Test Bank For Nursing Theories and
Nursing Practice / Edition 5
by Marlaine C. Smith
@2024
,Chapter 1: Nursing Theory and the Discipline of Nursing
1. The nurse is explaining to a patient how oral medications are absorbed. Which part of the
gastrointestinal system primarily absorbs medications?
A) Stomach
B) Small intestine
C) Large intestine
D) Esophagus
Answer: B
Rationale: Most oral medications are absorbed in the small intestine due to its large
surface area and rich blood supply.
NCLEX Focus: Pharmacokinetics - absorption
2. Which patient population is most at risk for drug toxicity due to decreased liver function?
A) Adolescents
B) Pregnant women
C) Older adults
D) Children
Answer: C
Rationale: Older adults often have decreased hepatic function, which can reduce drug
metabolism, leading to an increased risk of toxicity.
NCLEX Focus: Safety and pharmacology
3. A nurse is caring for a patient who has been prescribed a highly protein-bound
medication. Which lab result should the nurse assess to prevent toxicity?
A) Serum creatinine
B) Albumin levels
C) Hemoglobin
D) Platelet count
Answer: B
Rationale: Drugs that are highly protein-bound may cause toxicity if albumin levels are
low because less drug will bind to proteins, leaving more free drug in circulation.
NCLEX Focus: Pharmacodynamics and safety
4. Which of the following best describes the role of nursing theory in clinical practice?
A) It is used solely for academic research
B) It guides patient care and decision-making
C) It limits the creativity of nursing interventions
D) It replaces clinical guidelines
Answer: B
Rationale: Nursing theory helps guide clinical practice by providing a framework for
understanding patient care and making decisions based on evidence.
NCLEX Focus: Foundations of care
5. A nurse is using Orem’s Self-Care Deficit Theory to assess a patient. Which of the
following questions reflects the principles of this theory?
A) “How are you feeling today?”
B) “Can you independently manage your medication?”
C) “Do you have a family history of illness?”
D) “Have you been taking your medications on time?”
, Answer: B
Rationale: Orem’s theory focuses on an individual’s ability to perform self-care and
maintain health independently.
NCLEX Focus: Health promotion and maintenance
6. A nurse is applying Roy’s Adaptation Model while caring for a patient post-surgery.
Which nursing action is most aligned with this theory?
A) Administering pain medication as prescribed
B) Assisting the patient in adjusting to new limitations
C) Documenting the patient’s vital signs every 4 hours
D) Ensuring proper wound care
Answer: B
Rationale: Roy’s Adaptation Model emphasizes helping patients adapt to changes in
health and the environment.
NCLEX Focus: Psychosocial integrity
7. Which nursing theorist is known for the Theory of Human Caring?
A) Florence Nightingale
B) Jean Watson
C) Dorothea Orem
D) Sister Callista Roy
Answer: B
Rationale: Jean Watson developed the Theory of Human Caring, which emphasizes
caring relationships and holistic care.
NCLEX Focus: Psychosocial integrity
8. A nurse is using Jean Watson’s Theory of Human Caring when providing care to a
terminally ill patient. Which nursing action is aligned with this theory?
A) Focusing on completing tasks quickly
B) Administering medications as prescribed
C) Creating a trusting, supportive environment
D) Delegating care to a nursing assistant
Answer: C
Rationale: Watson’s Theory of Human Caring emphasizes the importance of building a
caring and trusting relationship with patients.
NCLEX Focus: Psychosocial integrity
9. According to Florence Nightingale’s Environmental Theory, which factor is essential to
promote healing?
A) Administering antibiotics
B) Ensuring adequate sunlight and fresh air
C) Monitoring vital signs frequently
D) Limiting visitors
Answer: B
Rationale: Nightingale believed that the environment, including fresh air and sunlight,
was crucial in promoting health and recovery.
NCLEX Focus: Physiological adaptation
10. A nurse is educating a patient on health maintenance based on Nightingale’s
Environmental Theory. Which statement by the nurse reflects this theory?
A) “Make sure you eat a balanced diet to stay healthy.”
, B) “Keeping your home well-ventilated is important for your health.”
C) “Exercising regularly will help prevent illness.”
D) “Monitor your blood sugar levels daily.”
Answer: B
Rationale: Nightingale’s theory focuses on environmental factors such as ventilation,
hygiene, and cleanliness to promote health.
NCLEX Focus: Health promotion and maintenance
11. Which of the following concepts is NOT part of the nursing metaparadigm?
A) Person
B) Environment
C) Health
D) Technology
Answer: D
Rationale: The nursing metaparadigm consists of four primary concepts: person,
environment, health, and nursing.
NCLEX Focus: Fundamentals of nursing
12. A nurse is assessing a patient’s ability to perform self-care according to Orem’s Self-Care
Deficit Theory. Which of the following is a priority?
A) Asking if the patient can bathe independently
B) Reviewing the patient’s lab results
C) Asking if the patient needs help with wound care
D) Assessing the patient’s pain level
Answer: A
Rationale: Orem’s Self-Care Deficit Theory focuses on a patient’s ability to perform
essential self-care tasks such as bathing, feeding, and mobility.
NCLEX Focus: Health promotion and maintenance
13. Which nursing theory focuses on cultural care and diversity?
A) Watson’s Theory of Human Caring
B) Nightingale’s Environmental Theory
C) Leininger’s Transcultural Nursing Theory
D) Orem’s Self-Care Deficit Theory
Answer: C
Rationale: Madeleine Leininger developed the Transcultural Nursing Theory, which
emphasizes the importance of cultural competence in nursing care.
NCLEX Focus: Cultural awareness
14. A nurse is caring for a patient from a different cultural background. Which action reflects
Leininger’s Transcultural Nursing Theory?
A) Providing care based on the nurse’s cultural preferences
B) Ensuring that the patient’s cultural beliefs are respected
C) Following hospital protocols without considering the patient’s culture
D) Encouraging the patient to adopt Western medical practices
Answer: B
Rationale: Leininger’s theory emphasizes understanding and respecting the cultural
beliefs and practices of patients to provide effective care.
NCLEX Focus: Cultural awareness
Nursing Practice / Edition 5
by Marlaine C. Smith
@2024
,Chapter 1: Nursing Theory and the Discipline of Nursing
1. The nurse is explaining to a patient how oral medications are absorbed. Which part of the
gastrointestinal system primarily absorbs medications?
A) Stomach
B) Small intestine
C) Large intestine
D) Esophagus
Answer: B
Rationale: Most oral medications are absorbed in the small intestine due to its large
surface area and rich blood supply.
NCLEX Focus: Pharmacokinetics - absorption
2. Which patient population is most at risk for drug toxicity due to decreased liver function?
A) Adolescents
B) Pregnant women
C) Older adults
D) Children
Answer: C
Rationale: Older adults often have decreased hepatic function, which can reduce drug
metabolism, leading to an increased risk of toxicity.
NCLEX Focus: Safety and pharmacology
3. A nurse is caring for a patient who has been prescribed a highly protein-bound
medication. Which lab result should the nurse assess to prevent toxicity?
A) Serum creatinine
B) Albumin levels
C) Hemoglobin
D) Platelet count
Answer: B
Rationale: Drugs that are highly protein-bound may cause toxicity if albumin levels are
low because less drug will bind to proteins, leaving more free drug in circulation.
NCLEX Focus: Pharmacodynamics and safety
4. Which of the following best describes the role of nursing theory in clinical practice?
A) It is used solely for academic research
B) It guides patient care and decision-making
C) It limits the creativity of nursing interventions
D) It replaces clinical guidelines
Answer: B
Rationale: Nursing theory helps guide clinical practice by providing a framework for
understanding patient care and making decisions based on evidence.
NCLEX Focus: Foundations of care
5. A nurse is using Orem’s Self-Care Deficit Theory to assess a patient. Which of the
following questions reflects the principles of this theory?
A) “How are you feeling today?”
B) “Can you independently manage your medication?”
C) “Do you have a family history of illness?”
D) “Have you been taking your medications on time?”
, Answer: B
Rationale: Orem’s theory focuses on an individual’s ability to perform self-care and
maintain health independently.
NCLEX Focus: Health promotion and maintenance
6. A nurse is applying Roy’s Adaptation Model while caring for a patient post-surgery.
Which nursing action is most aligned with this theory?
A) Administering pain medication as prescribed
B) Assisting the patient in adjusting to new limitations
C) Documenting the patient’s vital signs every 4 hours
D) Ensuring proper wound care
Answer: B
Rationale: Roy’s Adaptation Model emphasizes helping patients adapt to changes in
health and the environment.
NCLEX Focus: Psychosocial integrity
7. Which nursing theorist is known for the Theory of Human Caring?
A) Florence Nightingale
B) Jean Watson
C) Dorothea Orem
D) Sister Callista Roy
Answer: B
Rationale: Jean Watson developed the Theory of Human Caring, which emphasizes
caring relationships and holistic care.
NCLEX Focus: Psychosocial integrity
8. A nurse is using Jean Watson’s Theory of Human Caring when providing care to a
terminally ill patient. Which nursing action is aligned with this theory?
A) Focusing on completing tasks quickly
B) Administering medications as prescribed
C) Creating a trusting, supportive environment
D) Delegating care to a nursing assistant
Answer: C
Rationale: Watson’s Theory of Human Caring emphasizes the importance of building a
caring and trusting relationship with patients.
NCLEX Focus: Psychosocial integrity
9. According to Florence Nightingale’s Environmental Theory, which factor is essential to
promote healing?
A) Administering antibiotics
B) Ensuring adequate sunlight and fresh air
C) Monitoring vital signs frequently
D) Limiting visitors
Answer: B
Rationale: Nightingale believed that the environment, including fresh air and sunlight,
was crucial in promoting health and recovery.
NCLEX Focus: Physiological adaptation
10. A nurse is educating a patient on health maintenance based on Nightingale’s
Environmental Theory. Which statement by the nurse reflects this theory?
A) “Make sure you eat a balanced diet to stay healthy.”
, B) “Keeping your home well-ventilated is important for your health.”
C) “Exercising regularly will help prevent illness.”
D) “Monitor your blood sugar levels daily.”
Answer: B
Rationale: Nightingale’s theory focuses on environmental factors such as ventilation,
hygiene, and cleanliness to promote health.
NCLEX Focus: Health promotion and maintenance
11. Which of the following concepts is NOT part of the nursing metaparadigm?
A) Person
B) Environment
C) Health
D) Technology
Answer: D
Rationale: The nursing metaparadigm consists of four primary concepts: person,
environment, health, and nursing.
NCLEX Focus: Fundamentals of nursing
12. A nurse is assessing a patient’s ability to perform self-care according to Orem’s Self-Care
Deficit Theory. Which of the following is a priority?
A) Asking if the patient can bathe independently
B) Reviewing the patient’s lab results
C) Asking if the patient needs help with wound care
D) Assessing the patient’s pain level
Answer: A
Rationale: Orem’s Self-Care Deficit Theory focuses on a patient’s ability to perform
essential self-care tasks such as bathing, feeding, and mobility.
NCLEX Focus: Health promotion and maintenance
13. Which nursing theory focuses on cultural care and diversity?
A) Watson’s Theory of Human Caring
B) Nightingale’s Environmental Theory
C) Leininger’s Transcultural Nursing Theory
D) Orem’s Self-Care Deficit Theory
Answer: C
Rationale: Madeleine Leininger developed the Transcultural Nursing Theory, which
emphasizes the importance of cultural competence in nursing care.
NCLEX Focus: Cultural awareness
14. A nurse is caring for a patient from a different cultural background. Which action reflects
Leininger’s Transcultural Nursing Theory?
A) Providing care based on the nurse’s cultural preferences
B) Ensuring that the patient’s cultural beliefs are respected
C) Following hospital protocols without considering the patient’s culture
D) Encouraging the patient to adopt Western medical practices
Answer: B
Rationale: Leininger’s theory emphasizes understanding and respecting the cultural
beliefs and practices of patients to provide effective care.
NCLEX Focus: Cultural awareness
