TEST BANK
Davis Advantage for Fundamentals Of Nursing
Judith M. Wilkinson, Leslie S. Treas, Karen L. Barnett, & Mable H. Smith
4th Edition
,Table of Contents
Chapter 01 Evolution of Nursing Thought & Action 1
Chapter 02 Critical Thinking & Nursing Process 30
Chapter 03 Assessment 48
Chapter 04 Analysis/Diagnosis 74
Chapter 05 Planning Outcomes 97
Chapter 06 Planning Interventions 113
Chapter 07 Implementation & Evaluation 131
Chapter 08 Theory, Research, & Evidence-Based Practice 150
Chapter 09 Life Span Infancy Through Middle Adulthood 168
Chapter 10 Life Span: Older Adults 193
Chapter 11 Experiencing Health & Illness 214
Chapter 12 Stress & Adaptation 238
Chapter 13 Psychosocial Health & Illness 261
Chapter 14 The Family 290
Chapter 15 Culture & Ethnicity 309
Chapter 16 Spirituality 329
Chapter 17 Loss, Grief, & Dying 348
Chapter 18 Documenting & Reporting 375
Chapter 19 Teaching & Learning 399
Chapter 20 Measuring Vital Signs 418
Chapter 21 Communication & Therapeutic Relationships 450
Chapter 22 Health Assessment 479
Chapter 23 Promoting Asepsis & Preventing Infection 517
Chapter 24 Promoting Safety 542
Chapter 25 Facilitating Hygiene 561
Chapter 26 Administering Medications 578
Chapter 27 Nutrition 611
Chapter 28 Urinary Elimination 642
Chapter 29 Bowel Elimination 670
Chapter 30 Sensation, Perception, & Response 695
Chapter 31 Pain 721
Chapter 32 Physical Activity & Immobility 754
Chapter 33 Sexual Health 782
Chapter 34 Sleep & Rest 808
Chapter 35 Skin Integrity & Wound Healing 832
Chapter 36 Oxygenation 868
Chapter 37 Circulation & Perfusion 895
Chapter 38 Fluids, Electrolytes, & Acid–Base Balance 914
Chapter 39 Perioperative Care 951
Chapter 40 Leading & Managing 980
Chapter 41 Nursing Informatics 999
,Chapter 42 Promoting Health 1017
Chapter 43 Community & Home Health Nursing 1038
Chapter 44 Ethics & Values 1063
Chapter 45 Legal Accountability 1088
Chapter 46 Holistic Healing 1111
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
Chapter 1. Evolution of Nursing Thought & Action
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is working in a community health promotion clinic. Which is an example of an illness
prevention activity?
1. Encouraging the use of a food diary
2. Joining a cancer support group
3. Administering immunization for human papillomavirus (HPV)
4. Teaching a diabetic patient about his diet
____ 2. A practicing nurse is aware that continuing education courses may be required for license renewal.
Which organization can require nurses to obtain a specified amount of continuing education
courses?
1. American Nurses Association
2. National League for Nursing
3. Sigma Theta Tau
4. State Board of Nursing
____ 3. An experienced nurse uses knowledge of patient medical conditions and intuition to identify
patient problems. The nurse often fulfills the role of a resource for other nurses on the unit. At this
point, which stage of proficiency has this nurse achieved?
1. Novice
2. Advanced beginner
3. Competent
4. Expert
____ 4. Which statement best explains the importance of standards of practice in the nursing profession?
1. Nurses have the same standards of practice as other healthcare professionals.
2. Standards of practice are applied exclusively to nurses working in hospital settings.
3. Standards of practice identify the components nurses need to provide safe care.
4. Standards of practice differ among registered nurses, based on the population they
serve.
____ 5. The nursing instructor is considering becoming a member of the National League for Nursing
(NLN). Which primary goal of the NLN will most strongly impact the nurse’s decision to become
a member?
1. Emphasizing the necessity for registered nurses to promote patient safety
2. Establishing and maintaining identified standards for nursing education
3. Supporting global health policies and improving health worldwide
4. Fostering nursing scholarship, leadership, and service to improve health
____ 6. The nurse is providing care for a patient following a debilitating stroke. Which type of care will
the nurse recognize as the best choice for this patient?
1. Primary care
2. Secondary care
3. Tertiary care
______________________________________________________________________________________________
1|Page
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
4. Preventive care
____ 7. The nurse is providing care for an older adult patient in an acute care setting for various
age-related health issues. When planning for discharge, the patient states concern about being able
to adequately provide for health maintenance and self-care needs. Which type of facility does the
nurse recognize for this patient?
1. Skilled nursing facility
2. Assisted living facility
3. Nursing home facility
4. Independent living facility
____ 8. The nurse understands that the most important reason for the development of a definition for the
profession of nursing is that it:
1. Will result in more informed people being recruited as nurses.
2. Is a means for evaluating the degree of role satisfaction in nurses.
3. Helps dispel the stereotypical images about nurses and nursing.
4. Differentiates the nursing role from those of other health professionals.
____ 9. Which activity provides evidence-based support for the contribution made by advanced practice
nurses (APNs) within healthcare?
1. Reduced use of diagnostics using advanced technology
2. Decreased number of unnecessary visits to the emergency department
3. Improved patient compliance with prescribed treatments
4. Increased use of complementary and alternative therapies
____ 10. The nurse is providing care for a pediatric patient in an acute care facility. The patient’s parents
express concern about the cost of the medical care. The parents state, “We have jobs, but we don’t
make a lot of money and have no insurance.” Which medical assistance program does the nurse
recognize as being most appropriate for this family?
1. Children’s Health Insurance Program (CHIP)
2. Medicare
3. Medicaid
4. Local charity
____ 11. A nurse working in a rehabilitation facility has a physician’s prescription to contact therapists as
required by patient need. A patient has started to have difficulty with bathing and grooming.
Which therapist does the nurse contact to assist the patient to regain these skills?
1. Physical therapist
2. Occupational therapist
3. Speech-language pathologist
4. Respiratory therapist
____ 12. An older adult patient is diagnosed with type 1 diabetes mellitus. The patient can perform self-care
activities but needs assistance with shopping and meal preparation. As well, assistance is necessary
for blood glucose monitoring and insulin administration. Which type of healthcare facility is most
appropriate for the patient?
1. Acute care facility
2. Ambulatory care facility
______________________________________________________________________________________________
2|Page
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
3. Extended care facility
4. Assisted living facility
____ 13. The nurse in the intensive care unit is providing care for only one patient, who was admitted with a
diagnosis of septic shock. Based on this information, which care delivery model is this nurse
following?
1. Functional
2. Primary
3. Case method
4. Team
____ 14. The nurse is providing care for a patient who needs extensive acute care, which is being rejected
by the patient because of financial and family stressors. Which healthcare worker does the nurse
consult to counsel this patient?
1. Social worker
2. Occupational therapist
3. Physician’s assistant
4. Technologist
____ 15. Which type of managed care provides patients with the greatest choice of providers, medications,
and medical devices?
1. Health maintenance organization
2. Integrated delivery network
3. Preferred provider organization
4. Employment-based private insurance
____ 16. The registered nurse is discharging a patient to an assisted living facility. Which statement by the
nurse is most appropriate for the patient?
1. “Therapists will work with you daily to help you regain your functional abilities.”
2. “You will be provided with 24-hour nursing care for the next 6 weeks.”
3. “Assistance with meals and housekeeping tasks is available to you.”
4. “A nurse will come to your home and provide you with nursing care.”
____ 17. Which member of the healthcare team typically serves as the case manager?
1. Social worker
2. Physician
3. Physician’s assistant
4. Registered nurse
____ 18. The nurse works in a public health department. Which nursing function is considered a primary
care service?
1. Providing wound care
2. Administering childhood immunizations
3. Providing drug rehabilitation
4. Providing outpatient hernia repair
______________________________________________________________________________________________
3|Page
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
____ 19. A patient who is 80 years of age is in an acute care facility because of a fractured hip resulting
from a fall. Previously, the patient lived at home and managed activities of daily living
independently. The patient goal is to return to the previous living style. The patient is to be
discharged because of insurance regulations. If the patient cannot walk or provide self-care, to
which type of facility will the patient be transferred?
1. Nursing home
2. Rehabilitation center
3. An outpatient therapy center
4. None of these; she should receive home healthcare
____ 20. A health care facility hires new nursing graduates to work on patient care units. The hired nurses
come from a variety of accredited nursing programs. Additionally, applicants need to be aware of
facility hiring practices based on which specific definition of a nurse?
1. Graduate of a nursing education program, and passed the National Council
Licensure Exam (NCLEX)
2. Obtained certification permitting the administration of medications in certain
healthcare settings
3. Specifically licensed to practice in either an acute care setting or in a home
environment
4. Received advanced education and is licensed to practice under the direct
supervision of a physician
____ 21. A nurse who has been practicing for 3 years in an acute care facility is caring for a postsurgical
patient. The nurse observes an abnormal change in vital signs and associates these changes with a
postoperative bleeding problem. Which level of proficiency is the nurse demonstrating?
1. Advanced beginner
2. Competent
3. Proficient
4. Expert
____ 22. In the United States, each state enacts its own nurse practice acts. Which agency is responsible for
nurse practice acts?
1. The American Nurses Association
2. Institute of Medicine
3. State Board of Nursing
4. National League for Nursing
____ 23. A nurse is recently hired at an acute care facility. During orientation, the nurse is given a chart
describing each person’s role on the assigned unit. The chart reflects that registered nurses are
responsible for all admission and discharge assessments and patient treatments. Licensed practical
nurses (LPNs) administer medications, and certified nursing assistants (CNAs) obtain vital signs
and perform personal care. Which model of care does the nurse recognize?
1. Case method
2. Team
3. Primary
4. Functional
______________________________________________________________________________________________
4|Page
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
____ 24. Nurses currently employed are aware of the trends that affect contemporary nursing practice.
Which trend is a primary cause for changes in the nursing profession?
1. The expected increase in the number of older adults in society
2. The large amount of medical information that is technically accessible
3. The increasing demands for more medical care from all aspects of society
4. The multiple medical care expectations implemented by the government
____ 25. A patient is preparing to be discharged after total knee replacement. The patient tells the case
manager, “I feel pretty good, but I am having a hard time getting in and out of the bathroom.”
Which is the most appropriate response by the case manager?
1. “I’ll be sure to teach your family how to help you with this.”
2. “Once you are home for a while, it will get easier.”
3. “I can have a recreational therapist help you take your mind off your concerns.”
4. “An occupational therapist can be ordered to assist you in this area.”
____ 26. An older adult patient is preparing for discharge and tells the case manager, “I don’t know what I
am going to do when I get home. I cannot afford the medications the doctor has ordered for me.”
Which is the most appropriate response by the case manager?
1. “We can have a social worker see you when you get home.”
2. “Medications are expensive, but you will need to take them.”
3. “I will check if some of the medications can be discontinued.”
4. “The home health nurse will address this when she sees you.”
____ 27. A patient in an ambulatory clinic tells the nurse, “Every visit costs me $10, even though I have
insurance.” Which is the most appropriate response by the nurse?
1. “I am not involved in your insurance; you need to contact the insurance company.”
2. “Let’s check if this is a co-payment described by your insurance plan for each
visit.”
3. “Healthcare is expensive, and insurance companies can’t pay all of the costs.”
4. “This charge is actually part of the insurance premium that you pay monthly.”
____ 28. The nursing staff on a surgical unit expresses to the manager concerns about not having enough
time to complete all wound care and dressing changes. Which is the initial action the manager
takes?
1. Decrease the patient-to-nurse ratio within budget limits
2. Offer an in-service session on time-management strategies
3. Suggest a continuing quality improvement committee to assess the issue
4. Report the concerns to the director of nurses at the next management meeting
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 29. Which activities indicate the implementation of direct nursing care? Select all that apply.
1. Bathing a patient
2. Administering a medication
3. Teaching a patient to change a wound dressing
4. Making work assignments for the shift
______________________________________________________________________________________________
5|Page
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
5. Evaluating patient progression toward goals
____ 30. Which actions by the nurse are considered “skilled nursing care”? Select all that apply.
1. Changing a wound dressing
2. Assisting with bathing and grooming
3. Monitoring intravenous (IV) antibiotic administration
4. Teaching a patient how to use a blood glucose monitor
5. Helping a patient to get dressed
____ 31. To reflect the changes in healthcare and nurses’ expanded roles, the International Council of
Nurses revised the definition of nursing. Which statements are consistent with the revised
definition of nursing? Select all that apply.
1. Nursing encompasses the autonomous and collaborative care of others.
2. Nursing includes the care of ill, disabled, and dying people.
3. Nursing is involved in shaping health policy and system management.
4. Nursing involves the use of the nursing process to plan care.
5. Nursing requires knowledge regarding the process of nursing education.
____ 32. According to the American Nurses Association (ANA), which statements best describe the
characteristics of registered nursing? Select all that apply.
1. Nursing practice is individualized.
2. Nursing practice is similar to medical practice.
3. Caring is central to the practice of the registered nurse.
4. Nurses coordinate care by establishing partnerships.
5. Nurses promote health through political involvement.
____ 33. The field of nursing has struggled to prove that nursing is a profession. Which strategies to
improve the status of nursing will promote professionalism? Select all that apply.
1. Standardizing the educational requirements for entry into practice
2. Mandating uniform continuing education requirements for licensure
3. Guaranteeing that all nurses will obtain employment upon graduation
4. Encouraging participation of nurses in professional organizations
5. Educating the public about the true nature of nursing practice
____ 34. Each U.S. state has its own state board of nursing responsible for protecting the health, safety, and
welfare of the general public. The state boards of nursing meets these responsibilities by
performing which functions? Select all that apply.
1. Advocating for nursing student issues
2. Determining the nurse’s scope of practice
3. Enforcing the rules that govern nursing
4. Writing the laws that regulate nursing
5. Regulating the number of licensed nurses
____ 35. The nurse is preparing a presentation for nursing students about the processes of thinking and
implementation that apply to nursing. Which topics will the nurse include? Select all that apply.
1. Critical thinking
2. Pain evaluation
3. Clinical judgment
______________________________________________________________________________________________
6|Page
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
4. Problem solving
5. Sterile technique
Completion
Complete each statement.
36. ____________________ is a health program, administered by the state and funded by federal and
state governments, to provide care for low-income people.
37. ____________________ is a federal insurance program designed to fund healthcare for people age
65 years and older, persons with disabilities, and those with end-stage renal disease.
______________________________________________________________________________________________
7|Page
Davis Advantage for Fundamentals Of Nursing
Judith M. Wilkinson, Leslie S. Treas, Karen L. Barnett, & Mable H. Smith
4th Edition
,Table of Contents
Chapter 01 Evolution of Nursing Thought & Action 1
Chapter 02 Critical Thinking & Nursing Process 30
Chapter 03 Assessment 48
Chapter 04 Analysis/Diagnosis 74
Chapter 05 Planning Outcomes 97
Chapter 06 Planning Interventions 113
Chapter 07 Implementation & Evaluation 131
Chapter 08 Theory, Research, & Evidence-Based Practice 150
Chapter 09 Life Span Infancy Through Middle Adulthood 168
Chapter 10 Life Span: Older Adults 193
Chapter 11 Experiencing Health & Illness 214
Chapter 12 Stress & Adaptation 238
Chapter 13 Psychosocial Health & Illness 261
Chapter 14 The Family 290
Chapter 15 Culture & Ethnicity 309
Chapter 16 Spirituality 329
Chapter 17 Loss, Grief, & Dying 348
Chapter 18 Documenting & Reporting 375
Chapter 19 Teaching & Learning 399
Chapter 20 Measuring Vital Signs 418
Chapter 21 Communication & Therapeutic Relationships 450
Chapter 22 Health Assessment 479
Chapter 23 Promoting Asepsis & Preventing Infection 517
Chapter 24 Promoting Safety 542
Chapter 25 Facilitating Hygiene 561
Chapter 26 Administering Medications 578
Chapter 27 Nutrition 611
Chapter 28 Urinary Elimination 642
Chapter 29 Bowel Elimination 670
Chapter 30 Sensation, Perception, & Response 695
Chapter 31 Pain 721
Chapter 32 Physical Activity & Immobility 754
Chapter 33 Sexual Health 782
Chapter 34 Sleep & Rest 808
Chapter 35 Skin Integrity & Wound Healing 832
Chapter 36 Oxygenation 868
Chapter 37 Circulation & Perfusion 895
Chapter 38 Fluids, Electrolytes, & Acid–Base Balance 914
Chapter 39 Perioperative Care 951
Chapter 40 Leading & Managing 980
Chapter 41 Nursing Informatics 999
,Chapter 42 Promoting Health 1017
Chapter 43 Community & Home Health Nursing 1038
Chapter 44 Ethics & Values 1063
Chapter 45 Legal Accountability 1088
Chapter 46 Holistic Healing 1111
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
Chapter 1. Evolution of Nursing Thought & Action
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is working in a community health promotion clinic. Which is an example of an illness
prevention activity?
1. Encouraging the use of a food diary
2. Joining a cancer support group
3. Administering immunization for human papillomavirus (HPV)
4. Teaching a diabetic patient about his diet
____ 2. A practicing nurse is aware that continuing education courses may be required for license renewal.
Which organization can require nurses to obtain a specified amount of continuing education
courses?
1. American Nurses Association
2. National League for Nursing
3. Sigma Theta Tau
4. State Board of Nursing
____ 3. An experienced nurse uses knowledge of patient medical conditions and intuition to identify
patient problems. The nurse often fulfills the role of a resource for other nurses on the unit. At this
point, which stage of proficiency has this nurse achieved?
1. Novice
2. Advanced beginner
3. Competent
4. Expert
____ 4. Which statement best explains the importance of standards of practice in the nursing profession?
1. Nurses have the same standards of practice as other healthcare professionals.
2. Standards of practice are applied exclusively to nurses working in hospital settings.
3. Standards of practice identify the components nurses need to provide safe care.
4. Standards of practice differ among registered nurses, based on the population they
serve.
____ 5. The nursing instructor is considering becoming a member of the National League for Nursing
(NLN). Which primary goal of the NLN will most strongly impact the nurse’s decision to become
a member?
1. Emphasizing the necessity for registered nurses to promote patient safety
2. Establishing and maintaining identified standards for nursing education
3. Supporting global health policies and improving health worldwide
4. Fostering nursing scholarship, leadership, and service to improve health
____ 6. The nurse is providing care for a patient following a debilitating stroke. Which type of care will
the nurse recognize as the best choice for this patient?
1. Primary care
2. Secondary care
3. Tertiary care
______________________________________________________________________________________________
1|Page
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
4. Preventive care
____ 7. The nurse is providing care for an older adult patient in an acute care setting for various
age-related health issues. When planning for discharge, the patient states concern about being able
to adequately provide for health maintenance and self-care needs. Which type of facility does the
nurse recognize for this patient?
1. Skilled nursing facility
2. Assisted living facility
3. Nursing home facility
4. Independent living facility
____ 8. The nurse understands that the most important reason for the development of a definition for the
profession of nursing is that it:
1. Will result in more informed people being recruited as nurses.
2. Is a means for evaluating the degree of role satisfaction in nurses.
3. Helps dispel the stereotypical images about nurses and nursing.
4. Differentiates the nursing role from those of other health professionals.
____ 9. Which activity provides evidence-based support for the contribution made by advanced practice
nurses (APNs) within healthcare?
1. Reduced use of diagnostics using advanced technology
2. Decreased number of unnecessary visits to the emergency department
3. Improved patient compliance with prescribed treatments
4. Increased use of complementary and alternative therapies
____ 10. The nurse is providing care for a pediatric patient in an acute care facility. The patient’s parents
express concern about the cost of the medical care. The parents state, “We have jobs, but we don’t
make a lot of money and have no insurance.” Which medical assistance program does the nurse
recognize as being most appropriate for this family?
1. Children’s Health Insurance Program (CHIP)
2. Medicare
3. Medicaid
4. Local charity
____ 11. A nurse working in a rehabilitation facility has a physician’s prescription to contact therapists as
required by patient need. A patient has started to have difficulty with bathing and grooming.
Which therapist does the nurse contact to assist the patient to regain these skills?
1. Physical therapist
2. Occupational therapist
3. Speech-language pathologist
4. Respiratory therapist
____ 12. An older adult patient is diagnosed with type 1 diabetes mellitus. The patient can perform self-care
activities but needs assistance with shopping and meal preparation. As well, assistance is necessary
for blood glucose monitoring and insulin administration. Which type of healthcare facility is most
appropriate for the patient?
1. Acute care facility
2. Ambulatory care facility
______________________________________________________________________________________________
2|Page
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
3. Extended care facility
4. Assisted living facility
____ 13. The nurse in the intensive care unit is providing care for only one patient, who was admitted with a
diagnosis of septic shock. Based on this information, which care delivery model is this nurse
following?
1. Functional
2. Primary
3. Case method
4. Team
____ 14. The nurse is providing care for a patient who needs extensive acute care, which is being rejected
by the patient because of financial and family stressors. Which healthcare worker does the nurse
consult to counsel this patient?
1. Social worker
2. Occupational therapist
3. Physician’s assistant
4. Technologist
____ 15. Which type of managed care provides patients with the greatest choice of providers, medications,
and medical devices?
1. Health maintenance organization
2. Integrated delivery network
3. Preferred provider organization
4. Employment-based private insurance
____ 16. The registered nurse is discharging a patient to an assisted living facility. Which statement by the
nurse is most appropriate for the patient?
1. “Therapists will work with you daily to help you regain your functional abilities.”
2. “You will be provided with 24-hour nursing care for the next 6 weeks.”
3. “Assistance with meals and housekeeping tasks is available to you.”
4. “A nurse will come to your home and provide you with nursing care.”
____ 17. Which member of the healthcare team typically serves as the case manager?
1. Social worker
2. Physician
3. Physician’s assistant
4. Registered nurse
____ 18. The nurse works in a public health department. Which nursing function is considered a primary
care service?
1. Providing wound care
2. Administering childhood immunizations
3. Providing drug rehabilitation
4. Providing outpatient hernia repair
______________________________________________________________________________________________
3|Page
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
____ 19. A patient who is 80 years of age is in an acute care facility because of a fractured hip resulting
from a fall. Previously, the patient lived at home and managed activities of daily living
independently. The patient goal is to return to the previous living style. The patient is to be
discharged because of insurance regulations. If the patient cannot walk or provide self-care, to
which type of facility will the patient be transferred?
1. Nursing home
2. Rehabilitation center
3. An outpatient therapy center
4. None of these; she should receive home healthcare
____ 20. A health care facility hires new nursing graduates to work on patient care units. The hired nurses
come from a variety of accredited nursing programs. Additionally, applicants need to be aware of
facility hiring practices based on which specific definition of a nurse?
1. Graduate of a nursing education program, and passed the National Council
Licensure Exam (NCLEX)
2. Obtained certification permitting the administration of medications in certain
healthcare settings
3. Specifically licensed to practice in either an acute care setting or in a home
environment
4. Received advanced education and is licensed to practice under the direct
supervision of a physician
____ 21. A nurse who has been practicing for 3 years in an acute care facility is caring for a postsurgical
patient. The nurse observes an abnormal change in vital signs and associates these changes with a
postoperative bleeding problem. Which level of proficiency is the nurse demonstrating?
1. Advanced beginner
2. Competent
3. Proficient
4. Expert
____ 22. In the United States, each state enacts its own nurse practice acts. Which agency is responsible for
nurse practice acts?
1. The American Nurses Association
2. Institute of Medicine
3. State Board of Nursing
4. National League for Nursing
____ 23. A nurse is recently hired at an acute care facility. During orientation, the nurse is given a chart
describing each person’s role on the assigned unit. The chart reflects that registered nurses are
responsible for all admission and discharge assessments and patient treatments. Licensed practical
nurses (LPNs) administer medications, and certified nursing assistants (CNAs) obtain vital signs
and perform personal care. Which model of care does the nurse recognize?
1. Case method
2. Team
3. Primary
4. Functional
______________________________________________________________________________________________
4|Page
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
____ 24. Nurses currently employed are aware of the trends that affect contemporary nursing practice.
Which trend is a primary cause for changes in the nursing profession?
1. The expected increase in the number of older adults in society
2. The large amount of medical information that is technically accessible
3. The increasing demands for more medical care from all aspects of society
4. The multiple medical care expectations implemented by the government
____ 25. A patient is preparing to be discharged after total knee replacement. The patient tells the case
manager, “I feel pretty good, but I am having a hard time getting in and out of the bathroom.”
Which is the most appropriate response by the case manager?
1. “I’ll be sure to teach your family how to help you with this.”
2. “Once you are home for a while, it will get easier.”
3. “I can have a recreational therapist help you take your mind off your concerns.”
4. “An occupational therapist can be ordered to assist you in this area.”
____ 26. An older adult patient is preparing for discharge and tells the case manager, “I don’t know what I
am going to do when I get home. I cannot afford the medications the doctor has ordered for me.”
Which is the most appropriate response by the case manager?
1. “We can have a social worker see you when you get home.”
2. “Medications are expensive, but you will need to take them.”
3. “I will check if some of the medications can be discontinued.”
4. “The home health nurse will address this when she sees you.”
____ 27. A patient in an ambulatory clinic tells the nurse, “Every visit costs me $10, even though I have
insurance.” Which is the most appropriate response by the nurse?
1. “I am not involved in your insurance; you need to contact the insurance company.”
2. “Let’s check if this is a co-payment described by your insurance plan for each
visit.”
3. “Healthcare is expensive, and insurance companies can’t pay all of the costs.”
4. “This charge is actually part of the insurance premium that you pay monthly.”
____ 28. The nursing staff on a surgical unit expresses to the manager concerns about not having enough
time to complete all wound care and dressing changes. Which is the initial action the manager
takes?
1. Decrease the patient-to-nurse ratio within budget limits
2. Offer an in-service session on time-management strategies
3. Suggest a continuing quality improvement committee to assess the issue
4. Report the concerns to the director of nurses at the next management meeting
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 29. Which activities indicate the implementation of direct nursing care? Select all that apply.
1. Bathing a patient
2. Administering a medication
3. Teaching a patient to change a wound dressing
4. Making work assignments for the shift
______________________________________________________________________________________________
5|Page
, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
5. Evaluating patient progression toward goals
____ 30. Which actions by the nurse are considered “skilled nursing care”? Select all that apply.
1. Changing a wound dressing
2. Assisting with bathing and grooming
3. Monitoring intravenous (IV) antibiotic administration
4. Teaching a patient how to use a blood glucose monitor
5. Helping a patient to get dressed
____ 31. To reflect the changes in healthcare and nurses’ expanded roles, the International Council of
Nurses revised the definition of nursing. Which statements are consistent with the revised
definition of nursing? Select all that apply.
1. Nursing encompasses the autonomous and collaborative care of others.
2. Nursing includes the care of ill, disabled, and dying people.
3. Nursing is involved in shaping health policy and system management.
4. Nursing involves the use of the nursing process to plan care.
5. Nursing requires knowledge regarding the process of nursing education.
____ 32. According to the American Nurses Association (ANA), which statements best describe the
characteristics of registered nursing? Select all that apply.
1. Nursing practice is individualized.
2. Nursing practice is similar to medical practice.
3. Caring is central to the practice of the registered nurse.
4. Nurses coordinate care by establishing partnerships.
5. Nurses promote health through political involvement.
____ 33. The field of nursing has struggled to prove that nursing is a profession. Which strategies to
improve the status of nursing will promote professionalism? Select all that apply.
1. Standardizing the educational requirements for entry into practice
2. Mandating uniform continuing education requirements for licensure
3. Guaranteeing that all nurses will obtain employment upon graduation
4. Encouraging participation of nurses in professional organizations
5. Educating the public about the true nature of nursing practice
____ 34. Each U.S. state has its own state board of nursing responsible for protecting the health, safety, and
welfare of the general public. The state boards of nursing meets these responsibilities by
performing which functions? Select all that apply.
1. Advocating for nursing student issues
2. Determining the nurse’s scope of practice
3. Enforcing the rules that govern nursing
4. Writing the laws that regulate nursing
5. Regulating the number of licensed nurses
____ 35. The nurse is preparing a presentation for nursing students about the processes of thinking and
implementation that apply to nursing. Which topics will the nurse include? Select all that apply.
1. Critical thinking
2. Pain evaluation
3. Clinical judgment
______________________________________________________________________________________________
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, ______________________________________________________________________________________________
Test Bank - Fundamentals of Nursing, 4th Edition (Wilkinson, 2020)
4. Problem solving
5. Sterile technique
Completion
Complete each statement.
36. ____________________ is a health program, administered by the state and funded by federal and
state governments, to provide care for low-income people.
37. ____________________ is a federal insurance program designed to fund healthcare for people age
65 years and older, persons with disabilities, and those with end-stage renal disease.
______________________________________________________________________________________________
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