FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A first-semester nursing student asks why understanding the
history of nursing matters in modern practice. Which response
by the instructor is most appropriate?
A. "Historical events have little influence on current nursing
responsibilities."
B. "Understanding nursing history helps explain how
professional standards, ethics, and patient-centered care
developed."
C. "History is useful only for nurses interested in leadership
positions."
D. "Knowledge of nursing history is primarily required for
licensure examinations."
Correct Answer: B
Rationale:
Learning the history of nursing helps students understand the
evolution of professional values, evidence-based care, patient
advocacy, education, and ethical practice. Historical
developments continue to influence modern standards of care.
The other options incorrectly minimize the importance of
nursing history or limit its relevance.
Question 2
,A newly licensed nurse asks where the legal authority to
practice nursing originates. Which response is correct?
A. The employing healthcare facility
B. The physician supervising the nurse
C. The state's nurse practice act
D. The patient's informed consent
Correct Answer: C
Rationale:
Each state establishes a nurse practice act that defines the legal
scope of nursing practice, licensure requirements, and
professional accountability. Employers establish workplace
policies but cannot expand legal scope of practice. Physicians do
not grant legal authority to practice, and patient consent does
not determine nursing scope.
Question 3
A registered nurse is unsure whether a planned intervention
falls within the legal scope of practice. What is the nurse's best
initial action?
A. Perform the intervention because patient needs take priority.
B. Ask another nurse if the intervention is acceptable.
C. Review the applicable nurse practice act and institutional
policies before proceeding.
D. Decline all unfamiliar interventions permanently.
, Correct Answer: C
Rationale:
When uncertainty exists, nurses should consult applicable laws,
regulations, institutional policies, and appropriate supervisors
before performing the intervention. This approach promotes
patient safety and professional accountability. Acting without
verification or relying solely on colleagues increases legal and
patient safety risks.
Question 4
A nursing student demonstrates professionalism during clinical
practice by performing which action?
A. Arriving late but completing all assigned tasks
B. Respecting patient confidentiality and accepting
responsibility for personal actions
C. Delegating all challenging tasks to classmates
D. Sharing patient stories on social media without identifying
names
Correct Answer: B
Rationale:
Professionalism includes accountability, confidentiality, ethical
conduct, responsibility, respect, and reliability. Maintaining
patient privacy and accepting responsibility for actions