Fundamental Concepts and Skills for Nursing – Test
Bank (7th Edition, Patricia A. Williams)
150 Comprehensive Questions with Detailed Rationales |
Complete Exam Preparation Material
EXAM INSTRUCTIONS
Textbook: Fundamental Concepts and Skills for Nursing, 7th Edition
Author: Patricia A. Williams
Publisher: Elsevier
ISBN: 978-0-443-24523-7
Target Audience: LPN/LVN Nursing Students
Format: Multiple Choice, Case-Based, NCLEX-PN® Style
Total Questions: 150 (Chapters 1-42)
SECTION 1: INTRODUCTION TO NURSING AND THE HEALTH
CARE SYSTEM (Questions 1-25)
1. Florence Nightingale's contributions to nursing practice and education were:
a) Historically important but have no validity for nursing today
b) Neither recognized nor appreciated in her own time
c) A major factor in reducing the death rate in the Crimean War
d) Limited only to the care of severe traumatic wounds
Rationale: By improving sanitation, nutrition, ventilation, and handwashing techniques,
Florence Nightingale's nurses dramatically reduced the death rate from injuries in the
Crimean War. Her environmental theory emphasized the role of fresh air, cleanliness, and
proper nutrition in patient recovery .
,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
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. These schools provided
women with career opportunities and professional identity .
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
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. These roles
enable the LPN to provide holistic, patient-centered care .
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
Rationale: Although nursing theories differ, they all base their beliefs on human
relationships, the environment, and health. These common concepts form the foundation
of nursing practice across all theoretical frameworks .
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
, Rationale: The National Federation of Licensed Practical Nurses modified the standards
published by the ANA in 2015 to better fit the role of the LPN. State Boards of Nursing
enforce Nurse Practice Acts, which define the legal scope of LPN practice .
6. 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
Rationale: The use of scientific information from high-quality research to guide nursing
decisions is reflective of the application of evidence-based practice. This approach moves
beyond tradition and unsystematic experience .
7. 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
Rationale: The Henry Street Settlement Service brought the provision of community health
care to the poor people living in tenements. This was a pioneering effort in public health
nursing .
8. 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
Rationale: By broadening the educational base, an LPN/LVN may advance and build a
nursing career. Educational pathways allow LPNs to progress to RN programs and
beyond .
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983,
the purpose was to:
a) Put patients with the same diagnosis on the same unit
b) Attempt to contain the costs of health care
c) Increase the availability of medical care to older adults
d) Identify a patient's condition more quickly
Bank (7th Edition, Patricia A. Williams)
150 Comprehensive Questions with Detailed Rationales |
Complete Exam Preparation Material
EXAM INSTRUCTIONS
Textbook: Fundamental Concepts and Skills for Nursing, 7th Edition
Author: Patricia A. Williams
Publisher: Elsevier
ISBN: 978-0-443-24523-7
Target Audience: LPN/LVN Nursing Students
Format: Multiple Choice, Case-Based, NCLEX-PN® Style
Total Questions: 150 (Chapters 1-42)
SECTION 1: INTRODUCTION TO NURSING AND THE HEALTH
CARE SYSTEM (Questions 1-25)
1. Florence Nightingale's contributions to nursing practice and education were:
a) Historically important but have no validity for nursing today
b) Neither recognized nor appreciated in her own time
c) A major factor in reducing the death rate in the Crimean War
d) Limited only to the care of severe traumatic wounds
Rationale: By improving sanitation, nutrition, ventilation, and handwashing techniques,
Florence Nightingale's nurses dramatically reduced the death rate from injuries in the
Crimean War. Her environmental theory emphasized the role of fresh air, cleanliness, and
proper nutrition in patient recovery .
,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
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. These schools provided
women with career opportunities and professional identity .
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
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. These roles
enable the LPN to provide holistic, patient-centered care .
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
Rationale: Although nursing theories differ, they all base their beliefs on human
relationships, the environment, and health. These common concepts form the foundation
of nursing practice across all theoretical frameworks .
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
, Rationale: The National Federation of Licensed Practical Nurses modified the standards
published by the ANA in 2015 to better fit the role of the LPN. State Boards of Nursing
enforce Nurse Practice Acts, which define the legal scope of LPN practice .
6. 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
Rationale: The use of scientific information from high-quality research to guide nursing
decisions is reflective of the application of evidence-based practice. This approach moves
beyond tradition and unsystematic experience .
7. 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
Rationale: The Henry Street Settlement Service brought the provision of community health
care to the poor people living in tenements. This was a pioneering effort in public health
nursing .
8. 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
Rationale: By broadening the educational base, an LPN/LVN may advance and build a
nursing career. Educational pathways allow LPNs to progress to RN programs and
beyond .
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983,
the purpose was to:
a) Put patients with the same diagnosis on the same unit
b) Attempt to contain the costs of health care
c) Increase the availability of medical care to older adults
d) Identify a patient's condition more quickly
