TEST BANK FOR FUNDAMENTAL
CONCEPTS AND
SKILLS FOR NURSING, 4TH
EDITION BY DEWIT
,TABLE OF CONTENTS
Unit One: Introduction to Nursing and the Health Care System
1. Nursing and the Health Care System
2. Concepts of Health, Illness, and Health Promotion
3. Legal and Ethical Aspects of Nursing
Unit Two: The Nursing Process
4. Overview of the Nursing Process and Critical Thinking
5. Assessment, Nursing Diagnosis, and Planning
6. Implementation and Evaluation
Unit Three: Communication in Nursing
7. Documentation of Nursing Care
8. Communication and the Nurse-Patient Relationship
9. Patient Teaching
10. Delegation, Leadership, and Management
Unit Four: Developmental, Psychosocial, and Cultural Considerations
11. Growth and Development: Infancy Through Adolescence
12. Adulthood and the Family
13. Promoting Healthy Adaptation to Aging
14. Cultural and Spiritual Aspects of Patient Care
15. Loss, Grief, and the Dying Patient
Unit Five: Basic Nursing Skills
16. Infection Prevention and Control: Protective Mechanisms and Asepsis
17. Infection Prevention and Control in the Hospital and Home
,18. Lifting, Moving, and Positioning Patients
19. Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers
20. Patient Environment and Safety
21. Measuring Vital Signs
22. Assessing Health Status
23. Admitting, Transferring, and Discharging Patients
24. Diagnostic Tests and Specimen Collection
Unit Six: Meeting Basic Physiologic Needs
25. Fluid, Electrolyte, and Acid-Base Balance
26. Concepts of Basic Nutrition and Cultural Considerations
27. Diet Therapy and Assisted Feeding
28. Assisting with Respiration and Oxygen Delivery
29. Promoting Urinary Elimination
30. Promoting Bowel Elimination
31. Pain, Comfort and Sleep
32. Complementary and Alternative Therapies
Unit Seven: Medication Administration
33. Pharmacology and Preparation for Drug Administration
34. Administering Oral, Topical, and Inhalant Medications
35. Administering Intradermal, Subcutaneous, and Intramuscular Injections
36. Administering Intravenous Solutions and Medications
Unit Eight: Care of the Surgical and Immobile Patient
37. Care of the Surgical Patient
,38. Providing Wound Care and Treating Pressure Ulcers
39. Promoting Musculoskeletal Function
Unit Nine: Caring for the Elderly
40. Common Physical Care Problems of the Elderly
41. Common Psychosocial Care Problems of the Elderly
,Chapter 01: Nursing and the Health Care System
Test Bank
MULTIPLE CHOICE
1. Florence Nightingale’s contributions to nursing practice and education:
a. are historically important but have no validity for nursing today.
b. were neither recognized nor appreciated in her own time.
c. were a major factor in reducing the death rate in the Crimean War.
d. were limited only to the care of severe traumatic wounds.
ANS: C
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
Nightingale’s nurses dramatically reduced the death rate from injuries in the Crimean War.
DIF: Cognitive Level: Knowledge REF: p. 2
OBJ: Theory #1TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. Early nursing education and care in the United States:
a. were directed at community health.
b. provided independence for women through education and employment.
c. were an educational model based in institutions of higher learning.
d. have continued to be entirely focused on hospital nursing.
ANS: B
Because of the influence of early nursing leaders, nursing education became more
formalized through apprenticeships in Nightingale schools that offered independence to
women through education and employment.
DIF: Cognitive Level: Knowledge REF: p. 2
OBJ: Theory #4TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
3. In order to fulfill the common goals defined by nursing theorists (promote wellness,
prevent illness, facilitate coping, and restore health), the LPN must take on the roles of:
a. caregiver, educator, and collaborator.
b. nursing assistant, delegator, and environmental specialist.
c. medication dispenser, collaborator, and transporter.
d. dietitian, manager, and housekeeper.
ANS: A
In order for the LPN to apply the common goals of nursing, he or she must assume the
roles of caregiver, educator, collaborator, manager, and advocate.
DIF: Cognitive Level: Comprehension REF: p. 4
OBJ: Theory #2TOP: Art and Science of Nursing KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
, 4. Although nursing theories differ in their attempts to define nursing, all of them base their
beliefs on common concepts concerning:
a. self-actualization, fundamental needs, and belonging.
b. stress reduction, self-care, and a systems model.
c. curative care, restorative care, and terminal care.
d. human relationships, the environment, and health.
ANS: D
Although nursing theories differ, they all base their beliefs on human relationships, the
environment, and health.
DIF: Cognitive Level: Comprehension REF: p. 4
OBJ: Theory #2TOP: Nursing TheoriesKEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. Standards of care for the nursing practice of the LPN are established by the:
a. Boards of Nursing Examiners in each state.
b. National Council of States Boards of Nursing (NCSBN).
c. American Nurses Association (ANA).
d. National Federation of Licensed Practical Nurses.
ANS: D
The National Federation of Licensed Practical Nurses modified the standards published by
the ANA in 2004 to better fit the role of the LPN.
DIF: Cognitive Level: Comprehension REF: p. 5
OBJ: Theory #2TOP: Standards of Care KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
6. The LPN demonstrates an evidence-based practice by:
a. using a drug manual to check compatibility of drugs.
b. using scientific information to guide decision making.
c. using medical history of a patient to direct nursing interventions.
d. basing nursing care on advice from an experienced nurse.
ANS: B
The use of scientific information from high-quality research to guide nursing decisions is
reflective of the application of evidence-based practice.
DIF: Cognitive Level: Knowledge REF: p. 5
OBJ: Theory #3TOP: Evidence Based Practice KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
CONCEPTS AND
SKILLS FOR NURSING, 4TH
EDITION BY DEWIT
,TABLE OF CONTENTS
Unit One: Introduction to Nursing and the Health Care System
1. Nursing and the Health Care System
2. Concepts of Health, Illness, and Health Promotion
3. Legal and Ethical Aspects of Nursing
Unit Two: The Nursing Process
4. Overview of the Nursing Process and Critical Thinking
5. Assessment, Nursing Diagnosis, and Planning
6. Implementation and Evaluation
Unit Three: Communication in Nursing
7. Documentation of Nursing Care
8. Communication and the Nurse-Patient Relationship
9. Patient Teaching
10. Delegation, Leadership, and Management
Unit Four: Developmental, Psychosocial, and Cultural Considerations
11. Growth and Development: Infancy Through Adolescence
12. Adulthood and the Family
13. Promoting Healthy Adaptation to Aging
14. Cultural and Spiritual Aspects of Patient Care
15. Loss, Grief, and the Dying Patient
Unit Five: Basic Nursing Skills
16. Infection Prevention and Control: Protective Mechanisms and Asepsis
17. Infection Prevention and Control in the Hospital and Home
,18. Lifting, Moving, and Positioning Patients
19. Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers
20. Patient Environment and Safety
21. Measuring Vital Signs
22. Assessing Health Status
23. Admitting, Transferring, and Discharging Patients
24. Diagnostic Tests and Specimen Collection
Unit Six: Meeting Basic Physiologic Needs
25. Fluid, Electrolyte, and Acid-Base Balance
26. Concepts of Basic Nutrition and Cultural Considerations
27. Diet Therapy and Assisted Feeding
28. Assisting with Respiration and Oxygen Delivery
29. Promoting Urinary Elimination
30. Promoting Bowel Elimination
31. Pain, Comfort and Sleep
32. Complementary and Alternative Therapies
Unit Seven: Medication Administration
33. Pharmacology and Preparation for Drug Administration
34. Administering Oral, Topical, and Inhalant Medications
35. Administering Intradermal, Subcutaneous, and Intramuscular Injections
36. Administering Intravenous Solutions and Medications
Unit Eight: Care of the Surgical and Immobile Patient
37. Care of the Surgical Patient
,38. Providing Wound Care and Treating Pressure Ulcers
39. Promoting Musculoskeletal Function
Unit Nine: Caring for the Elderly
40. Common Physical Care Problems of the Elderly
41. Common Psychosocial Care Problems of the Elderly
,Chapter 01: Nursing and the Health Care System
Test Bank
MULTIPLE CHOICE
1. Florence Nightingale’s contributions to nursing practice and education:
a. are historically important but have no validity for nursing today.
b. were neither recognized nor appreciated in her own time.
c. were a major factor in reducing the death rate in the Crimean War.
d. were limited only to the care of severe traumatic wounds.
ANS: C
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
Nightingale’s nurses dramatically reduced the death rate from injuries in the Crimean War.
DIF: Cognitive Level: Knowledge REF: p. 2
OBJ: Theory #1TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. Early nursing education and care in the United States:
a. were directed at community health.
b. provided independence for women through education and employment.
c. were an educational model based in institutions of higher learning.
d. have continued to be entirely focused on hospital nursing.
ANS: B
Because of the influence of early nursing leaders, nursing education became more
formalized through apprenticeships in Nightingale schools that offered independence to
women through education and employment.
DIF: Cognitive Level: Knowledge REF: p. 2
OBJ: Theory #4TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
3. In order to fulfill the common goals defined by nursing theorists (promote wellness,
prevent illness, facilitate coping, and restore health), the LPN must take on the roles of:
a. caregiver, educator, and collaborator.
b. nursing assistant, delegator, and environmental specialist.
c. medication dispenser, collaborator, and transporter.
d. dietitian, manager, and housekeeper.
ANS: A
In order for the LPN to apply the common goals of nursing, he or she must assume the
roles of caregiver, educator, collaborator, manager, and advocate.
DIF: Cognitive Level: Comprehension REF: p. 4
OBJ: Theory #2TOP: Art and Science of Nursing KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
, 4. Although nursing theories differ in their attempts to define nursing, all of them base their
beliefs on common concepts concerning:
a. self-actualization, fundamental needs, and belonging.
b. stress reduction, self-care, and a systems model.
c. curative care, restorative care, and terminal care.
d. human relationships, the environment, and health.
ANS: D
Although nursing theories differ, they all base their beliefs on human relationships, the
environment, and health.
DIF: Cognitive Level: Comprehension REF: p. 4
OBJ: Theory #2TOP: Nursing TheoriesKEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. Standards of care for the nursing practice of the LPN are established by the:
a. Boards of Nursing Examiners in each state.
b. National Council of States Boards of Nursing (NCSBN).
c. American Nurses Association (ANA).
d. National Federation of Licensed Practical Nurses.
ANS: D
The National Federation of Licensed Practical Nurses modified the standards published by
the ANA in 2004 to better fit the role of the LPN.
DIF: Cognitive Level: Comprehension REF: p. 5
OBJ: Theory #2TOP: Standards of Care KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
6. The LPN demonstrates an evidence-based practice by:
a. using a drug manual to check compatibility of drugs.
b. using scientific information to guide decision making.
c. using medical history of a patient to direct nursing interventions.
d. basing nursing care on advice from an experienced nurse.
ANS: B
The use of scientific information from high-quality research to guide nursing decisions is
reflective of the application of evidence-based practice.
DIF: Cognitive Level: Knowledge REF: p. 5
OBJ: Theory #3TOP: Evidence Based Practice KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
