FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A nursing student asks why knowledge of nursing history is
important. Which response by the nurse is most appropriate?
A. It is primarily needed to pass the NCLEX-RN examination.
B. It helps nurses understand how the profession has evolved
and guides future practice.
C. It is useful only for nurses working in education.
D. It replaces the need to understand current evidence-based
practice.
Correct Answer: B
Rationale:
Understanding nursing history helps nurses appreciate the
profession's development, recognize how past events influence
current practice, and prepare for future changes. Historical
knowledge supports professional identity but does not replace
evidence-based practice.
Question 2
A newly licensed nurse is unsure whether a planned
intervention falls within the legal scope of practice. What
should the nurse do first?
A. Ask another new graduate for advice.
B. Review the state's Nurse Practice Act and agency policies.
,C. Perform the intervention if the physician requested it.
D. Decline all unfamiliar procedures permanently.
Correct Answer: B
Rationale:
The Nurse Practice Act and organizational policies define legal
nursing practice. Reviewing these resources helps determine
whether the intervention is appropriate. Nurses remain
accountable for practicing within their legal scope.
Question 3
A registered nurse delegates the task of obtaining routine vital
signs on a stable patient to unlicensed assistive personnel
(UAP). Which responsibility must the registered nurse retain?
A. Transporting the patient
B. Performing linen changes
C. Interpreting the assessment findings
D. Measuring intake and output
Correct Answer: C
Rationale:
Assessment, interpretation of patient data, clinical judgment,
and evaluation cannot be delegated. While UAP may collect
data such as vital signs, the RN is responsible for interpreting
findings and determining appropriate nursing actions.
Question 4
, A nurse identifies a medication administration error before it
reaches the patient. Which action best demonstrates
professionalism?
A. Ignore the error because the patient was unharmed.
B. Report the near miss according to agency policy.
C. Ask a coworker to document the incident.
D. Wait to report the event until the end of the shift.
Correct Answer: B
Rationale:
Reporting near misses promotes patient safety and quality
improvement by identifying system issues before harm occurs.
Professional nurses are accountable for reporting errors and
near misses promptly.
Question 5
A patient asks, "Why do nurses keep asking me about my
goals?" Which response by the nurse best reflects patient-
centered care?
A. "Your goals help us develop a care plan that reflects what is
important to you."
B. "We ask everyone the same questions because it is
required."
C. "The physician needs this information for billing."
D. "Your goals are less important than the treatment plan."