FOUNDATIONS AND ADULT HEALTH
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
1
Reference
Ch. 1 — History of Nursing and Nursing Education
Question Stem
A newly hired LPN is assigned to a unit where RNs usually
perform admission assessments. The charge RN asks the LPN to
complete the initial comprehensive admission assessment for a
stable postoperative adult. What is the most appropriate action
for the LPN to take?
Options
A. Accept and complete the comprehensive admission
assessment to show willingness to help.
B. Politely decline and request the RN perform the
,comprehensive assessment, offering to collect vital signs and
history.
C. Complete only the sections that are clearly within LPN
education and skip complex portions.
D. Tell the charge RN that performing assessments is outside
your job description and refuse.
Correct Answer
B
Rationales
• Correct (B): LPNs provide safe nursing care within their
scope; delegating the comprehensive RN-level admission
assessment to an RN while offering to gather data (vitals,
basic history) supports collaboration and patient safety.
• Incorrect (A): Volunteering to perform an RN-level
assessment exceeds typical practical nursing scope and
risks unsafe practice.
• Incorrect (C): Omitting parts of a required assessment
creates documentation gaps and potential safety issues;
clarifying role with RN is better.
• Incorrect (D): Abrupt refusal is unprofessional; the LPN
should communicate scope limitations respectfully and
propose safe alternatives.
Teaching Point
LPNs perform tasks within their scope and collaborate with RNs
for comprehensive assessments.
,Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
2
Reference
Ch. 1 — Changes in Nursing During the 20th Century
Question Stem
A nurse educator explains to students how 20th-century
developments shaped modern nursing roles. Which example
best demonstrates an effect of those changes on current
nursing practice?
Options
A. Nurses primarily provided only bedside comfort without
technical interventions.
B. Formal education and standardized licensure led to expanded
technical responsibilities and professional accountability.
C. Nursing remained an informal family-based role with little
institutional oversight.
D. Nurses stopped participating in community health initiatives.
Correct Answer
B
Rationales
, • Correct (B): Expansion of formal education and licensure in
the 20th century increased nurses’ technical
responsibilities and emphasized professional
accountability.
• Incorrect (A): This describes earlier, not 20th-century,
nursing; modern nursing includes technical and clinical
tasks.
• Incorrect (C): Institutional oversight and formal training
grew in the 20th century, not the opposite.
• Incorrect (D): Community health involvement expanded
rather than declined as public health and education
advanced.
Teaching Point
Standardized education and licensure professionalized nursing
and broadened clinical responsibilities.
Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
3
Reference
Ch. 1 — Significant Changes in Nursing For the 21st Century
Question Stem
A hospital is implementing an electronic health record (EHR)
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
1
Reference
Ch. 1 — History of Nursing and Nursing Education
Question Stem
A newly hired LPN is assigned to a unit where RNs usually
perform admission assessments. The charge RN asks the LPN to
complete the initial comprehensive admission assessment for a
stable postoperative adult. What is the most appropriate action
for the LPN to take?
Options
A. Accept and complete the comprehensive admission
assessment to show willingness to help.
B. Politely decline and request the RN perform the
,comprehensive assessment, offering to collect vital signs and
history.
C. Complete only the sections that are clearly within LPN
education and skip complex portions.
D. Tell the charge RN that performing assessments is outside
your job description and refuse.
Correct Answer
B
Rationales
• Correct (B): LPNs provide safe nursing care within their
scope; delegating the comprehensive RN-level admission
assessment to an RN while offering to gather data (vitals,
basic history) supports collaboration and patient safety.
• Incorrect (A): Volunteering to perform an RN-level
assessment exceeds typical practical nursing scope and
risks unsafe practice.
• Incorrect (C): Omitting parts of a required assessment
creates documentation gaps and potential safety issues;
clarifying role with RN is better.
• Incorrect (D): Abrupt refusal is unprofessional; the LPN
should communicate scope limitations respectfully and
propose safe alternatives.
Teaching Point
LPNs perform tasks within their scope and collaborate with RNs
for comprehensive assessments.
,Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
2
Reference
Ch. 1 — Changes in Nursing During the 20th Century
Question Stem
A nurse educator explains to students how 20th-century
developments shaped modern nursing roles. Which example
best demonstrates an effect of those changes on current
nursing practice?
Options
A. Nurses primarily provided only bedside comfort without
technical interventions.
B. Formal education and standardized licensure led to expanded
technical responsibilities and professional accountability.
C. Nursing remained an informal family-based role with little
institutional oversight.
D. Nurses stopped participating in community health initiatives.
Correct Answer
B
Rationales
, • Correct (B): Expansion of formal education and licensure in
the 20th century increased nurses’ technical
responsibilities and emphasized professional
accountability.
• Incorrect (A): This describes earlier, not 20th-century,
nursing; modern nursing includes technical and clinical
tasks.
• Incorrect (C): Institutional oversight and formal training
grew in the 20th century, not the opposite.
• Incorrect (D): Community health involvement expanded
rather than declined as public health and education
advanced.
Teaching Point
Standardized education and licensure professionalized nursing
and broadened clinical responsibilities.
Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
3
Reference
Ch. 1 — Significant Changes in Nursing For the 21st Century
Question Stem
A hospital is implementing an electronic health record (EHR)
