,Chapter 1: Introduction to Nursing and Professional Formation
Part A: Multiple Choice (1–40)
1. A nurse is explaining the meaning of nursing as both an art and a science. Which statement best
reflects the science of nursing?
A) The compassionate application of knowledge at the bedside
B) The knowledge base for the care that is provided
C) The emotional connection formed with patients
D) The technical skills performed during procedures
ANS: B
Rationale: The science of nursing is the knowledge base for care. The art of nursing is the skilled
application of that knowledge .
2. Which nursing leader is credited with founding modern nursing education and elevating nursing to a
respected profession?
A) Clara Barton
B) Lillian Wald
C) Florence Nightingale
D) Lavinia Dock
ANS: C
Rationale: Florence Nightingale elevated the status of nursing to a respected occupation, improved
quality of care, and founded modern nursing education .
3. A nurse is planning a community health promotion activity. Which activity best reflects the aim of
promoting health?
A) Administering intravenous antibiotics to a patient with sepsis
B) Teaching fall prevention and home safety at a senior center
C) Performing a blood glucose screening for diabetes
D) Providing crutch-walking education to a child with a fracture
ANS: B
Rationale: Promoting health involves teaching and empowering individuals to take an active role in their
health. Screening detects existing disease; IV antibiotics and crutch walking address existing conditions .
4. Which of the following is a characteristic that defines nursing as a profession?
A) An undefined body of knowledge
B) Dependence on the medical profession
C) A strong service orientation
D) An ability to diagnose medical problems
,ANS: C
Rationale: A strong service orientation is a defining criterion of a profession. Nursing has a defined body
of knowledge, autonomy, and accountability .
5. A nurse is caring for a postoperative patient whose pain is limiting incentive spirometer use. Which
action best reflects the aim of restoring health?
A) Teaching the patient about influenza vaccination
B) Assessing pain, administering prescribed analgesia, and coaching spirometer use once effective
C) Referring the patient to a community support group
D) Screening the patient for depression
ANS: B
Rationale: Restoring health involves interventions that help the patient recover from illness or surgery.
Addressing pain to enable pulmonary hygiene supports recovery .
6. Which of the following best describes the role of the nurse as an advocate?
A) Making decisions for the patient when the patient is unable
B) Protecting the patient's rights and ensuring their wishes are respected
C) Following institutional policy without question
D) Deferring all patient concerns to the physician
ANS: B
Rationale: Advocacy involves protecting patients' rights and ensuring their values and wishes are
respected within the healthcare system.
7. A nurse is caring for a patient who refuses a prescribed medication. What is the nurse's priority
action?
A) Administer the medication against the patient's will
B) Respect the refusal, document it, and notify the provider
C) Discharge the patient immediately
D) Ask a family member to convince the patient
ANS: B
Rationale: Competent patients have the right to refuse treatment. The nurse respects the refusal,
documents it, notifies the provider, and continues monitoring.
8. Which nursing role involves coordinating care with other disciplines and making referrals?
A) Teacher/Educator
B) Leader
C) Counselor
D) Collaborator
, ANS: D
Rationale: The collaborator role involves coordinating care across disciplines and referring patients to
other professionals or community resources .
9. A nurse practitioner is caring for parents of an infant newly diagnosed with Down syndrome and
makes a referral to a parent support group. This best illustrates which nursing role?
A) Teacher/Educator
B) Leader
C) Counselor
D) Collaborator
ANS: D
Rationale: Making referrals to other healthcare professionals or community resources is an example of
the collaborator role .
10. Which of the following is an example of an ethical/legal skill in nursing?
A) Obtaining a urine sample for urinalysis
B) Explaining the rationale for a patient's plan of care
C) Helping a patient prepare a living will
D) Holding the hand of a grieving mother
ANS: C
Rationale: Helping a patient prepare a living will involves ethical/legal considerations related to advance
directives and patient autonomy. Obtaining a specimen is technical; explaining rationale is
cognitive/communication; holding a hand is interpersonal/comfort .
11. A nurse is teaching a woman about breast self-examination. This is an example of which broad aim
of nursing?
A) Promoting health
B) Preventing illness
C) Restoring health
D) Facilitating coping with disability or death
ANS: A
Rationale: Teaching breast self-examination promotes health by empowering individuals to take an
active role in early detection .
12. Which nursing activity best meets the aim of facilitating coping with disability and death?
A) Conducting a blood pressure screening program
B) Teaching testicular self-examination
Part A: Multiple Choice (1–40)
1. A nurse is explaining the meaning of nursing as both an art and a science. Which statement best
reflects the science of nursing?
A) The compassionate application of knowledge at the bedside
B) The knowledge base for the care that is provided
C) The emotional connection formed with patients
D) The technical skills performed during procedures
ANS: B
Rationale: The science of nursing is the knowledge base for care. The art of nursing is the skilled
application of that knowledge .
2. Which nursing leader is credited with founding modern nursing education and elevating nursing to a
respected profession?
A) Clara Barton
B) Lillian Wald
C) Florence Nightingale
D) Lavinia Dock
ANS: C
Rationale: Florence Nightingale elevated the status of nursing to a respected occupation, improved
quality of care, and founded modern nursing education .
3. A nurse is planning a community health promotion activity. Which activity best reflects the aim of
promoting health?
A) Administering intravenous antibiotics to a patient with sepsis
B) Teaching fall prevention and home safety at a senior center
C) Performing a blood glucose screening for diabetes
D) Providing crutch-walking education to a child with a fracture
ANS: B
Rationale: Promoting health involves teaching and empowering individuals to take an active role in their
health. Screening detects existing disease; IV antibiotics and crutch walking address existing conditions .
4. Which of the following is a characteristic that defines nursing as a profession?
A) An undefined body of knowledge
B) Dependence on the medical profession
C) A strong service orientation
D) An ability to diagnose medical problems
,ANS: C
Rationale: A strong service orientation is a defining criterion of a profession. Nursing has a defined body
of knowledge, autonomy, and accountability .
5. A nurse is caring for a postoperative patient whose pain is limiting incentive spirometer use. Which
action best reflects the aim of restoring health?
A) Teaching the patient about influenza vaccination
B) Assessing pain, administering prescribed analgesia, and coaching spirometer use once effective
C) Referring the patient to a community support group
D) Screening the patient for depression
ANS: B
Rationale: Restoring health involves interventions that help the patient recover from illness or surgery.
Addressing pain to enable pulmonary hygiene supports recovery .
6. Which of the following best describes the role of the nurse as an advocate?
A) Making decisions for the patient when the patient is unable
B) Protecting the patient's rights and ensuring their wishes are respected
C) Following institutional policy without question
D) Deferring all patient concerns to the physician
ANS: B
Rationale: Advocacy involves protecting patients' rights and ensuring their values and wishes are
respected within the healthcare system.
7. A nurse is caring for a patient who refuses a prescribed medication. What is the nurse's priority
action?
A) Administer the medication against the patient's will
B) Respect the refusal, document it, and notify the provider
C) Discharge the patient immediately
D) Ask a family member to convince the patient
ANS: B
Rationale: Competent patients have the right to refuse treatment. The nurse respects the refusal,
documents it, notifies the provider, and continues monitoring.
8. Which nursing role involves coordinating care with other disciplines and making referrals?
A) Teacher/Educator
B) Leader
C) Counselor
D) Collaborator
, ANS: D
Rationale: The collaborator role involves coordinating care across disciplines and referring patients to
other professionals or community resources .
9. A nurse practitioner is caring for parents of an infant newly diagnosed with Down syndrome and
makes a referral to a parent support group. This best illustrates which nursing role?
A) Teacher/Educator
B) Leader
C) Counselor
D) Collaborator
ANS: D
Rationale: Making referrals to other healthcare professionals or community resources is an example of
the collaborator role .
10. Which of the following is an example of an ethical/legal skill in nursing?
A) Obtaining a urine sample for urinalysis
B) Explaining the rationale for a patient's plan of care
C) Helping a patient prepare a living will
D) Holding the hand of a grieving mother
ANS: C
Rationale: Helping a patient prepare a living will involves ethical/legal considerations related to advance
directives and patient autonomy. Obtaining a specimen is technical; explaining rationale is
cognitive/communication; holding a hand is interpersonal/comfort .
11. A nurse is teaching a woman about breast self-examination. This is an example of which broad aim
of nursing?
A) Promoting health
B) Preventing illness
C) Restoring health
D) Facilitating coping with disability or death
ANS: A
Rationale: Teaching breast self-examination promotes health by empowering individuals to take an
active role in early detection .
12. Which nursing activity best meets the aim of facilitating coping with disability and death?
A) Conducting a blood pressure screening program
B) Teaching testicular self-examination
