FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A nursing student asks why understanding the history of nursing
is relevant to modern practice. Which response by the nurse is
most appropriate?
A. "Historical events have little influence on current nursing
standards."
B. "Studying nursing history helps nurses understand how the
profession evolved and guides current professional practice."
C. "History is important only for nurses pursuing graduate
education."
D. "Knowledge of nursing history is required only for licensure
examinations."
Correct Answer: B
Rationale:
Understanding the history of nursing provides insight into the
evolution of professional standards, ethical responsibilities,
patient advocacy, and evidence-based care. Historical
knowledge helps nurses appreciate the profession's growth and
supports informed participation in future improvements. The
other responses incorrectly minimize the value of nursing
history.
Question 2
,A newly licensed nurse is uncertain whether a planned
intervention is within the legal responsibilities of the RN. Which
action should the nurse take first?
A. Ask a coworker whether the intervention seems appropriate.
B. Perform the intervention because it was delegated.
C. Review the state's Nurse Practice Act and facility policies.
D. Delay care until the next shift.
Correct Answer: C
Rationale:
The Nurse Practice Act defines the legal scope of nursing
practice within a state. Facility policies complement state
regulations and provide guidance for institutional expectations.
Consulting these resources helps ensure legal and safe patient
care. Asking coworkers alone may not provide legally accurate
information, and delaying care unnecessarily could compromise
patient outcomes.
Question 3
A nurse is caring for four patients. Which action best
demonstrates professionalism?
A. Ignoring a patient's concerns because the schedule is busy
B. Maintaining confidentiality while communicating respectfully
with patients and colleagues
, C. Discussing patient information in the cafeteria during lunch
D. Documenting care at the end of the shift from memory
Correct Answer: B
Rationale:
Professionalism includes accountability, confidentiality,
respectful communication, integrity, and accurate
documentation. Protecting patient privacy while
communicating respectfully reflects professional standards.
Discussing patient information publicly violates confidentiality,
delaying documentation increases the risk of inaccuracies, and
ignoring patient concerns undermines patient-centered care.
Question 4
A nurse is assigned a patient whose cultural beliefs differ
significantly from the nurse's personal beliefs. Which action
best reflects professional nursing practice?
A. Encourage the patient to adopt the nurse's beliefs.
B. Avoid discussing cultural concerns.
C. Respect the patient's beliefs while providing safe, evidence-
based care.
D. Transfer the patient to another nurse immediately.
Correct Answer: C
Rationale:
Professional nurses provide culturally sensitive, patient-