ROSDAHL'S TEXTBOOK OF BASIC
NURSING
12TH EDITION
• AUTHOR(S)CAROLINE ROSDAHL
TEST BANK
1. Nursing’s Heritage — Environmental Sanitation
Reference: Ch. 1 — Nursing’s Heritage — Environmental
Sanitation
Stem:
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?
Options:
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
Correct Answer: B
Rationale:
Correct: Nightingale emphasized the healing value of a clean,
well-ventilated environment. Changing damp linens and
improving airflow supports comfort and infection prevention.
A: Increasing heat may worsen discomfort and does not address
hygiene or ventilation.
C: Delaying care ignores immediate environmental needs that
can affect recovery.
D: Restricting movement is not the priority here and may
increase weakness.
Teaching Point: Clean air and a clean bed support healing.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
2. Nursing’s Heritage — Observation and Reporting
Reference: Ch. 1 — Nursing’s Heritage — Observation and
Reporting
Stem:
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?
Options:
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
Correct Answer: B
Rationale:
Correct: Careful observation and prompt reporting are core
nursing responsibilities rooted in nursing history. New confusion
after surgery may indicate a complication and requires timely
escalation.
A: Confusion is not automatically expected and should not be
dismissed.
C: Food alone does not address a possible clinical change.
D: Withholding medications without an order exceeds LPN
decision-making.
Teaching Point: New confusion is an abnormal finding and must
be reported.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
3. Nursing’s Heritage — Public Health Focus
, Reference: Ch. 1 — Nursing’s Heritage — Public Health Nursing
Stem:
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?
Options:
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
Correct Answer: B
Rationale:
Correct: 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.
A: The environment is clinically relevant and cannot be ignored.
C: This is unrealistic and fails to support the patient.
D: Withholding food is unsafe and inappropriate.
Teaching Point: Home sanitation affects health and safety.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
NURSING
12TH EDITION
• AUTHOR(S)CAROLINE ROSDAHL
TEST BANK
1. Nursing’s Heritage — Environmental Sanitation
Reference: Ch. 1 — Nursing’s Heritage — Environmental
Sanitation
Stem:
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?
Options:
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
Correct Answer: B
Rationale:
Correct: Nightingale emphasized the healing value of a clean,
well-ventilated environment. Changing damp linens and
improving airflow supports comfort and infection prevention.
A: Increasing heat may worsen discomfort and does not address
hygiene or ventilation.
C: Delaying care ignores immediate environmental needs that
can affect recovery.
D: Restricting movement is not the priority here and may
increase weakness.
Teaching Point: Clean air and a clean bed support healing.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
2. Nursing’s Heritage — Observation and Reporting
Reference: Ch. 1 — Nursing’s Heritage — Observation and
Reporting
Stem:
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?
Options:
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
Correct Answer: B
Rationale:
Correct: Careful observation and prompt reporting are core
nursing responsibilities rooted in nursing history. New confusion
after surgery may indicate a complication and requires timely
escalation.
A: Confusion is not automatically expected and should not be
dismissed.
C: Food alone does not address a possible clinical change.
D: Withholding medications without an order exceeds LPN
decision-making.
Teaching Point: New confusion is an abnormal finding and must
be reported.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
3. Nursing’s Heritage — Public Health Focus
, Reference: Ch. 1 — Nursing’s Heritage — Public Health Nursing
Stem:
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?
Options:
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
Correct Answer: B
Rationale:
Correct: 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.
A: The environment is clinically relevant and cannot be ignored.
C: This is unrealistic and fails to support the patient.
D: Withholding food is unsafe and inappropriate.
Teaching Point: Home sanitation affects health and safety.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
