FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A newly licensed nurse begins orientation on a medical-surgical
unit. Which action best demonstrates professionalism during
the first week of practice?
A. Asking experienced nurses for guidance when unfamiliar
situations arise
B. Performing unfamiliar procedures independently to build
confidence
C. Discussing patient information with friends after work for
advice
D. Refusing feedback because the nursing license confirms
competence
Correct Answer: A
Rationale:
Professionalism includes recognizing personal limitations,
seeking appropriate guidance, and practicing within one's
competence. Asking experienced colleagues for assistance
promotes patient safety and lifelong learning. Performing
unfamiliar procedures independently places patients at risk.
Sharing confidential patient information violates privacy
standards. Refusing feedback limits professional growth and
safe practice.
Question 2
,A nurse is caring for four patients. Which task is within the
nurse's professional responsibility and cannot be delegated?
A. Assisting a stable patient with bathing
B. Obtaining routine vital signs for a stable patient
C. Completing the initial nursing assessment
D. Transporting a patient to the diagnostic department
Correct Answer: C
Rationale:
The initial nursing assessment requires professional nursing
judgment and establishes the plan of care. This responsibility
remains with the registered nurse. Routine tasks such as
bathing, transporting stable patients, and obtaining vital signs
may be delegated according to organizational policy, patient
condition, and staff competency.
Question 3
A nursing student asks why nurse practice acts are important.
Which response by the instructor is most accurate?
A. They define the legal scope of nursing practice within a
jurisdiction.
B. They replace facility policies and procedures.
C. They establish identical nursing responsibilities worldwide.
D. They eliminate the need for professional judgment.
Correct Answer: A
, Rationale:
Nurse practice acts establish the legal authority, responsibilities,
and scope of nursing practice within a specific jurisdiction.
Facility policies complement but do not replace these laws.
Scope of practice varies among jurisdictions, and professional
judgment remains an essential component of nursing care.
Question 4
A nurse identifies an error in a medication order before
administering the drug. Which professional behavior is
demonstrated?
A. Advocacy for patient safety
B. Avoidance of responsibility
C. Independent prescribing
D. Confidentiality violation
Correct Answer: A
Rationale:
Questioning unclear or potentially unsafe orders demonstrates
patient advocacy and supports safe, evidence-informed nursing
practice. Nurses are responsible for protecting patients from
preventable harm. The action is not prescribing, avoiding
responsibility, or violating confidentiality.
Question 5