Davis Advantage for
Fundamentals of Nursing Care
Concepts, Connections & Skills · Fourth Edition
Marti Burton, RN, BS · David Smith, MSN, RN
Chapters 1–38 · NCLEX-Style Multiple-Choice Questions
Answer Key at the End of Each Chapter
,Contents
UNIT ONE Introduction to Nursing
Chapter 1 The Vista of Nursing
Chapter 2 Health-Care Delivery, Settings, and Economics
Chapter 3 Ethics, Law, and Delegation in Nursing
Chapter 4 The Nursing Process: Critical Thinking, Decision Making, and Clinical Judgment
Chapter 5 Documentation
UNIT TWO Communicating and Understanding
Chapter 6 Communication and Relationships
Chapter 7 Promoting Health and Wellness
Chapter 8 Ethnic, Cultural, and Spiritual Aspects of Care
Chapter 9 Growth and Development Throughout the Life Span
Chapter 10 Loss, Grief, and Dying
Chapter 11 Complementary and Alternative Medicine
Chapter 12 Patient Teaching
UNIT THREE Nursing Basics
Chapter 13 Safety
Chapter 14 Medical Asepsis and Infection Control
Chapter 15 Personal Care
Chapter 16 Moving and Positioning Patients
Chapter 17 Vital Signs
Chapter 18 Applying Heat and Cold Therapies
Chapter 19 Pain Management, Rest, and Restorative Sleep
Chapter 20 Admission, Transfer, and Discharge
Chapter 21 Physical Assessment
Chapter 22 Surgical Asepsis
UNIT FOUR Clinical Skills and Care
Chapter 23 Nutrition
Chapter 24 Nutritional Care and Support
Chapter 25 Diagnostic Tests
Chapter 26 Wound Care
Chapter 27 Musculoskeletal Care
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,Chapter 28 Respiratory Care
Chapter 29 Fluids, Electrolytes, and Introduction to Acid-Base Balance
Chapter 30 Bowel Elimination and Care
Chapter 31 Urinary Elimination and Care
Chapter 32 Care of Older Adults
Chapter 33 Care of the Surgical Patient
Chapter 34 Phlebotomy and Blood Specimens
UNIT FIVE Medication Administration
Chapter 35 Researching and Preparing Medications
Chapter 36 Administering Oral, Topical, and Mucosal Medications
Chapter 37 Administering Intradermal, Subcutaneous, and Intramuscular Injections
Chapter 38 Intravenous Therapy
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,Chapter 1: The Vista of Nursing
Q1. A nursing student compares historical definitions of nursing with current LPN/LVN practice
standards. Florence Nightingale emphasized environment and observation, while modern practice
stresses clinical judgment, advocacy, and person-centered care. Which statement best reflects
nursing as both an art and a science today?
A. Nursing rejects evidence and relies only on tradition.
B. Nursing has no ethical or legal framework.
C. Nursing is limited to hospital work with adults.
D. Nursing integrates scientific knowledge with compassionate, skilled, interpersonal care.
E. Nursing is only technical task completion under strict orders.
Q2. A new graduate LPN reviews the aims of nursing care taught in fundamentals. The preceptor asks
which aim is shown when the nurse teaches a community group about exercise and nutrition to
reduce diabetes risk before disease develops. Which aim matches this activity?
A. Facilitating coping only at end of life.
B. Documenting care only for legal protection.
C. Promoting health and wellness through education and resource building.
D. Restoring health after surgical complications only.
E. Preventing illness solely by giving antibiotics.
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,Q3. The nurse reflects on professional role, history, and current practice standards while caring for
diverse patients in today’s health system. A nurse explains professional identity to a student.
Accountability, advocacy, and lifelong learning are highlighted. After a medication near-miss with no
patient harm, which action best shows professional accountability?
A. Avoiding any documentation of process issues.
B. Hiding the event because no harm occurred.
C. Discussing it only with friends outside work.
D. Blaming only pharmacy without self-reflection.
E. Reporting the near-miss through the safety system and joining improvement work.
Q4. A student asks why nursing is considered a profession rather than only a job. Specialized
education, a body of knowledge, service orientation, a code of ethics, and autonomy are cited. Which
daily behavior best shows nursing autonomy within LPN/LVN scope?
A. Waiting for an order before basic comfort positioning that is within independent scope.
B. Avoiding clinical judgment when protocols exist.
C. Refusing all team collaboration.
D. Initiating evidence-based fall-prevention measures and teaching within legal scope.
E. Following only old routines without patient data.
Q5. The nurse reflects on professional role, history, and current practice standards while caring for
diverse patients in today’s health system. A patient with decision-making capacity refuses a
recommended procedure after a full explanation. The family pressures the nurse to force agreement.
Which action best fulfills the advocacy role?
A. Supporting the informed refusal and helping communicate it to the team and family.
B. Documenting only the family’s preference.
C. Coercing the patient to please the family.
D. Ignoring the patient’s stated wishes.
E. Threatening to withdraw all care.
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