FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A nurse is speaking with a high school student who asks what
distinguishes professional nursing from simply helping people.
Which response by the nurse is most accurate?
A. "Professional nursing is based on formal education, clinical
judgment, ethical practice, and accountability."
B. "Professional nursing mainly focuses on following physicians'
orders accurately."
C. "Professional nursing is limited to caring for hospitalized
patients."
D. "Professional nursing requires technical skills but not ongoing
education."
Correct Answer: A
Rationale:
Professional nursing integrates scientific knowledge, clinical
judgment, ethical decision-making, accountability,
communication, patient advocacy, and evidence-informed care.
Nurses collaborate with other healthcare professionals while
maintaining an independent scope of practice. Options B, C, and
D incorrectly narrow the professional role of nurses.
Question 2
,A newly licensed nurse asks why it is important to understand
the history of nursing. Which response by the nurse educator is
best?
A. It helps nurses memorize historical dates for licensing
examinations.
B. It explains how nursing has evolved to improve patient care
and professional practice.
C. It replaces the need to learn current evidence-based practice.
D. It is useful only for nurses pursuing graduate education.
Correct Answer: B
Rationale:
Understanding nursing history provides insight into how the
profession developed, how standards of care evolved, and why
current practices emphasize patient safety, advocacy, and
evidence-based care. Historical knowledge supports
professional identity but does not replace current scientific
evidence.
Question 3
A nurse is reviewing a state's Nurse Practice Act before
beginning employment. What is the primary purpose of this
document?
A. To establish hospital staffing schedules
B. To define the legal scope and responsibilities of nursing
, practice
C. To determine physician privileges
D. To outline insurance reimbursement rates
Correct Answer: B
Rationale:
A Nurse Practice Act establishes the legal authority for nursing
practice within a jurisdiction, defining scope of practice,
licensure requirements, and professional accountability.
Staffing, physician privileges, and reimbursement policies are
determined through other mechanisms.
Question 4
A registered nurse is asked to perform a procedure that is not
authorized within the state's Nurse Practice Act. What is the
nurse's best action?
A. Perform the procedure if another nurse agrees.
B. Perform the procedure if the physician is present.
C. Decline the procedure and notify the appropriate supervisor.
D. Perform the procedure after reviewing a skills manual.
Correct Answer: C
Rationale:
Nurses are legally accountable for practicing within their
authorized scope. If asked to perform duties outside the Nurse
Practice Act or institutional policy, the nurse should decline and