NURSING
12TH EDITION
• AUTHOR(S)CAROLINE ROSDAHL
TEST BANK
1) Nightingale’s legacy in current nursing practice
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
An LPN is caring for an older adult with a surgical wound in a
long-term care facility. The client’s room is cluttered, the
window is closed, and soiled dressings are left on the bedside
table. The nurse recalls the historical influence of early nursing
leaders on patient outcomes. Which action best reflects that
heritage?
,Options:
A. Open the window and remove the soiled supplies promptly
B. Ask the client to wait until the next shift for room cleaning
C. Place the client on bed rest until the wound heals
D. Document the clutter and continue the dressing change
Correct Answer: A
Rationale — Correct Answer:
This action reflects the historical nursing emphasis on
cleanliness, fresh air, and a healing environment. Early nursing
leaders showed that basic environmental measures reduce
infection and promote recovery. An LPN can help maintain a
safe, clean bedside environment and report concerns as
needed.
Rationale — Incorrect Options:
B is unsafe because environmental contamination should be
addressed immediately, not delayed.
C does not address the problem and is not a nursing priority.
D is incomplete because documentation alone does not correct
the hazard.
Teaching Point:
Clean surroundings are a basic infection-prevention measure
rooted in nursing heritage.
Citation:
Rosdahl, C. (12th ed.). Rosdahl’s Textbook of Basic Nursing. Ch.
1.
,2) Florence Nightingale and patient outcomes
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
A new LPN notices that a client with pneumonia is more short
of breath when the room is warm and poorly ventilated. The
nurse thinks about the earliest nursing ideas that shaped
modern bedside care. What is the best nursing action?
Options:
A. Improve air circulation and keep the environment clean
B. Restrict fluids to prevent coughing
C. Keep the curtains closed to reduce stimulation
D. Delay care until the provider evaluates the client
Correct Answer: A
Rationale — Correct Answer:
Fresh air and a clean environment support breathing and
reduce discomfort. This reflects the legacy of nursing’s early
focus on environmental conditions that promote healing. The
LPN can implement simple environmental measures and report
worsening respiratory status.
Rationale — Incorrect Options:
B may worsen secretions and does not address the problem.
C does not improve oxygenation or comfort.
D is unnecessary because environmental improvement is within
nursing care.
, Teaching Point:
Ventilation and cleanliness support recovery and comfort.
Citation:
Rosdahl, C. (12th ed.). Rosdahl’s Textbook of Basic Nursing. Ch.
1.
3) Heritage of compassionate bedside care
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
A client recovering from surgery appears anxious and keeps
asking the same question about pain medication. The LPN
remembers that nursing has long included comfort,
reassurance, and close observation. Which response best
reflects that tradition?
Options:
A. Calmly repeat the information and stay with the client briefly
B. Tell the client to wait until the RN returns
C. Ignore the repeated question because it is not urgent
D. Ask the family to explain the medication schedule
Correct Answer: A
Rationale — Correct Answer:
Nursing heritage includes comfort, reassurance, and supportive
presence. Repeating information calmly helps reduce anxiety