FOUNDATIONS AND ADULT HEALTH
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
1
Reference: Ch. 1 — The Evolution of Nursing — Roles and
Responsibilities
Question Stem: A licensed practical/vocational nurse (LPN) is
delegating tasks to an unlicensed assistive personnel (UAP) on a
medical-surgical floor. Which task is the LPN most appropriate
to assign to the UAP?
A. Administer scheduled oral antibiotics.
B. Assist the patient with morning hygiene and toileting.
C. Perform the initial focused assessment after post-op arrival.
D. Teach the patient how to self-administer insulin.
Correct Answer: B
,Rationales:
• Correct (B): Assisting with hygiene and toileting is an ADL
within UAP scope and appropriate for delegation; the LPN
remains accountable for supervision and outcomes.
• A (incorrect): Medication administration requires licensure
and is not within typical UAP responsibilities.
• C (incorrect): Initial post-op assessments require clinical
judgment and should be completed by a licensed nurse.
• D (incorrect): Teaching complex self-care (insulin
technique) requires licensed nursing skills and assessment
of learning readiness.
Teaching Point: Delegate ADLs to UAPs; nurses retain
supervision and accountability.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
2
Reference: Ch. 1 — Licensure for Practical and Vocational
Nursing
Question Stem: Which statement best describes the primary
purpose of professional licensure for practical/vocational
nurses?
A. To guarantee employment in any healthcare facility.
B. To protect the public by verifying minimum competency.
,C. To dictate the nurse’s specific workplace policies.
D. To replace continuing education requirements.
Correct Answer: B
Rationales:
• Correct (B): Licensure exists primarily to protect the public
by ensuring nurses meet minimum competency standards
before practicing.
• A (incorrect): Licensure does not guarantee employment;
it permits legal practice.
• C (incorrect): Workplace policies are set by employers and
regulators, not by licensure itself.
• D (incorrect): Licensure complements but does not replace
continuing education requirements.
Teaching Point: Licensure verifies minimum competency to
protect the public.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
3
Reference: Ch. 1 — Nursing Care Models — Functional Nursing
Question Stem: During a staffing shortage, a clinic adopts a
functional nursing approach. What is a likely consequence of
this model?
, A. One nurse provides comprehensive care to assigned patients.
B. Care is organized by tasks, which can increase efficiency but
fragment care.
C. A case manager coordinates all aspects of a patient’s care
across settings.
D. Interdisciplinary collaboration is eliminated.
Correct Answer: B
Rationales:
• Correct (B): Functional nursing assigns tasks (e.g.,
medication, bathing) to staff, improving efficiency but
risking fragmented, impersonal care.
• A (incorrect): That describes primary nursing, not
functional nursing.
• C (incorrect): Case management is a different model
focused on coordination, not functional task allocation.
• D (incorrect): Interdisciplinary collaboration continues but
may be less integrated; it is not eliminated.
Teaching Point: Functional nursing improves task efficiency but
risks fragmented care.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
4
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
1
Reference: Ch. 1 — The Evolution of Nursing — Roles and
Responsibilities
Question Stem: A licensed practical/vocational nurse (LPN) is
delegating tasks to an unlicensed assistive personnel (UAP) on a
medical-surgical floor. Which task is the LPN most appropriate
to assign to the UAP?
A. Administer scheduled oral antibiotics.
B. Assist the patient with morning hygiene and toileting.
C. Perform the initial focused assessment after post-op arrival.
D. Teach the patient how to self-administer insulin.
Correct Answer: B
,Rationales:
• Correct (B): Assisting with hygiene and toileting is an ADL
within UAP scope and appropriate for delegation; the LPN
remains accountable for supervision and outcomes.
• A (incorrect): Medication administration requires licensure
and is not within typical UAP responsibilities.
• C (incorrect): Initial post-op assessments require clinical
judgment and should be completed by a licensed nurse.
• D (incorrect): Teaching complex self-care (insulin
technique) requires licensed nursing skills and assessment
of learning readiness.
Teaching Point: Delegate ADLs to UAPs; nurses retain
supervision and accountability.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
2
Reference: Ch. 1 — Licensure for Practical and Vocational
Nursing
Question Stem: Which statement best describes the primary
purpose of professional licensure for practical/vocational
nurses?
A. To guarantee employment in any healthcare facility.
B. To protect the public by verifying minimum competency.
,C. To dictate the nurse’s specific workplace policies.
D. To replace continuing education requirements.
Correct Answer: B
Rationales:
• Correct (B): Licensure exists primarily to protect the public
by ensuring nurses meet minimum competency standards
before practicing.
• A (incorrect): Licensure does not guarantee employment;
it permits legal practice.
• C (incorrect): Workplace policies are set by employers and
regulators, not by licensure itself.
• D (incorrect): Licensure complements but does not replace
continuing education requirements.
Teaching Point: Licensure verifies minimum competency to
protect the public.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
3
Reference: Ch. 1 — Nursing Care Models — Functional Nursing
Question Stem: During a staffing shortage, a clinic adopts a
functional nursing approach. What is a likely consequence of
this model?
, A. One nurse provides comprehensive care to assigned patients.
B. Care is organized by tasks, which can increase efficiency but
fragment care.
C. A case manager coordinates all aspects of a patient’s care
across settings.
D. Interdisciplinary collaboration is eliminated.
Correct Answer: B
Rationales:
• Correct (B): Functional nursing assigns tasks (e.g.,
medication, bathing) to staff, improving efficiency but
risking fragmented, impersonal care.
• A (incorrect): That describes primary nursing, not
functional nursing.
• C (incorrect): Case management is a different model
focused on coordination, not functional task allocation.
• D (incorrect): Interdisciplinary collaboration continues but
may be less integrated; it is not eliminated.
Teaching Point: Functional nursing improves task efficiency but
risks fragmented care.
Citation: Cooper, K., & Gosnell, K. (2023). Foundations and
Adult Health Nursing (9th ed.). Ch. 1.
4
