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Exam (elaborations)

Fundamentals of Nursing, OpenStax, 2026/2027 – Test Bank for Chapters 1–22 (Part 1)

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This document provides a comprehensive test bank for Fundamentals of Nursing, OpenStax edition, covering Chapters 1 through 22 (Part 1). It includes multiple choice, true/false, and scenario-based questions on essential nursing concepts, patient care, clinical skills, and professional standards. The material is ideal for nursing students and instructors seeking structured practice questions, exam preparation, and reinforcement of fundamental nursing knowledge aligned with the OpenStax curriculum.

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OpenStax Nursing Fundamentals Test Bank
Chapter 1: Introduction to the Nursing Profession: Evolution, Theories, and Practice


OpenStax Nursing Fundamentals Test
Bank
Chapter 1: Introduction to the Nursing Profession: Evolution, Theories, and Practice

Review Questions
Multiple Choice
1. Which historical trend significantly influenced the professionalization of nursing in the
nineteenth century?
A. the absence of formal training programs
B. the decline of community health practices
C. the establishment of nursing schools*
D. the rise of holistic medicine

LO: 01.1.1
Difficulty: Moderate
Blooms: Analyze
AACN: 1.1a; 1.1c

2. Evaluating current trends in nursing, one can observe that the increased focus on self-care
for nurses is essential for ________.
A. enhancing the overall quality of patient care*
B. limiting work hours
C. maintaining nurse productivity
D. reducing healthcare costs

LO: 01.1.2
Difficulty: Moderate
Blooms: Evaluate
AACN: 10.1a

3. When assessing the impact of telehealth on patient care, which outcome is most likely a
direct result of its implementation?
A. decreased communication between healthcare providers
B. enhanced access to care for patients in remote areas*
C. higher costs for patients seeking care
D. increased in-person visits to healthcare facilities

LO: 01.1.2
Difficulty: Difficult

For more free, peer-reviewed, openly licensed resources visit OpenStax.org.

2 7/10/2024


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OpenStax Nursing Fundamentals Test Bank
Chapter 1: Introduction to the Nursing Profession: Evolution, Theories, and Practice
Blooms: Apply
AACN: 8.1b

4. In what way can hard skills directly influence patient safety?
A. by building rapport and trust with patients, thereby reducing anxiety
B. by enhancing the nurse’s ability to communicate effectively with patients
C. by ensuring precise execution of medical procedures and protocols*
D. by fostering a positive workplace culture among the healthcare team

LO: 01.1.3
Difficulty: Difficult
Blooms: Apply
AACN: 5.1a

5. Which educational pathway typically prepares nurses for leadership roles?
A. ADN
B. APRN
C. BSN*
D. LPN

LO: 01.2.1
Difficulty: Moderate
Blooms: Apply
AACN: 10.3c

6. The organization primarily responsible for establishing the core competencies for nursing
education is the ________.
A. American Association of Colleges of Nursing (AACN)*
B. American Nursing Association (ANA)
C. National Council of State Boards of Nursing (NCSBN)
D. National League for Nursing (NLN)

LO: 01.2.1
Difficulty: Easy
Blooms: Remember
AACN: 9.5a

7. Which organization is primarily responsible for defining the scope of nursing practice in the
United States?
A. American Nurses Association (ANA)*
B. International Council of Nurses (ICN)
C. State Boards of Nursing

For more free, peer-reviewed, openly licensed resources visit OpenStax.org.

3 7/10/2024


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OpenStax Nursing Fundamentals Test Bank
Chapter 1: Introduction to the Nursing Profession: Evolution, Theories, and Practice
D. Quality and Safety Education for Nurses (QSEN)

LO: 01.3.1
Difficulty: Easy
Blooms: Remember
AACN: 9.4b

8. A nurse provides a patient with detailed information about treatment options, including
potential risks and benefits, allowing the patient to make an informed choice about their
care. Which ethical principle is being applied in this situation?
A. autonomy*
B. beneficence
C. justice
D. nonmaleficence

LO: 01.3.2
Difficulty: Moderate
Blooms: Apply
AACN: 9.1a

9. A nurse advocates for a patient who has been denied a specific treatment by the insurance
company. The nurse gathers evidence from recent studies and works with the healthcare
team to appeal the decision, ensuring that the patient’s needs and preferences are
prioritized in the discussion. Which ethical principle is primarily being applied in this
situation?
A. autonomy
B. beneficence
C. justice*
D. nonmaleficence

LO: 01.3.2
Difficulty: Difficult
Blooms: Analyze
AACN: 9.3a

10. Who is known as the “First Lady of Nursing”?
A. Florence Nightingale
B. Jean Watson
C. Hildegard Peplau
D. Virginia Henderson*

LO: 01.5.1

For more free, peer-reviewed, openly licensed resources visit OpenStax.org.

4 7/10/2024


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of Nursing - Test Bank - Ch 01.docxhttps://www.stuvia.com/user/edudocs

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of Nursing - Test Bank - Ch 01.docxhttps://www.stuvia.com/user/edudocs


OpenStax Nursing Fundamentals Test Bank
Chapter 1: Introduction to the Nursing Profession: Evolution, Theories, and Practice
Difficulty: Easy
Blooms: Remember
AACN: 1.1b; 9.5a

11. What is the primary focus of prescriptive theories in nursing?
A. analyzing patient behavior
B. describing phenomena
C. guiding nursing care practices*
D. understanding historical contexts

LO: 01.5.2
Difficulty: Easy
Blooms: Remember
AACN: 1.2a; 4.2c

12. Which is an example of a descriptive theory in nursing?
A. Benner’s “novice to expert” model
B. Orem’s self-care deficit nursing theory
C. Pavlov’s classical conditioning
D. Watson’s theory of human caring

LO: 01.5.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.1a; 4.1c

13. Which best describes experiential knowledge in nursing?
A. guidelines for clinical trials
B. information from nursing theory
C. knowledge gained from textbooks
D. practical understanding obtained through patient interactions*

LO: 01.6.1
Difficulty: Moderate
Blooms: Understand
AACN: 1.3a; 9.2a

14. Nursing theories serve as a structured ________ for enhancing critical thinking in nursing
practice.
A. checklist
B. evaluation
C. foundation*

For more free, peer-reviewed, openly licensed resources visit OpenStax.org.

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