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 role of professional nursing practice to
a group of newly hired nurses. Which statement best reflects
the primary focus of nursing practice?
A. Diagnosing medical diseases independently
B. Promoting, maintaining, and restoring health
C. Prescribing treatment regimens for chronic illness
D. Managing hospital financial resources
Correct Answer: B
,Rationale:
Professional nursing practice focuses on promoting health,
preventing illness, restoring health, and assisting patients in
coping with altered functioning. Nursing care is holistic and
patient-centered. Diagnosing diseases and prescribing
treatments are primarily medical responsibilities, and financial
management is not the primary focus of nursing practice.
Source: Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 16th Edition – Unit 1, Professional Nursing Practice
Question 2
A nurse caring for a hospitalized patient uses current research
findings to guide wound care interventions. Which nursing
concept is the nurse demonstrating?
A. Delegation
B. Evidence-based practice
C. Ethical decision-making
D. Primary prevention
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient preferences to improve patient
outcomes. Using research findings to guide wound care reflects
evidence-based nursing practice. Delegation involves assigning
,tasks, and primary prevention focuses on preventing disease
occurrence.
Source: Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 16th Edition – Unit 1, Professional Nursing Practice
Question 3
A nurse identifies that a patient received the wrong medication
dosage but experienced no adverse effects. Which action
should the nurse take first?
A. Document the error in the patient’s medical record only
B. Notify the health care provider and complete an incident
report
C. Wait to determine whether complications develop
D. Inform the patient’s family before reporting the error
Correct Answer: B
Rationale:
Patient safety requires immediate reporting of medication
errors to the health care provider and completion of
institutional reporting procedures. Prompt reporting supports
patient monitoring and system improvement. Waiting delays
intervention, and incident reporting is part of quality and safety
initiatives.
Source: Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 16th Edition – Unit 1, Professional Nursing Practice
, Question 4
A nurse is caring for four patients. Which patient should the
nurse assess first?
A. A patient requesting assistance to ambulate
B. A patient reporting sudden shortness of breath
C. A patient waiting for discharge instructions
D. A patient requesting pain medication for chronic pain rated
3/10
Correct Answer: B
Rationale:
Using priority-setting principles and the ABCs (airway,
breathing, circulation), sudden shortness of breath requires
immediate assessment because it may indicate respiratory
compromise. The other situations are important but not
immediately life-threatening.
Source: Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 16th Edition – Unit 1, Professional Nursing Practice
Question 5
A nurse is discussing factors influencing health with a patient.
Which factor is considered a social determinant of health?
A. Serum potassium level
B. Family history of hypertension