Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Question 1
A nurse explains to a student that professional nursing involves
more than performing technical skills. 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 directed only toward patients with acute
illness
Correct Answer: B
Rationale:
Professional nursing practice includes clinical judgment,
advocacy, coordination of care, patient education, and
evidence-based interventions. Nursing is not limited to carrying
out medical orders or bedside procedures alone. Nursing care
addresses health promotion, illness prevention, acute care,
rehabilitation, and end-of-life care.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 2
Which action by the nurse best demonstrates patient-centered
care?
A. Completing tasks quickly to improve unit efficiency
B. Encouraging the patient to participate in care decisions
C. Limiting patient questions during medication administration
D. Prioritizing physician preferences over patient preferences
Correct Answer: B
,Rationale:
Patient-centered care emphasizes respect for patient values,
preferences, and participation in decision-making. Including the
patient in care planning promotes autonomy and improves
outcomes. Efficiency is important but should not override
individualized care.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 3
A nurse is caring for four patients. Which patient should the
nurse assess first?
A. A patient requesting assistance to ambulate to the bathroom
B. A patient reporting sudden shortness of breath
C. A patient awaiting discharge instructions
D. A patient asking for pain medication for chronic back pain
rated 4/10
Correct Answer: B
Rationale:
Shortness of breath may indicate impaired airway or
oxygenation and requires immediate assessment according to
prioritization principles and ABCs (airway, breathing,
circulation). The other situations are important but less urgent.
, Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 4
Which example best demonstrates evidence-based nursing
practice?
A. Performing interventions based solely on tradition
B. Using current research findings to guide patient care
decisions
C. Following only physician preferences when planning care
D. Avoiding changes in practice to maintain consistency
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient preferences to improve
outcomes. Reliance solely on tradition or routine may not
reflect current best practices.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice