(@(#(*#U()#)((*Y$()$@U)$*(U)Y(@$(@*)@$($*)@)(@$(*@$)@$(*@$(*$@(U)JMR@*(RJMM<R@<@)URM@()I$)(()@$U)($@@()$(@)$)($@$)(*$)($@)(@)(@)*(@#)(@)@(#)(@#@)(#@)($@()*$U@)($*$)@(*@)(@$)*(#)(@90
1
A complete test
bank for
Fundamentals of
Nursing: The Art
and Science of
Person-Centered
Care, 10th Edition
by Carol R. Taylor,
Pamela B. Lynn,
and Jennifer L. Bartlett.
, (@(#(*#U()#)((*Y$()$@U)$*(U)Y(@$(@*)@$($*)@)(@$(*@$)@$(*@$(*$@(U)JMR@*(RJMM<R@<@)URM@()I$)(()@$U)($@@()$(@)$)($@$)(*$)($@)(@)(@)*(@#)(@)@(#)(@#@)(#@)($@()*$U@)($*$)@(*@)(@$)*(#)(@90
It includes a wide range of exam-style questions and detailed answers covering core nursing principles, patient- 2
centered care, clinical skills, and foundational concepts.
Chapter 1. Introduction to Nursing
MULTIPLE CHOICE
1) An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a master’s degree is considered to be an expert in her
area of practice and works on an oncology unit in a large teaching hospital. Based upon this description, which of the following career roles best
describes this nurse’s role, taking into account her qualifications and experience?
I. Clinical nurse specialist
II. Nurse entrepreneur
III. Nurse practitioner
IV. Nurse educator
ACTUAL ANSWERS- A
Explanations-:
A clinical nurse specialist is a nurse with an advanced degree, education, or experience who is considered to be an expert in a specialized area of
nursing. The clinical nurse specialist carries out direct patient care; consultation; teaching of patients, families, and staff; and research. A nurse
practitioner has an advanced degree and works in a variety of settings to deliver primary care. A nurse educator usually has an advanced degree and
teaches in the educational or clinical setting. A nurse entrepreneur may manage a clinic or health-related business.
2) What guidelines do nurses follow to identify the patient’s health care needs and strengths, to establish and carry out a plan of care to meet those
needs, and to evaluate the effectiveness of the plan to meet established outcomes?
I. Nursing process
II. ANA Standards of Professional Performance
III. Evidence-based practice guidelines
IV. Nurse Practice Acts
ACTUAL ANSWERS- A
Explanations-:
The nursing process is one of the major guidelines for nursing practice. Nurses implement their roles through the nursing process. The nursing process
is used by the nurse to identify the patient’s health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to
evaluate the effectiveness of the plan to meet established outcomes.
3) Which of the following organizations is the best source of information when a nurse wishes to determine whether an action is within the
scope of nursing practice?
I. American Nurses Association (ANA)
II. American Association of Colleges in Nursing (AACN)
III. National League for Nursing (NLN)
IV. International Council of Nurses (ICN)
ACTUAL ANSWERS- A
Explanations-:
The ANA produces the 2003 Nursing: Scope and Standards of Practice, which defines the activities specific and unique to nursing. The AACN addresses
educational standards, while the NLN promotes and fosters various aspects of nursing. The ICN provides a venue for national nursing organizations to
collaborate, but does not define standards and scope of practice.
4) Who is considered to be the founder of professional nursing?
I. Dorothea Dix
II. Lillian Wald
III. Florence Nightingale
IV. Clara Barton
ACTUAL ANSWERS- C
Explanations-:
Florence Nightingale is considered to be the founder of professional nursing. She elevated the status of nursing to a respected occupation, improved the
quality of nursing care, and founded modern nursing education. Although the other choices are women who were important to the development of nursing,
none of them is considered the founder.
5) Which of the following nursing pioneers established the Red Cross in the United States in 1882?
I. Florence Nightingale
II. Clara Barton
III. Dorothea Dix
IV. Jane Addams
, (@(#(*#U()#)((*Y$()$@U)$*(U)Y(@$(@*)@$($*)@)(@$(*@$)@$(*@$(*$@(U)JMR@*(RJMM<R@<@)URM@()I$)(()@$U)($@@()$(@)$)($@$)(*$)($@)(@)(@)*(@#)(@)@(#)(@#@)(#@)($@()*$U@)($*$)@(*@)(@$)*(#)(@90
ACTUAL ANSWERS- B 3
Explanations-:
Clara Barton volunteered to care for wounds and feed union soldiers during the civil war, served as the supervisor of nurses for the Army of the James,
organized hospitals and nurses, and established the Red Cross in the United States in 1882.
6) A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down Syndrome. The nurse makes referrals for a parent
support group for the family. This is an example of which nursing role?
I. Teacher/Educator
II. Leader
III. Counselor
IV. Collaborator
ACTUAL ANSWERS- C
Explanations-:Counseling skills involve the use of therapeutic interpersonal communication skills to provide information, make appropriate referrals, and
facilitate the patient’s problem-solving and
decision-making skills. The teacher/educator uses communication skills to assess, implement, and evaluate individualized teaching plans to meet learning
needs of clients and their families. A leader displays an assertive, self-confident practice of nursing when providing care, effecting change, and
functioning with groups. The collaborator uses skills in organization, communication, and advocacy to facilitate the functions of all members of the health
care team as they provide patient care.
7) A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which of the following actions is the best example of using
the counselor role as a nurse?
I. Discussing the legal aspects of adoption for teens wishing to place their infants with a family
II. Searching the Internet for information on child care for the teens who wish to return to school
III. Conducting a client interview and documenting the information on the client’s chart
IV. Referring a teen who admits having suicidal thoughts to a mental health care specialist
ACTUAL ANSWERS- D
Explanations-:
The role of the counselor includes making appropriate referrals. Discussing legal issues is the role of the advocate and searching for information on the
Internet is the role of a researcher. Conducting a client interview would fall under the role of the caregiver.
8) A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes this state of being?
I. Health is a state of optimal functioning.
II. Health is an absence of illness.
III. Health is always an objective state.
IV. Health is not determined by the patient.
ACTUAL ANSWERS- A
Explanations-:
Health is a state of optimal functioning or well-being. As defined by the World Health Organization, one’s health includes physical, social, and mental
components and is not merely the absence of disease or infirmity. Health is often a subjective state; a person may be medically diagnosed with an
illness but still consider himself or herself healthy.
9) A nurse incorporates the health promotion guidelines established by the U.S. Department of Health document: Healthy People 2010. Which of the
following is a health indicator discussed in this document?
I. Cancer
II. Obesity
III. Diabetes
IV. Hypertension
ACTUAL ANSWERS- B
Explanations-:
The 10 leading indicators of health established by Healthy People 2010 are: physical activity, excessive weight and obesity, tobacco use, substance
abuse, responsible sexual behavior, mental health, injury and violence, environmental quality, immunizations, and access to health care.
10) Which of the following is a criteria W
thW
atW
d.efTinB
esSnM
ur.siW
ngSas profession?
I. an undefined body of knowledge
II. a dependence on the medical profession
III. an ability to diagnose medical problems
IV. a strong service orientation
ACTUAL ANSWERS- D
Explanations-:
Nursing is recognized increasingly as a profession based on the following defining criteria:
well-defined body of specific and unique knowledge; strong service orientation; recognized authority by a professional group; code of ethics;
professional organization that sets standards; ongoing research; and autonomy.
, (@(#(*#U()#)((*Y$()$@U)$*(U)Y(@$(@*)@$($*)@)(@$(*@$)@$(*@$(*$@(U)JMR@*(RJMM<R@<@)URM@()I$)(()@$U)($@@()$(@)$)($@$)(*$)($@)(@)(@)*(@#)(@)@(#)(@#@)(#@)($@()*$U@)($*$)@(*@)(@$)*(#)(@90
11) After graduation from an accredited program in nursing and successfully passing the NCLEX, what gives the nurse a legal right to practice? 4
I. Enrolling in an advanced degree program
II. Filing NCLEX results in the county of residence
III. Being licensed by the State Board of Nursing
IV. Having a signed letter confirming graduation
ACTUAL ANSWERS- C
Explanations-:
The Board of Nursing in each state has the legal authority to allow graduates of approved schools of nursing to take the licensing examination. Those
who successfully meet the requirements for licensure are given a license to practice nursing in the state. It is illegal to practice nursing without a
license issued by the State Board of Nursing. A nurse does not have the legal right to practice nursing by enrolling in an advanced degree program,
filing NCLEX results, or having a letter confirming graduation.
12) A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported
the action to the State Board of Nursing. How might this affect the nurse’s license to practice nursing?
I. It will have no effect on the ability to practice nursing.
II. The nurse can practice nursing at a less-skilled level.
III. The nurse’s license may be revoked or suspended.
IV. The nurse’s license will permanently carry a felony conviction.
ACTUAL ANSWERS- C
Explanations-:
The license and the right to practice nursing can be denied, revoked, or suspended for professional misconduct, such as a crime. Other areas of
professional misconduct include incompetence, negligence, and chemical impairment. Committing a felony does affect the legal right to practice
nursing, does not allow the nurse to practice at a lower level, and is not attached to the license.
13) While providing care to the diabetic patient the nurse determines that the patient has a knowledge deficit regarding insulin administration. This
nursing action is described in which phase of the nursing process?
I. evaluation
II. implementation
III. planning
IV. nursing diagnosis
ACTUAL ANSWERS- D
Explanations-:
1
A complete test
bank for
Fundamentals of
Nursing: The Art
and Science of
Person-Centered
Care, 10th Edition
by Carol R. Taylor,
Pamela B. Lynn,
and Jennifer L. Bartlett.
, (@(#(*#U()#)((*Y$()$@U)$*(U)Y(@$(@*)@$($*)@)(@$(*@$)@$(*@$(*$@(U)JMR@*(RJMM<R@<@)URM@()I$)(()@$U)($@@()$(@)$)($@$)(*$)($@)(@)(@)*(@#)(@)@(#)(@#@)(#@)($@()*$U@)($*$)@(*@)(@$)*(#)(@90
It includes a wide range of exam-style questions and detailed answers covering core nursing principles, patient- 2
centered care, clinical skills, and foundational concepts.
Chapter 1. Introduction to Nursing
MULTIPLE CHOICE
1) An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a master’s degree is considered to be an expert in her
area of practice and works on an oncology unit in a large teaching hospital. Based upon this description, which of the following career roles best
describes this nurse’s role, taking into account her qualifications and experience?
I. Clinical nurse specialist
II. Nurse entrepreneur
III. Nurse practitioner
IV. Nurse educator
ACTUAL ANSWERS- A
Explanations-:
A clinical nurse specialist is a nurse with an advanced degree, education, or experience who is considered to be an expert in a specialized area of
nursing. The clinical nurse specialist carries out direct patient care; consultation; teaching of patients, families, and staff; and research. A nurse
practitioner has an advanced degree and works in a variety of settings to deliver primary care. A nurse educator usually has an advanced degree and
teaches in the educational or clinical setting. A nurse entrepreneur may manage a clinic or health-related business.
2) What guidelines do nurses follow to identify the patient’s health care needs and strengths, to establish and carry out a plan of care to meet those
needs, and to evaluate the effectiveness of the plan to meet established outcomes?
I. Nursing process
II. ANA Standards of Professional Performance
III. Evidence-based practice guidelines
IV. Nurse Practice Acts
ACTUAL ANSWERS- A
Explanations-:
The nursing process is one of the major guidelines for nursing practice. Nurses implement their roles through the nursing process. The nursing process
is used by the nurse to identify the patient’s health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to
evaluate the effectiveness of the plan to meet established outcomes.
3) Which of the following organizations is the best source of information when a nurse wishes to determine whether an action is within the
scope of nursing practice?
I. American Nurses Association (ANA)
II. American Association of Colleges in Nursing (AACN)
III. National League for Nursing (NLN)
IV. International Council of Nurses (ICN)
ACTUAL ANSWERS- A
Explanations-:
The ANA produces the 2003 Nursing: Scope and Standards of Practice, which defines the activities specific and unique to nursing. The AACN addresses
educational standards, while the NLN promotes and fosters various aspects of nursing. The ICN provides a venue for national nursing organizations to
collaborate, but does not define standards and scope of practice.
4) Who is considered to be the founder of professional nursing?
I. Dorothea Dix
II. Lillian Wald
III. Florence Nightingale
IV. Clara Barton
ACTUAL ANSWERS- C
Explanations-:
Florence Nightingale is considered to be the founder of professional nursing. She elevated the status of nursing to a respected occupation, improved the
quality of nursing care, and founded modern nursing education. Although the other choices are women who were important to the development of nursing,
none of them is considered the founder.
5) Which of the following nursing pioneers established the Red Cross in the United States in 1882?
I. Florence Nightingale
II. Clara Barton
III. Dorothea Dix
IV. Jane Addams
, (@(#(*#U()#)((*Y$()$@U)$*(U)Y(@$(@*)@$($*)@)(@$(*@$)@$(*@$(*$@(U)JMR@*(RJMM<R@<@)URM@()I$)(()@$U)($@@()$(@)$)($@$)(*$)($@)(@)(@)*(@#)(@)@(#)(@#@)(#@)($@()*$U@)($*$)@(*@)(@$)*(#)(@90
ACTUAL ANSWERS- B 3
Explanations-:
Clara Barton volunteered to care for wounds and feed union soldiers during the civil war, served as the supervisor of nurses for the Army of the James,
organized hospitals and nurses, and established the Red Cross in the United States in 1882.
6) A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down Syndrome. The nurse makes referrals for a parent
support group for the family. This is an example of which nursing role?
I. Teacher/Educator
II. Leader
III. Counselor
IV. Collaborator
ACTUAL ANSWERS- C
Explanations-:Counseling skills involve the use of therapeutic interpersonal communication skills to provide information, make appropriate referrals, and
facilitate the patient’s problem-solving and
decision-making skills. The teacher/educator uses communication skills to assess, implement, and evaluate individualized teaching plans to meet learning
needs of clients and their families. A leader displays an assertive, self-confident practice of nursing when providing care, effecting change, and
functioning with groups. The collaborator uses skills in organization, communication, and advocacy to facilitate the functions of all members of the health
care team as they provide patient care.
7) A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which of the following actions is the best example of using
the counselor role as a nurse?
I. Discussing the legal aspects of adoption for teens wishing to place their infants with a family
II. Searching the Internet for information on child care for the teens who wish to return to school
III. Conducting a client interview and documenting the information on the client’s chart
IV. Referring a teen who admits having suicidal thoughts to a mental health care specialist
ACTUAL ANSWERS- D
Explanations-:
The role of the counselor includes making appropriate referrals. Discussing legal issues is the role of the advocate and searching for information on the
Internet is the role of a researcher. Conducting a client interview would fall under the role of the caregiver.
8) A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes this state of being?
I. Health is a state of optimal functioning.
II. Health is an absence of illness.
III. Health is always an objective state.
IV. Health is not determined by the patient.
ACTUAL ANSWERS- A
Explanations-:
Health is a state of optimal functioning or well-being. As defined by the World Health Organization, one’s health includes physical, social, and mental
components and is not merely the absence of disease or infirmity. Health is often a subjective state; a person may be medically diagnosed with an
illness but still consider himself or herself healthy.
9) A nurse incorporates the health promotion guidelines established by the U.S. Department of Health document: Healthy People 2010. Which of the
following is a health indicator discussed in this document?
I. Cancer
II. Obesity
III. Diabetes
IV. Hypertension
ACTUAL ANSWERS- B
Explanations-:
The 10 leading indicators of health established by Healthy People 2010 are: physical activity, excessive weight and obesity, tobacco use, substance
abuse, responsible sexual behavior, mental health, injury and violence, environmental quality, immunizations, and access to health care.
10) Which of the following is a criteria W
thW
atW
d.efTinB
esSnM
ur.siW
ngSas profession?
I. an undefined body of knowledge
II. a dependence on the medical profession
III. an ability to diagnose medical problems
IV. a strong service orientation
ACTUAL ANSWERS- D
Explanations-:
Nursing is recognized increasingly as a profession based on the following defining criteria:
well-defined body of specific and unique knowledge; strong service orientation; recognized authority by a professional group; code of ethics;
professional organization that sets standards; ongoing research; and autonomy.
, (@(#(*#U()#)((*Y$()$@U)$*(U)Y(@$(@*)@$($*)@)(@$(*@$)@$(*@$(*$@(U)JMR@*(RJMM<R@<@)URM@()I$)(()@$U)($@@()$(@)$)($@$)(*$)($@)(@)(@)*(@#)(@)@(#)(@#@)(#@)($@()*$U@)($*$)@(*@)(@$)*(#)(@90
11) After graduation from an accredited program in nursing and successfully passing the NCLEX, what gives the nurse a legal right to practice? 4
I. Enrolling in an advanced degree program
II. Filing NCLEX results in the county of residence
III. Being licensed by the State Board of Nursing
IV. Having a signed letter confirming graduation
ACTUAL ANSWERS- C
Explanations-:
The Board of Nursing in each state has the legal authority to allow graduates of approved schools of nursing to take the licensing examination. Those
who successfully meet the requirements for licensure are given a license to practice nursing in the state. It is illegal to practice nursing without a
license issued by the State Board of Nursing. A nurse does not have the legal right to practice nursing by enrolling in an advanced degree program,
filing NCLEX results, or having a letter confirming graduation.
12) A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported
the action to the State Board of Nursing. How might this affect the nurse’s license to practice nursing?
I. It will have no effect on the ability to practice nursing.
II. The nurse can practice nursing at a less-skilled level.
III. The nurse’s license may be revoked or suspended.
IV. The nurse’s license will permanently carry a felony conviction.
ACTUAL ANSWERS- C
Explanations-:
The license and the right to practice nursing can be denied, revoked, or suspended for professional misconduct, such as a crime. Other areas of
professional misconduct include incompetence, negligence, and chemical impairment. Committing a felony does affect the legal right to practice
nursing, does not allow the nurse to practice at a lower level, and is not attached to the license.
13) While providing care to the diabetic patient the nurse determines that the patient has a knowledge deficit regarding insulin administration. This
nursing action is described in which phase of the nursing process?
I. evaluation
II. implementation
III. planning
IV. nursing diagnosis
ACTUAL ANSWERS- D
Explanations-:
