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 scope of professional nursing practice
to a newly hired graduate nurse. Which statement best reflects
professional nursing practice?
A. Nursing focuses primarily on carrying out prescribed medical
treatments
B. Nursing includes the diagnosis and treatment of human
responses to health problems
C. Nursing practice is limited to direct bedside care activities
D. Nursing responsibilities are delegated entirely by physicians
Correct Answer: B
,Rationale:
Professional nursing practice includes the diagnosis and
treatment of human responses to actual or potential health
problems. Nursing encompasses independent, collaborative,
and delegated functions focused on promoting health,
preventing illness, and caring for patients. Options A, C, and D
incorrectly limit the scope and autonomy of nursing practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1
Professional Nursing Practice
Question 2
A nurse is applying evidence-based practice (EBP) while
planning patient care. Which action best demonstrates EBP?
A. Using interventions based solely on personal experience
B. Following physician preferences regardless of evidence
C. Integrating current research, clinical expertise, and patient
preferences
D. Using only hospital policies to guide decisions
Correct Answer: C
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient values to improve patient
,outcomes. Personal experience or institutional preferences
alone are insufficient for EBP.
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 identifies a medication error before administration and
immediately reports it according to agency policy. Which
principle of quality and safety is demonstrated?
A. Accountability
B. Delegation
C. Advocacy
D. Confidentiality
Correct Answer: A
Rationale:
Accountability involves accepting responsibility for actions and
reporting errors to protect patient safety and improve quality
of care. Delegation, advocacy, and confidentiality are important
concepts but do not specifically address error reporting
responsibility.
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 patient should the nurse assess first?
A. A patient requesting assistance to ambulate
B. A patient reporting sudden shortness of breath
C. A patient asking questions about discharge instructions
D. A patient waiting for scheduled dressing changes
Correct Answer: B
Rationale:
Sudden shortness of breath may indicate a life-threatening
respiratory problem requiring immediate assessment based on
airway and breathing priorities. The other situations are
important but not emergent.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1
Professional Nursing Practice
Question 5
A nurse is caring for a culturally diverse patient population.
Which action best supports patient-centered care?