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 education to unlicensed assistive
personnel
B. Documenting nursing interventions and patient responses
accurately and promptly
,C. Avoiding communication with the interdisciplinary team to
reduce errors
D. Performing procedures without verifying provider
prescriptions
Correct Answer: B
Rationale:
Accurate and timely documentation reflects accountability,
responsibility, and professional nursing standards. Professional
nurses are responsible for ensuring that patient care and
responses are documented appropriately to support continuity
of care and patient safety. Delegating all education to assistive
personnel is inappropriate because patient teaching is primarily
the nurse’s responsibility. Avoiding interdisciplinary
communication increases the risk for errors. Procedures should
never be performed without verification of prescriptions.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 2
A nurse is implementing evidence-based practice (EBP) while
caring for patients on a medical-surgical unit. Which action best
reflects EBP?
A. Following unit routines without evaluating outcomes
B. Using interventions supported by current research and
,clinical expertise
C. Applying only personal clinical experience when making
decisions
D. Performing interventions based solely on physician
preference
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient preferences to improve patient
outcomes. Relying solely on routine, personal experience, or
physician preference does not reflect the principles of EBP.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 3
A nurse identifies that a patient received the wrong diet tray.
Which action should the nurse take first to promote patient
safety?
A. Remove the incorrect tray before the patient consumes the
meal
B. Complete an incident report before addressing the issue
C. Notify dietary services at the end of the shift
D. Ask another nurse to manage the situation
, Correct Answer: A
Rationale:
The priority action is to immediately protect the patient from
potential harm by removing the incorrect tray. Patient safety
interventions should occur before documentation or reporting
activities. Delaying action may place the patient at risk.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 4
A nurse is caring for a patient from a cultural background
different from the nurse’s own. Which nursing action best
demonstrates culturally competent care?
A. Assuming the patient shares common health beliefs with the
local community
B. Encouraging the patient to adopt the nurse’s preferred
health practices
C. Assessing the patient’s beliefs and preferences regarding
health care
D. Limiting discussions about cultural practices to avoid conflict
Correct Answer: C
Rationale:
Culturally competent nursing care involves assessing and
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 education to unlicensed assistive
personnel
B. Documenting nursing interventions and patient responses
accurately and promptly
,C. Avoiding communication with the interdisciplinary team to
reduce errors
D. Performing procedures without verifying provider
prescriptions
Correct Answer: B
Rationale:
Accurate and timely documentation reflects accountability,
responsibility, and professional nursing standards. Professional
nurses are responsible for ensuring that patient care and
responses are documented appropriately to support continuity
of care and patient safety. Delegating all education to assistive
personnel is inappropriate because patient teaching is primarily
the nurse’s responsibility. Avoiding interdisciplinary
communication increases the risk for errors. Procedures should
never be performed without verification of prescriptions.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 2
A nurse is implementing evidence-based practice (EBP) while
caring for patients on a medical-surgical unit. Which action best
reflects EBP?
A. Following unit routines without evaluating outcomes
B. Using interventions supported by current research and
,clinical expertise
C. Applying only personal clinical experience when making
decisions
D. Performing interventions based solely on physician
preference
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient preferences to improve patient
outcomes. Relying solely on routine, personal experience, or
physician preference does not reflect the principles of EBP.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 3
A nurse identifies that a patient received the wrong diet tray.
Which action should the nurse take first to promote patient
safety?
A. Remove the incorrect tray before the patient consumes the
meal
B. Complete an incident report before addressing the issue
C. Notify dietary services at the end of the shift
D. Ask another nurse to manage the situation
, Correct Answer: A
Rationale:
The priority action is to immediately protect the patient from
potential harm by removing the incorrect tray. Patient safety
interventions should occur before documentation or reporting
activities. Delaying action may place the patient at risk.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 4
A nurse is caring for a patient from a cultural background
different from the nurse’s own. Which nursing action best
demonstrates culturally competent care?
A. Assuming the patient shares common health beliefs with the
local community
B. Encouraging the patient to adopt the nurse’s preferred
health practices
C. Assessing the patient’s beliefs and preferences regarding
health care
D. Limiting discussions about cultural practices to avoid conflict
Correct Answer: C
Rationale:
Culturally competent nursing care involves assessing and
