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 explains to a newly licensed colleague that professional
nursing practice is grounded in which primary focus?
A. Performing physician-prescribed treatments
B. Promoting patient-centered care and health outcomes
C. Managing hospital finances efficiently
D. Diagnosing medical disorders independently
,Correct Answer: B
Rationale:
Professional nursing practice focuses on patient-centered care,
promotion of health, prevention of illness, and improvement of
patient outcomes. Nursing care integrates evidence-based
practice, safety, and advocacy. Performing treatments alone
does not encompass the full scope of nursing, financial
management is not the primary focus, and medical diagnosis is
outside the independent nursing role.
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 caring for a hospitalized patient incorporates evidence-
based practice (EBP) into care planning. Which action best
demonstrates EBP?
A. Using interventions based solely on personal experience
B. Following routines established by senior staff
C. Integrating current research, clinical expertise, and patient
preferences
D. Applying interventions used in another clinical setting
without evaluation
Correct Answer: C
,Rationale:
Evidence-based practice combines current best evidence,
clinical expertise, and patient values to guide patient care
decisions. Personal experience or routine practice alone does
not meet EBP standards. Interventions must be evaluated for
appropriateness before implementation.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 3
A nurse identifies a medication error before administration and
immediately reports it according to agency policy. Which
quality principle is best demonstrated?
A. Accountability
B. Delegation
C. Advocacy
D. Autonomy
Correct Answer: A
Rationale:
Accountability involves accepting responsibility for nursing
actions and ensuring patient safety through appropriate
reporting and corrective action. Advocacy supports patient
rights, delegation transfers tasks appropriately, and autonomy
refers to independent decision-making within scope of practice.
, Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 4
Which patient situation best reflects the nurse’s role as a
patient advocate?
A. Encouraging a patient to follow all provider
recommendations without question
B. Explaining treatment options so the patient can make an
informed decision
C. Delegating patient teaching to unlicensed assistive personnel
D. Withholding information that may increase patient anxiety
Correct Answer: B
Rationale:
Advocacy includes protecting patient rights and supporting
informed decision-making. Patients should receive accurate
information regarding treatment choices. Nurses should not
withhold essential information or pressure patients into
decisions. Patient teaching is generally not delegated to
unlicensed personnel.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Question 1
A nurse explains to a newly licensed colleague that professional
nursing practice is grounded in which primary focus?
A. Performing physician-prescribed treatments
B. Promoting patient-centered care and health outcomes
C. Managing hospital finances efficiently
D. Diagnosing medical disorders independently
,Correct Answer: B
Rationale:
Professional nursing practice focuses on patient-centered care,
promotion of health, prevention of illness, and improvement of
patient outcomes. Nursing care integrates evidence-based
practice, safety, and advocacy. Performing treatments alone
does not encompass the full scope of nursing, financial
management is not the primary focus, and medical diagnosis is
outside the independent nursing role.
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 caring for a hospitalized patient incorporates evidence-
based practice (EBP) into care planning. Which action best
demonstrates EBP?
A. Using interventions based solely on personal experience
B. Following routines established by senior staff
C. Integrating current research, clinical expertise, and patient
preferences
D. Applying interventions used in another clinical setting
without evaluation
Correct Answer: C
,Rationale:
Evidence-based practice combines current best evidence,
clinical expertise, and patient values to guide patient care
decisions. Personal experience or routine practice alone does
not meet EBP standards. Interventions must be evaluated for
appropriateness before implementation.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 3
A nurse identifies a medication error before administration and
immediately reports it according to agency policy. Which
quality principle is best demonstrated?
A. Accountability
B. Delegation
C. Advocacy
D. Autonomy
Correct Answer: A
Rationale:
Accountability involves accepting responsibility for nursing
actions and ensuring patient safety through appropriate
reporting and corrective action. Advocacy supports patient
rights, delegation transfers tasks appropriately, and autonomy
refers to independent decision-making within scope of practice.
, Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 4
Which patient situation best reflects the nurse’s role as a
patient advocate?
A. Encouraging a patient to follow all provider
recommendations without question
B. Explaining treatment options so the patient can make an
informed decision
C. Delegating patient teaching to unlicensed assistive personnel
D. Withholding information that may increase patient anxiety
Correct Answer: B
Rationale:
Advocacy includes protecting patient rights and supporting
informed decision-making. Patients should receive accurate
information regarding treatment choices. Nurses should not
withhold essential information or pressure patients into
decisions. Patient teaching is generally not delegated to
unlicensed personnel.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
