Test Bank for Fundamental Concepts and Skills for
Nursing 7th Edition by Williams
, Chapter 01: Nursing and the Health Care System
Williams: Fundamental Concepts and Skills for Nursing, 7th Edition
MULTIPLE CHOICE
1. Florence Nightingale’s impact on nursing practice and education:
a. was historically significant but irrelevant to modern nursing.
b. went unnoticed and unappreciated during her era.
c. greatly contributed to lowering death rates in the Crimean War.
d. was restricted to caring for major traumatic wounds.
Answer: C
By enhancing sanitation, nutrition, ventilation, and handwashing, Nightingale’s nurses substantially
reduced mortality during the Crimean War.
DIF: Knowledge REF: p. 2 OBJ: Theory #1 TOP: Nursing History
2. Early nursing education and practice in the U.S.:
a. emphasized community health services.
b. gave women independence through schooling and work.
c. followed an academic model in higher institutions.
d. remained entirely hospital-focused over time.
Answer: B
Under Nightingale’s influence, nursing education formalized via apprenticeships, providing women
independence through learning and employment.
DIF: Knowledge REF: p. 2 OBJ: Theory #4 TOP: Nursing History
3. To achieve nursing goals of promoting wellness, preventing illness, aiding coping, and restoring health,
LPNs must act as:
a. caregiver, teacher, and collaborator.
b. nursing aide, delegator, and environmental manager.
c. medication dispenser, team partner, and transporter.
d. dietitian, administrator, and housekeeper.
Answer: A
The LPN fulfills nursing goals by functioning as caregiver, educator, collaborator, manager, and
advocate.
DIF: Comprehension REF: p. 3 OBJ: Theory #2 TOP: Nursing Roles
4. While nursing theories vary in definitions, all share core ideas about:
a. self-actualization, basic needs, belonging.
b. stress relief, self-care, and systems approach.
c. curative, restorative, and terminal care.
d. human relationships, environment, and health.
Answer: D
, Despite differences, all theories focus on human relationships, health, and the environment.
DIF: Comprehension REF: p. 4 OBJ: Theory #2 TOP: Nursing Theories
5. Standards of care for LPN practice are set by:
a. each state’s Nursing Exam Board.
b. National Council of State Boards of Nursing.
c. American Nurses Association.
d. National Federation of Licensed Practical Nurses.
Answer: D
The NFLPN adapted ANA’s 2015 standards to suit LPN roles; ANA’s revision included 17 standards
covering all nursing aspects.
DIF: Comprehension REF: p. 6 OBJ: Theory #2 TOP: Standards of Care
6. The LPN displays evidence-based practice by:
a. referencing a drug manual for drug compatibility.
b. applying scientific research to guide decisions.
c. using a patient’s medical history for interventions.
d. following guidance from an experienced nurse.
Answer: B
Evidence-based practice involves using high-quality research to inform nursing decisions.
DIF: Knowledge REF: p. 7 OBJ: Theory #3 TOP: EBP
7. In 1893, Lillian Wald and Mary Brewster started the Henry Street Settlement to:
a. house wounded war veterans.
b. start a nursing apprenticeship.
c. deliver health care to impoverished tenement residents.
d. provide improved housing to poor families.
Answer: C
Henry Street Settlement introduced community health services to poor tenement dwellers.
DIF: Comprehension REF: p. 2 OBJ: Theory #4 TOP: Growth of Nursing
8. An educational pathway for LPN/LVN means:
a. learning on the job and advancing in responsibility.
b. transferring from maternity to complex surgery units.
c. getting more education to move between nursing levels.
d. learning advancement requires hard work and dedication.
Answer: C
Expanding education allows LPN/LVN nurses to progress and develop careers.
DIF: Knowledge REF: p. 7 OBJ: Theory #7 TOP: Nursing Education
9. Medicare’s diagnosis-related groups (DRGs), started in 1983, aimed to:
a. group same-diagnosis patients in one unit.
b. control escalating health care costs.
c. improve access to care for seniors.
, d. quickly identify patient conditions.
Answer: B
DRGs were implemented to curb rising health care expenses.
DIF: Knowledge REF: p. 9 OBJ: Theory #10 TOP: Health Care Delivery
10. DRGs led nurses to:
a. document patient needs to qualify for reimbursement.
b. use DRG codes rather than observations for assessment.
c. know drugs tied to each diagnosis.
d. gain cross-training for flexible staffing.
Answer: A
Nurses must thoroughly document assessments and patient needs to ensure reimbursement under DRGs.
DIF: Comprehension REF: p. 10 OBJ: Theory #10 TOP: Managed Care
11. If an HMO member has had fever, cough, and fatigue for several days and wants to see a specialist, they
must first:
a. go directly to the ER for treatment.
b. see any general practitioner they choose.
c. visit a respiratory specialist directly.
d. get a referral from their primary care provider.
Answer: D
HMO participants must see their primary provider for a referral before specialist visits are covered.
DIF: Comprehension REF: p. 10 OBJ: Theory #11 TOP: Managed Care
12. A benefit of preferred provider organizations (PPOs) is that:
a. they lower insurance costs for employers.
b. they offer fewer physicians than HMOs.
c. they foster long-term doctor-patient relationships.
d. patients can see a specialist without referral.
Answer: A
PPOs allow lower insurance premiums, making employee coverage less costly for employers.
DIF: Knowledge REF: p. 11 OBJ: Theory #11 TOP: PPOs
13. After passing the NCLEX-PN, an LPN can obtain additional certification in:
a. pharmacology.
b. infant and child care.
c. operating room technology.
d. community health.
Answer: A
LPNs can pursue extra certification in pharmacology or long-term care.
DIF: Knowledge REF: p. 7 OBJ: Theory #6 TOP: Educational Opportunities
Nursing 7th Edition by Williams
, Chapter 01: Nursing and the Health Care System
Williams: Fundamental Concepts and Skills for Nursing, 7th Edition
MULTIPLE CHOICE
1. Florence Nightingale’s impact on nursing practice and education:
a. was historically significant but irrelevant to modern nursing.
b. went unnoticed and unappreciated during her era.
c. greatly contributed to lowering death rates in the Crimean War.
d. was restricted to caring for major traumatic wounds.
Answer: C
By enhancing sanitation, nutrition, ventilation, and handwashing, Nightingale’s nurses substantially
reduced mortality during the Crimean War.
DIF: Knowledge REF: p. 2 OBJ: Theory #1 TOP: Nursing History
2. Early nursing education and practice in the U.S.:
a. emphasized community health services.
b. gave women independence through schooling and work.
c. followed an academic model in higher institutions.
d. remained entirely hospital-focused over time.
Answer: B
Under Nightingale’s influence, nursing education formalized via apprenticeships, providing women
independence through learning and employment.
DIF: Knowledge REF: p. 2 OBJ: Theory #4 TOP: Nursing History
3. To achieve nursing goals of promoting wellness, preventing illness, aiding coping, and restoring health,
LPNs must act as:
a. caregiver, teacher, and collaborator.
b. nursing aide, delegator, and environmental manager.
c. medication dispenser, team partner, and transporter.
d. dietitian, administrator, and housekeeper.
Answer: A
The LPN fulfills nursing goals by functioning as caregiver, educator, collaborator, manager, and
advocate.
DIF: Comprehension REF: p. 3 OBJ: Theory #2 TOP: Nursing Roles
4. While nursing theories vary in definitions, all share core ideas about:
a. self-actualization, basic needs, belonging.
b. stress relief, self-care, and systems approach.
c. curative, restorative, and terminal care.
d. human relationships, environment, and health.
Answer: D
, Despite differences, all theories focus on human relationships, health, and the environment.
DIF: Comprehension REF: p. 4 OBJ: Theory #2 TOP: Nursing Theories
5. Standards of care for LPN practice are set by:
a. each state’s Nursing Exam Board.
b. National Council of State Boards of Nursing.
c. American Nurses Association.
d. National Federation of Licensed Practical Nurses.
Answer: D
The NFLPN adapted ANA’s 2015 standards to suit LPN roles; ANA’s revision included 17 standards
covering all nursing aspects.
DIF: Comprehension REF: p. 6 OBJ: Theory #2 TOP: Standards of Care
6. The LPN displays evidence-based practice by:
a. referencing a drug manual for drug compatibility.
b. applying scientific research to guide decisions.
c. using a patient’s medical history for interventions.
d. following guidance from an experienced nurse.
Answer: B
Evidence-based practice involves using high-quality research to inform nursing decisions.
DIF: Knowledge REF: p. 7 OBJ: Theory #3 TOP: EBP
7. In 1893, Lillian Wald and Mary Brewster started the Henry Street Settlement to:
a. house wounded war veterans.
b. start a nursing apprenticeship.
c. deliver health care to impoverished tenement residents.
d. provide improved housing to poor families.
Answer: C
Henry Street Settlement introduced community health services to poor tenement dwellers.
DIF: Comprehension REF: p. 2 OBJ: Theory #4 TOP: Growth of Nursing
8. An educational pathway for LPN/LVN means:
a. learning on the job and advancing in responsibility.
b. transferring from maternity to complex surgery units.
c. getting more education to move between nursing levels.
d. learning advancement requires hard work and dedication.
Answer: C
Expanding education allows LPN/LVN nurses to progress and develop careers.
DIF: Knowledge REF: p. 7 OBJ: Theory #7 TOP: Nursing Education
9. Medicare’s diagnosis-related groups (DRGs), started in 1983, aimed to:
a. group same-diagnosis patients in one unit.
b. control escalating health care costs.
c. improve access to care for seniors.
, d. quickly identify patient conditions.
Answer: B
DRGs were implemented to curb rising health care expenses.
DIF: Knowledge REF: p. 9 OBJ: Theory #10 TOP: Health Care Delivery
10. DRGs led nurses to:
a. document patient needs to qualify for reimbursement.
b. use DRG codes rather than observations for assessment.
c. know drugs tied to each diagnosis.
d. gain cross-training for flexible staffing.
Answer: A
Nurses must thoroughly document assessments and patient needs to ensure reimbursement under DRGs.
DIF: Comprehension REF: p. 10 OBJ: Theory #10 TOP: Managed Care
11. If an HMO member has had fever, cough, and fatigue for several days and wants to see a specialist, they
must first:
a. go directly to the ER for treatment.
b. see any general practitioner they choose.
c. visit a respiratory specialist directly.
d. get a referral from their primary care provider.
Answer: D
HMO participants must see their primary provider for a referral before specialist visits are covered.
DIF: Comprehension REF: p. 10 OBJ: Theory #11 TOP: Managed Care
12. A benefit of preferred provider organizations (PPOs) is that:
a. they lower insurance costs for employers.
b. they offer fewer physicians than HMOs.
c. they foster long-term doctor-patient relationships.
d. patients can see a specialist without referral.
Answer: A
PPOs allow lower insurance premiums, making employee coverage less costly for employers.
DIF: Knowledge REF: p. 11 OBJ: Theory #11 TOP: PPOs
13. After passing the NCLEX-PN, an LPN can obtain additional certification in:
a. pharmacology.
b. infant and child care.
c. operating room technology.
d. community health.
Answer: A
LPNs can pursue extra certification in pharmacology or long-term care.
DIF: Knowledge REF: p. 7 OBJ: Theory #6 TOP: Educational Opportunities
