Fundamental Concepts and Skills for Nursing – 7th
Edition Test Bank
Textbook: Fundamental Concepts and Skills for Nursing, 7th Edition
Author: Patricia A. Williams
Format: Multiple Choice, NCLEX-Style Questions
Total Questions: 50 Practice Questions (Sample from Test Bank)
Target Audience: LPN/LVN Students, Pre-Licensure Nursing Candidates
Instructions: Choose the single best answer for each question. All rationales are
provided in italics to reinforce key concepts.
UNIT I: INTRODUCTION TO NURSING AND THE HEALTH
CARE SYSTEM (Questions 1-15)
1. Florence Nightingale's contributions to nursing practice and education:
A) Are historically important but have no validity for nursing today
B) Were neither recognized nor appreciated in her own time
C) Were a major factor in reducing the death rate in the Crimean War
D) Were limited only to the care of severe traumatic wounds
Answer: C
Rationale: By improving sanitation, nutrition, ventilation, and handwashing techniques,
Florence Nightingale's nurses dramatically reduced the death rate from injuries in the
Crimean War.
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
Rationale: Because of the influence of early nursing leaders, nursing education became
more formalized through apprenticeships in Nightingale schools that offered
independence to women through education and employment.
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
Rationale: In order for the LPN to apply the common goals of nursing, he or she must
assume the roles of caregiver, educator, collaborator, manager, and advocate.
4. The LPN demonstrates evidence-based practice by:
A) Using a drug manual to check compatibility of drugs
B) Using scientific information to guide decision making
C) Using medical history of a patient to direct nursing interventions
D) Basing nursing care on advice from an experienced nurse
Answer: B
Rationale: The use of scientific information from high-quality research to guide nursing
decisions is reflective of the application of evidence-based practice.
5. Lillian Wald and Mary Brewster established the Henry Street Settlement Service
in New York in 1893 in order to:
A) Offer a shelter to injured war veterans
B) Found a nursing apprenticeship
, C) Provide health care to poor persons living in tenements
D) Offer better housing to low-income families
Answer: C
Rationale: Henry Street Settlement Service brought the provision of community health care
to the poor people living in tenements.
6. An educational pathway for an LPN/LVN refers to an LPN/LVN:
A) Learning on the job and being promoted to a higher level of responsibility
B) Moving from a maternity unit to a more complicated surgical unit
C) Obtaining additional education to move from one level of nursing to another
D) Learning that advancement requires consistent work and commitment
Answer: C
Rationale: By broadening the educational base, an LPN/LVN may advance and build a
nursing career.
7. The advent of diagnosis-related groups (DRGs) required that nurses working in
health care agencies:
A) Record supportive documentation to confirm a patient's need for care in order to
qualify for reimbursement
B) Use the DRG rather than their own observations for patient assessment
C) Be aware of the specific drugs related to the diagnosis
D) Acquire cross-training to make staffing more flexible
Answer: A
Rationale: DRGs required that nurses provide more supportive documentation of their
assessments and identified patient needs to qualify the facility for Medicare
reimbursement.
8. When diagnosis-related groups (DRGs) were established by Medicare in 1983,
the purpose was to:
Edition Test Bank
Textbook: Fundamental Concepts and Skills for Nursing, 7th Edition
Author: Patricia A. Williams
Format: Multiple Choice, NCLEX-Style Questions
Total Questions: 50 Practice Questions (Sample from Test Bank)
Target Audience: LPN/LVN Students, Pre-Licensure Nursing Candidates
Instructions: Choose the single best answer for each question. All rationales are
provided in italics to reinforce key concepts.
UNIT I: INTRODUCTION TO NURSING AND THE HEALTH
CARE SYSTEM (Questions 1-15)
1. Florence Nightingale's contributions to nursing practice and education:
A) Are historically important but have no validity for nursing today
B) Were neither recognized nor appreciated in her own time
C) Were a major factor in reducing the death rate in the Crimean War
D) Were limited only to the care of severe traumatic wounds
Answer: C
Rationale: By improving sanitation, nutrition, ventilation, and handwashing techniques,
Florence Nightingale's nurses dramatically reduced the death rate from injuries in the
Crimean War.
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
Rationale: Because of the influence of early nursing leaders, nursing education became
more formalized through apprenticeships in Nightingale schools that offered
independence to women through education and employment.
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
Rationale: In order for the LPN to apply the common goals of nursing, he or she must
assume the roles of caregiver, educator, collaborator, manager, and advocate.
4. The LPN demonstrates evidence-based practice by:
A) Using a drug manual to check compatibility of drugs
B) Using scientific information to guide decision making
C) Using medical history of a patient to direct nursing interventions
D) Basing nursing care on advice from an experienced nurse
Answer: B
Rationale: The use of scientific information from high-quality research to guide nursing
decisions is reflective of the application of evidence-based practice.
5. Lillian Wald and Mary Brewster established the Henry Street Settlement Service
in New York in 1893 in order to:
A) Offer a shelter to injured war veterans
B) Found a nursing apprenticeship
, C) Provide health care to poor persons living in tenements
D) Offer better housing to low-income families
Answer: C
Rationale: Henry Street Settlement Service brought the provision of community health care
to the poor people living in tenements.
6. An educational pathway for an LPN/LVN refers to an LPN/LVN:
A) Learning on the job and being promoted to a higher level of responsibility
B) Moving from a maternity unit to a more complicated surgical unit
C) Obtaining additional education to move from one level of nursing to another
D) Learning that advancement requires consistent work and commitment
Answer: C
Rationale: By broadening the educational base, an LPN/LVN may advance and build a
nursing career.
7. The advent of diagnosis-related groups (DRGs) required that nurses working in
health care agencies:
A) Record supportive documentation to confirm a patient's need for care in order to
qualify for reimbursement
B) Use the DRG rather than their own observations for patient assessment
C) Be aware of the specific drugs related to the diagnosis
D) Acquire cross-training to make staffing more flexible
Answer: A
Rationale: DRGs required that nurses provide more supportive documentation of their
assessments and identified patient needs to qualify the facility for Medicare
reimbursement.
8. When diagnosis-related groups (DRGs) were established by Medicare in 1983,
the purpose was to:
