Franklyn A Plus Pass
TEST BANK for Fundamentals of Nursing 12th
Edition by Patricia A. Potter
All Chapters Covered 1-50| Verified Q&As with Rationales for
Exam Preparations| A+ PASS ASSURED
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Chapter 1: Nursing Today
MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ACCURATE ANSWER: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after
Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was instrumental
in moving nursing education into universities. Clara Barton founded the American Red Cross. Lillian
Wald helped open the Henry Street Settlement.
DIF: Understand (comprehension)
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of nursing
practice is the nurse following?
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a. Assessment
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b. Diagnosis
c. Planning
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d. Implementation
ACCURATE ANSWER: C
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In planning, the registered nurse develops a plan that prescribes strategies and alternatives to attain
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expected outcomes. During assessment, the registered nurse collects comprehensive data pertinent to the
patient’s health and/or the situation. In diagnosis, the registered nurse analyzes the assessment data to
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determine the diagnoses or issues. During implementation, the registered nurse implements (carries out)
the identified plan.
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DIF: Understand (comprehension)
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OBJ: Discuss the development of professional nursing roles. TOP: Planning MSC: Management of
Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the
nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ACCURATE ANSWER: A
A beginning nursing student or any nurse entering a situation in which there is no previous level of
experience (e.g., an experienced operating room nurse chooses to now practice in home health) is an
example of a novice nurse. A proficient nurse perceives a patient’s clinical situation as a whole, is able to
assess an entire situation, and can readily transfer knowledge gained from multiple previous experiences
to a situation. A competent nurse understands the organization and specific care required by the type of
patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a competent practitioner who is
able to anticipate nursing care and establish long-range goals. A nurse who has had some level of
experience with the situation is an advanced beginner. This experience may only be observational in
nature, but the nurse is able to identify meaningful aspects or principles of nursing care.
DIF: Apply (application)
OBJ: Discuss the development of professional nursing roles. TOP: Evaluation MSC: Management of
Care
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4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids. The
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nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?
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a. Licensure
b. Autonomy
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c. Certification
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d. Accountability
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ACCURATE ANSWER: B
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Autonomy is an essential element of professional nursing that involves the initiation of independent
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nursing interventions without medical orders. To obtain licensure in the United States, the RN candidate
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must pass the NCLEX- -
certification in a specific area of nursing practice. Accountability means that you are responsible,
professionally and legally, for the type and quality of nursing care provided.
DIF: Apply (application)
OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ACCURATE ANSWER: B
A manager coordinates the activities of members of the nursing staff in delivering nursing care and has
personnel, policy, and budgetary responsibility for a specific nursing unit or facility. As an educator, you
explain concepts and facts about health, describe the reason for routine care activities, demonstrate
procedures such as self-care activities, reinforce learning or patient behavior, and evaluate the patient’s
progress in learning. As a patient advocate, you protect your patient’s human and legal rights and provide
assistance in asserting these rights if the need arises. As a caregiver, you help patients maintain and regain
health, manage disease and symptoms, and attain a maximal level function and independence through the
healing process.
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DIF: Apply (application)
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OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
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Management of Care
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6. The nurse has been working in the clinical setting for several years as an advanced practice nurse.
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However, the nurse has a strong desire to pursue research and theory development. To fulfill this desire,
which program should the nurse attend?
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a. Doctor of Nursing Science degree (DNSc)
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b. Doctor of Philosophy degree (PhD)
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c. Doctor of Nursing Practice degree (DNP)
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d. Doctor in the Science of Nursing degree (DSN)
ACCURATE ANSWER: B
Some doctoral programs prepare nurses for more rigorous research and theory development and award the
research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral programs in nursing
(DSN or DNSc) prepare graduates to apply research findings to clinical nursing. The DNP is a practice
doctorate that prepares advanced practice nurses such as nurse practitioners.
DIF: Understand (comprehension)
OBJ: Compare and contrast the educational programs available for professional registered nurse (RN)
education. TOP: Teaching/Learning MSC: Management of Care
7. A nurse attends a workshop on current nursing issues provided by the American Nurses Association.
Which type of education did the nurse receive?
a. Graduate education
b. Inservice education
c. Continuing education
d. Registered nurse education
ACCURATE ANSWER: C
Continuing education involves formal, organized educational programs offered by universities, hospitals,
state nurses associations, professional nursing organizations, and educational and health care institutions.
After obtaining a baccalaureate degree in nursing, you can pursue graduate education leading to a
master’s or doctoral degree in any number of graduate fields, including nursing. Inservice education
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programs are instruction or training provided by a health care facility or institution. Registered nurse
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education is the education preparation for an individual intending to be an RN.
DIF: Apply (application)
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OBJ: Compare and contrast the educational programs available for professional registered nurse (RN
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education. TOP: Teaching/Learning MSC: Management of Care
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8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education for
Nurses (QSEN) competency is the nurse demonstrating?
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a. Safety
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b. Patient-centered care
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c. Quality improvement
d. Teamwork and collaboration
ACCURATE ANSWER: C
Quality improvement identifies gaps between local and best practices. Safety minimizes risk of harm to
patients and providers through both system effectiveness and individual performance. Patient-centered
care recognizes the patient or designee as the source of control and full partner in providing
compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
Teamwork and collaboration allows effective functioning within nursing and interprofessional teams,
fostering open communication, mutual respect, and shared decision making.
DIF: Understand (comprehension)
OBJ: Discuss the roles and career opportunities for nurses. TOP: Evaluation MSC: Management of
Care
9. A nurse has compassion fatigue. What is the nurse experiencing?
a. Lateral violence and intrapersonal conflict
b. Burnout and secondary traumatic stress
c. Short-term grief and single stressor
d. Physical and mental exhaustion
ACCURATE ANSWER: B
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic stress.
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Compassion fatigue may contribute to what is described as lateral violence
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(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief and loss
places nurses at risk for developing compassion fatigue. Stressors, not a single stressor, contribute to
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compassion fatigue. Physical and mental exhaustion describes burnout only.
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DIF: Understand (comprehension)
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices.
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TOP: Assessment MSC: Health Promotion and Maintenance
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10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells
the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions. The nurse does not
allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the
nurse displaying?
a. Manager
b. Patient educator
c. Patient advocate
d. Clinical nurse specialist
ACCURATE ANSWER: C
As a patient advocate, the nurse protects the patient’s human and legal rights, including the right of the
patient to understand procedures before signing permits. Although nurses can be educators, it is the
responsibility of the surgeon to provide education for the patient in preparation for surgery, and it is the
nurse’s responsibility to notify the health care provider if the patient is not properly educated. Managers
coordinate the activities of members of the nursing staff in delivering nursing care, and clinical nurse
specialists are experts in a specialized area of nursing practice in a variety of settings.
DIF: Apply (application)
OBJ: Discuss the roles and career opportunities for nurses. TOP: Evaluation MSC: Management of
Care
11. The patient requires routine gynecological services after giving birth to her son, and while seeing the
nurse-midwife, the patient asks for a referral to a pediatrician for the newborn. Which action should the
nurse-midwife take initially?
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a. Provide the referral as requested.
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b. Offer to provide the newborn care.
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c. Refer the patient to the supervising provider.
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d. Tell the patient that is not allowed to make referrals.
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ACCURATE ANSWER: B
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The practice of nurse-midwifery involves providing independent care for women during normal
pregnancy, labor, and delivery, as well as care for the newborn. After being apprised of the midwifery
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role, if the patient insists on seeing a pediatrician, the nurse-midwife should provide the referral. The
supervising provider is an obstetric provider, not a pediatrician. A nurse-midwife can make referrals.
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DIF: Analyze (analysis)
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OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
Management of Care
12. The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity is
appropriate for a CRNA?
a. Manages gynecological services such as PAP smears.
b. Works under the guidance of an anesthesiologist.
c. Obtains a PhD degree in anesthesiology.
d. Coordinates acute medical conditions.
ACCURATE ANSWER: B
Nurse anesthetists provide surgical anesthesia under the guidance and supervision of an anesthesiologist,
who is a physician (health care provider) with advanced knowledge of surgical anesthesia. Nurse
practitioners, not CRNAs, manage self-limiting acute and chronic stable medical conditions; certified
nurse-midwives provide gynecological services such as routine Papanicolaou (Pap) smears. The CRNA is
an RN with an advanced education in a nurse anesthesia accredited program. A PhD is not a requirement.
DIF: Understand (comprehension)
OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
Management of Care
13. A nurse teaches a group of nursing students about nurse practice acts. Which information is most
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important to include in the teaching session about nurse practice acts?
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a. Protects the nurse.
b. Protects the public.
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c. Protects the provider.
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d. Protects the hospital.
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ACCURATE ANSWER: B
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The nurse practice acts regulate the scope of nursing practice and protect public health, safety, and
welfare. They do not protect the nurse, provider, or hospital.
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DIF: Understand (comprehension)
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OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices.
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TOP: Teaching/Learning MSC: Management of Care
14. A bill has been submitted to the State House of Representatives that is designed to reduce the cost of
health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive care units to 3:1.
What should the nurse realize?
a. Legislation is politics beyond the nurse’s control.
b. National programs have no bearing on state politics.
c. The individual nurse can influence legislative decisions.
d. Focusing on nursing care provides the best patient benefit.
ACCURATE ANSWER: C
Nurses can influence policy decisions at all governmental levels. One way is to get involved by
participating in local and national efforts. This effort is critical in exerting nurses’ influence early in the
political process. Legislation is not beyond the nurse’s control. National program can have bearing on
state politics. The question is focusing on legislation and health care costs, not nursing care.
DIF: Analyze (analysis)
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Management of Care
15. A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which
guide is the nurse using?
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a. Code of ethics
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b. Standards of practice
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c. Standards of professional performance
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d. Quality and safety education for nurses
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ACCURATE ANSWER: A
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The code of ethics is the philosophical ideals of right and wrong that define the principles you will use to
provide care to your patients. The standards of practice describe a competent level of nursing care. The
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ANA Standards of Professional Performance describe a competent level of behavior in the professional
role. Quality and safety education for nurses addresses the challenge to prepare nurses with the
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competencies needed to continuously improve the quality of care in their work environments.
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