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 as a component
of professional nursing practice?
A. Delegating all patient hygiene tasks to assistive personnel
B. Documenting nursing care immediately after interventions
are completed
C. Following a physician’s request without questioning unclear
,prescriptions
D. Limiting patient education to discharge instructions only
Correct Answer: B
Rationale:
Accountability in professional nursing practice includes
accurate and timely documentation of patient care and
accepting responsibility for nursing actions. Immediate
documentation supports continuity of care, patient safety, and
legal standards. Delegating all hygiene tasks without assessing
patient needs is inappropriate. Nurses should clarify unclear
prescriptions rather than follow them unquestioningly. Patient
education should occur throughout care, not only at discharge.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1, Chapter 1: Professional Nursing Practice
Question 2
A nurse is implementing evidence-based interventions to
reduce catheter-associated urinary tract infections (CAUTIs).
Which action reflects evidence-based nursing practice?
A. Using interventions based solely on unit tradition
B. Selecting care measures supported by current research and
clinical expertise
C. Following only physician preferences when planning nursing
,care
D. Avoiding changes to established nursing routines
Correct Answer: B
Rationale:
Evidence-based nursing practice integrates current best
evidence, clinical expertise, and patient preferences to improve
outcomes and safety. Reliance on tradition alone does not
reflect evidence-based care. Physician preferences and
established routines should not replace evidence-supported
interventions.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1, Chapter 1: Professional Nursing Practice
Question 3
The nurse is admitting a patient who speaks limited English.
Which nursing action best promotes patient-centered care?
A. Asking a family member to interpret complex medical
information
B. Speaking loudly and slowly in English only
C. Obtaining a qualified medical interpreter for communication
D. Providing written instructions without verbal explanation
Correct Answer: C
, Rationale:
Patient-centered care includes respecting cultural and
communication needs. Using a qualified medical interpreter
promotes accurate communication, patient safety, and
informed decision-making. Family members may misinterpret
information or compromise confidentiality. Speaking loudly
does not improve understanding. Written instructions alone
may not meet patient needs.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1, Chapter 1: Professional Nursing Practice
Question 4
A nurse identifies that a patient received the wrong medication
dose during the previous shift. What is the nurse’s priority
action?
A. Notify the charge nurse and assess the patient immediately
B. Wait for the physician to identify the error
C. Document the error at the end of the shift
D. Discuss the incident only with the nurse involved
Correct Answer: A
Rationale:
Patient safety is the priority following a medication error. The
nurse should assess the patient immediately and notify
appropriate personnel. Delaying action increases risk for harm.
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 as a component
of professional nursing practice?
A. Delegating all patient hygiene tasks to assistive personnel
B. Documenting nursing care immediately after interventions
are completed
C. Following a physician’s request without questioning unclear
,prescriptions
D. Limiting patient education to discharge instructions only
Correct Answer: B
Rationale:
Accountability in professional nursing practice includes
accurate and timely documentation of patient care and
accepting responsibility for nursing actions. Immediate
documentation supports continuity of care, patient safety, and
legal standards. Delegating all hygiene tasks without assessing
patient needs is inappropriate. Nurses should clarify unclear
prescriptions rather than follow them unquestioningly. Patient
education should occur throughout care, not only at discharge.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1, Chapter 1: Professional Nursing Practice
Question 2
A nurse is implementing evidence-based interventions to
reduce catheter-associated urinary tract infections (CAUTIs).
Which action reflects evidence-based nursing practice?
A. Using interventions based solely on unit tradition
B. Selecting care measures supported by current research and
clinical expertise
C. Following only physician preferences when planning nursing
,care
D. Avoiding changes to established nursing routines
Correct Answer: B
Rationale:
Evidence-based nursing practice integrates current best
evidence, clinical expertise, and patient preferences to improve
outcomes and safety. Reliance on tradition alone does not
reflect evidence-based care. Physician preferences and
established routines should not replace evidence-supported
interventions.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1, Chapter 1: Professional Nursing Practice
Question 3
The nurse is admitting a patient who speaks limited English.
Which nursing action best promotes patient-centered care?
A. Asking a family member to interpret complex medical
information
B. Speaking loudly and slowly in English only
C. Obtaining a qualified medical interpreter for communication
D. Providing written instructions without verbal explanation
Correct Answer: C
, Rationale:
Patient-centered care includes respecting cultural and
communication needs. Using a qualified medical interpreter
promotes accurate communication, patient safety, and
informed decision-making. Family members may misinterpret
information or compromise confidentiality. Speaking loudly
does not improve understanding. Written instructions alone
may not meet patient needs.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1, Chapter 1: Professional Nursing Practice
Question 4
A nurse identifies that a patient received the wrong medication
dose during the previous shift. What is the nurse’s priority
action?
A. Notify the charge nurse and assess the patient immediately
B. Wait for the physician to identify the error
C. Document the error at the end of the shift
D. Discuss the incident only with the nurse involved
Correct Answer: A
Rationale:
Patient safety is the priority following a medication error. The
nurse should assess the patient immediately and notify
appropriate personnel. Delaying action increases risk for harm.
