FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A nursing student asks why learning about the history of
nursing is important. Which response by the instructor is most
appropriate?
A. It helps nurses memorize historical dates for licensure
examinations.
B. It provides insight into how the profession evolved and
guides current practice and future improvements.
C. It replaces the need to learn current evidence-based practice.
D. It is useful only for nurses who plan to become educators.
Correct Answer: B
Rationale:
Understanding the history of nursing helps nurses appreciate
how the profession has evolved, recognize the influence of past
leaders and events, and apply lessons learned to improve
patient care today. Historical knowledge supports professional
identity and critical thinking but does not replace evidence-
based practice.
Question 2
A newly licensed nurse is unsure whether performing a
particular procedure is permitted. Which action should the
nurse take first?
,A. Ask a coworker if the procedure seems appropriate.
B. Perform the procedure if it benefits the patient.
C. Review the state's Nurse Practice Act and facility policies.
D. Search social media for advice from other nurses.
Correct Answer: C
Rationale:
The Nurse Practice Act defines the legal scope of nursing
practice within a jurisdiction. Facility policies may further
specify responsibilities. Consulting these authoritative
resources before performing an unfamiliar procedure promotes
patient safety and legal compliance.
Question 3
A registered nurse is caring for a patient whose condition
suddenly deteriorates. Which action best demonstrates
professional accountability?
A. Leave the bedside to finish documentation.
B. Promptly assess the patient, initiate appropriate
interventions, and notify the provider.
C. Wait for another nurse to evaluate the patient first.
D. Delay intervention until laboratory results are available.
Correct Answer: B
Rationale:
Professional accountability requires recognizing changes in
, patient condition, responding promptly, implementing
appropriate nursing interventions, and communicating
effectively with the healthcare team. Delays can compromise
patient safety.
Question 4
A nursing student asks what best characterizes evidence-based
nursing practice. Which response is correct?
A. Using only personal clinical experience
B. Following traditions regardless of new evidence
C. Integrating current research, clinical expertise, and patient
preferences when making care decisions
D. Relying exclusively on physician recommendations
Correct Answer: C
Rationale:
Evidence-based practice combines the best available research
evidence, clinician expertise, and patient values to support
high-quality, individualized care. This approach promotes
improved patient outcomes and continuous quality
improvement.
Question 5
A nurse notices a medication near-miss during a shift. Which
action best demonstrates professionalism?