,Chapter 1: Nursing, Theory, and Professional Practice
Focus: Nursing history, definitions, theories, roles, and
professionalism.
Total Questions: 20
Includes: Correct answers and deep rationales, NCLEX-
needs aligned.
Question 1
A nurse is explaining the influence of Florence
Nightingale’s contributions to a group of new nurses.
Which of the following statements best reflects her impact
on modern nursing?
A) She introduced the nursing process as a systematic
framework for patient care.
B) She developed the first licensing exam for nurses.
C) She established the first evidence-based nursing
guidelines.
D) She demonstrated that improved environmental
conditions reduce morbidity and mortality.
✅ Correct Answer: D
Rationale: Florence Nightingale is considered the founder
of modern nursing due to her pioneering work during the
Crimean War. Her observations and statistical analyses
proved that improving environmental factors such as
sanitation, ventilation, and nutrition significantly reduced
patient mortality. Nightingale did not develop the nursing
process (this came much later), nor did she create licensing
exams or formal evidence-based guidelines in the modern
,sense, though her work was foundational to these
concepts.
DIF: Understanding
TOP: Nursing History
MSC: NCLEX Client Needs: Safe and Effective Care
Environment – Safety and Infection Control
Question 2
A nurse manager is mentoring a novice nurse about
professional role development. Which action by the nurse
best exemplifies the concept of nursing professionalism?
A) Completing tasks quickly to avoid overtime
B) Refusing to delegate tasks to unlicensed staff
C) Advocating for patient-centered care despite institutional
constraints
D) Following physician orders without question
✅ Correct Answer: C
Rationale: Nursing professionalism involves advocacy,
ethical practice, and prioritizing patient welfare even when
it challenges organizational systems. Simply working
quickly (A) or refusing delegation (B) does not reflect
professional growth. Blind obedience to physicians (D)
ignores nursing's autonomous role in patient care.
DIF: Analyzing
TOP: Professionalism in Nursing
MSC: NCLEX Client Needs: Safe and Effective Care
Environment – Management of Care
, Question 3
Which of the following is the most accurate definition of
nursing, according to the American Nurses Association
(ANA)?
A) The diagnosis and treatment of disease and injury in
collaboration with the healthcare team.
B) The promotion of health, prevention of illness, and care
of individuals with a focus on holistic well-being.
C) The application of scientific and technical knowledge to
carry out physician orders.
D) The implementation of medical care plans based on
provider prescriptions.
✅ Correct Answer: B
Rationale: The ANA defines nursing as the "protection,
promotion, and optimization of health and abilities;
prevention of illness and injury; facilitation of healing;
alleviation of suffering through the diagnosis and treatment
of human response; and advocacy in the care of
individuals, families, groups, communities, and
populations." Nursing is not limited to medical
interventions but encompasses holistic, preventive, and
person-centered care.
DIF: Remembering
TOP: Definitions of Nursing
MSC: NCLEX Client Needs: Health Promotion and
Maintenance
Question 4
Focus: Nursing history, definitions, theories, roles, and
professionalism.
Total Questions: 20
Includes: Correct answers and deep rationales, NCLEX-
needs aligned.
Question 1
A nurse is explaining the influence of Florence
Nightingale’s contributions to a group of new nurses.
Which of the following statements best reflects her impact
on modern nursing?
A) She introduced the nursing process as a systematic
framework for patient care.
B) She developed the first licensing exam for nurses.
C) She established the first evidence-based nursing
guidelines.
D) She demonstrated that improved environmental
conditions reduce morbidity and mortality.
✅ Correct Answer: D
Rationale: Florence Nightingale is considered the founder
of modern nursing due to her pioneering work during the
Crimean War. Her observations and statistical analyses
proved that improving environmental factors such as
sanitation, ventilation, and nutrition significantly reduced
patient mortality. Nightingale did not develop the nursing
process (this came much later), nor did she create licensing
exams or formal evidence-based guidelines in the modern
,sense, though her work was foundational to these
concepts.
DIF: Understanding
TOP: Nursing History
MSC: NCLEX Client Needs: Safe and Effective Care
Environment – Safety and Infection Control
Question 2
A nurse manager is mentoring a novice nurse about
professional role development. Which action by the nurse
best exemplifies the concept of nursing professionalism?
A) Completing tasks quickly to avoid overtime
B) Refusing to delegate tasks to unlicensed staff
C) Advocating for patient-centered care despite institutional
constraints
D) Following physician orders without question
✅ Correct Answer: C
Rationale: Nursing professionalism involves advocacy,
ethical practice, and prioritizing patient welfare even when
it challenges organizational systems. Simply working
quickly (A) or refusing delegation (B) does not reflect
professional growth. Blind obedience to physicians (D)
ignores nursing's autonomous role in patient care.
DIF: Analyzing
TOP: Professionalism in Nursing
MSC: NCLEX Client Needs: Safe and Effective Care
Environment – Management of Care
, Question 3
Which of the following is the most accurate definition of
nursing, according to the American Nurses Association
(ANA)?
A) The diagnosis and treatment of disease and injury in
collaboration with the healthcare team.
B) The promotion of health, prevention of illness, and care
of individuals with a focus on holistic well-being.
C) The application of scientific and technical knowledge to
carry out physician orders.
D) The implementation of medical care plans based on
provider prescriptions.
✅ Correct Answer: B
Rationale: The ANA defines nursing as the "protection,
promotion, and optimization of health and abilities;
prevention of illness and injury; facilitation of healing;
alleviation of suffering through the diagnosis and treatment
of human response; and advocacy in the care of
individuals, families, groups, communities, and
populations." Nursing is not limited to medical
interventions but encompasses holistic, preventive, and
person-centered care.
DIF: Remembering
TOP: Definitions of Nursing
MSC: NCLEX Client Needs: Health Promotion and
Maintenance
Question 4
