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 caring for a postoperative patient uses current
evidence to determine the most effective interventions for
preventing atelectasis. Which nursing principle is
demonstrated?
A. Delegation
B. Evidence-based practice
C. Case management
D. Primary prevention
,Correct Answer: B
Rationale:
Evidence-based practice involves integrating the best current
evidence with clinical expertise and patient preferences to
improve patient outcomes. Using evidence-supported
interventions for postoperative care reflects evidence-based
nursing practice. Delegation refers to assigning tasks to others.
Case management coordinates services across the continuum
of care. Primary prevention focuses on preventing disease
before it occurs.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 2
A nurse identifies a medication dosage discrepancy before
administration and immediately reports the issue to the
prescribing provider. Which patient safety competency is most
clearly demonstrated?
A. Informatics
B. Teamwork and collaboration
C. Safety
D. Quality improvement
Correct Answer: C
,Rationale:
The safety competency focuses on minimizing the risk of harm
to patients and providers through effective system
performance and individual performance. Recognizing and
reporting a medication discrepancy prevents patient harm and
supports safe nursing practice. Informatics involves the use of
technology and communication systems. Teamwork focuses on
collaboration among healthcare professionals. Quality
improvement emphasizes systematic evaluation of care
processes.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 3
Which action by the nurse best demonstrates patient-centered
care?
A. Encouraging the patient to follow the prescribed treatment
plan without modification
B. Making decisions for the patient to reduce anxiety
C. Including the patient’s preferences when developing the care
plan
D. Limiting family participation during teaching sessions
Correct Answer: C
, Rationale:
Patient-centered care recognizes the patient as an active
participant in healthcare decisions. Incorporating patient
preferences into the plan of care supports autonomy,
individualized care, and therapeutic relationships. The other
options limit patient participation and do not reflect patient-
centered practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 4
The nurse is caring for four patients. Which patient should the
nurse assess first?
A. A patient with chronic arthritis requesting assistance with
repositioning
B. A patient reporting sudden shortness of breath after surgery
C. A patient awaiting discharge instructions
D. A patient requesting pain medication for chronic back pain
Correct Answer: B
Rationale:
Sudden shortness of breath after surgery may indicate a life-
threatening complication such as pulmonary embolism or
respiratory compromise and requires immediate assessment
based on priority-setting principles and airway-breathing-
Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Question 1
A nurse caring for a postoperative patient uses current
evidence to determine the most effective interventions for
preventing atelectasis. Which nursing principle is
demonstrated?
A. Delegation
B. Evidence-based practice
C. Case management
D. Primary prevention
,Correct Answer: B
Rationale:
Evidence-based practice involves integrating the best current
evidence with clinical expertise and patient preferences to
improve patient outcomes. Using evidence-supported
interventions for postoperative care reflects evidence-based
nursing practice. Delegation refers to assigning tasks to others.
Case management coordinates services across the continuum
of care. Primary prevention focuses on preventing disease
before it occurs.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 2
A nurse identifies a medication dosage discrepancy before
administration and immediately reports the issue to the
prescribing provider. Which patient safety competency is most
clearly demonstrated?
A. Informatics
B. Teamwork and collaboration
C. Safety
D. Quality improvement
Correct Answer: C
,Rationale:
The safety competency focuses on minimizing the risk of harm
to patients and providers through effective system
performance and individual performance. Recognizing and
reporting a medication discrepancy prevents patient harm and
supports safe nursing practice. Informatics involves the use of
technology and communication systems. Teamwork focuses on
collaboration among healthcare professionals. Quality
improvement emphasizes systematic evaluation of care
processes.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 3
Which action by the nurse best demonstrates patient-centered
care?
A. Encouraging the patient to follow the prescribed treatment
plan without modification
B. Making decisions for the patient to reduce anxiety
C. Including the patient’s preferences when developing the care
plan
D. Limiting family participation during teaching sessions
Correct Answer: C
, Rationale:
Patient-centered care recognizes the patient as an active
participant in healthcare decisions. Incorporating patient
preferences into the plan of care supports autonomy,
individualized care, and therapeutic relationships. The other
options limit patient participation and do not reflect patient-
centered practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 4
The nurse is caring for four patients. Which patient should the
nurse assess first?
A. A patient with chronic arthritis requesting assistance with
repositioning
B. A patient reporting sudden shortness of breath after surgery
C. A patient awaiting discharge instructions
D. A patient requesting pain medication for chronic back pain
Correct Answer: B
Rationale:
Sudden shortness of breath after surgery may indicate a life-
threatening complication such as pulmonary embolism or
respiratory compromise and requires immediate assessment
based on priority-setting principles and airway-breathing-
