DEWIT'S FUNDAMENTAL CONCEPTS AND SKILLS
FOR NURSING, 6TH EDITION BY WILLIAMS |
COMPREHENSIVE EXAMINATION BANK | PRACTICE
TEST QUESTIONS WITH ANSWERS & RATIONALES
SECTION 1: NURSING HISTORY, THEORY, AND HEALTH CARE SYSTEM
Questions 1-15
1. Florence Nightingale's contributions to nursing practice and education were
characterized by which of the following?
A. They are historically important but have no validity for nursing today.
B. They were neither recognized nor appreciated in her own time.
C. They were a major factor in reducing the death rate in the Crimean War.
D. They were limited only to the care of severe traumatic wounds.
Answer: C
2. Early nursing education and care in the United States:
A. Were directed at community health.
B. Provided independence for women through education and employment.
C. Were an educational model based in institutions of higher learning.
D. Have continued to be entirely focused on hospital nursing.
,Answer: B
3. In order to fulfill the common goals defined by nursing theorists (promote wellness,
prevent illness, facilitate coping, and restore health), the LPN must take on the roles of:
A. Caregiver, educator, and collaborator.
B. Nursing assistant, delegator, and environmental specialist.
C. Medication dispenser, collaborator, and transporter.
D. Dietitian, manager, and housekeeper.
Answer: A
4. Although nursing theories differ in their attempts to define nursing, all of them base their
beliefs on common concepts concerning:
A. Self-actualization, fundamental needs, and belonging.
B. Stress reduction, self-care, and a systems model.
C. Curative care, restorative care, and terminal care.
D. Human relationships, the environment, and health.
Answer: D
5. Standards of care for the nursing practice of the LPN are established by the:
A. Boards of Nursing Examiners in each state.
B. National Council of States Boards of Nursing (NCSBN).
C. American Nurses Association (ANA).
,D. National Federation of Licensed Practical Nurses.
Answer: D
6. A patient asks the nurse, "What is the difference between an LPN and an RN?" Which
response by the nurse is most accurate?
A. "LPNs have more clinical experience than RNs."
B. "RNs have a broader scope of practice and more autonomy in decision-making."
C. "LPNs cannot administer any medications."
D. "There is no difference in scope of practice between the two roles."
Answer: B
7. The nurse is caring for a patient who is a member of a culture that values traditional
healing practices. Which action by the nurse demonstrates culturally competent care?
A. Discouraging the patient from using traditional healing methods.
B. Ignoring the patient's cultural beliefs to focus on Western medicine.
C. Integrating the patient's cultural practices into the plan of care when safe.
D. Asking the patient to abandon cultural practices during hospitalization.
Answer: C
8. A patient tells the nurse, "I don't believe in taking medications. I prefer to use herbal
remedies." The nurse's best response is:
, A. "Herbal remedies are not effective and should not be used."
B. "You must take your prescribed medications regardless of your beliefs."
C. "Tell me more about your beliefs regarding herbal remedies so we can discuss this
together."
D. "I will notify the physician that you are noncompliant."
Answer: C
9. The nurse is preparing to discharge a patient who speaks a different primary language.
What is the most appropriate action to ensure effective communication?
A. Use a family member as an interpreter.
B. Provide written instructions in the patient's primary language.
C. Use a certified medical interpreter for discharge teaching.
D. Speak slowly and loudly in English.
Answer: C
10. Which of the following best describes the concept of evidence-based practice in
nursing?
A. Using traditional methods of care that have always been used.
B. Basing clinical decisions on the best available research evidence, clinical expertise, and
patient preferences.
C. Following physician orders without question.
D. Relying solely on textbook knowledge for patient care.
FOR NURSING, 6TH EDITION BY WILLIAMS |
COMPREHENSIVE EXAMINATION BANK | PRACTICE
TEST QUESTIONS WITH ANSWERS & RATIONALES
SECTION 1: NURSING HISTORY, THEORY, AND HEALTH CARE SYSTEM
Questions 1-15
1. Florence Nightingale's contributions to nursing practice and education were
characterized by which of the following?
A. They are historically important but have no validity for nursing today.
B. They were neither recognized nor appreciated in her own time.
C. They were a major factor in reducing the death rate in the Crimean War.
D. They were limited only to the care of severe traumatic wounds.
Answer: C
2. Early nursing education and care in the United States:
A. Were directed at community health.
B. Provided independence for women through education and employment.
C. Were an educational model based in institutions of higher learning.
D. Have continued to be entirely focused on hospital nursing.
,Answer: B
3. In order to fulfill the common goals defined by nursing theorists (promote wellness,
prevent illness, facilitate coping, and restore health), the LPN must take on the roles of:
A. Caregiver, educator, and collaborator.
B. Nursing assistant, delegator, and environmental specialist.
C. Medication dispenser, collaborator, and transporter.
D. Dietitian, manager, and housekeeper.
Answer: A
4. Although nursing theories differ in their attempts to define nursing, all of them base their
beliefs on common concepts concerning:
A. Self-actualization, fundamental needs, and belonging.
B. Stress reduction, self-care, and a systems model.
C. Curative care, restorative care, and terminal care.
D. Human relationships, the environment, and health.
Answer: D
5. Standards of care for the nursing practice of the LPN are established by the:
A. Boards of Nursing Examiners in each state.
B. National Council of States Boards of Nursing (NCSBN).
C. American Nurses Association (ANA).
,D. National Federation of Licensed Practical Nurses.
Answer: D
6. A patient asks the nurse, "What is the difference between an LPN and an RN?" Which
response by the nurse is most accurate?
A. "LPNs have more clinical experience than RNs."
B. "RNs have a broader scope of practice and more autonomy in decision-making."
C. "LPNs cannot administer any medications."
D. "There is no difference in scope of practice between the two roles."
Answer: B
7. The nurse is caring for a patient who is a member of a culture that values traditional
healing practices. Which action by the nurse demonstrates culturally competent care?
A. Discouraging the patient from using traditional healing methods.
B. Ignoring the patient's cultural beliefs to focus on Western medicine.
C. Integrating the patient's cultural practices into the plan of care when safe.
D. Asking the patient to abandon cultural practices during hospitalization.
Answer: C
8. A patient tells the nurse, "I don't believe in taking medications. I prefer to use herbal
remedies." The nurse's best response is:
, A. "Herbal remedies are not effective and should not be used."
B. "You must take your prescribed medications regardless of your beliefs."
C. "Tell me more about your beliefs regarding herbal remedies so we can discuss this
together."
D. "I will notify the physician that you are noncompliant."
Answer: C
9. The nurse is preparing to discharge a patient who speaks a different primary language.
What is the most appropriate action to ensure effective communication?
A. Use a family member as an interpreter.
B. Provide written instructions in the patient's primary language.
C. Use a certified medical interpreter for discharge teaching.
D. Speak slowly and loudly in English.
Answer: C
10. Which of the following best describes the concept of evidence-based practice in
nursing?
A. Using traditional methods of care that have always been used.
B. Basing clinical decisions on the best available research evidence, clinical expertise, and
patient preferences.
C. Following physician orders without question.
D. Relying solely on textbook knowledge for patient care.
