FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A nurse is discussing the evolution of the nursing profession
with a group of newly hired nursing assistants. Which statement
by the nurse best reflects the modern role of the registered
nurse?
A. "The nurse's primary responsibility is to carry out provider
prescriptions."
B. "The nurse functions as a critical thinker, patient advocate,
educator, and care coordinator."
C. "The nurse should avoid participating in healthcare policy
discussions."
D. "The nurse's responsibilities are limited to bedside
procedures."
Correct Answer: B
Rationale:
Modern nursing extends beyond performing tasks or following
provider orders. Registered nurses integrate critical thinking,
patient advocacy, education, leadership, collaboration, and care
coordination to promote safe, patient-centered outcomes. The
other options underestimate the comprehensive professional
role of today's nurse.
Question 2
,A graduate nurse is uncertain whether a requested clinical
procedure falls within the legal responsibilities of an RN. Which
action is most appropriate?
A. Perform the procedure because another nurse requested it.
B. Review the state's Nurse Practice Act and facility policies
before proceeding.
C. Ask a nursing assistant whether the procedure is appropriate.
D. Decline every unfamiliar procedure without seeking
clarification.
Correct Answer: B
Rationale:
The Nurse Practice Act and institutional policies define the legal
scope of nursing practice. Nurses are accountable for knowing
their scope and seeking clarification before performing
unfamiliar procedures. Acting solely on another person's
request or refusing without clarification is inappropriate.
Question 3
A nurse is caring for a patient who refuses a prescribed
treatment after receiving complete education about the risks
and benefits. Which nursing action best demonstrates patient
advocacy?
A. Attempt to persuade the patient until consent is obtained.
B. Respect the patient's informed decision and notify the
, healthcare provider.
C. Ask family members to convince the patient.
D. Document that the patient is being noncompliant without
further action.
Correct Answer: B
Rationale:
Patient advocacy includes respecting informed decisions, even
when patients decline recommended treatments. The nurse
should ensure the decision is informed, document the
discussion, and notify the provider. Coercion or labeling the
patient as noncompliant does not support patient-centered
care.
Question 4
A nursing student asks why evidence-based practice is
important. Which response by the instructor is most accurate?
A. "It replaces clinical judgment."
B. "It combines the best available evidence, clinical expertise,
and patient preferences."
C. "It eliminates the need for patient education."
D. "It allows nurses to follow the same intervention for every
patient."
Correct Answer: B