Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Question 1
A nurse is caring for several patients on a medical-surgical unit.
Which action best demonstrates accountability in professional
nursing practice?
,A. Delegating all patient teaching to assistive personnel
B. Documenting medications before administration to save
time
C. Reporting a medication error immediately after discovery
D. Refusing to care for a patient with complex needs
Correct Answer: C
Rationale:
Accountability involves accepting responsibility for nursing
actions and reporting errors promptly to protect patient safety.
Documenting medications before administration is unsafe and
inaccurate. Delegation of patient teaching may be
inappropriate depending on the complexity of teaching.
Refusing care for complex patients does not demonstrate
professional responsibility.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1
Professional Nursing Practice
Question 2
A nurse uses current research findings to select interventions
for preventing pressure injuries. Which principle is the nurse
applying?
A. Delegation
B. Evidence-based practice
,C. Ethical decision-making
D. Clinical pathway management
Correct Answer: B
Rationale:
Evidence-based practice integrates current best evidence,
clinical expertise, and patient preferences to improve
outcomes. Delegation concerns assignment of tasks. Ethical
decision-making addresses moral issues. Clinical pathways
organize care plans but are not synonymous with evidence-
based practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1
Professional Nursing Practice
Question 3
Which patient should the nurse assess first?
A. A patient requesting assistance to ambulate
B. A patient with a blood pressure of 88/54 mm Hg and
confusion
C. A patient awaiting discharge instructions
D. A patient reporting chronic arthritic pain rated 4/10
Correct Answer: B
, Rationale:
A patient with hypotension and confusion may be experiencing
impaired perfusion or clinical deterioration requiring
immediate assessment. The other patients have nonurgent
needs that can be addressed later.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1
Professional Nursing Practice
Question 4
A nurse explains a procedure to a patient and verifies
understanding before obtaining consent. Which ethical
principle is the nurse supporting?
A. Justice
B. Fidelity
C. Autonomy
D. Beneficence
Correct Answer: C
Rationale:
Autonomy supports the patient’s right to make informed
decisions regarding care. Justice involves fairness. Fidelity
refers to keeping commitments. Beneficence focuses on
promoting good for the patient.
Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Question 1
A nurse is caring for several patients on a medical-surgical unit.
Which action best demonstrates accountability in professional
nursing practice?
,A. Delegating all patient teaching to assistive personnel
B. Documenting medications before administration to save
time
C. Reporting a medication error immediately after discovery
D. Refusing to care for a patient with complex needs
Correct Answer: C
Rationale:
Accountability involves accepting responsibility for nursing
actions and reporting errors promptly to protect patient safety.
Documenting medications before administration is unsafe and
inaccurate. Delegation of patient teaching may be
inappropriate depending on the complexity of teaching.
Refusing care for complex patients does not demonstrate
professional responsibility.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1
Professional Nursing Practice
Question 2
A nurse uses current research findings to select interventions
for preventing pressure injuries. Which principle is the nurse
applying?
A. Delegation
B. Evidence-based practice
,C. Ethical decision-making
D. Clinical pathway management
Correct Answer: B
Rationale:
Evidence-based practice integrates current best evidence,
clinical expertise, and patient preferences to improve
outcomes. Delegation concerns assignment of tasks. Ethical
decision-making addresses moral issues. Clinical pathways
organize care plans but are not synonymous with evidence-
based practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1
Professional Nursing Practice
Question 3
Which patient should the nurse assess first?
A. A patient requesting assistance to ambulate
B. A patient with a blood pressure of 88/54 mm Hg and
confusion
C. A patient awaiting discharge instructions
D. A patient reporting chronic arthritic pain rated 4/10
Correct Answer: B
, Rationale:
A patient with hypotension and confusion may be experiencing
impaired perfusion or clinical deterioration requiring
immediate assessment. The other patients have nonurgent
needs that can be addressed later.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1
Professional Nursing Practice
Question 4
A nurse explains a procedure to a patient and verifies
understanding before obtaining consent. Which ethical
principle is the nurse supporting?
A. Justice
B. Fidelity
C. Autonomy
D. Beneficence
Correct Answer: C
Rationale:
Autonomy supports the patient’s right to make informed
decisions regarding care. Justice involves fairness. Fidelity
refers to keeping commitments. Beneficence focuses on
promoting good for the patient.
