12th Edition) — Comprehensive Test Bank
**Course:** Registered Nursing (RN) —
Fundamentals of Nursing
**Textbook:** *Fundamentals of Nursing*, 12th
Edition
**Authors:** Patricia A. Potter, Anne Griffin
Perry, Patricia A. Stockert, & Amy M. Hall
**Publisher:** Elsevier (2025)
**Relevant Licensure Exam:** NCLEX-RN (Next
Generation NCLEX)
**Document Edition:** 12th Edition ONLY —
standalone document
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## PART 1 of 5: Chapters 1–10 — Questions 1–
70
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,### Chapter 1: Nursing Today — Questions 1–8
**Q1.** A nurse is reviewing the historical foundations of the 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. Clara Barton
(A) founded the American Red Cross. Dorothea Dix (C) advocated for mental health reform. Lillian
Wald (D) founded the Henry Street Settlement.
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**Q2.** A 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 require the task to be within the UAP's scope and
appropriate for the patient's condition. Vital signs on a stable patient are within UAP scope. Initial
assessment, medication administration, and care planning 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:** Advocacy involves protecting patients' rights, ensuring informed consent, and
respecting autonomy and preferences. Following orders without question (A) is 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 includes direct patient care and ensuring patient safety by
monitoring for hazards and implementing preventive interventions. The educator (B) teaches
patients and families. The advocate (C) protects patient rights. The change agent (D) improves
systems and processes.
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**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 CNL is prepared at the master's level to coordinate care and improve
outcomes at the microsystem level. Direct bedside care (A) describes the staff nurse. Prescriptive
authority (C) describes APRNs. Budget management (D) describes nurse executives.
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**Q6.** A nurse manager is implementing a shared governance model on the unit. Which outcome
best demonstrates successful implementation?
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**