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 patient falls in a medical-surgical unit.
Which nursing action best reflects evidence-based practice?
A. Following unit routines that have been used for many years
B. Implementing interventions based on current research and
patient needs
,C. Using only physician recommendations to guide nursing care
D. Applying interventions without evaluating patient outcomes
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient preferences to improve patient
outcomes and safety. Using current research findings and
tailoring care to patient needs reflects evidence-based nursing
practice. Following outdated routines or failing to evaluate
outcomes does not support 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 2
A nurse is caring for a patient who refuses a scheduled
treatment after receiving education about the procedure.
Which principle should guide the nurse’s response?
A. Beneficence
B. Fidelity
C. Patient autonomy
D. Nonmaleficence
Correct Answer: C
,Rationale:
Patient autonomy recognizes the patient’s right to make
informed decisions regarding care, including the right to refuse
treatment. The nurse should respect the patient’s decision after
ensuring adequate understanding of the information provided.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 3
The nurse is preparing to delegate tasks to assistive personnel
on a busy medical-surgical unit. Which task is most appropriate
to delegate?
A. Assessing a patient’s pain after medication administration
B. Teaching a patient how to use an incentive spirometer
C. Obtaining routine vital signs for a stable patient
D. Evaluating the effectiveness of a nursing intervention
Correct Answer: C
Rationale:
Routine vital sign measurement for a stable patient is an
appropriate task for assistive personnel. Assessment, teaching,
and evaluation require nursing judgment and remain the
responsibility of the registered nurse.
, Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 4
A nurse identifies that a prescribed medication dosage appears
unusually high for a patient. Which action should the nurse take
first?
A. Administer the medication as prescribed
B. Contact the prescribing provider to clarify the order
C. Ask another nurse to administer the medication
D. Document the concern after medication administration
Correct Answer: B
Rationale:
The nurse has a responsibility to ensure patient safety and
clarify questionable prescriptions before administration.
Verifying the order with the prescribing provider prevents
potential medication errors and promotes safe practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
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 patient falls in a medical-surgical unit.
Which nursing action best reflects evidence-based practice?
A. Following unit routines that have been used for many years
B. Implementing interventions based on current research and
patient needs
,C. Using only physician recommendations to guide nursing care
D. Applying interventions without evaluating patient outcomes
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient preferences to improve patient
outcomes and safety. Using current research findings and
tailoring care to patient needs reflects evidence-based nursing
practice. Following outdated routines or failing to evaluate
outcomes does not support 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 2
A nurse is caring for a patient who refuses a scheduled
treatment after receiving education about the procedure.
Which principle should guide the nurse’s response?
A. Beneficence
B. Fidelity
C. Patient autonomy
D. Nonmaleficence
Correct Answer: C
,Rationale:
Patient autonomy recognizes the patient’s right to make
informed decisions regarding care, including the right to refuse
treatment. The nurse should respect the patient’s decision after
ensuring adequate understanding of the information provided.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 3
The nurse is preparing to delegate tasks to assistive personnel
on a busy medical-surgical unit. Which task is most appropriate
to delegate?
A. Assessing a patient’s pain after medication administration
B. Teaching a patient how to use an incentive spirometer
C. Obtaining routine vital signs for a stable patient
D. Evaluating the effectiveness of a nursing intervention
Correct Answer: C
Rationale:
Routine vital sign measurement for a stable patient is an
appropriate task for assistive personnel. Assessment, teaching,
and evaluation require nursing judgment and remain the
responsibility of the registered nurse.
, Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 4
A nurse identifies that a prescribed medication dosage appears
unusually high for a patient. Which action should the nurse take
first?
A. Administer the medication as prescribed
B. Contact the prescribing provider to clarify the order
C. Ask another nurse to administer the medication
D. Document the concern after medication administration
Correct Answer: B
Rationale:
The nurse has a responsibility to ensure patient safety and
clarify questionable prescriptions before administration.
Verifying the order with the prescribing provider prevents
potential medication errors and promotes safe practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
