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Test Bank for deWit's Fundamental Concepts and Skills for Nursing, 5th Edition by Patricia A. Williams – Complete Exam Questions & Answer Key

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This Test Bank is a comprehensive exam-preparation resource for deWit's Fundamental Concepts and Skills for Nursing, Fifth Edition, by Patricia A. Williams. The document contains hundreds of multiple-choice, multiple-response, completion, and ordering questions organized across the textbook's full chapter sequence, covering Nursing and the Health Care System; the nursing process; legal and ethical aspects of nursing; documentation of nursing care; communication; growth and development from infancy through adolescence; adulthood and the family; promoting healthy adaptation to aging; cultural and spiritual aspects of patient care; loss, grief, and end-of-life care; infection prevention and control; aseptic technique and the hospital environment; admitting, transferring, and discharging patients; diagnostic tests and specimen collection; fluid, electrolyte, and acid-base balance; concepts of basic nutrition and cultural considerations; nutritional therapy and assisted feeding; respiration and oxygen delivery; urinary elimination; bowel elimination; pain, comfort, and sleep; complementary and alternative therapies; pharmacology and preparation for drug administration; administering oral, topical, and inhalant medications; administering intradermal, subcutaneous, and intramuscular injections; administering intravenous solutions and medications; perioperative care; wound care and pressure ulcer treatment; and a final chapter covering additional nursing concepts. Each question includes the correct answer along with the cognitive level, reference page, learning objective, topic, nursing process step, and NCLEX category, covering topics such as managed care, nursing history and theorists, standards of care, cultural competence, spiritual care, grief stages, infection control and isolation precautions, vital signs, specimen collection, fluid and electrolyte balance, therapeutic diets, enteral and parenteral nutrition, oxygen therapy, urinary catheterization, enemas and ostomy care, pain management, sleep, complementary therapies, medication administration routes and calculations, IV therapy and blood transfusions, preoperative and postoperative care, wound healing, and pressure ulcer staging. Students can use this test bank for exam preparation, chapter review, practice questions, self-assessment, and homework support in fundamentals of nursing courses.

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TEST BANK FOR FUNDAMENTAL CONCEPTS AND
SKILLS FOR NURSING BY PATRICIA A. WILLIAMS
WITH 41CHAPTERS ALL COMPLETE WITH
QUESTIONS AND ANSWERS WITH RATIONALES
2026 NEW UPDATE


Nursing and the Health Care System: Chapter 01
1. If a member of a health maintenance organization (HMO) is having respiratory
problems such as fever, cough, and fatigue for several days and wants to see a specialist, the
person is required to go:
a. directly to an emergency room for treatment.
b. to any general practitioner of choice.
c. directly to a respiratory specialist.
d. to a primary care provider for a referral.
ANS: D
Participants in an HMO must see their primary provider to receive a referral for a specialist in
order for the HMO to pay for the care.


DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #11
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A


2. An advantage of preferred provider organizations (PPOs) is that:
a. they make insurance coverage of employees less expensive to employers.
b. there are fewer physicians to choose from than in an HMO.
c. long-term relationships with physicians are more likely.
d. patients may go directly to a specialist for care.
ANS: A
The use of PPOs allows insurance companies to keep their premiums low and in turn makes
insurance coverage less expensive for the employers. There are usually more physicians from

Page 1 of 632

,which to choose than from an HMO, but long-term relationships between physician and
patient cannot be established easily. Patients still must see their primary physician before
being referred to other specialties.


DIF: Cognitive Level: Knowledge REF: p. 11 OBJ: Theory #11
TOP: Preferred Provider Organizations KEY: Nursing Process Step: N/A MSC: NCLEX:
N/A


3. After passing the National Council Licensure Examination for Practical Nurses
(NCLEX PN), the nurse is qualified to take an additional certification in the field of: a.
pharmacology.
b. care of infants and children.
c. operating room technology.
d. community health.
ANS: A
After becoming an LPN, the nurse may apply for additional certification in pharmacology or
long-term care.


DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #6
TOP: Educational Opportunities KEY: Nursing Process Step: N/A MSC: NCLEX: N/A


4. Nursing interventions are best defined as activities that:
a. are taken to improve the patient’s health.
b. involve researching methods to maintain asepsis.
c. include the family in nursing care.




d. review guidelines for handling infectious wastes.


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,ANS: A
Interventions are actions taken to improve, maintain, or restore health.


DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: Theory #2
TOP: Art and Science of Nursing KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Detection of Disease


5. Nurse Practice Acts define the legal scope of an LPN’s practice, which are written
and enforced by:
a. American Nurses Association.
b. National Council Licensure Examiners.
c. each state.
d. each health care agency.
ANS: C
Each state writes and enforces the Nurse Practice Act, which defines the legal scope of
nursing practice.


DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #3
TOP: Nurse Practice Act KEY: Nursing Process Step: N/A MSC: NCLEX: N/A


6. Women volunteers were organized to give nursing care to the wounded soldiers
during the Civil War by:
a. Florence Nightingale.
b. Dorothea Dix.
c. Clara Barton.
d. Lillian Wald.
ANS: B
The Union government appointed Dorothea Dix, a social worker, to organize women
volunteers to provide nursing care for the soldiers during the Civil War.


DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4
TOP: Nursing History KEY: Nursing Process Step: N/A MSC: NCLEX: N/A

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, 7. The nursing theory presented by Sister Calista Roy is based on:
a. reduction of stress.
b. achievement of maximum level of wellness.
c. relief of self-care deficit.
d. adaptation modes.
ANS: D
Adaptation modes (physiological, psychological, sociological, and independence) are the
basis of the nursing theory of Sister Calista Roy.


DIF: Cognitive Level: Knowledge REF: p. 5|Table 1-1
OBJ: Theory #2 TOP: Nursing Theory KEY: Nursing Process Step: N/A MSC: NCLEX:
N/A




8. The founding of the Red Cross is attributed to:
a. Lillian Wald.
b. Dorothea Dix.
c. Florence Nightingale.
d. Clara Barton.
ANS: D
Clara Barton founded the Red Cross.


DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: Theory #4
TOP: Nursing History KEY: Nursing Process Step: N/A MSC: NCLEX: N/A


9. The nursing theorist whose practice framework is based on 14 fundamental needs is:
a. Dorothy Johnson.
b. Jean Watson.
c. Virginia Henderson.


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