Page 1 of 77
TEST BANK FOR ROSDAHL'S TEXTBOOK OF BASIC NURSING
GUIDE DETAILED RATIONALES GRADED A+
Test Bank for Rosdahl's Textbook of Basic Nursing —
300 Questions and Answers
SECTION 1: NURSING FOUNDATIONS & HERITAGE (30
Questions)
1. Which of Florence Nightingale's nursing principles is still practiced today?
A) The nurse's role is defined by the physician's orders.
B) The nurse's primary role is to spend time caring for others.
C) The nurse is viewed as an independent healthcare provider.
D) The nurse is tasked with the responsibility of keeping the environment clean.
Answer: D
Rationale: Florence Nightingale emphasized the importance of a clean, well-ventilated
environment to promote healing and prevent infection. Her environmental theory
remains a foundation of modern nursing practice.
2. What contribution did Roman Matron Phoebe make to the origins of nursing?
A) Established first gerontological facility
B) Was the first deaconess and visiting nurse
C) Established inns and hospitals for pilgrims
D) Was the namesake of the first free hospital in Rome in 390 AD
Answer: B
Rationale: Phoebe was a Roman matron who is recognized as the first deaconess and
visiting nurse, providing care to the sick in their homes.
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3. What contribution did Roman Matron Saint Marcella make to the origins of
nursing?
A) First to teach nursing skills
B) Was the first deaconess and visiting nurse
C) Established inns and hospitals for pilgrims
D) Was the namesake of the first free hospital in Rome in 390 AD
Answer: C
Rationale: Saint Marcella established inns and hospitals for pilgrims traveling to
Jerusalem, contributing to the organized care of the sick.
4. In what time period were monastic orders established to care for the sick?
A) 500 BC
B) 460 BC
C) First century
D) Second century
Answer: C
Rationale: Monastic orders were established in the first century to care for the sick,
marking an important development in the history of nursing care.
5. Which nursing programs were established on the basis of the Nightingale plan?
Select all that apply.
A) Kaiserswerth School for Nursing
B) Bellevue Hospital School of Nursing
C) Connecticut Training School in New Haven
D) Boston Training School at Massachusetts
E) St. Thomas Hospital in London
Answer: B, C, D
Rationale: Bellevue Hospital School of Nursing, Connecticut Training School in New
Haven, and Boston Training School at Massachusetts were all established based on the
Nightingale plan. Kaiserswerth was the school Nightingale attended, and St. Thomas
Hospital was where she established her own school.
6. A beginning nursing student asks about the principles taught by the
Nightingale Nursing School. What should the nurse's answer include? Select all
that apply.
A) Cleanliness is vital to recovery.
B) Cure is better than prevention.
C) The nurse must work as a member of a team.
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D) The nurse should be healthy in both mind and body.
E) The nurse must use discretion, but must follow the physician's orders.
Answer: A, C, D, E
Rationale: Nightingale emphasized cleanliness, teamwork, the nurse's own health, and
the balance between discretion and following physician orders. She believed prevention
was better than cure.
7. What contribution did Isabel Hampton Robb make to the development of
nursing in the United States?
A) Founded the school of nursing at Johns Hopkins University
B) Moved nursing from the hospital to the community
C) Established the first nursing licensure program
D) Created the first nursing code of ethics
Answer: A
Rationale: Isabel Hampton Robb founded the school of nursing at Johns Hopkins
University and was instrumental in establishing nursing education standards in the
United States.
8. A nurse is caring for an older adult admitted with pneumonia. The room is
warm, cluttered, and the linen is damp from perspiration. Which action best
reflects the nursing heritage associated with Florence Nightingale?
A) Raise the room temperature to reduce the patient's chills
B) Change the linens, improve airflow, and reduce environmental clutter
C) Ask the UAP to defer care until the patient feels stronger
D) Limit all patient movement to prevent fatigue
Answer: B
Rationale: Nightingale emphasized the healing value of a clean, well-ventilated
environment. Changing damp linens and improving airflow supports comfort and
infection prevention.
9. During morning rounds, an LPN notices that a postoperative patient is more
confused than earlier, speaks slowly, and keeps falling asleep during conversation.
What is the best action?
A) Reassure the family that confusion is expected after surgery
B) Document the findings and report them promptly to the RN
C) Offer a snack and return in the afternoon
D) Withhold all medications until the patient is fully awake
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Answer: B
Rationale: Careful observation and prompt reporting are core nursing responsibilities.
New confusion after surgery may indicate a complication and requires timely escalation.
10. An LPN visiting a home health patient sees overflowing trash, no soap at the
sink, and spoiled food on the counter. The patient says, "I've been too weak to
clean." What is the best nursing response?
A) Ignore the environment because the patient's weakness is the main issue
B) Report the safety and sanitation concerns and assist with immediate basic needs
C) Tell the patient to clean everything before the next visit
D) Ask the patient to stop eating until the home is cleaner
Answer: B
Rationale: Nursing heritage includes attention to the environment and community
health. Unsafe sanitation can affect recovery, so the concern should be reported and
immediate basic needs addressed.
11. A student nurse is reviewing the history of nursing and notices that early
caregivers often focused on keeping the patient and surroundings clean, well-
aired, and orderly. In a modern long-term care facility, which current nursing
action best reflects that early lesson?
A) Limiting fluids to reduce the need for repositioning
B) Keeping the patient's environment clean and reducing sources of infection
C) Delegating all hygiene care to family members
D) Avoiding patient ambulation to prevent fatigue
Answer: B
Rationale: Early nursing heritage strongly emphasized sanitation, fresh air, cleanliness,
and prevention of infection. Keeping the environment clean is a basic nursing action
that supports safety.
12. A new LPN asks why Florence Nightingale is still discussed in fundamentals of
nursing classes. The instructor explains that her work changed nursing practice
during wartime and influenced modern nursing care. Which response best reflects
her major contribution?
A) She developed the first antibiotic for wound infection
B) She improved patient outcomes by promoting sanitation and organized care
C) She created the first U.S. nursing license
D) She established the first nursing school in the United States
TEST BANK FOR ROSDAHL'S TEXTBOOK OF BASIC NURSING
GUIDE DETAILED RATIONALES GRADED A+
Test Bank for Rosdahl's Textbook of Basic Nursing —
300 Questions and Answers
SECTION 1: NURSING FOUNDATIONS & HERITAGE (30
Questions)
1. Which of Florence Nightingale's nursing principles is still practiced today?
A) The nurse's role is defined by the physician's orders.
B) The nurse's primary role is to spend time caring for others.
C) The nurse is viewed as an independent healthcare provider.
D) The nurse is tasked with the responsibility of keeping the environment clean.
Answer: D
Rationale: Florence Nightingale emphasized the importance of a clean, well-ventilated
environment to promote healing and prevent infection. Her environmental theory
remains a foundation of modern nursing practice.
2. What contribution did Roman Matron Phoebe make to the origins of nursing?
A) Established first gerontological facility
B) Was the first deaconess and visiting nurse
C) Established inns and hospitals for pilgrims
D) Was the namesake of the first free hospital in Rome in 390 AD
Answer: B
Rationale: Phoebe was a Roman matron who is recognized as the first deaconess and
visiting nurse, providing care to the sick in their homes.
,Page 2 of 77
3. What contribution did Roman Matron Saint Marcella make to the origins of
nursing?
A) First to teach nursing skills
B) Was the first deaconess and visiting nurse
C) Established inns and hospitals for pilgrims
D) Was the namesake of the first free hospital in Rome in 390 AD
Answer: C
Rationale: Saint Marcella established inns and hospitals for pilgrims traveling to
Jerusalem, contributing to the organized care of the sick.
4. In what time period were monastic orders established to care for the sick?
A) 500 BC
B) 460 BC
C) First century
D) Second century
Answer: C
Rationale: Monastic orders were established in the first century to care for the sick,
marking an important development in the history of nursing care.
5. Which nursing programs were established on the basis of the Nightingale plan?
Select all that apply.
A) Kaiserswerth School for Nursing
B) Bellevue Hospital School of Nursing
C) Connecticut Training School in New Haven
D) Boston Training School at Massachusetts
E) St. Thomas Hospital in London
Answer: B, C, D
Rationale: Bellevue Hospital School of Nursing, Connecticut Training School in New
Haven, and Boston Training School at Massachusetts were all established based on the
Nightingale plan. Kaiserswerth was the school Nightingale attended, and St. Thomas
Hospital was where she established her own school.
6. A beginning nursing student asks about the principles taught by the
Nightingale Nursing School. What should the nurse's answer include? Select all
that apply.
A) Cleanliness is vital to recovery.
B) Cure is better than prevention.
C) The nurse must work as a member of a team.
,Page 3 of 77
D) The nurse should be healthy in both mind and body.
E) The nurse must use discretion, but must follow the physician's orders.
Answer: A, C, D, E
Rationale: Nightingale emphasized cleanliness, teamwork, the nurse's own health, and
the balance between discretion and following physician orders. She believed prevention
was better than cure.
7. What contribution did Isabel Hampton Robb make to the development of
nursing in the United States?
A) Founded the school of nursing at Johns Hopkins University
B) Moved nursing from the hospital to the community
C) Established the first nursing licensure program
D) Created the first nursing code of ethics
Answer: A
Rationale: Isabel Hampton Robb founded the school of nursing at Johns Hopkins
University and was instrumental in establishing nursing education standards in the
United States.
8. A nurse is caring for an older adult admitted with pneumonia. The room is
warm, cluttered, and the linen is damp from perspiration. Which action best
reflects the nursing heritage associated with Florence Nightingale?
A) Raise the room temperature to reduce the patient's chills
B) Change the linens, improve airflow, and reduce environmental clutter
C) Ask the UAP to defer care until the patient feels stronger
D) Limit all patient movement to prevent fatigue
Answer: B
Rationale: Nightingale emphasized the healing value of a clean, well-ventilated
environment. Changing damp linens and improving airflow supports comfort and
infection prevention.
9. During morning rounds, an LPN notices that a postoperative patient is more
confused than earlier, speaks slowly, and keeps falling asleep during conversation.
What is the best action?
A) Reassure the family that confusion is expected after surgery
B) Document the findings and report them promptly to the RN
C) Offer a snack and return in the afternoon
D) Withhold all medications until the patient is fully awake
, Page 4 of 77
Answer: B
Rationale: Careful observation and prompt reporting are core nursing responsibilities.
New confusion after surgery may indicate a complication and requires timely escalation.
10. An LPN visiting a home health patient sees overflowing trash, no soap at the
sink, and spoiled food on the counter. The patient says, "I've been too weak to
clean." What is the best nursing response?
A) Ignore the environment because the patient's weakness is the main issue
B) Report the safety and sanitation concerns and assist with immediate basic needs
C) Tell the patient to clean everything before the next visit
D) Ask the patient to stop eating until the home is cleaner
Answer: B
Rationale: Nursing heritage includes attention to the environment and community
health. Unsafe sanitation can affect recovery, so the concern should be reported and
immediate basic needs addressed.
11. A student nurse is reviewing the history of nursing and notices that early
caregivers often focused on keeping the patient and surroundings clean, well-
aired, and orderly. In a modern long-term care facility, which current nursing
action best reflects that early lesson?
A) Limiting fluids to reduce the need for repositioning
B) Keeping the patient's environment clean and reducing sources of infection
C) Delegating all hygiene care to family members
D) Avoiding patient ambulation to prevent fatigue
Answer: B
Rationale: Early nursing heritage strongly emphasized sanitation, fresh air, cleanliness,
and prevention of infection. Keeping the environment clean is a basic nursing action
that supports safety.
12. A new LPN asks why Florence Nightingale is still discussed in fundamentals of
nursing classes. The instructor explains that her work changed nursing practice
during wartime and influenced modern nursing care. Which response best reflects
her major contribution?
A) She developed the first antibiotic for wound infection
B) She improved patient outcomes by promoting sanitation and organized care
C) She created the first U.S. nursing license
D) She established the first nursing school in the United States
