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 explaining the concept of professional nursing
practice to a group of newly hired nurses. Which statement
best reflects the role of professional nursing?
A. Professional nursing focuses primarily on carrying out
provider prescriptions.
B. Professional nursing integrates clinical judgment, patient
,advocacy, and evidence-based care.
C. Professional nursing is limited to acute care hospital settings.
D. Professional nursing emphasizes technical skills more than
patient-centered care.
Correct Answer: B
Rationale:
Professional nursing incorporates clinical judgment, patient
advocacy, evidence-based practice, and patient-centered care
to promote optimal health outcomes. Carrying out
prescriptions alone does not fully define professional nursing.
Nursing is practiced in multiple settings, not only hospitals, and
includes both technical and interpersonal competencies.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 2
The nurse is caring for several patients. Which action best
demonstrates patient advocacy?
A. Encouraging the patient to follow all provider
recommendations without discussion
B. Reporting unsafe staffing concerns that may affect patient
care
C. Completing documentation at the end of the shift
D. Delegating all routine care to assistive personnel
,Correct Answer: B
Rationale:
Advocacy involves protecting patient safety and promoting
quality care. Reporting unsafe staffing conditions helps prevent
patient harm. Blindly encouraging compliance does not support
informed decision-making. Documentation and delegation are
important but do not directly demonstrate advocacy in this
situation.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 3
A nurse uses current research findings to update a patient
education plan regarding hypertension management. Which
nursing concept is the nurse applying?
A. Delegation
B. Evidence-based practice
C. Quality assurance
D. Case management
Correct Answer: B
Rationale:
Evidence-based practice integrates current best evidence,
clinical expertise, and patient preferences to improve
outcomes. Updating care using research findings reflects
, evidence-based nursing practice. Quality assurance focuses on
evaluating standards of care rather than directly applying
research evidence.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 4
Which patient should the nurse assess first?
A. A patient requesting assistance to ambulate for the first time
after surgery
B. A patient reporting sudden shortness of breath and chest
discomfort
C. A patient asking questions about discharge instructions
D. A patient requesting pain medication for chronic back pain
rated 4/10
Correct Answer: B
Rationale:
Sudden shortness of breath and chest discomfort may indicate
a life-threatening cardiopulmonary complication and require
immediate assessment according to ABC priorities. The other
patients are stable and can safely wait.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice