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 explaining the primary purpose of professional
nursing practice to a newly hired graduate nurse. Which
statement by the graduate nurse indicates correct
understanding?
A. Nursing focuses primarily on carrying out prescribed medical
treatments.
B. Nursing is centered on assisting patients to achieve optimal
health and independence.
,C. Nursing is limited to providing bedside physical care.
D. Nursing is primarily responsible for diagnosing medical
disorders.
Correct Answer: B
Rationale:
Professional nursing practice focuses on promoting health,
preventing illness, restoring health, and assisting patients in
achieving optimal functioning and independence. Nursing care
encompasses physical, psychological, social, and spiritual
dimensions. Option A is incorrect because nursing extends
beyond implementing medical orders. Option C is incorrect
because nursing includes education, advocacy, leadership, and
coordination of care. Option D is incorrect because medical
diagnosis is not the primary role of nursing.
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 hospitalized patient who refuses a
scheduled treatment after receiving education about the risks
and benefits. Which nursing action best reflects patient-
centered care?
A. Inform the patient that refusal is not permitted during
hospitalization.
,B. Notify security personnel to ensure treatment compliance.
C. Respect the patient’s decision after confirming informed
refusal.
D. Delay documentation until the provider discusses the issue.
Correct Answer: C
Rationale:
Patient-centered care recognizes the patient’s autonomy and
right to make informed decisions regarding treatment. The
nurse should ensure the patient understands the consequences
and document the informed refusal appropriately. Option A
violates patient autonomy. Option B is inappropriate and
unethical. Option D is incorrect because timely documentation
is essential.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
A nurse manager is reviewing quality indicators on a medical-
surgical unit. Which outcome best reflects quality nursing care?
A. Increased number of diagnostic procedures completed
B. Reduced incidence of patient falls and medication errors
C. Higher number of admissions during the shift
D. Increased physician productivity
, Correct Answer: B
Rationale:
Quality nursing care is measured by patient outcomes that
reflect safety and effective care delivery, including reductions in
falls, medication errors, and preventable complications. Option
A does not necessarily indicate quality. Option C relates to unit
activity rather than quality outcomes. Option D focuses on
provider productivity rather than nursing quality indicators.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 4
A nurse uses current research findings to revise a patient care
plan for pressure injury prevention. Which nursing concept is
demonstrated?
A. Delegation
B. Evidence-based practice
C. Primary prevention
D. Case management
Correct Answer: B
Rationale:
Evidence-based practice involves integrating the best current
evidence with clinical expertise and patient preferences to
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 primary purpose of professional
nursing practice to a newly hired graduate nurse. Which
statement by the graduate nurse indicates correct
understanding?
A. Nursing focuses primarily on carrying out prescribed medical
treatments.
B. Nursing is centered on assisting patients to achieve optimal
health and independence.
,C. Nursing is limited to providing bedside physical care.
D. Nursing is primarily responsible for diagnosing medical
disorders.
Correct Answer: B
Rationale:
Professional nursing practice focuses on promoting health,
preventing illness, restoring health, and assisting patients in
achieving optimal functioning and independence. Nursing care
encompasses physical, psychological, social, and spiritual
dimensions. Option A is incorrect because nursing extends
beyond implementing medical orders. Option C is incorrect
because nursing includes education, advocacy, leadership, and
coordination of care. Option D is incorrect because medical
diagnosis is not the primary role of nursing.
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 hospitalized patient who refuses a
scheduled treatment after receiving education about the risks
and benefits. Which nursing action best reflects patient-
centered care?
A. Inform the patient that refusal is not permitted during
hospitalization.
,B. Notify security personnel to ensure treatment compliance.
C. Respect the patient’s decision after confirming informed
refusal.
D. Delay documentation until the provider discusses the issue.
Correct Answer: C
Rationale:
Patient-centered care recognizes the patient’s autonomy and
right to make informed decisions regarding treatment. The
nurse should ensure the patient understands the consequences
and document the informed refusal appropriately. Option A
violates patient autonomy. Option B is inappropriate and
unethical. Option D is incorrect because timely documentation
is essential.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
A nurse manager is reviewing quality indicators on a medical-
surgical unit. Which outcome best reflects quality nursing care?
A. Increased number of diagnostic procedures completed
B. Reduced incidence of patient falls and medication errors
C. Higher number of admissions during the shift
D. Increased physician productivity
, Correct Answer: B
Rationale:
Quality nursing care is measured by patient outcomes that
reflect safety and effective care delivery, including reductions in
falls, medication errors, and preventable complications. Option
A does not necessarily indicate quality. Option C relates to unit
activity rather than quality outcomes. Option D focuses on
provider productivity rather than nursing quality indicators.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 4
A nurse uses current research findings to revise a patient care
plan for pressure injury prevention. Which nursing concept is
demonstrated?
A. Delegation
B. Evidence-based practice
C. Primary prevention
D. Case management
Correct Answer: B
Rationale:
Evidence-based practice involves integrating the best current
evidence with clinical expertise and patient preferences to
