CHAPTER LIST
,CHAPTER LIST Chapter 23: Safety and Falls
Chapter 24: Self-Care Ability and Hygiene
UNIT 1: The Theory and Application Chapter 25: Medication Administration
of Nursing Practice Chapter 26: Teaching and Learning
Chapter 1: The Nursing Profession and
Practice
Chapter 2: Critical Thinking and the Nursing UNIT 4: Supporting Physiological
Process Functioning
Chapter 3: Nursing Process: Assessment
Chapter 4: Nursing Process: Nursing Chapter 27: Stress, Coping, and Adaptation
Diagnosis Chapter 28: Nutrition
Chapter 5: Nursing Process: Planning Chapter 29: Urinary Elimination
Outcomes Chapter 30: Bowel Elimination:
Chapter 6: Nursing Process: Planning Constipation
Interventions Chapter 31: Bowel Elimination: Diarrhea
Chapter 7: Nursing Process: Evaluation Chapter 32: Sensory Perception
Chapter 8: Nursing Process: Implementation Chapter 33: Pain Management
Chapter 9: Nursing Theory Chapter 34: Activity and Exercise
Chapter 10: Research Chapter 35: Sexual Health
Chapter 36: Sleep and Rest
Chapter 37: Skin Integrity
Chapter 38: Oxygenation
UNIT 2: Factors Affecting Health Chapter 39: Perfusion
Chapter 40: Fluid, Electrolyte, and Acid–
Chapter 11: Growth and Development Base Balance
Chapter 12: Health and Illness
Chapter 13: Psychosocial Health and Illness
Chapter 14: Family
Chapter 15: Culture and Ethnicity UNIT 5: Nursing Functions
Chapter 16: Spirituality
Chapter 17: Loss, Grief, and Dying Chapter 41: Leading and Management
Chapter 42: Informatics
Chapter 43: Holism
Chapter 44: Health Promotion
UNIT 3: Essential Nursing
Interventions
Chapter 18: Documenting and Reporting UNIT 6: Context for Nurses’ Work
Chapter 19: Vital Signs
Chapter 20: Communication and Chapter 45: Perioperative Nursing
Therapeutic Relationships Chapter 46: Community-Based Care
Chapter 21: Health Assessment Chapter 47: Ethics and Values
Chapter 22: Promoting Asepsis and Chapter 48: Legal Issues
Preventing Infection
,Chapter 1: The Nursing Profession and Practice
Test Bank: Chapter 1
Question 1
A newly licensed nurse is caring for a postoperative patient who suddenly
develops shortness of breath and chest pain. The nurse suspects a pulmonary
embolism. What is the nurse’s MOST appropriate initial action?
A. Notify the charge nurse and document the findings
B. Administer oxygen and call the healthcare provider
C. Request a STAT CT scan from radiology
D. Reassure the patient and reassess in 15 minutes
Answer: B
Very Deep Rationale:
The nurse is professionally accountable for recognizing a life-threatening
change in patient condition and initiating immediate nursing actions within
scope of practice. Administering oxygen addresses airway and oxygenation
needs, which are independent nursing interventions, while notifying the
provider initiates collaborative care. Waiting, delegating responsibility upward
without action, or independently ordering diagnostic tests exceeds or neglects
professional role expectations.
Key words: scope of practice, accountability, independent nursing action,
professional judgment
Question 2
A nurse administers a medication without checking the patient’s allergy
history, resulting in an anaphylactic reaction. Which professional principle was
MOST directly violated?
A. Advocacy
B. Accountability
C. Autonomy
D. Fidelity
Answer: B
,Very Deep Rationale:
Accountability refers to the nurse’s responsibility for their actions and
omissions. Failing to verify allergies represents a breach in professional
responsibility for safe care. While advocacy and fidelity relate to patient support
and loyalty, and autonomy concerns patient decision-making, the core failure
here is the nurse’s responsibility for ensuring safe medication administration.
Key words: accountability, patient safety, professional responsibility,
medication error
Question 3
A nurse refuses to carry out a provider’s order because it appears unsafe for
the patient’s condition. This action BEST demonstrates which professional
role?
A. Subordinate team member
B. Task-oriented caregiver
C. Patient advocate
D. Policy enforcer
Answer: C
Very Deep Rationale:
Professional nursing practice requires advocacy when patient safety is
threatened. Nurses are not passive followers of orders; they are ethically and
legally obligated to question and clarify potentially harmful directives. This
action reflects autonomous professional judgment grounded in ethical
responsibility, not insubordination.
Key words: advocacy, professional autonomy, ethical duty, patient safety
Question 4
Which situation BEST illustrates nursing accountability rather than
collaboration?
A. Consulting a physical therapist for mobility planning
B. Documenting care after completing an intervention
C. Asking another nurse to verify a high-alert medication
D. Participating in interdisciplinary rounds
,Answer: B
Very Deep Rationale:
Accountability involves owning one’s actions, including accurate and timely
documentation. While consultation, verification, and interdisciplinary rounds
represent collaboration, documentation reflects the nurse’s personal
responsibility for care provided and professional legal recordkeeping.
Key words: accountability, documentation, professional responsibility, legal
record
Question 5
A nurse delegates ambulation of a stable patient to an unlicensed assistive
personnel (UAP). Which factor is MOST important in determining if this
delegation is appropriate?
A. The nurse’s workload
B. The UAP’s willingness to perform the task
C. The nurse’s responsibility to supervise and evaluate
D. The time available on the unit
Answer: C
Very Deep Rationale:
Professional nursing accountability remains with the nurse even after
delegation. Safe delegation depends on appropriate supervision, evaluation,
and assurance that the task matches the UAP’s role. Workload and time
constraints never override accountability for patient outcomes.
Key words: delegation, accountability, supervision, scope of practice
Question 6
A nurse discusses a patient’s condition with friends outside the hospital but
does not mention the patient’s name. Which professional principle is MOST
compromised?
A. Justice
B. Beneficence
,C. Confidentiality
D. Veracity
Answer: C
Very Deep Rationale:
Confidentiality extends beyond names to any identifiable patient information.
Professional nursing ethics require safeguarding patient privacy at all times.
Intentional or casual disclosure violates professional standards even if
identifiers seem indirect.
Key words: confidentiality, ethics, professional boundaries, privacy
Question 7
Which action BEST reflects professional nursing autonomy?
A. Performing tasks assigned by the provider
B. Independently prioritizing patient care based on assessment
C. Following unit routines without question
D. Deferring all decisions to the charge nurse
Answer: B
Very Deep Rationale:
Autonomy in nursing refers to independent clinical judgment within scope of
practice. Prioritizing care based on assessment demonstrates professional
decision-making. Blindly following orders or routines undermines the nurse’s
professional role.
Key words: autonomy, clinical judgment, professional role, independent
decision-making
Question 8
A nurse identifies a medication error made by another nurse but hesitates to
report it to avoid conflict. Which professional value is MOST at risk?
A. Collegiality
B. Integrity
,C. Compassion
D. Loyalty
Answer: B
Very Deep Rationale:
Integrity requires honesty and adherence to ethical standards, even when
uncomfortable. Failing to report errors compromises patient safety and
professional accountability. Loyalty to colleagues never outweighs ethical
obligations to patients.
Key words: integrity, ethical responsibility, error reporting, professionalism
Question 9
Which statement BEST reflects the professional scope of nursing practice?
A. Nurses implement only provider-directed care
B. Nurses independently diagnose medical conditions
C. Nurses provide care within defined legal and professional boundaries
D. Nurses function solely as members of the healthcare team
Answer: C
Very Deep Rationale:
Scope of practice defines what nurses are legally and professionally authorized
to do. It includes independent, dependent, and collaborative roles, but always
within regulatory boundaries. Nurses neither function independently of the
team nor merely as task executors.
Key words: scope of practice, legal boundaries, professional standards
Question 10
A nurse notices unsafe staffing levels but takes no action because
“management will handle it.” This reflects a failure in which professional
responsibility?
A. Advocacy
B. Autonomy
, C. Accountability
D. Justice
Answer: A
Very Deep Rationale:
Advocacy requires nurses to speak up when conditions threaten patient safety.
While accountability and autonomy are relevant, the primary lapse is failure to
advocate for safe care environments.
Key words: advocacy, patient safety, professional responsibility, systems
awareness
Question 11
A nurse follows a questionable order without clarification and the patient is
harmed. Legally, the nurse is MOST likely accountable because:
A. Providers are never responsible for outcomes
B. Nurses are obligated to question unsafe orders
C. Documentation protects the nurse
D. Errors are unavoidable in healthcare
Answer: B
Very Deep Rationale:
Professional accountability requires nurses to question and clarify unsafe
orders. Blind compliance does not absolve responsibility. Nurses are legally and
ethically expected to exercise judgment in patient care.
Key words: accountability, legal responsibility, unsafe orders, professional
judgment
Question 12
Which scenario BEST demonstrates professional role clarity?
A. A nurse performing housekeeping duties during staffing shortages
B. A nurse providing patient education within scope
C. A nurse independently prescribing medications
D. A nurse refusing all delegated tasks
,CHAPTER LIST Chapter 23: Safety and Falls
Chapter 24: Self-Care Ability and Hygiene
UNIT 1: The Theory and Application Chapter 25: Medication Administration
of Nursing Practice Chapter 26: Teaching and Learning
Chapter 1: The Nursing Profession and
Practice
Chapter 2: Critical Thinking and the Nursing UNIT 4: Supporting Physiological
Process Functioning
Chapter 3: Nursing Process: Assessment
Chapter 4: Nursing Process: Nursing Chapter 27: Stress, Coping, and Adaptation
Diagnosis Chapter 28: Nutrition
Chapter 5: Nursing Process: Planning Chapter 29: Urinary Elimination
Outcomes Chapter 30: Bowel Elimination:
Chapter 6: Nursing Process: Planning Constipation
Interventions Chapter 31: Bowel Elimination: Diarrhea
Chapter 7: Nursing Process: Evaluation Chapter 32: Sensory Perception
Chapter 8: Nursing Process: Implementation Chapter 33: Pain Management
Chapter 9: Nursing Theory Chapter 34: Activity and Exercise
Chapter 10: Research Chapter 35: Sexual Health
Chapter 36: Sleep and Rest
Chapter 37: Skin Integrity
Chapter 38: Oxygenation
UNIT 2: Factors Affecting Health Chapter 39: Perfusion
Chapter 40: Fluid, Electrolyte, and Acid–
Chapter 11: Growth and Development Base Balance
Chapter 12: Health and Illness
Chapter 13: Psychosocial Health and Illness
Chapter 14: Family
Chapter 15: Culture and Ethnicity UNIT 5: Nursing Functions
Chapter 16: Spirituality
Chapter 17: Loss, Grief, and Dying Chapter 41: Leading and Management
Chapter 42: Informatics
Chapter 43: Holism
Chapter 44: Health Promotion
UNIT 3: Essential Nursing
Interventions
Chapter 18: Documenting and Reporting UNIT 6: Context for Nurses’ Work
Chapter 19: Vital Signs
Chapter 20: Communication and Chapter 45: Perioperative Nursing
Therapeutic Relationships Chapter 46: Community-Based Care
Chapter 21: Health Assessment Chapter 47: Ethics and Values
Chapter 22: Promoting Asepsis and Chapter 48: Legal Issues
Preventing Infection
,Chapter 1: The Nursing Profession and Practice
Test Bank: Chapter 1
Question 1
A newly licensed nurse is caring for a postoperative patient who suddenly
develops shortness of breath and chest pain. The nurse suspects a pulmonary
embolism. What is the nurse’s MOST appropriate initial action?
A. Notify the charge nurse and document the findings
B. Administer oxygen and call the healthcare provider
C. Request a STAT CT scan from radiology
D. Reassure the patient and reassess in 15 minutes
Answer: B
Very Deep Rationale:
The nurse is professionally accountable for recognizing a life-threatening
change in patient condition and initiating immediate nursing actions within
scope of practice. Administering oxygen addresses airway and oxygenation
needs, which are independent nursing interventions, while notifying the
provider initiates collaborative care. Waiting, delegating responsibility upward
without action, or independently ordering diagnostic tests exceeds or neglects
professional role expectations.
Key words: scope of practice, accountability, independent nursing action,
professional judgment
Question 2
A nurse administers a medication without checking the patient’s allergy
history, resulting in an anaphylactic reaction. Which professional principle was
MOST directly violated?
A. Advocacy
B. Accountability
C. Autonomy
D. Fidelity
Answer: B
,Very Deep Rationale:
Accountability refers to the nurse’s responsibility for their actions and
omissions. Failing to verify allergies represents a breach in professional
responsibility for safe care. While advocacy and fidelity relate to patient support
and loyalty, and autonomy concerns patient decision-making, the core failure
here is the nurse’s responsibility for ensuring safe medication administration.
Key words: accountability, patient safety, professional responsibility,
medication error
Question 3
A nurse refuses to carry out a provider’s order because it appears unsafe for
the patient’s condition. This action BEST demonstrates which professional
role?
A. Subordinate team member
B. Task-oriented caregiver
C. Patient advocate
D. Policy enforcer
Answer: C
Very Deep Rationale:
Professional nursing practice requires advocacy when patient safety is
threatened. Nurses are not passive followers of orders; they are ethically and
legally obligated to question and clarify potentially harmful directives. This
action reflects autonomous professional judgment grounded in ethical
responsibility, not insubordination.
Key words: advocacy, professional autonomy, ethical duty, patient safety
Question 4
Which situation BEST illustrates nursing accountability rather than
collaboration?
A. Consulting a physical therapist for mobility planning
B. Documenting care after completing an intervention
C. Asking another nurse to verify a high-alert medication
D. Participating in interdisciplinary rounds
,Answer: B
Very Deep Rationale:
Accountability involves owning one’s actions, including accurate and timely
documentation. While consultation, verification, and interdisciplinary rounds
represent collaboration, documentation reflects the nurse’s personal
responsibility for care provided and professional legal recordkeeping.
Key words: accountability, documentation, professional responsibility, legal
record
Question 5
A nurse delegates ambulation of a stable patient to an unlicensed assistive
personnel (UAP). Which factor is MOST important in determining if this
delegation is appropriate?
A. The nurse’s workload
B. The UAP’s willingness to perform the task
C. The nurse’s responsibility to supervise and evaluate
D. The time available on the unit
Answer: C
Very Deep Rationale:
Professional nursing accountability remains with the nurse even after
delegation. Safe delegation depends on appropriate supervision, evaluation,
and assurance that the task matches the UAP’s role. Workload and time
constraints never override accountability for patient outcomes.
Key words: delegation, accountability, supervision, scope of practice
Question 6
A nurse discusses a patient’s condition with friends outside the hospital but
does not mention the patient’s name. Which professional principle is MOST
compromised?
A. Justice
B. Beneficence
,C. Confidentiality
D. Veracity
Answer: C
Very Deep Rationale:
Confidentiality extends beyond names to any identifiable patient information.
Professional nursing ethics require safeguarding patient privacy at all times.
Intentional or casual disclosure violates professional standards even if
identifiers seem indirect.
Key words: confidentiality, ethics, professional boundaries, privacy
Question 7
Which action BEST reflects professional nursing autonomy?
A. Performing tasks assigned by the provider
B. Independently prioritizing patient care based on assessment
C. Following unit routines without question
D. Deferring all decisions to the charge nurse
Answer: B
Very Deep Rationale:
Autonomy in nursing refers to independent clinical judgment within scope of
practice. Prioritizing care based on assessment demonstrates professional
decision-making. Blindly following orders or routines undermines the nurse’s
professional role.
Key words: autonomy, clinical judgment, professional role, independent
decision-making
Question 8
A nurse identifies a medication error made by another nurse but hesitates to
report it to avoid conflict. Which professional value is MOST at risk?
A. Collegiality
B. Integrity
,C. Compassion
D. Loyalty
Answer: B
Very Deep Rationale:
Integrity requires honesty and adherence to ethical standards, even when
uncomfortable. Failing to report errors compromises patient safety and
professional accountability. Loyalty to colleagues never outweighs ethical
obligations to patients.
Key words: integrity, ethical responsibility, error reporting, professionalism
Question 9
Which statement BEST reflects the professional scope of nursing practice?
A. Nurses implement only provider-directed care
B. Nurses independently diagnose medical conditions
C. Nurses provide care within defined legal and professional boundaries
D. Nurses function solely as members of the healthcare team
Answer: C
Very Deep Rationale:
Scope of practice defines what nurses are legally and professionally authorized
to do. It includes independent, dependent, and collaborative roles, but always
within regulatory boundaries. Nurses neither function independently of the
team nor merely as task executors.
Key words: scope of practice, legal boundaries, professional standards
Question 10
A nurse notices unsafe staffing levels but takes no action because
“management will handle it.” This reflects a failure in which professional
responsibility?
A. Advocacy
B. Autonomy
, C. Accountability
D. Justice
Answer: A
Very Deep Rationale:
Advocacy requires nurses to speak up when conditions threaten patient safety.
While accountability and autonomy are relevant, the primary lapse is failure to
advocate for safe care environments.
Key words: advocacy, patient safety, professional responsibility, systems
awareness
Question 11
A nurse follows a questionable order without clarification and the patient is
harmed. Legally, the nurse is MOST likely accountable because:
A. Providers are never responsible for outcomes
B. Nurses are obligated to question unsafe orders
C. Documentation protects the nurse
D. Errors are unavoidable in healthcare
Answer: B
Very Deep Rationale:
Professional accountability requires nurses to question and clarify unsafe
orders. Blind compliance does not absolve responsibility. Nurses are legally and
ethically expected to exercise judgment in patient care.
Key words: accountability, legal responsibility, unsafe orders, professional
judgment
Question 12
Which scenario BEST demonstrates professional role clarity?
A. A nurse performing housekeeping duties during staffing shortages
B. A nurse providing patient education within scope
C. A nurse independently prescribing medications
D. A nurse refusing all delegated tasks
