Nursing (Potter & Perry): NCLEX & HESI
Aligned Questions with Verified Answers
and Rationales”
Chapter-by-chapter test bank mapped to the 2025
NCLEX-RN Test Plan (Safety, Infection Control,
Health Promotion, Psychosocial, and Physiological
Integrity). Includes 100% verified multiple-choice
questions with detailed rationales based on Potter
& Perry’s Fundamentals of Nursing (11th Edition),
CDC standards, and NCSBN guidelines.
,Chapter 1- Nursing and the Health Care
Environment
Chapter 1 — Nursing Today — Nursing as a Profession
Key Concept: Professional roles and autonomy
Nursing Process: Assessment
Stem: Which observation best reflects nursing autonomy in
contemporary clinical practice?
Options:
A. Following a physician’s order to start a medication without
verifying the patient’s allergies.
B. Initiating a standing-order protocol for urinary catheter
removal based on nursing assessment.
C. Referring all patient education questions to the primary
physician.
D. Delaying a required intervention until a physician is available
to prescribe it.
Correct Answer: B — initiating standing-order protocol for
catheter removal
Rationale:
Correct (2–3 sentences): Initiating approved standing-order
protocols based on nursing assessment demonstrates
autonomous nursing practice within scope and improves
outcomes (Fundamentals of Nursing, 11th Ed., Ch. 1, pp. 2–4).
This aligns with ANA professional practice expectations and the
Assessment/Implementation steps.
, A (incorrect): Performing an order without allergy verification
risks patient safety and bypasses nursing assessment
responsibilities.
B (incorrect): (This is the correct option; see above.)
C (incorrect): Referring all education to physicians ignores the
nurse’s role in teaching — a core professional responsibility.
D (incorrect): Delaying care until a physician intervenes reflects
dependency, not autonomous nursing.
Teaching Point: Nurses exercise autonomy through evidence-
based standing orders and clinical judgment.
Question /stem
Chapter 1 — Nursing Today — Historical Influences
Key Concept: Florence Nightingale’s contributions
Nursing Process: Assessment
Stem: Which historical action by Florence Nightingale most
directly influences modern infection-control practices?
Options:
A. Emphasis on individualized patient counseling.
B. Systematic recording of sanitation and outcomes.
C. Development of advanced pharmacology.
D. Popularizing hospital fundraising.
Correct Answer: B — systematic recording of sanitation and
outcomes
Rationale:
Correct (2–3 sentences): Nightingale’s sanitary observations and