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 concept of professional nursing
practice to a group of newly hired nurses. Which statement
best reflects professional nursing practice?
A. Nursing focuses primarily on carrying out prescribed medical
treatments
B. Nursing integrates clinical judgment, patient advocacy, and
evidence-based care
C. Nursing responsibilities are limited to direct bedside care
D. Nursing care is determined solely by institutional policies
,Correct Answer: B
Rationale:
Professional nursing practice involves the use of clinical
judgment, advocacy, evidence-based interventions, and
collaborative care to promote patient health and safety.
Nursing extends beyond performing tasks or following orders.
Options A, C, and D are incorrect because they narrow the
scope of nursing practice and fail to recognize the autonomous
and evidence-based aspects of professional nursing.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice, Chapter 1: Professional
Nursing Practice
Question 2
The nurse is caring for several patients on a medical-surgical
unit. Which action demonstrates patient advocacy?
A. Encouraging the patient to comply with the provider’s
recommendation without discussion
B. Reporting unsafe staffing concerns to the nurse manager
C. Delegating patient education to unlicensed assistive
personnel
D. Withholding information that may increase patient anxiety
Correct Answer: B
,Rationale:
Advocacy includes protecting patient safety, promoting quality
care, and addressing concerns that may affect outcomes.
Reporting unsafe staffing conditions supports safe patient care.
Option A limits patient autonomy, option C delegates beyond
appropriate scope, and option D violates principles of informed
decision-making.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice, Chapter 1: Professional
Nursing Practice
Question 3
A nurse is assessing factors influencing a patient’s health status.
Which factor is considered a social determinant of health?
A. Serum potassium level
B. Genetic blood disorder
C. Access to nutritious food and housing
D. Presence of postoperative pain
Correct Answer: C
Rationale:
Social determinants of health include environmental and
socioeconomic conditions such as housing, education, income,
and food access that influence health outcomes. Options A and
, D are clinical findings, while option B represents a biologic
factor rather than a social determinant.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice, Chapter 1: Professional
Nursing Practice
Question 4
Which nursing action best reflects evidence-based practice?
A. Performing interventions based solely on personal
experience
B. Following unit traditions regardless of updated research
C. Integrating current research findings with clinical expertise
and patient preferences
D. Using only provider-directed interventions for patient care
Correct Answer: C
Rationale:
Evidence-based practice combines the best current evidence,
clinical expertise, and patient preferences to guide care
decisions. Options A and B ignore current evidence, while
option D limits nursing judgment and interdisciplinary
collaboration.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
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 professional nursing practice?
A. Nursing focuses primarily on carrying out prescribed medical
treatments
B. Nursing integrates clinical judgment, patient advocacy, and
evidence-based care
C. Nursing responsibilities are limited to direct bedside care
D. Nursing care is determined solely by institutional policies
,Correct Answer: B
Rationale:
Professional nursing practice involves the use of clinical
judgment, advocacy, evidence-based interventions, and
collaborative care to promote patient health and safety.
Nursing extends beyond performing tasks or following orders.
Options A, C, and D are incorrect because they narrow the
scope of nursing practice and fail to recognize the autonomous
and evidence-based aspects of professional nursing.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice, Chapter 1: Professional
Nursing Practice
Question 2
The nurse is caring for several patients on a medical-surgical
unit. Which action demonstrates patient advocacy?
A. Encouraging the patient to comply with the provider’s
recommendation without discussion
B. Reporting unsafe staffing concerns to the nurse manager
C. Delegating patient education to unlicensed assistive
personnel
D. Withholding information that may increase patient anxiety
Correct Answer: B
,Rationale:
Advocacy includes protecting patient safety, promoting quality
care, and addressing concerns that may affect outcomes.
Reporting unsafe staffing conditions supports safe patient care.
Option A limits patient autonomy, option C delegates beyond
appropriate scope, and option D violates principles of informed
decision-making.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice, Chapter 1: Professional
Nursing Practice
Question 3
A nurse is assessing factors influencing a patient’s health status.
Which factor is considered a social determinant of health?
A. Serum potassium level
B. Genetic blood disorder
C. Access to nutritious food and housing
D. Presence of postoperative pain
Correct Answer: C
Rationale:
Social determinants of health include environmental and
socioeconomic conditions such as housing, education, income,
and food access that influence health outcomes. Options A and
, D are clinical findings, while option B represents a biologic
factor rather than a social determinant.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice, Chapter 1: Professional
Nursing Practice
Question 4
Which nursing action best reflects evidence-based practice?
A. Performing interventions based solely on personal
experience
B. Following unit traditions regardless of updated research
C. Integrating current research findings with clinical expertise
and patient preferences
D. Using only provider-directed interventions for patient care
Correct Answer: C
Rationale:
Evidence-based practice combines the best current evidence,
clinical expertise, and patient preferences to guide care
decisions. Options A and B ignore current evidence, while
option D limits nursing judgment and interdisciplinary
collaboration.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
