ROSDAHL'S TEXTBOOK OF BASIC
NURSING
12TH EDITION
• AUTHOR(S)CAROLINE ROSDAHL
TEST BANK
1) Nursing’s Heritage: Environmental Care
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
An LPN is caring for an older adult who is recovering from
pneumonia. The room is noisy, cluttered, and dimly lit, and the
client says, “I cannot rest in here.” Which action best reflects
the heritage of nursing practice?
A. Tell the client that rest is not possible in a busy unit
B. Ask the family to leave and return later
C. Reduce noise, improve lighting as needed, and remove
,clutter from the bedside area
D. Offer medication education about antibiotics
Correct Answer: C
Rationales:
C is correct. This action supports a healing environment and
reflects the historic nursing principle of promoting comfort,
safety, and recovery. It is appropriate for an LPN to help
improve the client’s environment and report concerns if
needed.
A is incorrect. This dismisses the client’s need for rest and
does not support therapeutic care.
B is incorrect. Family presence may be helpful, but the
priority is to improve the immediate environment.
D is incorrect. Teaching about medication is useful, but it
does not address the client’s immediate rest and comfort
needs.
Teaching Point:
A healing environment supports recovery, safety, and rest.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
2) Florence Nightingale’s Influence
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
,Stem:
A client with a postoperative dressing is unable to sleep
because of strong odors from the meal trays and poor
ventilation in the room. Which nursing action best reflects
Florence Nightingale’s influence on nursing care?
A. Keep the room closed to prevent germs from entering
B. Increase the client’s pain medication
C. Improve air circulation and remove unpleasant
environmental distractions
D. Encourage the client to sleep during the day only
Correct Answer: C
Rationales:
C is correct. Nightingale emphasized the importance of a
clean, well-ventilated, quiet environment to support healing.
This is a basic nursing intervention within LPN scope.
A is incorrect. A closed room is not always beneficial; air
quality matters in healing.
B is incorrect. Pain medication may help discomfort, but the
question focuses on environmental factors.
D is incorrect. This does not address the immediate
environmental problem.
Teaching Point:
Environment affects healing, comfort, and rest.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
, 3) Prioritizing Environmental Needs
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
During morning care, an LPN notices that a weak client is
wearing a soiled gown, the bed is unmade, and water is out of
reach. What is the best initial nursing action?
A. Report the findings to the RN after the shift
B. Assist the client with hygiene, make the bed, and place water
within reach
C. Tell the nursing assistant to handle it later
D. Ask the client to wait until lunch
Correct Answer: B
Rationales:
B is correct. This is direct care within LPN scope and
addresses comfort, hygiene, and basic safety needs
immediately.
A is incorrect. Reporting may be needed later, but the
client’s needs should not wait.
C is incorrect. Delegation may be appropriate for some
tasks, but the LPN should ensure immediate needs are
addressed.
D is incorrect. Delaying care risks discomfort, dehydration,
and poor skin integrity.
NURSING
12TH EDITION
• AUTHOR(S)CAROLINE ROSDAHL
TEST BANK
1) Nursing’s Heritage: Environmental Care
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
An LPN is caring for an older adult who is recovering from
pneumonia. The room is noisy, cluttered, and dimly lit, and the
client says, “I cannot rest in here.” Which action best reflects
the heritage of nursing practice?
A. Tell the client that rest is not possible in a busy unit
B. Ask the family to leave and return later
C. Reduce noise, improve lighting as needed, and remove
,clutter from the bedside area
D. Offer medication education about antibiotics
Correct Answer: C
Rationales:
C is correct. This action supports a healing environment and
reflects the historic nursing principle of promoting comfort,
safety, and recovery. It is appropriate for an LPN to help
improve the client’s environment and report concerns if
needed.
A is incorrect. This dismisses the client’s need for rest and
does not support therapeutic care.
B is incorrect. Family presence may be helpful, but the
priority is to improve the immediate environment.
D is incorrect. Teaching about medication is useful, but it
does not address the client’s immediate rest and comfort
needs.
Teaching Point:
A healing environment supports recovery, safety, and rest.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
2) Florence Nightingale’s Influence
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
,Stem:
A client with a postoperative dressing is unable to sleep
because of strong odors from the meal trays and poor
ventilation in the room. Which nursing action best reflects
Florence Nightingale’s influence on nursing care?
A. Keep the room closed to prevent germs from entering
B. Increase the client’s pain medication
C. Improve air circulation and remove unpleasant
environmental distractions
D. Encourage the client to sleep during the day only
Correct Answer: C
Rationales:
C is correct. Nightingale emphasized the importance of a
clean, well-ventilated, quiet environment to support healing.
This is a basic nursing intervention within LPN scope.
A is incorrect. A closed room is not always beneficial; air
quality matters in healing.
B is incorrect. Pain medication may help discomfort, but the
question focuses on environmental factors.
D is incorrect. This does not address the immediate
environmental problem.
Teaching Point:
Environment affects healing, comfort, and rest.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
, 3) Prioritizing Environmental Needs
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem:
During morning care, an LPN notices that a weak client is
wearing a soiled gown, the bed is unmade, and water is out of
reach. What is the best initial nursing action?
A. Report the findings to the RN after the shift
B. Assist the client with hygiene, make the bed, and place water
within reach
C. Tell the nursing assistant to handle it later
D. Ask the client to wait until lunch
Correct Answer: B
Rationales:
B is correct. This is direct care within LPN scope and
addresses comfort, hygiene, and basic safety needs
immediately.
A is incorrect. Reporting may be needed later, but the
client’s needs should not wait.
C is incorrect. Delegation may be appropriate for some
tasks, but the LPN should ensure immediate needs are
addressed.
D is incorrect. Delaying care risks discomfort, dehydration,
and poor skin integrity.
