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 participating in a quality improvement initiative
focused on reducing medication administration errors on a
medical-surgical unit. Which action best reflects evidence-
based nursing practice?
A. Administering medications based on unit tradition
B. Following interventions supported by current research and
clinical expertise
C. Relying solely on physician preference when administering
medications
,D. Using interventions that reduce nursing workload regardless
of outcomes
Correct Answer: B
Rationale:
Evidence-based nursing practice integrates current best
research evidence, clinical expertise, and patient preferences to
improve patient outcomes and safety. Following interventions
supported by research and clinical expertise promotes quality
patient care and reduces preventable errors. Options A, C, and
D do not reflect the principles of evidence-based practice
because they rely on tradition, individual preference, or
convenience rather than validated evidence.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 2
A nurse is caring for a patient who refuses a prescribed
treatment after receiving education about the risks and
benefits. Which nursing action is most appropriate?
A. Notify security because the patient is noncompliant
B. Respect the patient’s decision and document the refusal
C. Withhold further nursing care until the treatment is accepted
D. Ask the family to persuade the patient to comply
immediately
,Correct Answer: B
Rationale:
Patients have the right to make informed decisions regarding
their health care, including refusal of treatment. The nurse
must respect patient autonomy, ensure the patient
understands the consequences, and document the refusal
appropriately. Options A, C, and D violate patient rights and
professional nursing standards.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
A newly licensed nurse asks a preceptor about the primary
purpose of the nursing process. Which response by the
preceptor is most accurate?
A. “It is a documentation system used primarily for legal
protection.”
B. “It provides a systematic framework for individualized
patient care.”
C. “It is used only when caring for critically ill patients.”
D. “It replaces clinical judgment in patient care situations.”
Correct Answer: B
, Rationale:
The nursing process is a systematic, patient-centered
framework used to assess, diagnose, plan, implement, and
evaluate care. It supports individualized nursing interventions
and promotes clinical reasoning. Options A, C, and D
inaccurately describe the purpose and application of the
nursing process.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 4
The nurse is prioritizing care for four patients. Which patient
should the nurse assess first?
A. A patient requesting discharge instructions
B. A patient reporting sudden shortness of breath and chest
pain
C. A patient waiting for scheduled dressing changes
D. A patient asking for assistance with hygiene care
Correct Answer: B
Rationale:
Sudden shortness of breath and chest pain may indicate a life-
threatening condition requiring immediate assessment and
intervention. Using prioritization frameworks such as ABCs
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 participating in a quality improvement initiative
focused on reducing medication administration errors on a
medical-surgical unit. Which action best reflects evidence-
based nursing practice?
A. Administering medications based on unit tradition
B. Following interventions supported by current research and
clinical expertise
C. Relying solely on physician preference when administering
medications
,D. Using interventions that reduce nursing workload regardless
of outcomes
Correct Answer: B
Rationale:
Evidence-based nursing practice integrates current best
research evidence, clinical expertise, and patient preferences to
improve patient outcomes and safety. Following interventions
supported by research and clinical expertise promotes quality
patient care and reduces preventable errors. Options A, C, and
D do not reflect the principles of evidence-based practice
because they rely on tradition, individual preference, or
convenience rather than validated evidence.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 2
A nurse is caring for a patient who refuses a prescribed
treatment after receiving education about the risks and
benefits. Which nursing action is most appropriate?
A. Notify security because the patient is noncompliant
B. Respect the patient’s decision and document the refusal
C. Withhold further nursing care until the treatment is accepted
D. Ask the family to persuade the patient to comply
immediately
,Correct Answer: B
Rationale:
Patients have the right to make informed decisions regarding
their health care, including refusal of treatment. The nurse
must respect patient autonomy, ensure the patient
understands the consequences, and document the refusal
appropriately. Options A, C, and D violate patient rights and
professional nursing standards.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
A newly licensed nurse asks a preceptor about the primary
purpose of the nursing process. Which response by the
preceptor is most accurate?
A. “It is a documentation system used primarily for legal
protection.”
B. “It provides a systematic framework for individualized
patient care.”
C. “It is used only when caring for critically ill patients.”
D. “It replaces clinical judgment in patient care situations.”
Correct Answer: B
, Rationale:
The nursing process is a systematic, patient-centered
framework used to assess, diagnose, plan, implement, and
evaluate care. It supports individualized nursing interventions
and promotes clinical reasoning. Options A, C, and D
inaccurately describe the purpose and application of the
nursing process.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 4
The nurse is prioritizing care for four patients. Which patient
should the nurse assess first?
A. A patient requesting discharge instructions
B. A patient reporting sudden shortness of breath and chest
pain
C. A patient waiting for scheduled dressing changes
D. A patient asking for assistance with hygiene care
Correct Answer: B
Rationale:
Sudden shortness of breath and chest pain may indicate a life-
threatening condition requiring immediate assessment and
intervention. Using prioritization frameworks such as ABCs
