FOUNDATIONS AND ADULT HEALTH
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
1
Reference
Ch. 1 — The Evolution of Nursing — History of Nursing and
Nursing Education
Question Stem
A newly hired licensed practical nurse (LPN) on a medical–
surgical unit is given an assignment. Which task is inappropriate
to delegate to the LPN by the registered nurse (RN) team leader
for a newly admitted, unstable patient?
A. Administering prescribed oral medications.
B. Performing routine wound dressing changes on a stable
surgical incision.
C. Developing the patient’s initial comprehensive nursing care
,plan.
D. Monitoring and reporting changes in vital signs to the RN.
Correct Answer
C
Rationales
Correct: Developing the initial comprehensive nursing care plan
is an RN responsibility; it requires comprehensive assessment,
nursing diagnosis, and initial planning for an unstable patient,
which is beyond the typical LPN scope. According to Cooper &
Gosnell, initial comprehensive assessment and care planning
remain RN responsibilities.
A: Incorrect — Administering routine oral medications is
commonly delegated to LPNs under supervision.
B: Incorrect — Performing routine dressing changes for a stable
wound is an appropriate LPN task when delegated.
D: Incorrect — Monitoring and reporting vital-sign changes is
within LPN duties; the RN uses that information for higher-level
decisions.
Teaching Point
RNs perform initial comprehensive assessments and develop
initial plans of care for unstable patients.
Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
,2
Reference
Ch. 1 — Health Care Delivery Systems — Nursing Care Models
Question Stem
A nurse manager is redesigning care to improve continuity for
long-term patients with chronic conditions. Which nursing care
model best promotes one primary nurse responsible for
planning and coordinating care?
A. Functional nursing.
B. Team nursing.
C. Primary nursing.
D. Case management.
Correct Answer
C
Rationales
Correct: Primary nursing assigns one RN responsibility for
planning and coordinating a patient’s care across shifts,
improving continuity and accountability — ideal for chronic,
complex patients. Cooper & Gosnell describe primary nursing as
emphasizing continuity and therapeutic relationships.
A: Incorrect — Functional nursing is task-focused and fragments
care rather than promoting continuity.
B: Incorrect — Team nursing shares responsibilities among a
team and can dilute continuity of one primary caregiver.
D: Incorrect — Case management coordinates across services
, and settings but does not replace the primary nurse’s day-to-
day therapeutic relationship.
Teaching Point
Primary nursing promotes continuity by assigning one nurse
responsibility for care coordination.
Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
3
Reference
Ch. 1 — Changes in Nursing During the 20th Century —
Significant Changes in Nursing For the 21st Century
Question Stem
A clinical instructor explains why nursing education shifted from
hospital-based apprenticeship to more standardized programs
during the 20th century. Which rationale best reflects that
historical shift?
A. Hospitals wanted to reduce costs by training nurses onsite.
B. Standardized education improved consistency of nursing
knowledge and public safety.
C. Nursing organizations opposed academic education,
preferring trade-based training.
D. The public demanded less regulation of nursing practice.
NURSING
9TH EDITION
• Author(S)Kim Cooper; Kelly Gosnell
TEST BANK
1
Reference
Ch. 1 — The Evolution of Nursing — History of Nursing and
Nursing Education
Question Stem
A newly hired licensed practical nurse (LPN) on a medical–
surgical unit is given an assignment. Which task is inappropriate
to delegate to the LPN by the registered nurse (RN) team leader
for a newly admitted, unstable patient?
A. Administering prescribed oral medications.
B. Performing routine wound dressing changes on a stable
surgical incision.
C. Developing the patient’s initial comprehensive nursing care
,plan.
D. Monitoring and reporting changes in vital signs to the RN.
Correct Answer
C
Rationales
Correct: Developing the initial comprehensive nursing care plan
is an RN responsibility; it requires comprehensive assessment,
nursing diagnosis, and initial planning for an unstable patient,
which is beyond the typical LPN scope. According to Cooper &
Gosnell, initial comprehensive assessment and care planning
remain RN responsibilities.
A: Incorrect — Administering routine oral medications is
commonly delegated to LPNs under supervision.
B: Incorrect — Performing routine dressing changes for a stable
wound is an appropriate LPN task when delegated.
D: Incorrect — Monitoring and reporting vital-sign changes is
within LPN duties; the RN uses that information for higher-level
decisions.
Teaching Point
RNs perform initial comprehensive assessments and develop
initial plans of care for unstable patients.
Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
,2
Reference
Ch. 1 — Health Care Delivery Systems — Nursing Care Models
Question Stem
A nurse manager is redesigning care to improve continuity for
long-term patients with chronic conditions. Which nursing care
model best promotes one primary nurse responsible for
planning and coordinating care?
A. Functional nursing.
B. Team nursing.
C. Primary nursing.
D. Case management.
Correct Answer
C
Rationales
Correct: Primary nursing assigns one RN responsibility for
planning and coordinating a patient’s care across shifts,
improving continuity and accountability — ideal for chronic,
complex patients. Cooper & Gosnell describe primary nursing as
emphasizing continuity and therapeutic relationships.
A: Incorrect — Functional nursing is task-focused and fragments
care rather than promoting continuity.
B: Incorrect — Team nursing shares responsibilities among a
team and can dilute continuity of one primary caregiver.
D: Incorrect — Case management coordinates across services
, and settings but does not replace the primary nurse’s day-to-
day therapeutic relationship.
Teaching Point
Primary nursing promotes continuity by assigning one nurse
responsibility for care coordination.
Citation
Cooper, K., & Gosnell, K. (2023). Foundations and Adult Health
Nursing (9th ed.). Ch. 1.
3
Reference
Ch. 1 — Changes in Nursing During the 20th Century —
Significant Changes in Nursing For the 21st Century
Question Stem
A clinical instructor explains why nursing education shifted from
hospital-based apprenticeship to more standardized programs
during the 20th century. Which rationale best reflects that
historical shift?
A. Hospitals wanted to reduce costs by training nurses onsite.
B. Standardized education improved consistency of nursing
knowledge and public safety.
C. Nursing organizations opposed academic education,
preferring trade-based training.
D. The public demanded less regulation of nursing practice.
