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 caring for a patient from a cultural background that
differs from the nurse’s own beliefs and practices. Which action
best demonstrates culturally competent nursing care?
A. Encouraging the patient to adopt the hospital’s standard
health practices
B. Asking the patient about personal health beliefs and
incorporating them into care planning
C. Avoiding discussion of cultural practices to prevent
,misunderstandings
D. Applying identical interventions to all patients to ensure
fairness
Correct Answer: B
Rationale:
Assessing and incorporating the patient’s cultural beliefs into
care planning reflects patient-centered and culturally
competent nursing practice. Professional nursing care requires
respect for individual preferences, values, and beliefs. Option A
disregards patient autonomy. Option C limits therapeutic
communication. Option D ignores 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 2
The nurse identifies a need to reduce medication
administration errors on a medical-surgical unit. Which action
best reflects evidence-based nursing practice?
A. Using interventions based on unit tradition
B. Following instructions from experienced staff only
C. Integrating current research findings with clinical expertise
and patient preferences
D. Applying interventions that reduce nursing workload
,Correct Answer: C
Rationale:
Evidence-based practice combines current best evidence,
clinical expertise, and patient values to improve outcomes and
safety. Option A relies on tradition rather than evidence.
Option B excludes research evidence. Option D prioritizes
convenience rather than quality 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 prioritizing care for four patients. Which patient
should the nurse assess first?
A. A patient requesting assistance with ambulation
B. A patient scheduled for discharge teaching in 2 hours
C. A patient reporting sudden shortness of breath and chest
tightness
D. A patient asking for pain medication rated 4 out of 10
Correct Answer: C
Rationale:
Sudden shortness of breath and chest tightness may indicate a
life-threatening cardiopulmonary complication and require
, immediate assessment using ABC priorities. Options A, B, and D
are important but not immediately life-threatening.
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 statement by a nurse best reflects accountability in
professional nursing practice?
A. “The physician is responsible for all patient outcomes.”
B. “I will document the medication after the next shift begins.”
C. “I am responsible for the care I provide and the decisions I
make.”
D. “The charge nurse will correct any mistakes I make.”
Correct Answer: C
Rationale:
Professional accountability involves accepting responsibility for
nursing actions, judgments, and outcomes. Option A incorrectly
transfers responsibility. Option B demonstrates unsafe
documentation practice. Option D avoids personal
accountability.
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 caring for a patient from a cultural background that
differs from the nurse’s own beliefs and practices. Which action
best demonstrates culturally competent nursing care?
A. Encouraging the patient to adopt the hospital’s standard
health practices
B. Asking the patient about personal health beliefs and
incorporating them into care planning
C. Avoiding discussion of cultural practices to prevent
,misunderstandings
D. Applying identical interventions to all patients to ensure
fairness
Correct Answer: B
Rationale:
Assessing and incorporating the patient’s cultural beliefs into
care planning reflects patient-centered and culturally
competent nursing practice. Professional nursing care requires
respect for individual preferences, values, and beliefs. Option A
disregards patient autonomy. Option C limits therapeutic
communication. Option D ignores 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 2
The nurse identifies a need to reduce medication
administration errors on a medical-surgical unit. Which action
best reflects evidence-based nursing practice?
A. Using interventions based on unit tradition
B. Following instructions from experienced staff only
C. Integrating current research findings with clinical expertise
and patient preferences
D. Applying interventions that reduce nursing workload
,Correct Answer: C
Rationale:
Evidence-based practice combines current best evidence,
clinical expertise, and patient values to improve outcomes and
safety. Option A relies on tradition rather than evidence.
Option B excludes research evidence. Option D prioritizes
convenience rather than quality 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 prioritizing care for four patients. Which patient
should the nurse assess first?
A. A patient requesting assistance with ambulation
B. A patient scheduled for discharge teaching in 2 hours
C. A patient reporting sudden shortness of breath and chest
tightness
D. A patient asking for pain medication rated 4 out of 10
Correct Answer: C
Rationale:
Sudden shortness of breath and chest tightness may indicate a
life-threatening cardiopulmonary complication and require
, immediate assessment using ABC priorities. Options A, B, and D
are important but not immediately life-threatening.
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 statement by a nurse best reflects accountability in
professional nursing practice?
A. “The physician is responsible for all patient outcomes.”
B. “I will document the medication after the next shift begins.”
C. “I am responsible for the care I provide and the decisions I
make.”
D. “The charge nurse will correct any mistakes I make.”
Correct Answer: C
Rationale:
Professional accountability involves accepting responsibility for
nursing actions, judgments, and outcomes. Option A incorrectly
transfers responsibility. Option B demonstrates unsafe
documentation practice. Option D avoids personal
accountability.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
