FUNDAMENTAL CONCEPTS AND SKILLS
FOR NURSING
7TH EDITION
• AUTHOR(S)PATRICIA A. WILLIAMS
TEST BANK
1
Reference
Ch. 1 — Nursing and the Health Care System — Historical
Overview / Florence Nightingale
Stem
A newly hired LPN is assigned to a med-surg unit and notices
charts referencing "Nightingale's environmental theory" during
shift orientation. A patient in a semi-private room has low
appetite, a persistent cough, and a cluttered bedside table with
spilled water. The nurse manager asks the LPN to perform a
basic environmental safety check and report findings.
Which action should the LPN prioritize during the
environmental check?
,A. Remove clutter and empty spilled water, then ensure proper
room ventilation and lighting.
B. Reposition the patient to a chair to encourage appetite and
circulation.
C. Contact respiratory therapy to obtain a chest x-ray order for
the cough.
D. Document the patient's appetite problems and consult the
dietitian.
Correct answer: A
Rationales
A (Correct): Removing clutter and spilled liquid reduces fall
and infection risks and aligns with Nightingale’s emphasis on
the environment. This is a priority safety action within the LPN
scope.
B: Repositioning may help but does not address the
immediate environmental hazards causing falls or
contamination.
C: Ordering diagnostics is outside the LPN's scope; the LPN
should notify the RN/provider instead.
D: Documentation and dietitian consult are appropriate but
secondary—first remove hazards.
Teaching point: Clean, ventilate, and remove hazards to reduce
infection and fall risk.
Citation: Williams, P. A. (7th ed.). Fundamental Concepts and
Skills for Nursing. Ch. 1.
,2
Reference
Ch. 1 — Nursing and the Health Care System — The Art and
Science of Nursing / Evidence-Based Practice
Stem
On orientation, an LPN is asked to teach a new patient how to
use a bedside call bell. The unit’s patient education handout
references an evidence-based teaching sequence. The LPN
notices small print on the handout citing a 2010 study.
What is the best first action for the LPN?
A. Use the handout as written and teach the patient the bell
steps immediately.
B. Check with the RN or preceptor whether the handout reflects
current evidence before teaching.
C. Tell the patient to ask the RN about the bell and do not teach.
D. Create a new teaching sheet based on what the LPN learned
in school.
Correct answer: B
Rationales
B (Correct): Verifying patient-education materials against
current evidence and unit policy is appropriate; the LPN should
consult the RN/preceptor if unsure.
A: Teaching without confirming the currency of materials
, risks passing outdated guidance.
C: Deferring entirely is unnecessary; the LPN can confirm
and then teach.
D: Creating new materials independently bypasses unit
review and may be inconsistent with policy.
Teaching point: Verify educational materials with the team and
current evidence before teaching.
Citation: Williams, P. A. (7th ed.). Fundamental Concepts and
Skills for Nursing. Ch. 1.
3
Reference
Ch. 1 — Nursing and the Health Care System — Nursing
Education Pathways / Practical Nursing
Stem
A high school graduate asks the LPN about career options and
wants a quick comparison between practical nursing (LPN/LVN)
and registered nursing (RN) pathways. The LPN is scheduled to
teach a brief careers talk on the unit.
Which statement best reflects accurate, concise information the
LPN should include?
A. "LPN programs are shorter and diploma/certificate-based;
RNs complete longer programs with broader responsibilities."
B. "LPNs and RNs have identical scopes and education; they
FOR NURSING
7TH EDITION
• AUTHOR(S)PATRICIA A. WILLIAMS
TEST BANK
1
Reference
Ch. 1 — Nursing and the Health Care System — Historical
Overview / Florence Nightingale
Stem
A newly hired LPN is assigned to a med-surg unit and notices
charts referencing "Nightingale's environmental theory" during
shift orientation. A patient in a semi-private room has low
appetite, a persistent cough, and a cluttered bedside table with
spilled water. The nurse manager asks the LPN to perform a
basic environmental safety check and report findings.
Which action should the LPN prioritize during the
environmental check?
,A. Remove clutter and empty spilled water, then ensure proper
room ventilation and lighting.
B. Reposition the patient to a chair to encourage appetite and
circulation.
C. Contact respiratory therapy to obtain a chest x-ray order for
the cough.
D. Document the patient's appetite problems and consult the
dietitian.
Correct answer: A
Rationales
A (Correct): Removing clutter and spilled liquid reduces fall
and infection risks and aligns with Nightingale’s emphasis on
the environment. This is a priority safety action within the LPN
scope.
B: Repositioning may help but does not address the
immediate environmental hazards causing falls or
contamination.
C: Ordering diagnostics is outside the LPN's scope; the LPN
should notify the RN/provider instead.
D: Documentation and dietitian consult are appropriate but
secondary—first remove hazards.
Teaching point: Clean, ventilate, and remove hazards to reduce
infection and fall risk.
Citation: Williams, P. A. (7th ed.). Fundamental Concepts and
Skills for Nursing. Ch. 1.
,2
Reference
Ch. 1 — Nursing and the Health Care System — The Art and
Science of Nursing / Evidence-Based Practice
Stem
On orientation, an LPN is asked to teach a new patient how to
use a bedside call bell. The unit’s patient education handout
references an evidence-based teaching sequence. The LPN
notices small print on the handout citing a 2010 study.
What is the best first action for the LPN?
A. Use the handout as written and teach the patient the bell
steps immediately.
B. Check with the RN or preceptor whether the handout reflects
current evidence before teaching.
C. Tell the patient to ask the RN about the bell and do not teach.
D. Create a new teaching sheet based on what the LPN learned
in school.
Correct answer: B
Rationales
B (Correct): Verifying patient-education materials against
current evidence and unit policy is appropriate; the LPN should
consult the RN/preceptor if unsure.
A: Teaching without confirming the currency of materials
, risks passing outdated guidance.
C: Deferring entirely is unnecessary; the LPN can confirm
and then teach.
D: Creating new materials independently bypasses unit
review and may be inconsistent with policy.
Teaching point: Verify educational materials with the team and
current evidence before teaching.
Citation: Williams, P. A. (7th ed.). Fundamental Concepts and
Skills for Nursing. Ch. 1.
3
Reference
Ch. 1 — Nursing and the Health Care System — Nursing
Education Pathways / Practical Nursing
Stem
A high school graduate asks the LPN about career options and
wants a quick comparison between practical nursing (LPN/LVN)
and registered nursing (RN) pathways. The LPN is scheduled to
teach a brief careers talk on the unit.
Which statement best reflects accurate, concise information the
LPN should include?
A. "LPN programs are shorter and diploma/certificate-based;
RNs complete longer programs with broader responsibilities."
B. "LPNs and RNs have identical scopes and education; they
