Fundamentals of Nursing Care Concepts, Connections & Skills
4th Edition
By David Burton
All Chapters 1–40 · 200 Straight Questions with Correct Answers
Instructions: Each item below is a direct question with its correct answer shown immediately after, in bold and
highlighted in yellow.
Table of Contents
Ch. Title Questions
1 The Vista of Nursing Q1–5
2 Health-Care Delivery, Settings, and Economics Q6–10
3 Ethics, Law, and Delegation in Nursing Q11–15
4 The Nursing Process: Critical Thinking, Decision Making, and Clinical Q16–20
Judgment
5 Documentation Q21–25
6 Communication and Relationships Q26–30
7 Promoting Health and Wellness Q31–35
8 Ethnic, Cultural, and Spiritual Aspects of Care Q36–40
9 Growth and Development Throughout the Life Span Q41–45
10 Loss, Grief, and Dying Q46–50
11 Complementary and Alternative Medicine Q51–55
12 Patient Teaching Q56–60
13 Safety Q61–65
14 Medical Asepsis and Infection Control Q66–70
15 Personal Care Q71–75
16 Moving and Positioning Patients Q76–80
17 Vital Signs Q81–85
18 Applying Heat and Cold Therapies Q86–90
19 Diagnostic Testing Q91–95
20 Admission, Transfer, and Discharge Q96–100
21 Assessing Health Q101–105
22 Wound Care Q106–110
23 Activity and Exercise Q111–115
24 Rest and Sleep Q116–120
25 Nutrition Q121–125
26 Urinary Elimination Q126–130
27 Bowel Elimination Q131–135
28 Oxygenation Q136–140
29 Fluid, Electrolyte, and Acid-Base Balance Q141–145
30 Pain Management Q146–150
31 Principles of Medication Administration Q151–155
32 Administering Oral, Topical, and Mucosal Medications Q156–160
33 Administering Parenteral Medications Q161–165
34 Intravenous Therapy Q166–170
35 Perioperative Nursing Care Q171–175
36 Sensory and Perceptual Health Q176–180
,37 Self-Concept Q181–185
38 Sexuality Q186–190
39 Stress and Coping Q191–195
40 Care of the Older Adult Q196–200
, Chapter 1: The Vista of Nursing (Q1–5)
1. How is nursing best described in terms of its dual nature as both a discipline of caring and a body of knowledge?
Answer: Nursing is both an art (the caring, interpersonal, individualized application of skill) and a
science (grounded in a research-based body of knowledge).
2. What organization is widely recognized as having founded modern, formalized nursing education?
Answer: Florence Nightingale is credited with founding modern nursing and establishing the first formal
nursing education programs.
3. What are the four essential features commonly used to define nursing as a profession?
Answer: A defined body of knowledge, a code of ethics, autonomy/self-regulation, and a commitment to
service/caring for others.
4. What does 'scope of practice' refer to in nursing?
Answer: The legally defined range of responsibilities, roles, and activities a nurse is authorized to
perform based on education, licensure, and jurisdiction.
5. What is a professional nursing organization's primary role in supporting the profession?
Answer: Professional organizations set practice standards, advocate for the profession, and support
continuing education and advancement of nursing knowledge.
Chapter 2: Health-Care Delivery, Settings, and Economics (Q6–10)
6. What is the difference between primary, secondary, and tertiary levels of health care?
Answer: Primary care focuses on health promotion/first contact care; secondary care involves specialized
diagnosis/treatment; tertiary care involves highly specialized, complex care (e.g., trauma centres, ICUs).
7. What is 'managed care,' as a health-care delivery/financing model?
Answer: Managed care is a system designed to control health-care costs and quality through coordinated
care, often involving pre-approved provider networks and utilization review.
8. What is the purpose of a multidisciplinary/interprofessional health-care team?
Answer: To combine the expertise of multiple professions (nursing, medicine, pharmacy, therapy, social
work, etc.) to provide comprehensive, coordinated patient care.
9. What is 'case management' in the context of health-care delivery?
Answer: A collaborative process of assessing, planning, coordinating, and evaluating services to meet a
patient's health needs efficiently across the care continuum.
10. What economic factor has significantly driven the shift of care from inpatient to outpatient/community settings?
Answer: Rising health-care costs have driven efforts to reduce hospital length of stay and shift
appropriate care to lower-cost outpatient and community-based settings.
Chapter 3: Ethics, Law, and Delegation in Nursing (Q11–15)
11. What is the ethical principle of 'autonomy'?
Answer: Autonomy is the right of a competent patient to make their own informed decisions about their
own health care.
12. What is the ethical principle of 'nonmaleficence'?
Answer: Nonmaleficence is the obligation to do no harm to the patient.
13. What is the ethical principle of 'beneficence'?