ROSDAHL'S TEXTBOOK OF BASIC
NURSING
12TH EDITION
• AUTHOR(S)CAROLINE ROSDAHL
TEST BANK
1) Nursing’s Heritage: sanitation and patient outcomes
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
An LPN is assigned to a postoperative patient in a crowded
ward. The room has poor ventilation, soiled linens, and an
overflowing bedside waste container. The patient’s temperature
is slightly elevated, and the nurse notes the patient looks more
short of breath than earlier. Which action best reflects the
nursing heritage associated with Florence Nightingale?
,Options:
A. Wait until the end of the shift to report the temperature
change
B. Improve the environment by removing waste and ensuring
fresh air if safe, then report the change in condition
C. Give the patient extra blankets to help with comfort
D. Document the findings without taking further action
Correct Answer: B
Rationale — Correct Answer:
Nursing heritage emphasizes that the environment affects
healing. Improving cleanliness, ventilation, and comfort
supports recovery and reduces infection risk. An LPN should
also report the change in condition promptly because the
patient has new respiratory and temperature findings.
Rationale — Incorrect Options:
A. Delaying reporting could allow a worsening condition to go
unaddressed. The temperature change and breathing change
need timely communication.
C. Extra blankets may worsen discomfort if the patient is already
febrile. This does not address the environmental hazards.
D. Documentation alone is not enough when the patient’s
condition has changed. Action and reporting are required.
Teaching Point: Clean surroundings and prompt reporting
support recovery and safety.
,Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
2) Nursing’s Heritage: observation as a nursing skill
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
A home care LPN visits an older adult recovering from
pneumonia. The patient says, “I am just tired,” but the nurse
notices the patient is breathing faster than on the last visit and
is speaking in shorter sentences. Which nursing action best
reflects the heritage of careful nursing observation?
Options:
A. Reassure the patient that fatigue is expected after illness
B. Record the breathing change and report it to the RN
C. Tell the patient to drink less fluid to rest the lungs
D. Suggest skipping the next visit to reduce stress
Correct Answer: B
Rationale — Correct Answer:
Careful observation has long been central to nursing. A faster
respiratory rate and difficulty speaking in full sentences may
signal a worsening condition. The LPN should document and
report the change to the RN.
Rationale — Incorrect Options:
A. Reassurance alone ignores a potentially significant
, assessment change. The patient may be minimizing symptoms.
C. Fluid restriction is not supported by the information given
and may be unsafe. The LPN should not make treatment
changes independently.
D. Skipping follow-up may delay care. This patient needs
monitoring, not less contact.
Teaching Point: Subtle changes in breathing should be reported
promptly.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
3) Nursing’s Heritage: environment and infection prevention
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
A long-term care nurse notices a resident’s room has clutter
around the bed, a wet floor near the bathroom, and used
tissues on the overbed table. The resident has a cough and says
walking to the bathroom is “getting harder.” Which response
best reflects the historic nursing focus on the healing
environment?
Options:
A. Leave the room as it is and focus only on medication
administration
B. Tidy the environment, reduce fall hazards, and report the
resident’s coughing pattern
NURSING
12TH EDITION
• AUTHOR(S)CAROLINE ROSDAHL
TEST BANK
1) Nursing’s Heritage: sanitation and patient outcomes
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
An LPN is assigned to a postoperative patient in a crowded
ward. The room has poor ventilation, soiled linens, and an
overflowing bedside waste container. The patient’s temperature
is slightly elevated, and the nurse notes the patient looks more
short of breath than earlier. Which action best reflects the
nursing heritage associated with Florence Nightingale?
,Options:
A. Wait until the end of the shift to report the temperature
change
B. Improve the environment by removing waste and ensuring
fresh air if safe, then report the change in condition
C. Give the patient extra blankets to help with comfort
D. Document the findings without taking further action
Correct Answer: B
Rationale — Correct Answer:
Nursing heritage emphasizes that the environment affects
healing. Improving cleanliness, ventilation, and comfort
supports recovery and reduces infection risk. An LPN should
also report the change in condition promptly because the
patient has new respiratory and temperature findings.
Rationale — Incorrect Options:
A. Delaying reporting could allow a worsening condition to go
unaddressed. The temperature change and breathing change
need timely communication.
C. Extra blankets may worsen discomfort if the patient is already
febrile. This does not address the environmental hazards.
D. Documentation alone is not enough when the patient’s
condition has changed. Action and reporting are required.
Teaching Point: Clean surroundings and prompt reporting
support recovery and safety.
,Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
2) Nursing’s Heritage: observation as a nursing skill
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
A home care LPN visits an older adult recovering from
pneumonia. The patient says, “I am just tired,” but the nurse
notices the patient is breathing faster than on the last visit and
is speaking in shorter sentences. Which nursing action best
reflects the heritage of careful nursing observation?
Options:
A. Reassure the patient that fatigue is expected after illness
B. Record the breathing change and report it to the RN
C. Tell the patient to drink less fluid to rest the lungs
D. Suggest skipping the next visit to reduce stress
Correct Answer: B
Rationale — Correct Answer:
Careful observation has long been central to nursing. A faster
respiratory rate and difficulty speaking in full sentences may
signal a worsening condition. The LPN should document and
report the change to the RN.
Rationale — Incorrect Options:
A. Reassurance alone ignores a potentially significant
, assessment change. The patient may be minimizing symptoms.
C. Fluid restriction is not supported by the information given
and may be unsafe. The LPN should not make treatment
changes independently.
D. Skipping follow-up may delay care. This patient needs
monitoring, not less contact.
Teaching Point: Subtle changes in breathing should be reported
promptly.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
3) Nursing’s Heritage: environment and infection prevention
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
A long-term care nurse notices a resident’s room has clutter
around the bed, a wet floor near the bathroom, and used
tissues on the overbed table. The resident has a cough and says
walking to the bathroom is “getting harder.” Which response
best reflects the historic nursing focus on the healing
environment?
Options:
A. Leave the room as it is and focus only on medication
administration
B. Tidy the environment, reduce fall hazards, and report the
resident’s coughing pattern
