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Ramont, Niedringhous, Comprehensive Nursing Care 2nd Edition Update Test Bank
Chapter 2
Question 1
Type: MCSA
Which of the following nursing values has persisted through the ages, and is desirable in the nurse today?
1. Willingness to work for low economic gain
2. Devotion to duty and hard work
3. Self-denial
4. Spiritual calling
Correct Answer: 2
Rationale 1: Devotion to duty and hard work continue to be hallmarks in nursing today. It is no longer expected that nurses work for low economic gain or have a religious calling. It is recognized today that nurses must care for themselves appropriately in order to deliver good nursing care.
Rationale 2: Devotion to duty and hard work continue to be hallmarks in nursing today. It is no longer expected that nurses work for low economic gain or have a religious calling. It is recognized today that nurses must care for themselves appropriately in order to deliver good nursing care.
Rationale 3: Devotion to duty and hard work continue to be hallmarks in nursing today. It is no longer expected that nurses work for low economic gain or have a religious calling. It is recognized today that nurses must care for themselves appropriately in order to deliver good nursing care.
Rationale 4: Devotion to duty and hard work continue to be hallmarks in nursing today. It is no longer expected that nurses work for low economic gain or have a religious calling. It is recognized today that nurses must care for themselves appropriately in order to deliver good nursing care.
Global Rationale:

Cognitive Level: Understanding
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Discuss historical and contemporary factors influencing the development of nursing.

Question 2
Type: MCSA
The nursing student is assigned a research project on the history of nursing. Which war would the nursing student want to include as a major influence on the professional of nursing?
1. Crimean
2. Vietnam
3. World War II
4. Korean
Correct Answer: 1
Rationale 1: During the Crimean War in Great Britain, Florence Nightingale recruited nurses to provide care to the injured, and created the beginnings of modern nursing. Other wars contributed many nursing heroes, but the Crimean War and Nightingale were the major influence on the profession of nursing.
Rationale 2: During the Crimean War in Great Britain, Florence Nightingale recruited nurses to provide care to the injured, and created the beginnings of modern nursing. Other wars contributed many nursing heroes, but the Crimean War and Nightingale were the major influence on the profession of nursing.
Rationale 3: During the Crimean War in Great Britain, Florence Nightingale recruited nurses to provide care to the injured, and created the beginnings of modern nursing. Other wars contributed many nursing heroes, but the Crimean War and Nightingale were the major influence on the profession of nursing.
Rationale 4: During the Crimean War in Great Britain, Florence Nightingale recruited nurses to provide care to the injured, and created the beginnings of modern nursing. Other wars contributed many nursing heroes, but the Crimean War and Nightingale were the major influence on the profession of nursing.
Global Rationale:

Cognitive Level: Understanding
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Discuss historical and contemporary factors influencing the development of nursing.

Question 3
Type: MCSA
Which of the following societal beliefs influenced nursing in the 19th century?
1. The nurse’s place is in the home.
2. The nurse is performing a domestic service.
3. The respectable woman does not have a career.
4. The nurse is the physician’s handmaiden.
Correct Answer: 4
Rationale 1: The role of the professional nurse was greatly influenced by society. These attitudes helped and hindered the profession of nursing. In the 19th century, scientific knowledge was considered the domain of men, and the nurse was simply the handmaiden of the physician. The other options were popular attitudes during the 1800s.
Rationale 2: The role of the professional nurse was greatly influenced by society. These attitudes helped and hindered the profession of nursing. In the 19th century, scientific knowledge was considered the domain of men, and the nurse was simply the handmaiden of the physician. The other options were popular attitudes during the 1800s.
Rationale 3: The role of the professional nurse was greatly influenced by society. These attitudes helped and hindered the profession of nursing. In the 19th century, scientific knowledge was considered the domain of men, and the nurse was simply the handmaiden of the physician. The other options were popular attitudes during the 1800s.
Rationale 4: The role of the professional nurse was greatly influenced by society. These attitudes helped and hindered the profession of nursing. In the 19th century, scientific knowledge was considered the domain of men, and the nurse was simply the handmaiden of the physician. The other options were popular attitudes during the 1800s.
Global Rationale:

Cognitive Level: Understanding
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Discuss historical and contemporary factors influencing the development of nursing.

Question 4
Type: MCSA
Which of the following nurses is the leader in nursing history who is credited with founding public health nursing?
1. Lavinia Dock
2. Margaret Sanger
3. Lillian Wald
4. Clara Barton
Correct Answer: 3
Rationale 1: Lillian Wald founded public health nursing in the poor neighborhoods of New York City. Dock was instrumental in obtaining legislation for nurses to control their own profession instead of having physicians regulate nursing. Sanger is considered the founder of Planned Parenthood. Barton began the first American chapter of the Red Cross.
Rationale 2: Lillian Wald founded public health nursing in the poor neighborhoods of New York City. Dock was instrumental in obtaining legislation for nurses to control their own profession instead of having physicians regulate nursing. Sanger is considered the founder of Planned Parenthood. Barton began the first American chapter of the Red Cross.
Rationale 3: Lillian Wald founded public health nursing in the poor neighborhoods of New York City. Dock was instrumental in obtaining legislation for nurses to control their own profession instead of having physicians regulate nursing. Sanger is considered the founder of Planned Parenthood. Barton began the first American chapter of the Red Cross.
Rationale 4: Lillian Wald founded public health nursing in the poor neighborhoods of New York City. Dock was instrumental in obtaining legislation for nurses to control their own profession instead of having physicians regulate nursing. Sanger is considered the founder of Planned Parenthood. Barton began the first American chapter of the Red Cross.
Global Rationale:

Cognitive Level: Remembering
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Briefly discuss the key figures in nursing history.

Question 5
Type: MCSA
The nursing student is preparing an oral report for the class on the history of professional nursing organizations. Which of the following should be included as an important precursor of the National League for Nursing?
1. The Elizabeth Kenny Institute
2. The Frontier Nursing Service
3. The American Society of Superintendents of Training Schools
4. Planned Parenthood
Correct Answer: 3
Rationale 1: Lavinia Dock found The American Society of Superintendents of Training Schools, which is considered the precursor of the NLN. Answer option 1 was a nurse-training institute founded by Elizabeth Kenny. Option 2 was a midwife service in Kentucky, and Option 4 was founded by Margaret Sanger.
Rationale 2: Lavinia Dock found The American Society of Superintendents of Training Schools, which is considered the precursor of the NLN. Answer option 1 was a nurse-training institute founded by Elizabeth Kenny. Option 2 was a midwife service in Kentucky, and Option 4 was founded by Margaret Sanger.
Rationale 3: Lavinia Dock found The American Society of Superintendents of Training Schools, which is considered the precursor of the NLN. Answer option 1 was a nurse-training institute founded by Elizabeth Kenny. Option 2 was a midwife service in Kentucky, and Option 4 was founded by Margaret Sanger.
Rationale 4: Lavinia Dock found The American Society of Superintendents of Training Schools, which is considered the precursor of the NLN. Answer option 1 was a nurse-training institute founded by Elizabeth Kenny. Option 2 was a midwife service in Kentucky, and Option 4 was founded by Margaret Sanger.
Global Rationale:

Cognitive Level: Remembering
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Briefly discuss the key figures in nursing history.

Question 6
Type: MCSA
The American Red Cross might not be in existence today without the efforts of which of the following nurses?
1. Clara Barton
2. Mary Breckinridge
3. Florence Nightingale
4. Lillian Wald
Correct Answer: 1
Rationale 1: Clara Barton founded the American Red Cross, which later became linked to the International Red Cross, during the Civil War.
Rationale 2: Clara Barton founded the American Red Cross, which later became linked to the International Red Cross, during the Civil War.
Rationale 3: Clara Barton founded the American Red Cross, which later became linked to the International Red Cross, during the Civil War.
Rationale 4: Clara Barton founded the American Red Cross, which later became linked to the International Red Cross, during the Civil War.
Global Rationale:

Cognitive Level: Remembering
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Briefly discuss the key figures in nursing history.

Question 7
Type: MCSA
The male nursing students in class are preparing a report on the early contribution of males to the field of nursing, and plan to include which of the following in the report as an example?
1. Male nurses recruited by Florence Nightingale for her school
2. Military nurses from the Civil War
3. The Korean War battlefront nurses
4. Knights of the Crusades providing care to the injured
Correct Answer: 4
Rationale 1: One of the earliest contributions to male nursing was during the Crusades, when the knights provided care for the injured. Florence Nightingale’s nurses were all women, men were not allowed to serve as nurses during the Korean War, and men might have delivered care during the Civil War, but they were not known as nurses.
Rationale 2: One of the earliest contributions to male nursing was during the Crusades, when the knights provided care for the injured. Florence Nightingale’s nurses were all women, men were not allowed to serve as nurses during the Korean War, and men might have delivered care during the Civil War, but they were not known as nurses.
Rationale 3: One of the earliest contributions to male nursing was during the Crusades, when the knights provided care for the injured. Florence Nightingale’s nurses were all women, men were not allowed to serve as nurses during the Korean War, and men might have delivered care during the Civil War, but they were not known as nurses.
Rationale 4: One of the earliest contributions to male nursing was during the Crusades, when the knights provided care for the injured. Florence Nightingale’s nurses were all women, men were not allowed to serve as nurses during the Korean War, and men might have delivered care during the Civil War, but they were not known as nurses.
Global Rationale:

Cognitive Level: Remembering
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Outline the contribution made to the profession by males.

Question 8
Type: MCSA
Enhancing the quality of life is an example of which aspect of LPN/LVN practice?
1. Caring for the dying
2. Providing immunizations
3. Completing lab draws
4. Promoting health and wellness
Correct Answer: 4
Rationale 1: Enhancing the quality of life is an example of promoting health and wellness, and is within the scope of LPN/LVN practice. Answer options 2 and 3 are tasks that are within the scope of the LPN/LVN but do not necessarily enhance the life of clients. Option 1 includes helping clients to live as comfortably as possible until death.
Rationale 2: Enhancing the quality of life is an example of promoting health and wellness, and is within the scope of LPN/LVN practice. Answer options 2 and 3 are tasks that are within the scope of the LPN/LVN but do not necessarily enhance the life of clients. Option 1 includes helping clients to live as comfortably as possible until death.
Rationale 3: Enhancing the quality of life is an example of promoting health and wellness, and is within the scope of LPN/LVN practice. Answer options 2 and 3 are tasks that are within the scope of the LPN/LVN but do not necessarily enhance the life of clients. Option 1 includes helping clients to live as comfortably as possible until death.
Rationale 4: Enhancing the quality of life is an example of promoting health and wellness, and is within the scope of LPN/LVN practice. Answer options 2 and 3 are tasks that are within the scope of the LPN/LVN but do not necessarily enhance the life of clients. Option 1 includes helping clients to live as comfortably as possible until death.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Identify four major areas within the scope of LPN/LVN scope of practice.

Question 9
Type: MCSA
The nursing student is caring for clients in the clinical setting, and has been asked by the RN to perform several tasks. Which of the following , if asked by the RN, would the nursing student decline as being outside the scope of practice for the LPN/LVN?
1. Perform discharge teaching for a new mother.
2. Change a wound dressing.
3. Test feces for occult blood
4. Administer IM medications.
Correct Answer: 1
Rationale 1: The LPN/LVN may reinforce teaching, but may not perform discharge teaching independently. The RN is responsible for designing the teaching plan for a client, and then the LPN/LVN may help carry it out. The other options are within the LPN/LVN scope of practice.
Rationale 2: The LPN/LVN may reinforce teaching, but may not perform discharge teaching independently. The RN is responsible for designing the teaching plan for a client, and then the LPN/LVN may help carry it out. The other options are within the LPN/LVN scope of practice.
Rationale 3: The LPN/LVN may reinforce teaching, but may not perform discharge teaching independently. The RN is responsible for designing the teaching plan for a client, and then the LPN/LVN may help carry it out. The other options are within the LPN/LVN scope of practice.
Rationale 4: The LPN/LVN may reinforce teaching, but may not perform discharge teaching independently. The RN is responsible for designing the teaching plan for a client, and then the LPN/LVN may help carry it out. The other options are within the LPN/LVN scope of practice.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Identify four major areas within the scope of LPN/LVN scope of practice.

Question 10
Type: MCSA
Nursing today uses the term client to describe its customers because nurses view their customers as which of the following?
1. The recipients of care
2. Collaborators in the plan of care
3. Financially responsible for the care delivered
4. The people who make all the decisions
Correct Answer: 2
Rationale 1: The operative concept in the health care field today is collaborative care. The client takes responsible for her own state of health, and participates in the plan of care. The other answer options do not reflect this trend of client collaboration, and do not explain why the term client is used instead of patient.
Rationale 2: The operative concept in the health care field today is collaborative care. The client takes responsible for her own state of health, and participates in the plan of care. The other answer options do not reflect this trend of client collaboration, and do not explain why the term client is used instead of patient.
Rationale 3: The operative concept in the health care field today is collaborative care. The client takes responsible for her own state of health, and participates in the plan of care. The other answer options do not reflect this trend of client collaboration, and do not explain why the term client is used instead of patient.
Rationale 4: The operative concept in the health care field today is collaborative care. The client takes responsible for her own state of health, and participates in the plan of care. The other answer options do not reflect this trend of client collaboration, and do not explain why the term client is used instead of patient.
Global Rationale:

Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: Identify four major areas within the scope of LPN/LVN scope of practice.

Question 11
Type: MCSA
The nursing student is conducting a teaching session with adolescents regarding sexually transmitted infections in a Planned Parenthood clinic. Which of the following aspects of the nursing scope of practice does this reflect?
1. Promoting health and wellness
2. Providing direct care to clients
3. Restoring health
4. Preventing illness
Correct Answer: 4
Rationale 1: The students are providing information to clients on how to prevent an illness (STI). Answer options 2 and 3 are providing care to the ill or restoring health—not part of the nursing scope of practice—and option 1 would include such things as health screening fairs.
Rationale 2: The students are providing information to clients on how to prevent an illness (STI). Answer options 2 and 3 are providing care to the ill or restoring health—not part of the nursing scope of practice—and option 1 would include such things as health screening fairs.
Rationale 3: The students are providing information to clients on how to prevent an illness (STI). Answer options 2 and 3 are providing care to the ill or restoring health—not part of the nursing scope of practice—and option 1 would include such things as health screening fairs.
Rationale 4: The students are providing information to clients on how to prevent an illness (STI). Answer options 2 and 3 are providing care to the ill or restoring health—not part of the nursing scope of practice—and option 1 would include such things as health screening fairs.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Identify four major areas within the scope of LPN/LVN scope of practice.

Question 12
Type: MCSA
The instructor asks the nursing student to explain the common purpose of nurse practice acts. Which of the following is an accurate response?
1. To provide laws to sanction nurses
2. To protect nurses in their practice
3. To protect the public
4. To limit nursing practice
Correct Answer: 3
Rationale 1: All state nurse practice acts have one commonality: to protect the public. Nurse practice acts regulate the practice of nursing, and can differ from state to state. The sanctioning of nurses is done by the Board of Nursing in that state. The purpose of state laws is not to limit or protect nurses.
Rationale 2: All state nurse practice acts have one commonality: to protect the public. Nurse practice acts regulate the practice of nursing, and can differ from state to state. The sanctioning of nurses is done by the Board of Nursing in that state. The purpose of state laws is not to limit or protect nurses.
Rationale 3: All state nurse practice acts have one commonality: to protect the public. Nurse practice acts regulate the practice of nursing, and can differ from state to state. The sanctioning of nurses is done by the Board of Nursing in that state. The purpose of state laws is not to limit or protect nurses.
Rationale 4: All state nurse practice acts have one commonality: to protect the public. Nurse practice acts regulate the practice of nursing, and can differ from state to state. The sanctioning of nurses is done by the Board of Nursing in that state. The purpose of state laws is not to limit or protect nurses.
Global Rationale:

Cognitive Level: Remembering
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Identify four major areas within the scope of LPN/LVN scope of practice.

Question 13
Type: MCSA
The primary duty of the LPN/LVN is which of the following?
1. Deliver care to the client.
2. Participate in patient care conferences.
3. Conduct teaching sessions for groups of clients.
4. Assessment of the client
Correct Answer: 1
Rationale 1: The primary duty of the LPN/LVN is the delivery of care to the client. While the LPN/LVN may be asked to participate in the other options at times, the RN assesses, teaches, and conducts client conferences.
Rationale 2: The primary duty of the LPN/LVN is the delivery of care to the client. While the LPN/LVN may be asked to participate in the other options at times, the RN assesses, teaches, and conducts client conferences.
Rationale 3: The primary duty of the LPN/LVN is the delivery of care to the client. While the LPN/LVN may be asked to participate in the other options at times, the RN assesses, teaches, and conducts client conferences.
Rationale 4: The primary duty of the LPN/LVN is the delivery of care to the client. While the LPN/LVN may be asked to participate in the other options at times, the RN assesses, teaches, and conducts client conferences.
Global Rationale:

Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: Discuss the customers, purpose, standards, and work settings of LPNs/LVNs.

Question 14
Type: MCSA
Which of the following is considered the official professional organization for the LPN/LVN?
1. National Association for Practical Nurse Education and Service (NAPNES)
2. National Federation of Licensed Practical Nurses (NFLPN)
3. Health Occupation Students of America (HOSA)
4. The American Nurses Association
Correct Answer: 2
Rationale 1: The official organization for the LPN/LVN is the National Federation of Licensed Practical Nurses. Answer option 1 is another LPN/LVN organization that was once responsible for accreditation of schools for LPN/LVNs. Option 3 is an organization for the career technical student that also includes the LPN/LVN. Option 4 is the official national organization for all nurses.
Rationale 2: The official organization for the LPN/LVN is the National Federation of Licensed Practical Nurses. Answer option 1 is another LPN/LVN organization that was once responsible for accreditation of schools for LPN/LVNs. Option 3 is an organization for the career technical student that also includes the LPN/LVN. Option 4 is the official national organization for all nurses.
Rationale 3: The official organization for the LPN/LVN is the National Federation of Licensed Practical Nurses. Answer option 1 is another LPN/LVN organization that was once responsible for accreditation of schools for LPN/LVNs. Option 3 is an organization for the career technical student that also includes the LPN/LVN. Option 4 is the official national organization for all nurses.
Rationale 4: The official organization for the LPN/LVN is the National Federation of Licensed Practical Nurses. Answer option 1 is another LPN/LVN organization that was once responsible for accreditation of schools for LPN/LVNs. Option 3 is an organization for the career technical student that also includes the LPN/LVN. Option 4 is the official national organization for all nurses.
Global Rationale:

Cognitive Level: Remembering
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Identify professional organizations for the LPN/LVN and nursing students.

Question 15
Type: MCSA
The nursing practice standards for the LPN/LVN wishing to be able to participate in initiating IV therapy state that the LPN/LVN shall:
1. Successfully pass the National Council Licensure Exam.
2. Graduate from an accredited school of nursing.
3. Present evidence of having completed a course that is approved to provide the skills and knowledge necessary to perform this specialized task.
4. Seek and participate in continuing education opportunities.
Correct Answer: 3
Rationale 1: The LPN/LVN practice standards state that the scope of the LPN/LVN may be broadened in specialized areas with the proper education and training (Specialized Nursing Practice standard). Passing the NCLEX alone does not provide enough education to start IVs unless the material is covered within the nursing program and a certification is received upon completion. Not all nursing programs teach initiation of IV therapy, so answer option 2 is incorrect. All nurses must participate in continuing education in order to remain current, but this does not impact their ability to initiate IV therapy.
Rationale 2: The LPN/LVN practice standards state that the scope of the LPN/LVN may be broadened in specialized areas with the proper education and training (Specialized Nursing Practice standard). Passing the NCLEX alone does not provide enough education to start IVs unless the material is covered within the nursing program and a certification is received upon completion. Not all nursing programs teach initiation of IV therapy, so answer option 2 is incorrect. All nurses must participate in continuing education in order to remain current, but this does not impact their ability to initiate IV therapy.
Rationale 3: The LPN/LVN practice standards state that the scope of the LPN/LVN may be broadened in specialized areas with the proper education and training (Specialized Nursing Practice standard). Passing the NCLEX alone does not provide enough education to start IVs unless the material is covered within the nursing program and a certification is received upon completion. Not all nursing programs teach initiation of IV therapy, so answer option 2 is incorrect. All nurses must participate in continuing education in order to remain current, but this does not impact their ability to initiate IV therapy.
Rationale 4: The LPN/LVN practice standards state that the scope of the LPN/LVN may be broadened in specialized areas with the proper education and training (Specialized Nursing Practice standard). Passing the NCLEX alone does not provide enough education to start IVs unless the material is covered within the nursing program and a certification is received upon completion. Not all nursing programs teach initiation of IV therapy, so answer option 2 is incorrect. All nurses must participate in continuing education in order to remain current, but this does not impact their ability to initiate IV therapy.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: Discuss the customers, purpose, standards, and work settings of LPNs/LVNs.

Question 16
Type: MCSA
The first formal training school for the practical nursing student was which of the following?
1. Young Women’s Christian Association
2. Elizabeth Kenny Institute
3. The Alexian Brothers school of nursing
4. The Ballard School
Correct Answer: 4
Rationale 1: The Ballard school was the first formal training schools for practical nursing students. Others followed, but the Ballard school was first.
Rationale 2: The Ballard school was the first formal training schools for practical nursing students. Others followed, but the Ballard school was first.
Rationale 3: The Ballard school was the first formal training schools for practical nursing students. Others followed, but the Ballard school was first.
Rationale 4: The Ballard school was the first formal training schools for practical nursing students. Others followed, but the Ballard school was first.
Global Rationale:

Cognitive Level: Remembering
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Explain key contributions in practical/vocational nursing history.

Question 17
Type: MCSA
Which of the following was the first identified nurse in what would become the United States of America?
1. James Derham
2. Friar Juan de Mena
3. St. Camillus de Lellis
4. Calista Roy
Correct Answer: 2
Rationale 1: Friar Juan de Mena was shipwrecked in Texas, and is the first known nurse in the U.S. James Derham was a black slave who practiced nursing in the Civil War. St. Camillus de Lellis was a nurse in Europe, and Calista Roy is best known for her work on the Roy adaptation model of nursing, which continues today.
Rationale 2: Friar Juan de Mena was shipwrecked in Texas, and is the first known nurse in the U.S. James Derham was a black slave who practiced nursing in the Civil War. St. Camillus de Lellis was a nurse in Europe, and Calista Roy is best known for her work on the Roy adaptation model of nursing, which continues today.
Rationale 3: Friar Juan de Mena was shipwrecked in Texas, and is the first known nurse in the U.S. James Derham was a black slave who practiced nursing in the Civil War. St. Camillus de Lellis was a nurse in Europe, and Calista Roy is best known for her work on the Roy adaptation model of nursing, which continues today.
Rationale 4: Friar Juan de Mena was shipwrecked in Texas, and is the first known nurse in the U.S. James Derham was a black slave who practiced nursing in the Civil War. St. Camillus de Lellis was a nurse in Europe, and Calista Roy is best known for her work on the Roy adaptation model of nursing, which continues today.
Global Rationale:

Cognitive Level: Remembering
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Outline the contribution made to the profession by males.

Question 18
Type: MCSA
Which of the following allows a nurse to live in and be licensed by one state and practice nursing in another?
1. National Council of State Boards of Nursing
2. Nurse Compact Licensure Administrator
3. National League of Nurses
4. Nurse Licensure Compact
Correct Answer: 4
Rationale 1: The Nurse Licensure Compact is the model allowing nurses to live in one state, have a license in that state, and work in another state that is a member of the Compact. The National Council of State Boards of Nursing is the organization that includes all boards of nursing within the United States and oversees the NCLEX examination. The National League of Nurses is a professional nursing organization largely involved in improving nursing education. A Nurse Compact Licensure Administrator is a person hired by each Compact state to facilitate the flow of information between states.
Rationale 2: The Nurse Licensure Compact is the model allowing nurses to live in one state, have a license in that state, and work in another state that is a member of the Compact. The National Council of State Boards of Nursing is the organization that includes all boards of nursing within the United States and oversees the NCLEX examination. The National League of Nurses is a professional nursing organization largely involved in improving nursing education. A Nurse Compact Licensure Administrator is a person hired by each Compact state to facilitate the flow of information between states.
Rationale 3: The Nurse Licensure Compact is the model allowing nurses to live in one state, have a license in that state, and work in another state that is a member of the Compact. The National Council of State Boards of Nursing is the organization that includes all boards of nursing within the United States and oversees the NCLEX examination. The National League of Nurses is a professional nursing organization largely involved in improving nursing education. A Nurse Compact Licensure Administrator is a person hired by each Compact state to facilitate the flow of information between states.
Rationale 4: The Nurse Licensure Compact is the model allowing nurses to live in one state, have a license in that state, and work in another state that is a member of the Compact. The National Council of State Boards of Nursing is the organization that includes all boards of nursing within the United States and oversees the NCLEX examination. The National League of Nurses is a professional nursing organization largely involved in improving nursing education. A Nurse Compact Licensure Administrator is a person hired by each Compact state to facilitate the flow of information between states.
Global Rationale:

Cognitive Level: Remembering
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Explain key contributions in practical/vocational nursing history.

Question 19
Type: MCMA
The benefits of joining Health Occupation Students of America for the LPN/LVN nursing might include which of the following? Select all that apply.
Standard Text: Select all that apply.
1. Develop team-building skills.
2. Network with other technical students.
3. Find help with homework.
4. Seek employment.
5. Provide community service.
Correct Answer: 1,2,5
Rationale 1: Answer options 1, 2, and 5 are important benefits of belonging to HOSA. Options 3 and 4 are not benefits of this organization, although it is possible to find information on the site and to network with others to improve employment opportunities.
Rationale 2: Answer options 1, 2, and 5 are important benefits of belonging to HOSA. Options 3 and 4 are not benefits of this organization, although it is possible to find information on the site and to network with others to improve employment opportunities.
Rationale 3: Answer options 1, 2, and 5 are important benefits of belonging to HOSA. Options 3 and 4 are not benefits of this organization, although it is possible to find information on the site and to network with others to improve employment opportunities.
Rationale 4: Answer options 1, 2, and 5 are important benefits of belonging to HOSA. Options 3 and 4 are not benefits of this organization, although it is possible to find information on the site and to network with others to improve employment opportunities.
Rationale 5: Answer options 1, 2, and 5 are important benefits of belonging to HOSA. Options 3 and 4 are not benefits of this organization, although it is possible to find information on the site and to network with others to improve employment opportunities.
Global Rationale:

Cognitive Level: Understanding
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Identify professional organizations for the LPN/LVN and nursing students.

Question 20
Type: MCMA
The title Licensed Vocational Nurse is used in which of the following states? Select all that apply.
Standard Text: Select all that apply.
1. New Hampshire
2. South Carolina
3. Texas
4. Montana
5. California
Correct Answer: 3,5
Rationale 1: Answer options 3 and 5 are correct. The other states use LPN (licensed practical nurse) as their title.
Rationale 2: Answer options 3 and 5 are correct. The other states use LPN (licensed practical nurse) as their title.
Rationale 3: Answer options 3 and 5 are correct. The other states use LPN (licensed practical nurse) as their title.
Rationale 4: Answer options 3 and 5 are correct. The other states use LPN (licensed practical nurse) as their title.
Rationale 5: Answer options 3 and 5 are correct. The other states use LPN (licensed practical nurse) as their title.
Global Rationale:

Cognitive Level: Remembering
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Explain key contributions in practical/vocational nursing history.

Question 21
Type: MCSA
Nurses in the middle ages through the 1800s had a strong foundation in:
1. Christianity.
2. working with the wealthy.
3. self-indulgence.
4. secular studies.
5.
Correct Answer: 1
Rationale 1: Western nursing was strongly influenced by the Christian value of “love thy neighbor as thyself.”
Rationale 2: Wealthy matrons of the Roman empire converted to Christianity and used their wealth and influence to provide houses of care and healing for sick, poor, and homeless people.
Rationale 3: Religious values, such as self-denial, spiritual calling, devotion to duty and hard work have dominated nursing.
Rationale 4: Christian teaching and values have long influenced nursing.
Rationale 5:
Global Rationale:

Cognitive Level: Understanding
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome:

Question 22
Type: MCMA
Standard Text: Select all that apply.
1.
2.
3.
4.
5.
Correct Answer:
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Rationale 5:
Global Rationale:

Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome:

Question 23
Type: MCSA
Nightingale believed that nursing education should:
1. never stop.
2. focus only on science.
3. be taught by physicians.
4. be based in military education.
5.
Correct Answer: 1
Rationale 1: Nightingale believed nurses should never stop learning.
Rationale 2: Nightingale believed that nursing education should develop both the intellect and the character of the nurse.
Rationale 3: Nightingale believed nursing is different from medicine and should be taught by nurses.
Rationale 4: Nightingale established a training school at St. Thomas Hospital in London, England.
Rationale 5:
Global Rationale:

Cognitive Level: Remembering
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome:

Question 24
Type: MCSA
Susie King Taylor is known for:
1. being the first nurse practitioner.
2. being the first Black army nurse.
3. training nurses and physiotherapists in stimulating and reeducating muscles affected by poliomyelitis.
4. working in the New York slums.
5.
Correct Answer: 2
Rationale 1: The first nurse practitioner was Jessie Sleet Scales.
Rationale 2: Susie King Taylor was the first Black army nurse, and served during the civil war.
Rationale 3: Sister Elizabeth Kenney is remembered for her efforts to fight poliomyelitis.
Rationale 4: Lillian Wald is considered the founder of public health nursing and offered trained nursing services to the poor in the New York slums.
Rationale 5:
Global Rationale:

Cognitive Level: Remembering
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome:

Question 25
Type: MCSA
The first nursing school in the world considered:
1. only women as students.
2. only women from religious orders.
3. only men to be pure enough to be nurses.
4. opened in 1876.
5.
Correct Answer: 3
Rationale 1: The first nursing school did not consider women worthy to be students.
Rationale 2: The first nursing school in the world did not consider women for entry.
Rationale 3: The first nursing school in the world was started in India in about 250 BC and considered men to be pure enough to fulfill the role of a nurse.
Rationale 4: The Alexian brothers opened their first hospital in the United States and a school to educate men in nursing in 1876.
Rationale 5:
Global Rationale:

Cognitive Level: Remembering
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome:

Question 26
Type: MCSA
James Derham was known for:
1.
2. being the first nurse in what became the United States.
3. being a black slave who worked as a nurse in New Orleans in the late 1700s.
4. opening the first nursing college in the United States.
5.
Correct Answer: 3
Rationale 1: St. Camillus de Lellis started out as a soldier and later turned to nursing and developed the first ambulance service.
Rationale 2: Friar Juan de Mena was shipwrecked off the south Texas coast in 1554 and is the first identified nurse in what later became the United States.
Rationale 3: James Derham, was a black slave who worked as a nurse in New Orleans, who later saved the money he earned to purchase his freedom. Later he studied medicine and became a well-respected physician in Philadelphia.
Rationale 4: James Derham, was a black slave who worked as a nurse in New Orleans, who later saved the money he earned to purchase his freedom. Later he studied medicine and became a well-respected physician in Philadelphia.
Rationale 5:
Global Rationale:

Cognitive Level: Remembering
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome:

Question 27
Type: MCMA
Nurses promote health and wellness by:
Standard Text: Select all that apply.
1. teaching families about well child care.
2. participating in screening clinics.
3. working in public health settings.
4. providing direct care to clients.
5. Rehabilitating clients to their optimal functional level after an injury.
Correct Answer: 1,2,3
Rationale 1: Teaching families about well child care promotes h behavior that enhances the quality of life.
Rationale 2: Participating in screening clinics is a way of promoting wellness in groups.
Rationale 3: Working in public health settings gives nurses the opportunity to reach more clients.
Rationale 4: Providing direct care focuses on restoring health.
Rationale 5:
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome:

Question 28
Type: MCSA
Within the scope of nursing practice is:
1. performing procedures that provide data for diagnosis and assessment.
2. acting independently to care for clients.
3. making sure others take care of one’s clients.
4. to perform any duty assigned regardless of experience.
5.
Correct Answer: 1
Rationale 1: Within the nursing scope of practices is collecting data for nursing diagnosis and planning care.
Rationale 2: LPN/LVNs work with other members of the healthcare team.
Rationale 3: The LPN/LVN is responsible for accepting accountability for assigned responsibilities.
Rationale 4: The LPN/LVN functions within the limits of educational preparation and experience.
Rationale 5:
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome:

Question 29
Type: MCSA
The first official school for educating LPNs was in:
1. New York City.
2. Philadelphia.
3. Mississippi.
4. California.
5.
Correct Answer: 1
Rationale 1: The first official school for educating LPNs was established in 1893, that later became the Ballard School in New York.
Rationale 2: The first official school for educating LPNs was not established in Philadelphia.
Rationale 3: The first official school for educating LPNs was not established in Mississippi .
Rationale 4: The first official school for educating LPNs was not established in California.
Rationale 5:
Global Rationale:

Cognitive Level: Remembering
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome:

Question 30
Type: MCSA
Nursing practice standards for the LPN/LVN include standards for:
1. provide care for individuals, families, and communities.
2.
3.
4.
5.
Correct Answer:
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Rationale 5:
Global Rationale:

Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome:

Question 31
Type: MCSA
Nurses from the middle ages through the 1800s had a strong foundation in:
1. Christianity.
2. Working with the wealthy.
3. Self-indulgence.
4. Secular studies.
Correct Answer: 1
Rationale 1: Western nursing was strongly influenced by the Christian value of “love thy neighbor as thyself.”
Rationale 2: Wealthy matrons of the Roman Empire converted to Christianity and used their wealth and influence to provide houses of care and healing for sick, poor, and homeless people.
Rationale 3: Religious values, such as self-denial, spiritual calling, devotion to duty, and hard work, have dominated nursing.
Rationale 4: Christian teaching and values have long influenced nursing.
Global Rationale:

Cognitive Level: Understanding
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome:

Question 32
Type: MCSA
Florence Nightingale believed that nursing education should:
1. Never stop.
2. Focus only on science.
3. Be taught by physicians.
4. Be based in military education.
Correct Answer: 1
Rationale 1: Nightingale believed nurses should never stop learning.
Rationale 2: Nightingale believed that nursing education should develop both the intellect and the character of the nurse.
Rationale 3: Nightingale believed nursing is different from medicine, and should be taught by nurses.
Rationale 4: Nightingale established a training school at St. Thomas Hospital in London, England.
Global Rationale:

Cognitive Level: Remembering
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome:

Question 33
Type: MCSA
Susie King Taylor is known for:
1. Being the first nurse practitioner.
2. Being the first Black army nurse.
3. Training nurses and physiotherapists in stimulating and re-educating muscles affected by poliomyelitis.
4. Working in the New York slums.
Correct Answer: 2
Rationale 1: The first nurse practitioner was Jessie Sleet Scales.
Rationale 2: Susie King Taylor was the first Black army nurse, and served during the Civil War.
Rationale 3: Sister Elizabeth Kenney is remembered for her efforts to fight poliomyelitis.
Rationale 4: Lillian Wald is considered the founder of public health nursing, and offered trained nursing services to the poor in the New York slums.
Global Rationale:

Cognitive Level: Remembering
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome:

Question 34
Type: MCSA
The first nursing school in the world:
1. Considered only women as students.
2. Considered only women from religious orders.
3. Considered only men to be pure enough to be nurses.
4. Opened in 1876.
Correct Answer: 3
Rationale 1: The first nursing school did not consider women worthy of being students.
Rationale 2: The first nursing school in the world did not consider women for entry.
Rationale 3: The first nursing school in the world was started in India in about 250 B.C., and considered men to be pure enough to fulfill the role of a nurse.
Rationale 4: The Alexian brothers opened their first hospital in the United States and a school to educate men in nursing in 1876.
Global Rationale:

Cognitive Level: Remembering
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome:

Question 35
Type: MCSA
James Derham was known for:
1. Started the first ambulance service.
2. Being the first nurse in what became the United States.
3. Being a black slave who worked as a nurse in New Orleans in the late 1700s.
4. Opening the first nursing college in the United States.
Correct Answer: 3
Rationale 1: St. Camillus de Lellis started out as a soldier and later turned to nursing and developed the first ambulance service.
Rationale 2: Friar Juan de Mena was shipwrecked off the south Texas coast in 1554, and is the first identified nurse in what later became the United States.
Rationale 3: James Derham was a black slave who worked as a nurse in New Orleans and saved the money he earned to purchase his freedom. Later, he studied medicine and became a well-respected physician in Philadelphia.
Rationale 4: James Derham was a black slave who worked as a nurse in New Orleans and later saved the money he earned to purchase his freedom. Later, he studied medicine and became a well-respected physician in Philadelphia.
Global Rationale:

Cognitive Level: Remembering
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome:

Question 36
Type: MCMA
Nurses promote health and wellness by:
Standard Text: Select all that apply.
1. Teaching families about well child care.
2. Participating in screening clinics.
3. Working in public health settings.
4. Providing direct care to clients.
5. Rehabilitating clients to their optimal functional level after an injury.
Correct Answer: 1,2,3
Rationale 1: Teaching families about well child care promotes healthy behavior that enhances the quality of life.
Rationale 2: Teaching families about well child care promotes healthy behavior that enhances the quality of life.
Rationale 3: Teaching families about well child care promotes healthy behavior that enhances the quality of life.
Rationale 4: Teaching families about well child care promotes healthy behavior that enhances the quality of life.
Rationale 5: Teaching families about well child care promotes healthy behavior that enhances the quality of life.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome:

Question 37
Type: MCSA
Within the scope of nursing practice is:
1. Performing procedures that provide data for diagnosis and assessment.
2. Acting independently to care for clients.
3. Making sure others take care of one’s clients.
4. Performing any duty assigned, regardless of experience.
Correct Answer: 1
Rationale 1: Within the nursing scope of practices is collecting data for nursing diagnosis and planning care.
Rationale 2: LPN/LVNs work with other members of the healthcare team.
Rationale 3: The LPN/LVN is responsible for accepting accountability for assigned responsibilities.
Rationale 4: The LPN/LVN functions within the limits of educational preparation and experience.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome:

Question 38
Type: MCSA
The first official school for educating LPNs was in:
1. New York City.
2. Philadelphia.
3. Mississippi.
4. California.
Correct Answer: 1
Rationale 1: The first official school for educating LPNs was established in 1893, and later became the Ballard School in New York.
Rationale 2: The first official school for educating LPNs was not established in Philadelphia.
Rationale 3: The first official school for educating LPNs was not established in Mississippi.
Rationale 4: The first official school for educating LPNs was not established in California.
Global Rationale:

Cognitive Level: Remembering
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: