,TEST BANK FOR FUNDAMENTALS OF NURSING, 11TH EDITION
Patricia A. Potter, Anne G. Perry, Patricia A. Stockert, Amy Hall, Wendy R. Ostendorf
Updated for 2025/2026 Academic Year | 60 Questions Per Chapter | Complete Rationales
UNIT 1: NURSING AND THE HEALTH CARE ENVIRONMENT
CHAPTER 1: NURSING TODAY
60 Questions
1. A nurse is caring for a client in a community health center. Which action by the nurse best
demonstrates the core competency of "patient-centered care"?
A) Administering medications as prescribed
B) Documenting the client's vital signs accurately
C) Asking the client about their cultural beliefs regarding health and illness
D) Ensuring the client's room is clean and organized
Answer: C
Rationale: Patient-centered care is a core competency that involves recognizing the patient as the
source of control and full partner in providing compassionate and coordinated care based on respect for
the patient's preferences, values, and needs. Asking about cultural beliefs demonstrates respect for the
patient's individuality and incorporates their values into the care plan. Administering medications and
documenting vital signs are important nursing actions but do not specifically demonstrate patient-
centered care. Ensuring a clean room is related to safety and infection control .
Incorrect Options:
A: This is a nursing task but does not demonstrate patient-centered care specifically.
B: Documentation is important but not an example of patient-centered care.
D: Environmental cleanliness is part of safety, not patient-centered care.
2. A nurse is reviewing the history of nursing. Which individual is credited with establishing the first
nursing school based on Nightingale's principles?
A) Clara Barton
B) Florence Nightingale
C) Dorothea Dix
D) Lillian Wald
,Answer: B
Rationale: Florence Nightingale established the first nursing school based on her principles at St.
Thomas' Hospital in London in 1860. She is considered the founder of modern nursing and established
the foundation for nursing education and practice. Clara Barton founded the American Red Cross.
Dorothea Dix was an advocate for the mentally ill. Lillian Wald founded public health nursing and the
Henry Street Settlement .
Incorrect Options:
A: Clara Barton founded the American Red Cross, not a nursing school.
C: Dorothea Dix was a mental health reformer.
D: Lillian Wald founded public health nursing.
3. A nurse is explaining the concept of "accountability" to a new graduate nurse. Which statement by
the new nurse indicates understanding?
A) "Accountability means I am responsible for following the physician's orders exactly."
B) "Accountability means I am answerable for my nursing actions and their outcomes."
C) "Accountability means I delegate tasks to other staff members."
D) "Accountability means I document everything I do for a client."
Answer: B
Rationale: Accountability is the state of being answerable for one's own actions and outcomes. Nurses
are accountable for their nursing judgments, actions, and the consequences of those actions. This is a
core professional value in nursing. While following orders, delegating tasks, and documenting are
important aspects of nursing practice, they do not fully encompass the concept of accountability .
Incorrect Options:
A: This describes responsibility, not full accountability.
C: Delegation is a nursing function but not the definition of accountability.
D: Documentation is a legal requirement but not the definition of accountability.
4. A nurse is caring for a client who refuses a prescribed medication. Which action by the nurse best
demonstrates the principle of "client autonomy"?
A) Administer the medication anyway because it is prescribed.
B) Explain the risks and benefits of the medication and respect the client's decision.
C) Ask the family to convince the client to take the medication.
D) Notify the provider and ask for a different medication.
Answer: B
, Rationale: Client autonomy is the right of the client to make their own decisions about their health care.
The nurse should provide the client with sufficient information about the risks and benefits of the
medication, respect the client's decision, and document the refusal and the interventions taken.
Administering the medication against the client's will is a violation of autonomy. Involving the family
may be appropriate but should not be used to coerce the client. Notifying the provider is appropriate
but does not address the principle of autonomy directly .
Incorrect Options:
A: This violates the client's right to autonomy.
C: This could constitute coercion and does not respect the client's autonomy.
D: This is appropriate but does not specifically demonstrate autonomy.
5. A nurse is reviewing the ANA Code of Ethics for Nurses. Which statement best describes the purpose
of this code?
A) To provide a legal framework for nursing practice
B) To establish the standards of care for nursing
C) To serve as a guide for ethical decision-making in nursing
D) To define the scope of nursing practice
Answer: C
Rationale: The ANA Code of Ethics for Nurses serves as a guide for ethical decision-making in nursing. It
provides a framework for nurses to make ethical decisions and to advocate for their patients. The code
is not a legal document, although it can be used in legal proceedings. Standards of care and the scope of
nursing practice are defined by other documents .
Incorrect Options:
A: The Code of Ethics is not a legal document.
B: Standards of care are defined by professional organizations and regulatory bodies.
D: The scope of practice is defined by state nurse practice acts.
6. A nurse is discussing the role of the nurse in health promotion. Which activity is an example of
primary prevention?
A) Administering insulin to a client with diabetes
B) Teaching a community group about healthy eating and exercise
C) Performing a breast self-examination
D) Providing rehabilitation services to a client after a stroke
Answer: B
Patricia A. Potter, Anne G. Perry, Patricia A. Stockert, Amy Hall, Wendy R. Ostendorf
Updated for 2025/2026 Academic Year | 60 Questions Per Chapter | Complete Rationales
UNIT 1: NURSING AND THE HEALTH CARE ENVIRONMENT
CHAPTER 1: NURSING TODAY
60 Questions
1. A nurse is caring for a client in a community health center. Which action by the nurse best
demonstrates the core competency of "patient-centered care"?
A) Administering medications as prescribed
B) Documenting the client's vital signs accurately
C) Asking the client about their cultural beliefs regarding health and illness
D) Ensuring the client's room is clean and organized
Answer: C
Rationale: Patient-centered care is a core competency that involves recognizing the patient as the
source of control and full partner in providing compassionate and coordinated care based on respect for
the patient's preferences, values, and needs. Asking about cultural beliefs demonstrates respect for the
patient's individuality and incorporates their values into the care plan. Administering medications and
documenting vital signs are important nursing actions but do not specifically demonstrate patient-
centered care. Ensuring a clean room is related to safety and infection control .
Incorrect Options:
A: This is a nursing task but does not demonstrate patient-centered care specifically.
B: Documentation is important but not an example of patient-centered care.
D: Environmental cleanliness is part of safety, not patient-centered care.
2. A nurse is reviewing the history of nursing. Which individual is credited with establishing the first
nursing school based on Nightingale's principles?
A) Clara Barton
B) Florence Nightingale
C) Dorothea Dix
D) Lillian Wald
,Answer: B
Rationale: Florence Nightingale established the first nursing school based on her principles at St.
Thomas' Hospital in London in 1860. She is considered the founder of modern nursing and established
the foundation for nursing education and practice. Clara Barton founded the American Red Cross.
Dorothea Dix was an advocate for the mentally ill. Lillian Wald founded public health nursing and the
Henry Street Settlement .
Incorrect Options:
A: Clara Barton founded the American Red Cross, not a nursing school.
C: Dorothea Dix was a mental health reformer.
D: Lillian Wald founded public health nursing.
3. A nurse is explaining the concept of "accountability" to a new graduate nurse. Which statement by
the new nurse indicates understanding?
A) "Accountability means I am responsible for following the physician's orders exactly."
B) "Accountability means I am answerable for my nursing actions and their outcomes."
C) "Accountability means I delegate tasks to other staff members."
D) "Accountability means I document everything I do for a client."
Answer: B
Rationale: Accountability is the state of being answerable for one's own actions and outcomes. Nurses
are accountable for their nursing judgments, actions, and the consequences of those actions. This is a
core professional value in nursing. While following orders, delegating tasks, and documenting are
important aspects of nursing practice, they do not fully encompass the concept of accountability .
Incorrect Options:
A: This describes responsibility, not full accountability.
C: Delegation is a nursing function but not the definition of accountability.
D: Documentation is a legal requirement but not the definition of accountability.
4. A nurse is caring for a client who refuses a prescribed medication. Which action by the nurse best
demonstrates the principle of "client autonomy"?
A) Administer the medication anyway because it is prescribed.
B) Explain the risks and benefits of the medication and respect the client's decision.
C) Ask the family to convince the client to take the medication.
D) Notify the provider and ask for a different medication.
Answer: B
, Rationale: Client autonomy is the right of the client to make their own decisions about their health care.
The nurse should provide the client with sufficient information about the risks and benefits of the
medication, respect the client's decision, and document the refusal and the interventions taken.
Administering the medication against the client's will is a violation of autonomy. Involving the family
may be appropriate but should not be used to coerce the client. Notifying the provider is appropriate
but does not address the principle of autonomy directly .
Incorrect Options:
A: This violates the client's right to autonomy.
C: This could constitute coercion and does not respect the client's autonomy.
D: This is appropriate but does not specifically demonstrate autonomy.
5. A nurse is reviewing the ANA Code of Ethics for Nurses. Which statement best describes the purpose
of this code?
A) To provide a legal framework for nursing practice
B) To establish the standards of care for nursing
C) To serve as a guide for ethical decision-making in nursing
D) To define the scope of nursing practice
Answer: C
Rationale: The ANA Code of Ethics for Nurses serves as a guide for ethical decision-making in nursing. It
provides a framework for nurses to make ethical decisions and to advocate for their patients. The code
is not a legal document, although it can be used in legal proceedings. Standards of care and the scope of
nursing practice are defined by other documents .
Incorrect Options:
A: The Code of Ethics is not a legal document.
B: Standards of care are defined by professional organizations and regulatory bodies.
D: The scope of practice is defined by state nurse practice acts.
6. A nurse is discussing the role of the nurse in health promotion. Which activity is an example of
primary prevention?
A) Administering insulin to a client with diabetes
B) Teaching a community group about healthy eating and exercise
C) Performing a breast self-examination
D) Providing rehabilitation services to a client after a stroke
Answer: B
