FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A newly licensed registered nurse asks why a state nurse
practice act is important. Which response by the charge nurse is
most accurate?
A. It establishes hospital policies for all healthcare workers.
B. It defines the legal scope of nursing practice within the state.
C. It replaces federal healthcare regulations.
D. It outlines the physician's responsibilities when delegating
care.
Correct Answer: B
Rationale:
A nurse practice act is a state law that defines the legal scope of
nursing practice, licensure requirements, and responsibilities for
nurses practicing within that state. Hospital policies (Option A)
must align with, but do not replace, state law. Federal
regulations (Option C) address broader healthcare issues but do
not replace state nurse practice acts. Physician responsibilities
(Option D) are governed by other regulations and professional
standards.
Question 2
A registered nurse is caring for four clients. Which action best
demonstrates professionalism?
,A. Arriving late because the unit is usually adequately staffed
B. Discussing a client's condition in the hospital cafeteria
C. Maintaining client confidentiality while providing
compassionate, evidence-informed care
D. Sharing client information with family members without
permission
Correct Answer: C
Rationale:
Professionalism includes ethical behavior, accountability,
respect, confidentiality, competence, and evidence-informed
practice. Protecting client privacy while providing high-quality
care reflects professional standards. Arriving late (Option A) is
unprofessional. Discussing confidential information in public
(Option B) violates privacy. Sharing information without
authorization (Option D) breaches confidentiality unless legally
permitted.
Question 3
A nursing student asks about the purpose of nursing theories.
Which explanation by the instructor is most appropriate?
A. They replace clinical judgment during patient care.
B. They provide a framework for understanding and guiding
nursing practice.
C. They eliminate the need for evidence-based practice.
D. They are used only in nursing research.
, Correct Answer: B
Rationale:
Nursing theories provide frameworks that guide assessment,
planning, interventions, and evaluation while supporting
professional practice. Clinical judgment remains essential
(Option A). Evidence-based practice complements theory rather
than being replaced by it (Option C). Nursing theories are used
in education, practice, leadership, and research, not only
research (Option D).
Question 4
A nurse is considering obtaining certification in a specialty area.
What is the primary purpose of specialty certification?
A. It replaces the nurse's license.
B. It demonstrates advanced knowledge and competence in a
specific practice area.
C. It guarantees promotion to management.
D. It eliminates continuing education requirements.
Correct Answer: B
Rationale:
Specialty certification validates expertise and competence in a
defined area of nursing practice. It does not replace licensure
(Option A), guarantee promotions (Option C), or eliminate
continuing education requirements (Option D).