FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A nursing student asks why understanding the history of nursing
is important. Which response by the instructor is most
appropriate?
A. "It helps nurses memorize historical dates for licensing
examinations."
B. "It explains how past events have shaped modern nursing
roles, ethics, and patient care."
C. "It is primarily useful for nurses interested in teaching
history."
D. "It replaces the need to learn current standards of practice."
Correct Answer: B
Rationale:
Understanding the history of nursing helps nurses appreciate
how professional roles, ethical standards, education, and
patient care have evolved. Historical events continue to
influence evidence-based practice, healthcare policy, and
professional identity. Memorizing dates alone is not the goal,
history is relevant to all nurses, and current standards of
practice remain essential.
Question 2
,A registered nurse is assigned to care for a patient whose
condition has suddenly deteriorated. Which action best
demonstrates practice within the nurse's professional scope?
A. Independently prescribe a new medication.
B. Perform a focused assessment, notify the provider, and
implement appropriate nursing interventions.
C. Perform surgery because immediate treatment is needed.
D. Delegate the assessment to unlicensed assistive personnel.
Correct Answer: B
Rationale:
Registered nurses are responsible for assessing patients,
identifying changes in condition, implementing nursing
interventions, and collaborating with healthcare providers.
Prescribing medications and performing surgery are outside the
RN scope of practice in most jurisdictions. Assessment cannot
be delegated to unlicensed assistive personnel.
Question 3
A nurse notices another staff member documenting care that
was not provided. What is the nurse's priority action?
A. Ignore the situation because it is not the nurse's
responsibility.
B. Discuss the concern with the coworker and follow
organizational reporting policies if necessary.
, C. Delete the coworker's documentation.
D. Wait until the end of the month to report the incident.
Correct Answer: B
Rationale:
Professionalism requires nurses to promote patient safety,
honesty, and accountability. Addressing concerns directly when
appropriate and following organizational reporting procedures
supports ethical practice and protects patients. Altering another
person's documentation is inappropriate.
Question 4
A newly licensed nurse asks why continuing education is
expected throughout a nursing career. Which response by the
preceptor is best?
A. "Healthcare rarely changes, but continuing education is
required only for promotions."
B. "Lifelong learning helps nurses maintain competence,
improve patient outcomes, and stay current with evolving
evidence."
C. "Only advanced practice nurses need continuing education."
D. "Continuing education is primarily intended to increase
salary."
Correct Answer: B