FUNDAMENTALS OF NURSING
CARE
CONCEPTS, CONNECTIONS &
SKILLS
4TH EDITION
• AUTHOR(S)MARTI BURTON;
DAVID SMITH
TEST BANK
,Question 1
A first-semester nursing student asks why understanding the
history of nursing is important. Which response by the
instructor is most appropriate?
A. "History has little influence on modern nursing practice."
B. "Understanding history helps nurses appreciate how the
profession has evolved to improve patient care."
C. "History is only important for nurses pursuing leadership
roles."
D. "Historical knowledge is primarily needed to pass licensing
examinations."
Correct Answer: B
Rationale:
The history of nursing provides insight into the profession's
development, ethical values, standards of care, and
commitment to patient advocacy. Understanding how nursing
has evolved helps nurses appreciate current professional
responsibilities and supports evidence-informed practice. The
other options incorrectly minimize the value of nursing history.
Question 2
A newly licensed registered nurse asks which resource defines
the legal scope of nursing practice within a state. Which
response by the nurse manager is correct?
,A. The hospital's employee handbook
B. The state's Nurse Practice Act
C. The physician's practice guidelines
D. The patient's insurance policy
Correct Answer: B
Rationale:
Each state's Nurse Practice Act establishes the legal scope of
nursing practice, licensure requirements, and professional
responsibilities. Although employers develop policies and
procedures, they cannot expand practice beyond state law.
Physician guidelines and insurance policies do not define legal
nursing practice.
Question 3
A nurse is caring for four patients. Which action best
demonstrates professionalism?
A. Ignoring institutional policies because personal experience is
sufficient
B. Maintaining patient confidentiality while communicating
respectfully with the healthcare team
C. Discussing patient information with friends after work
D. Delegating all patient teaching to assistive personnel
Correct Answer: B
, Rationale:
Professionalism includes ethical behavior, accountability,
confidentiality, respectful communication, and adherence to
standards of practice. Sharing confidential information violates
ethical and legal responsibilities. Personal experience does not
replace policies, and patient education is a registered nurse's
responsibility.
Question 4
A nursing student is considering different educational pathways
into nursing. Which statement by the instructor is accurate?
A. Only one educational pathway leads to RN licensure.
B. Multiple educational pathways may prepare students for RN
licensure depending on regulatory requirements.
C. All nurses must first become licensed practical nurses.
D. Bachelor's degrees are required before any nursing license
can be obtained.
Correct Answer: B
Rationale:
Registered nurses may enter practice through different
approved educational pathways depending on jurisdictional
requirements. Not all nurses begin as practical nurses, and a
bachelor's degree is not universally required for initial RN
licensure.