Complete Test Bank: Nursing Fundamentals (2nd
Edition) – Open RN (Ernstmeyer & Christman)
TEXTBOOK OVERVIEW
Nursing Fundamentals (2nd Edition) by Ernstmeyer & Christman is an Open RN
OER textbook aligned with the Wisconsin Technical College System (WTCS)
curriculum. It covers core nursing concepts including nursing history, the nursing
process, ethics/legal issues, safety, infection control, communication, and care
across the lifespan.
MODULE 1: INTRODUCTION TO NURSING PRACTICE (Questions 1-20)
Q1. Which of the following organizations defines the scope of practice for nurses
within each state?
A) American Nurses Association (ANA)
B) World Health Organization (WHO)
C) National League for Nursing (NLN)
D) State Board of Nursing
1
,Correct Answer: D
Rationale: The State Board of Nursing enforces each state's Nurse Practice Act and
sets the legal scope of practice for nurses within that jurisdiction. The ANA
establishes national standards and ethics but does not enforce state-specific scope.
Q2. A nursing student is asked to adjust an IV drip rate without supervision. What
is the most appropriate action?
A) Adjust the drip rate as ordered
B) Politely refuse and notify the instructor
C) Ask a peer to help
D) Ignore the request and walk away
Correct Answer: B
Rationale: Students must always practice under supervision. Performing tasks
independently can violate legal and ethical standards and patient safety principles.
2
,Q3. What is the most accurate definition of "Scope of Practice"?
A) Services that nurses perform if they feel confident
B) Services defined by each healthcare facility
C) Services legally permitted by licensure
D) Any care provided by a certified nurse
Correct Answer: C
Rationale: Scope of Practice is defined as the services that a trained professional is
legally allowed to perform based on licensure and regulations.
Q4. Which of the following tasks is outside the legal scope of practice for a
Licensed Practical Nurse (LPN)?
A) Administering oral medications
B) Assisting in data collection
C) Diagnosing client conditions
D) Reinforcing health teaching
3
, Correct Answer: C
Rationale: Diagnosing is within the RN's role. LPNs cannot interpret data or
diagnose clients.
Q5. Which document should a nurse consult to understand their legal boundaries
for practice?
A) The American Nurses Credentialing Center guide
B) The facility orientation manual
C) The Nurse Practice Act
D) A nursing journal
Correct Answer: C
Rationale: The Nurse Practice Act defines the legal scope of practice for each state
and is the primary regulatory guide for nurses.
4
Edition) – Open RN (Ernstmeyer & Christman)
TEXTBOOK OVERVIEW
Nursing Fundamentals (2nd Edition) by Ernstmeyer & Christman is an Open RN
OER textbook aligned with the Wisconsin Technical College System (WTCS)
curriculum. It covers core nursing concepts including nursing history, the nursing
process, ethics/legal issues, safety, infection control, communication, and care
across the lifespan.
MODULE 1: INTRODUCTION TO NURSING PRACTICE (Questions 1-20)
Q1. Which of the following organizations defines the scope of practice for nurses
within each state?
A) American Nurses Association (ANA)
B) World Health Organization (WHO)
C) National League for Nursing (NLN)
D) State Board of Nursing
1
,Correct Answer: D
Rationale: The State Board of Nursing enforces each state's Nurse Practice Act and
sets the legal scope of practice for nurses within that jurisdiction. The ANA
establishes national standards and ethics but does not enforce state-specific scope.
Q2. A nursing student is asked to adjust an IV drip rate without supervision. What
is the most appropriate action?
A) Adjust the drip rate as ordered
B) Politely refuse and notify the instructor
C) Ask a peer to help
D) Ignore the request and walk away
Correct Answer: B
Rationale: Students must always practice under supervision. Performing tasks
independently can violate legal and ethical standards and patient safety principles.
2
,Q3. What is the most accurate definition of "Scope of Practice"?
A) Services that nurses perform if they feel confident
B) Services defined by each healthcare facility
C) Services legally permitted by licensure
D) Any care provided by a certified nurse
Correct Answer: C
Rationale: Scope of Practice is defined as the services that a trained professional is
legally allowed to perform based on licensure and regulations.
Q4. Which of the following tasks is outside the legal scope of practice for a
Licensed Practical Nurse (LPN)?
A) Administering oral medications
B) Assisting in data collection
C) Diagnosing client conditions
D) Reinforcing health teaching
3
, Correct Answer: C
Rationale: Diagnosing is within the RN's role. LPNs cannot interpret data or
diagnose clients.
Q5. Which document should a nurse consult to understand their legal boundaries
for practice?
A) The American Nurses Credentialing Center guide
B) The facility orientation manual
C) The Nurse Practice Act
D) A nursing journal
Correct Answer: C
Rationale: The Nurse Practice Act defines the legal scope of practice for each state
and is the primary regulatory guide for nurses.
4
