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 requires accountability for patient outcomes.
Which action best demonstrates accountability in nursing
practice?
A. Delegating all patient education to assistive personnel
B. Documenting a medication administration error and
,notifying the provider
C. Following another nurse’s instructions without clarification
D. Avoiding participation in interdisciplinary rounds
Correct Answer: B
Rationale:
Accountability in professional nursing practice includes
accepting responsibility for nursing actions and reporting errors
promptly to protect patient safety. Documenting and reporting
a medication error demonstrates professional accountability
and adherence to safe nursing practice. Delegating all teaching
is inappropriate because patient education is a nursing
responsibility. Following unclear instructions without
clarification jeopardizes patient safety. Avoiding
interdisciplinary collaboration limits coordinated patient care.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Professional Nursing Practice
Question 2
A nurse is caring for a hospitalized patient who states, “I do not
understand why I need this treatment.” Which nursing action
best supports the patient’s role as a consumer of health care?
A. Asking the family to make decisions for the patient
B. Encouraging the patient to ask questions about the
treatment plan
,C. Informing the patient that the provider will explain
everything later
D. Limiting information to avoid increasing anxiety
Correct Answer: B
Rationale:
Patients as consumers of health care have the right to
participate actively in decisions regarding their care.
Encouraging questions promotes informed decision-making and
patient-centered care. Deferring explanations or limiting
information reduces patient autonomy. Automatically
transferring decision-making to family members is
inappropriate unless requested by the patient.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Professional Nursing Practice
Question 3
A nurse participates in a quality improvement initiative aimed
at reducing catheter-associated urinary tract infections on a
medical-surgical unit. Which principle of evidence-based
practice is the nurse applying?
A. Using tradition as the basis for care decisions
B. Applying current research findings to improve patient
outcomes
, C. Prioritizing cost reduction over patient safety
D. Relying solely on personal clinical experience
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence
with clinical expertise and patient preferences to improve
outcomes. Implementing research-supported interventions to
reduce infections reflects evidence-based nursing care.
Tradition and personal experience alone are insufficient
foundations for practice. Patient safety should remain the
primary focus.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Professional Nursing Practice
Question 4
The nurse identifies which patient as having the highest
immediate need for nursing assessment?
A. A patient requesting assistance with discharge paperwork
B. A patient reporting sudden shortness of breath after surgery
C. A patient asking for a routine dressing change
D. A patient requesting information about dietary restrictions
Correct Answer: B
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 requires accountability for patient outcomes.
Which action best demonstrates accountability in nursing
practice?
A. Delegating all patient education to assistive personnel
B. Documenting a medication administration error and
,notifying the provider
C. Following another nurse’s instructions without clarification
D. Avoiding participation in interdisciplinary rounds
Correct Answer: B
Rationale:
Accountability in professional nursing practice includes
accepting responsibility for nursing actions and reporting errors
promptly to protect patient safety. Documenting and reporting
a medication error demonstrates professional accountability
and adherence to safe nursing practice. Delegating all teaching
is inappropriate because patient education is a nursing
responsibility. Following unclear instructions without
clarification jeopardizes patient safety. Avoiding
interdisciplinary collaboration limits coordinated patient care.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Professional Nursing Practice
Question 2
A nurse is caring for a hospitalized patient who states, “I do not
understand why I need this treatment.” Which nursing action
best supports the patient’s role as a consumer of health care?
A. Asking the family to make decisions for the patient
B. Encouraging the patient to ask questions about the
treatment plan
,C. Informing the patient that the provider will explain
everything later
D. Limiting information to avoid increasing anxiety
Correct Answer: B
Rationale:
Patients as consumers of health care have the right to
participate actively in decisions regarding their care.
Encouraging questions promotes informed decision-making and
patient-centered care. Deferring explanations or limiting
information reduces patient autonomy. Automatically
transferring decision-making to family members is
inappropriate unless requested by the patient.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Professional Nursing Practice
Question 3
A nurse participates in a quality improvement initiative aimed
at reducing catheter-associated urinary tract infections on a
medical-surgical unit. Which principle of evidence-based
practice is the nurse applying?
A. Using tradition as the basis for care decisions
B. Applying current research findings to improve patient
outcomes
, C. Prioritizing cost reduction over patient safety
D. Relying solely on personal clinical experience
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence
with clinical expertise and patient preferences to improve
outcomes. Implementing research-supported interventions to
reduce infections reflects evidence-based nursing care.
Tradition and personal experience alone are insufficient
foundations for practice. Patient safety should remain the
primary focus.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Professional Nursing Practice
Question 4
The nurse identifies which patient as having the highest
immediate need for nursing assessment?
A. A patient requesting assistance with discharge paperwork
B. A patient reporting sudden shortness of breath after surgery
C. A patient asking for a routine dressing change
D. A patient requesting information about dietary restrictions
Correct Answer: B
