards define expectations for nursing practice, promote patient safety, support
ethical care, and guide professional accountability. They do not replace clinical judgment;
instead, they provide a framework for decision-making.
6. A nurse enters a patient's room and notices the patient appears anxious before
a procedure. Which nursing response best demonstrates therapeutic
communication?
A. “There is nothing to worry about because this procedure is routine.”
B. “You seem concerned. Can you tell me what is worrying you?”
C. “Your family should help you feel calmer.”
D. “Try not to think about the procedure.”
Correct Answer: B
Rationale:
Therapeutic communication encourages patients to express feelings and allows nurses to identify
concerns. Providing false reassurance or dismissing emotions may prevent meaningful
communication.
7. A nurse uses research findings, clinical experience, and patient preferences
when planning care. Which concept is the nurse applying?
A. Task delegation
B. Evidence-based practice
C. Primary prevention
D. Administrative management
Correct Answer: B
