1|Page
,Table of Contents
Chapters Topic Page
Chapter 1 Scope of Practice 3-13
Chapter 2 Communication 14- 24
Chapter 3 Diverse Patients 25-35
Chapter 4 Nursing Process 26-36
Chapter 5 Safety 37-45
Chapter 6 Cognitive Impairments 46-63
Chapter 7 Sensory impairments 64-73
Chapter 8 Oxygenation 74-82
Chapter 9 Infection 83-91
Chapter 10 Integumentary(wounds) 92-100
Chapter 11 Comfort 101-108
Chapter 12 Sleep & rest 109-117
Chapter 13 Mobility 117-125
Chapter 14 Nutrition 126-134
Chapter 15 Fluids & Electrolytes 135-149
Chapter 16 Elimination 150-166
Chapter 17 Grief and loss 167-182
Chapter 18 Spirituality 183-197
Chapter 19 Care of older adults 197-214
2|Page
, TEST BANK FOR NURSING FUNDAMENTALS 2ND EDITION
BY ERNSTMEYER & CHRISTMAN | OPEN RN | 2025 | ALL
CHAPTERS
Chapter 1: Scope of Practice
Question 1
A nursing student observes a registered nurse delegate a task to an unlicensed assistive personnel
(UAP). Which action by the UAP would require the student to intervene?
A. Measuring a client’s intake and output
B. Reporting a blood pressure reading of 86/58 mmHg to the nurse
C. Administering an oral medication to a stable patient
D. Assisting a patient with ambulation after surgery
Answer: C. Administering an oral medication to a stable patient
Rationale:
Medication administration is outside the UAP’s scope of practice. Only licensed nurses can
administer medications. The student must intervene to prevent unsafe delegation.
Reference: Ch. 1.3 Licensure, Regulations & Standards — Nurse Practice Act (Open RN, 2024)
Question 2
A student nurse is assigned to insert a urinary catheter for the first time. The clinical instructor is
not available, but the charge nurse instructs the student to “just do it.” What is the best response
by the student?
A. “I will do it since I’ve seen it performed before.”
B. “I’ll wait until my instructor or a qualified nurse supervises me.”
C. “I’ll ask another student to help me.”
D. “I’ll document that the nurse told me to perform the task.”
3|Page
, Answer: B. “I’ll wait until my instructor or a qualified nurse supervises me.”
Rationale:
Nursing students must work within their educational and legal scope. Performing a skill
unsupervised is unsafe and violates both the Nurse Practice Act and ANA Standards.
Reference: Ch. 1.3 Licensure, Regulations & Standards
Question 3
A registered nurse (RN) assigns a new licensed practical nurse (LPN) to assess a patient with
unstable vital signs. Which action demonstrates appropriate use of scope of practice?
A. The LPN assesses the patient and adjusts IV fluids.
B. The RN personally assesses the patient and interprets findings.
C. The LPN independently modifies the care plan.
D. The LPN calls the provider to report abnormal findings.
Answer: B. The RN personally assesses the patient and interprets findings.
Rationale:
Assessment of unstable patients and clinical judgment are within the RN’s scope—not the
LPN’s. The LPN may collect data, but the RN must interpret it.
Reference: Ch. 1.3 ANA Scope & Standards of Practice
Question 4
A nurse fails to complete a daily skin assessment required by hospital policy. The patient later
develops a pressure injury. Which statement best describes this situation?
A. The nurse violated the Nurse Practice Act only.
B. The nurse failed to follow institutional policy, breaching standards of care.
C. The nurse is protected if the patient was high-risk.
D. The nurse acted within acceptable scope of practice.
Answer: B. The nurse failed to follow institutional policy, breaching standards of care.
Rationale:
Employers’ policies and procedures define expected standards. Failure to follow them is
4|Page
,Table of Contents
Chapters Topic Page
Chapter 1 Scope of Practice 3-13
Chapter 2 Communication 14- 24
Chapter 3 Diverse Patients 25-35
Chapter 4 Nursing Process 26-36
Chapter 5 Safety 37-45
Chapter 6 Cognitive Impairments 46-63
Chapter 7 Sensory impairments 64-73
Chapter 8 Oxygenation 74-82
Chapter 9 Infection 83-91
Chapter 10 Integumentary(wounds) 92-100
Chapter 11 Comfort 101-108
Chapter 12 Sleep & rest 109-117
Chapter 13 Mobility 117-125
Chapter 14 Nutrition 126-134
Chapter 15 Fluids & Electrolytes 135-149
Chapter 16 Elimination 150-166
Chapter 17 Grief and loss 167-182
Chapter 18 Spirituality 183-197
Chapter 19 Care of older adults 197-214
2|Page
, TEST BANK FOR NURSING FUNDAMENTALS 2ND EDITION
BY ERNSTMEYER & CHRISTMAN | OPEN RN | 2025 | ALL
CHAPTERS
Chapter 1: Scope of Practice
Question 1
A nursing student observes a registered nurse delegate a task to an unlicensed assistive personnel
(UAP). Which action by the UAP would require the student to intervene?
A. Measuring a client’s intake and output
B. Reporting a blood pressure reading of 86/58 mmHg to the nurse
C. Administering an oral medication to a stable patient
D. Assisting a patient with ambulation after surgery
Answer: C. Administering an oral medication to a stable patient
Rationale:
Medication administration is outside the UAP’s scope of practice. Only licensed nurses can
administer medications. The student must intervene to prevent unsafe delegation.
Reference: Ch. 1.3 Licensure, Regulations & Standards — Nurse Practice Act (Open RN, 2024)
Question 2
A student nurse is assigned to insert a urinary catheter for the first time. The clinical instructor is
not available, but the charge nurse instructs the student to “just do it.” What is the best response
by the student?
A. “I will do it since I’ve seen it performed before.”
B. “I’ll wait until my instructor or a qualified nurse supervises me.”
C. “I’ll ask another student to help me.”
D. “I’ll document that the nurse told me to perform the task.”
3|Page
, Answer: B. “I’ll wait until my instructor or a qualified nurse supervises me.”
Rationale:
Nursing students must work within their educational and legal scope. Performing a skill
unsupervised is unsafe and violates both the Nurse Practice Act and ANA Standards.
Reference: Ch. 1.3 Licensure, Regulations & Standards
Question 3
A registered nurse (RN) assigns a new licensed practical nurse (LPN) to assess a patient with
unstable vital signs. Which action demonstrates appropriate use of scope of practice?
A. The LPN assesses the patient and adjusts IV fluids.
B. The RN personally assesses the patient and interprets findings.
C. The LPN independently modifies the care plan.
D. The LPN calls the provider to report abnormal findings.
Answer: B. The RN personally assesses the patient and interprets findings.
Rationale:
Assessment of unstable patients and clinical judgment are within the RN’s scope—not the
LPN’s. The LPN may collect data, but the RN must interpret it.
Reference: Ch. 1.3 ANA Scope & Standards of Practice
Question 4
A nurse fails to complete a daily skin assessment required by hospital policy. The patient later
develops a pressure injury. Which statement best describes this situation?
A. The nurse violated the Nurse Practice Act only.
B. The nurse failed to follow institutional policy, breaching standards of care.
C. The nurse is protected if the patient was high-risk.
D. The nurse acted within acceptable scope of practice.
Answer: B. The nurse failed to follow institutional policy, breaching standards of care.
Rationale:
Employers’ policies and procedures define expected standards. Failure to follow them is
4|Page
