edition) — ComPrehensive test Bank
**Course:** registered nursing (Bsn) — Fundamentals oF
nursing
**textBook:** *Fundamentals oF nursing*, 11th edition
**authors:** Potter, Perry, stoCkert, & hall
**PuBlisher:** elsevier (2023)
**relevant liCensure exam:** nClex-rn (next
generation nClex)
**doCument edition:** 11th edition only
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## PART 1: Chapters 1–5 — Questions 1–50
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### Chapter 1: Nursing Today — Questions 1–10
**Q1.** A nurse is reviewing the historical foundations of the nursing profession. Which individual is credited with
establishing the first training school for nurses and defining nursing as a distinct profession separate from medicine?
A. Clara Barton
B. Florence Nightingale
C. Dorothea Dix
D. Lillian Wald
** Correct Answer: B**
,** Rationale:** Florence Nightingale established the Nightingale Training School for Nurses at St. Thomas'
Hospital in London in 1860 and defined nursing as both an art and a science focused on putting the patient in the
best condition for nature to act. Clara Barton founded the American Red Cross, not a nursing school. Dorothea Dix
advocated for mental health reform. Lillian Wald founded the Henry Street Settlement and public health nursing.
---
**Q2.** The nurse is preparing to delegate a task to unlicensed assistive personnel (UAP). Which nursing action
demonstrates appropriate understanding of the five rights of delegation?
A. Delegating the initial assessment of a newly admitted patient
B. Assigning the UAP to administer oral medications
C. Delegating vital signs for a stable patient to the UAP
D. Asking the UAP to develop the patient's plan of care
** Correct Answer: C**
** Rationale:** The five rights of delegation—right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation—require that the task be within the UAP's scope of
practice and appropriate for the patient's condition. Vital signs on a stable patient are within UAP scope. Initial
assessment, medication administration, and care planning are professional nursing responsibilities that cannot be
delegated to UAP.
---
**Q3.** A nurse is explaining the role of the nurse as an advocate. Which action best exemplifies patient advocacy?
A. Following the physician's orders exactly as written without question
B. Ensuring the patient's preferences and values are respected in care decisions
C. Completing tasks efficiently to save time and resources
D. Documenting care accurately for legal protection
** Correct Answer: B**
,** Rationale:** Patient advocacy involves protecting patients' rights, ensuring informed consent, and
respecting their autonomy and preferences. Following orders without question (A) describes compliance, not
advocacy. Efficiency (C) and documentation (D) are important but do not define advocacy.
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**Q4.** Which nursing role is primarily focused on identifying and correcting potential safety hazards in the health
care environment?
A. Caregiver
B. Educator
C. Advocate
D. Change agent
** Correct Answer: A**
** Rationale:** The caregiver role encompasses direct patient care and includes ensuring patient safety,
monitoring for hazards, and implementing interventions to prevent harm. The educator role focuses on teaching
patients and families. The advocate role focuses on protecting patient rights. The change agent role focuses on
improving systems and processes.
---
**Q5.** A nurse is working in a hospital that has implemented the Clinical Nurse Leader (CNL) role. Which function is
most specific to the CNL role?
A. Providing direct bedside care to a team of patients
B. Coordinating care and improving outcomes at the microsystem level
C. Performing independent prescriptive authority
D. Managing the hospital's entire nursing budget
** Correct Answer: B**
, ** Rationale:** The Clinical Nurse Leader (CNL) is prepared at the master's level to oversee the care
coordination of a distinct group of patients and improve outcomes at the microsystem level. Direct bedside care (A)
describes the staff nurse. Prescriptive authority (C) describes advanced practice registered nurses (APRNs). Budget
management (D) describes nurse executives.
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**Q6.** During a community health fair, a nurse is explaining the role of the nurse as an educator. Which statement
by the nurse best reflects this role?
A. "I will perform your dressing change every morning."
B. "Let me show you how to check your blood glucose correctly."
C. "I will advocate for your discharge plan with the insurance company."
D. "I will complete your admission assessment when you arrive."
** Correct Answer: B**
** Rationale:** The educator role involves teaching patients and families self-care skills to promote
independence and health. Performing dressing changes (A) is the caregiver role. Advocating with insurance (C) is the
advocate role. Admission assessment (D) is part of the caregiver and assessment roles.
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**Q7.** A nurse manager is implementing a shared governance model on the unit. Which outcome best
demonstrates the successful implementation of this model?
A. All decisions are made exclusively by the nurse manager
B. Staff nurses participate in decision-making related to clinical practice and unit operations
C. Physicians assume responsibility for nursing scheduling
D. The unit adopts a strict hierarchical communication structure
** Correct Answer: B**