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 explaining the purpose of evidence-based practice
(EBP) to a group of newly licensed nurses. Which statement by
a participant indicates correct understanding?
A. “EBP replaces clinical judgment with standardized
protocols.”
B. “EBP combines research evidence, clinical expertise, and
patient preferences.”
C. “EBP focuses only on randomized controlled trials.”
D. “EBP eliminates the need for individualized patient care.”
,Correct Answer: B
Rationale:
Evidence-based practice integrates the best available research
evidence, the nurse’s clinical expertise, and patient preferences
to improve patient outcomes and quality of care. EBP does not
eliminate individualized care or clinical judgment. Randomized
controlled trials are valuable but are not the only source of
evidence.
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 medical-surgical nurse is caring for four patients. Which
patient should the nurse assess first?
A. A patient scheduled for discharge who requests additional
teaching about medications
B. A patient with chronic pain requesting a PRN analgesic
C. A postoperative patient with new-onset shortness of breath
and oxygen saturation of 88%
D. A patient awaiting transport for a diagnostic procedure
Correct Answer: C
,Rationale:
The postoperative patient with shortness of breath and oxygen
saturation of 88% demonstrates an acute change in respiratory
status requiring immediate assessment and intervention
according to ABC priorities. The other situations are important
but not immediately life-threatening.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 3
A nurse manager is reviewing quality indicators on a medical-
surgical unit. Which outcome best reflects quality nursing care?
A. Increased patient length of stay
B. Reduced incidence of hospital-acquired infections
C. Increased number of diagnostic tests ordered
D. Decreased use of interdisciplinary collaboration
Correct Answer: B
Rationale:
Reduced hospital-acquired infections are measurable indicators
of quality and safe nursing care. Increased length of stay and
reduced collaboration negatively affect quality outcomes. The
number of diagnostic tests does not directly indicate quality
nursing care.
, 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 is preparing to delegate care activities to assistive
personnel (AP). Which task is appropriate for delegation?
A. Assessing a patient’s pain after medication administration
B. Developing a nursing care plan
C. Assisting a stable patient with ambulation
D. Teaching a patient about insulin administration
Correct Answer: C
Rationale:
Assisting a stable patient with ambulation is within the scope of
practice for assistive personnel. Assessment, teaching, and care
planning require nursing judgment and must be performed by
the registered nurse.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 5
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 purpose of evidence-based practice
(EBP) to a group of newly licensed nurses. Which statement by
a participant indicates correct understanding?
A. “EBP replaces clinical judgment with standardized
protocols.”
B. “EBP combines research evidence, clinical expertise, and
patient preferences.”
C. “EBP focuses only on randomized controlled trials.”
D. “EBP eliminates the need for individualized patient care.”
,Correct Answer: B
Rationale:
Evidence-based practice integrates the best available research
evidence, the nurse’s clinical expertise, and patient preferences
to improve patient outcomes and quality of care. EBP does not
eliminate individualized care or clinical judgment. Randomized
controlled trials are valuable but are not the only source of
evidence.
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 medical-surgical nurse is caring for four patients. Which
patient should the nurse assess first?
A. A patient scheduled for discharge who requests additional
teaching about medications
B. A patient with chronic pain requesting a PRN analgesic
C. A postoperative patient with new-onset shortness of breath
and oxygen saturation of 88%
D. A patient awaiting transport for a diagnostic procedure
Correct Answer: C
,Rationale:
The postoperative patient with shortness of breath and oxygen
saturation of 88% demonstrates an acute change in respiratory
status requiring immediate assessment and intervention
according to ABC priorities. The other situations are important
but not immediately life-threatening.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 3
A nurse manager is reviewing quality indicators on a medical-
surgical unit. Which outcome best reflects quality nursing care?
A. Increased patient length of stay
B. Reduced incidence of hospital-acquired infections
C. Increased number of diagnostic tests ordered
D. Decreased use of interdisciplinary collaboration
Correct Answer: B
Rationale:
Reduced hospital-acquired infections are measurable indicators
of quality and safe nursing care. Increased length of stay and
reduced collaboration negatively affect quality outcomes. The
number of diagnostic tests does not directly indicate quality
nursing care.
, 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 is preparing to delegate care activities to assistive
personnel (AP). Which task is appropriate for delegation?
A. Assessing a patient’s pain after medication administration
B. Developing a nursing care plan
C. Assisting a stable patient with ambulation
D. Teaching a patient about insulin administration
Correct Answer: C
Rationale:
Assisting a stable patient with ambulation is within the scope of
practice for assistive personnel. Assessment, teaching, and care
planning require nursing judgment and must be performed by
the registered nurse.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 5
