NURSING CARE: CONCEPTS, CONNECTIONS & SKILLS 4TH
EDITION BY BURTON & SMITH ALL CHAPTERS |
QUESTIONS & 100% VERIFIED ANSWERS AND
RATIONALES | GRADED A+ UPDATED 2025/2026
,Table of Contents
Chapter 1 – The Vista of Nursing
Chapter 2 – Health-Care Delivery, Settings, and Economics
Chapter 3 – Ethics, Law, and Delegation in Nursing
Chapter 4 – The Nursing Process: Critical Thinking and Decision Making
Chapter 5 – Documentation
Chapter 6 – Communication and Relationships
Chapter 7 – Promoting Health and Wellness
Chapter 8 – Ethnic, Cultural, and Spiritual Aspects of Care
Chapter 9 – Growth and Development Throughout the Life Span
Chapter 10 – Loss, Grief, and Dying
Chapter 11 – Complementary and Alternative Medicine
Chapter 12 – Patient Teaching
Chapter 13 – Safety
Chapter 14 – Medical Asepsis and Infection Control
Chapter 15 – Personal Care
Chapter 16 – Moving and Positioning Patients
Chapter 17 – Vital Signs
Chapter 18 – Applying Heat and Cold Therapies
Chapter 19 – Pain Management, Rest, and Restorative Sleep
Chapter 20 – Admission, Transfer, and Discharge
Chapter 21 – Physical Assessment
Chapter 22 – Surgical Asepsis
Chapter 23 – Nutrition
Chapter 24 – Nutritional Care and Support
Chapter 25 – Diagnostic Tests
Chapter 26 – Wound Care
Chapter 27 – Musculoskeletal Care
Chapter 28 – Respiratory Care
Chapter 29 – Fluids, Electrolytes, and Introduction to Acid-Base Balance
Chapter 30 – Bowel Elimination and Care
Chapter 31 – Urinary Elimination and Care
Chapter 32 – Care of Elderly Patients
Chapter 33 – Care of the Surgical Patient
Chapter 34 – Phlebotomy and Blood Specimens
Chapter 35 – Researching and Preparing Medications
Chapter 36 – Administering Oral, Topical, and Mucosal Medications
Chapter 37 – Administering Intradermal, Subcutaneous, and Intramuscular Injections
Chapter 38 – Intravenous Therapy
,Chapter 1 — Introduction to Nursing & Patient-Centered Care
Q1
Which action best reflects patient-centered care?
A. Telling the patient the care plan without input
B. Asking the patient about their values and preferences when planning care
C. Following the unit routine regardless of patient wishes
D. Limiting family involvement to visiting hours only
Answer: B
Rationale: Patient-centered care prioritizes the patient’s values, needs, and
preferences; asking about their values ensures the plan respects autonomy.
Q2
The nursing process sequence is:
A. Planning → Assessment → Implementation → Evaluation → Diagnosis
B. Assessment → Diagnosis → Planning → Implementation → Evaluation
C. Diagnosis → Assessment → Planning → Implementation → Evaluation
D. Implementation → Evaluation → Assessment → Diagnosis → Planning
Answer: B
Rationale: The accepted sequence begins with assessment, leads to nursing
diagnoses, then planning, implementation, and evaluation.
Q3
A patient expresses fear about a new diagnosis. Which ethical principle guides the
nurse to honor the patient’s choices after full disclosure?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C
Rationale: Autonomy respects an individual’s right to make informed decisions
about their care after receiving information.
Q4
When documenting care, the nurse should:
A. Wait until the end of the shift to chart everything from memory
B. Use subjective phrases like “patient is difficult”
C. Chart objectively, immediately, and use approved abbreviations
D. Leave out medication times to shorten the note
Answer: C
, Rationale: Accurate, timely, objective documentation using approved
abbreviations is essential for legal, ethical, and clinical reasons.
Q5
A culturally competent nurse will first:
A. Ignore cultural differences to promote equality
B. Assume what a patient prefers based on group stereotypes
C. Ask open-ended questions about the patient’s beliefs and health practices
D. Require patients to follow hospital cultural norms only
Answer: C
Rationale: Cultural competence begins with assessment through open-ended
questions rather than assumptions.
Q6
A nurse who advocates for a change in a patient’s care plan is practicing which
role?
A. Caregiver only
B. Advocate
C. Delegator only
D. Entrepreneur
Answer: B
Rationale: Advocacy involves representing and supporting a patient’s needs and
wishes within the healthcare system.
Q7
Health literacy affects a patient’s ability to:
A. Only read medication labels
B. Make informed decisions, follow instructions, and navigate the health system
C. Operate medical equipment only
D. Pay for healthcare
Answer: B
Rationale: Health literacy includes comprehension of information, ability to
follow instructions, and navigate services; it’s broader than basic reading.
Q8
When a nurse discovers a medication error that did not harm the patient, the nurse
must:
A. Keep it private if patient is fine
B. Report the incident through institutional channels and document facts
C. Punish the colleague silently