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 a patient who asks why the nurse reviews
current research findings before implementing care
interventions. Which response by the nurse best reflects
evidence-based nursing practice?
A. “Research findings replace clinical judgment in nursing care.”
B. “Evidence-based practice combines research evidence,
clinical expertise, and patient preferences.”
,C. “Evidence-based practice focuses primarily on physician-
directed interventions.”
D. “Research findings are used only when hospital policy
requires them.”
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient values to support safe, high-
quality patient care. Option A is incorrect because clinical
judgment remains essential. Option C is incorrect because
nursing care is collaborative and not limited to physician-
directed care. Option D is incorrect because evidence-based
practice is a professional expectation rather than only a policy
requirement.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Professional Nursing Practice
Question 2
A nurse identifies a medication error before administering the
medication to the patient. Which action demonstrates
accountability in professional nursing practice?
A. Ignoring the error because the medication was not
administered
B. Reporting the error according to institutional policy
,C. Asking another nurse to document the incident
D. Waiting until the end of the shift to mention the error
Correct Answer: B
Rationale:
Professional accountability requires nurses to report actual or
potential errors promptly to promote patient safety and system
improvement. Option A disregards safety principles. Option C
improperly transfers responsibility. Option D delays necessary
intervention and evaluation.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Professional Nursing Practice
Question 3
A nurse prioritizes patient care using the principles of patient-
centered care. Which nursing action best demonstrates this
concept?
A. Following unit routines without modification
B. Encouraging the patient to participate in care decisions
C. Limiting family involvement during hospitalization
D. Making decisions independently to save time
Correct Answer: B
Rationale:
Patient-centered care emphasizes respect for patient
, preferences, values, and participation in decision-making.
Option A ignores individualized care. Option C may reduce
support systems. Option D excludes the patient from
collaborative care planning.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Professional Nursing Practice
Question 4
The nurse manager discusses quality improvement initiatives
with staff nurses. Which outcome best indicates successful
quality improvement?
A. Increased variation in nursing care delivery
B. Improved patient outcomes and safety measures
C. Reduced communication among interdisciplinary team
members
D. Increased dependence on traditional routines
Correct Answer: B
Rationale:
Quality improvement focuses on systematic efforts to improve
patient outcomes, safety, and care processes. Option A
contradicts standardization efforts. Option C negatively affects
collaboration. Option D limits innovation and evidence-based
care.
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 a patient who asks why the nurse reviews
current research findings before implementing care
interventions. Which response by the nurse best reflects
evidence-based nursing practice?
A. “Research findings replace clinical judgment in nursing care.”
B. “Evidence-based practice combines research evidence,
clinical expertise, and patient preferences.”
,C. “Evidence-based practice focuses primarily on physician-
directed interventions.”
D. “Research findings are used only when hospital policy
requires them.”
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient values to support safe, high-
quality patient care. Option A is incorrect because clinical
judgment remains essential. Option C is incorrect because
nursing care is collaborative and not limited to physician-
directed care. Option D is incorrect because evidence-based
practice is a professional expectation rather than only a policy
requirement.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Professional Nursing Practice
Question 2
A nurse identifies a medication error before administering the
medication to the patient. Which action demonstrates
accountability in professional nursing practice?
A. Ignoring the error because the medication was not
administered
B. Reporting the error according to institutional policy
,C. Asking another nurse to document the incident
D. Waiting until the end of the shift to mention the error
Correct Answer: B
Rationale:
Professional accountability requires nurses to report actual or
potential errors promptly to promote patient safety and system
improvement. Option A disregards safety principles. Option C
improperly transfers responsibility. Option D delays necessary
intervention and evaluation.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Professional Nursing Practice
Question 3
A nurse prioritizes patient care using the principles of patient-
centered care. Which nursing action best demonstrates this
concept?
A. Following unit routines without modification
B. Encouraging the patient to participate in care decisions
C. Limiting family involvement during hospitalization
D. Making decisions independently to save time
Correct Answer: B
Rationale:
Patient-centered care emphasizes respect for patient
, preferences, values, and participation in decision-making.
Option A ignores individualized care. Option C may reduce
support systems. Option D excludes the patient from
collaborative care planning.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Professional Nursing Practice
Question 4
The nurse manager discusses quality improvement initiatives
with staff nurses. Which outcome best indicates successful
quality improvement?
A. Increased variation in nursing care delivery
B. Improved patient outcomes and safety measures
C. Reduced communication among interdisciplinary team
members
D. Increased dependence on traditional routines
Correct Answer: B
Rationale:
Quality improvement focuses on systematic efforts to improve
patient outcomes, safety, and care processes. Option A
contradicts standardization efforts. Option C negatively affects
collaboration. Option D limits innovation and evidence-based
care.
