TEST BANK
TEST BANK
,Table of Contents
Chapter 1 Scope of Practice
Chapter 2 Communication
Chapter 3 Diverse Patients
Chapter 4 Nursing Process
Chapter 5 Safety
Chapter 6 Cognitive Impairments
Chapter 7 Sensory impairments
Chapter 8 Oxygenation
Chapter 9 Infection
Chapter 10 Integumentary (wounds)
Chapter 11Comfort
Chapter 12 Sleep & rest
Chapter 13 Mobility
Chapter 14 Nutrition
Chapter 15 Fluids & Electrolytes
Chapter 16 Elimination
Chapter 17 Grief and loss
Chapter 18 Spirituality
Chapter 19 Care of older adults
,Chapter 1: Scope of Practice
Multiple Choice
1. A nursing student is asked by a staff nurse to perform a complex dressing change
that the student has never been taught or observed. The student declines, recognizing
that taking on this task without proper training would primarily violate which of the
following?
a. The National Patient Safety Goals
b. The agency's billing protocols
c. The student's legal scope of practice
d. The Affordable Care Act
Correct answer: c
Rationale: The scope of practice dictates the services a trained health professional is
competent and permitted to perform. Nursing students are legally accountable for the
quality of care they provide and must recognize the limits of their knowledge.
Performing an untrained, complex procedure violates their scope of practice. Billing
protocols and the ACA do not govern clinical competency, and while it poses a safety
risk, the primary violation is practicing outside authorized legal boundaries.
2. The nurse is planning care for a client recovering from an infectious disease.
Remembering the foundational principles established by Florence Nightingale, the
nurse prioritizes which intervention?
a. Ensuring a clean environment, fresh water, and adequate nutrition
b. Administering broad-spectrum antibiotics
, c. Consulting a physical therapist for early mobility
d. Facilitating daily visits from the hospital chaplain
Correct answer: a
Rationale: Florence Nightingale's foundational principles focused on placing the
patient in an environment that promoted healing, specifically emphasizing cleanliness,
water, and good nutrition. While antibiotics, physical therapy, and spiritual care are
important components of modern health care, they are not the core environmental
principles established by Nightingale during the Crimean War. Understanding these
origins helps modern nurses appreciate the enduring value of holistic environmental
management.
3. The newly licensed registered nurse (RN) is reviewing the state's Nurse Practice Act.
The nurse understands that failure to adhere to the standards outlined in this act can
result in which consequence?
a. Immediate termination by the hospital's human resources department
b. Mandatory enrollment in a graduate-level nursing program
c. Reassignment to a lower-acuity clinical unit
d. Revocation of the nursing license by the state Board of Nursing
Correct answer: d
Rationale: The Nurse Practice Act is enacted by the state legislature to define the
scope of practice and establish regulations. The state Board of Nursing has the
regulatory authority to discipline nurses or revoke licenses if these standards are not
followed. Human resources may terminate employment based on agency policies, but
TEST BANK
,Table of Contents
Chapter 1 Scope of Practice
Chapter 2 Communication
Chapter 3 Diverse Patients
Chapter 4 Nursing Process
Chapter 5 Safety
Chapter 6 Cognitive Impairments
Chapter 7 Sensory impairments
Chapter 8 Oxygenation
Chapter 9 Infection
Chapter 10 Integumentary (wounds)
Chapter 11Comfort
Chapter 12 Sleep & rest
Chapter 13 Mobility
Chapter 14 Nutrition
Chapter 15 Fluids & Electrolytes
Chapter 16 Elimination
Chapter 17 Grief and loss
Chapter 18 Spirituality
Chapter 19 Care of older adults
,Chapter 1: Scope of Practice
Multiple Choice
1. A nursing student is asked by a staff nurse to perform a complex dressing change
that the student has never been taught or observed. The student declines, recognizing
that taking on this task without proper training would primarily violate which of the
following?
a. The National Patient Safety Goals
b. The agency's billing protocols
c. The student's legal scope of practice
d. The Affordable Care Act
Correct answer: c
Rationale: The scope of practice dictates the services a trained health professional is
competent and permitted to perform. Nursing students are legally accountable for the
quality of care they provide and must recognize the limits of their knowledge.
Performing an untrained, complex procedure violates their scope of practice. Billing
protocols and the ACA do not govern clinical competency, and while it poses a safety
risk, the primary violation is practicing outside authorized legal boundaries.
2. The nurse is planning care for a client recovering from an infectious disease.
Remembering the foundational principles established by Florence Nightingale, the
nurse prioritizes which intervention?
a. Ensuring a clean environment, fresh water, and adequate nutrition
b. Administering broad-spectrum antibiotics
, c. Consulting a physical therapist for early mobility
d. Facilitating daily visits from the hospital chaplain
Correct answer: a
Rationale: Florence Nightingale's foundational principles focused on placing the
patient in an environment that promoted healing, specifically emphasizing cleanliness,
water, and good nutrition. While antibiotics, physical therapy, and spiritual care are
important components of modern health care, they are not the core environmental
principles established by Nightingale during the Crimean War. Understanding these
origins helps modern nurses appreciate the enduring value of holistic environmental
management.
3. The newly licensed registered nurse (RN) is reviewing the state's Nurse Practice Act.
The nurse understands that failure to adhere to the standards outlined in this act can
result in which consequence?
a. Immediate termination by the hospital's human resources department
b. Mandatory enrollment in a graduate-level nursing program
c. Reassignment to a lower-acuity clinical unit
d. Revocation of the nursing license by the state Board of Nursing
Correct answer: d
Rationale: The Nurse Practice Act is enacted by the state legislature to define the
scope of practice and establish regulations. The state Board of Nursing has the
regulatory authority to discipline nurses or revoke licenses if these standards are not
followed. Human resources may terminate employment based on agency policies, but
