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 concept of professional nursing
practice to a newly hired graduate nurse. Which statement best
reflects the role of professional nursing?
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 bedside technical skills
,D. Nursing care is directed only toward patients with acute
illness
Correct Answer: B
Rationale:
Professional nursing practice incorporates clinical judgment,
patient advocacy, health promotion, evidence-based care, and
patient-centered interventions. Nursing extends beyond
technical tasks and includes coordination of care and
promotion of optimal outcomes. Options A and C are too
limited in scope, while option D ignores preventive and
community-based nursing roles.
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 is caring for several patients on a medical-surgical
unit. Which action demonstrates patient advocacy?
A. Following physician prescriptions without questioning
B. Encouraging a patient to accept treatment despite refusal
C. Reporting concerns about an unsafe medication dosage
before administration
D. Delegating patient teaching to unlicensed assistive personnel
Correct Answer: C
,Rationale:
Patient advocacy includes protecting patients from unsafe
practices and intervening when care may place the patient at
risk. Reporting a questionable medication dosage reflects
accountability and patient protection. Options A and B fail to
advocate for patient safety and autonomy. Option D is
inappropriate because patient teaching is a nursing
responsibility.
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 uses current research findings to select interventions
for pressure injury prevention. Which principle is the nurse
applying?
A. Delegation
B. Evidence-based practice
C. Ethical reasoning
D. Primary prevention
Correct Answer: B
Rationale:
Evidence-based practice involves integrating the best current
evidence with clinical expertise and patient preferences to
, improve outcomes. The nurse’s use of research-supported
interventions demonstrates evidence-based nursing care.
Delegation and ethical reasoning are not the primary concepts
illustrated.
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 statement best demonstrates health literacy?
A. “I will take this medication whenever I feel symptoms.”
B. “I do not need to read the discharge instructions.”
C. “I understand I should monitor my blood glucose before
meals.”
D. “I stopped the medication because my neighbor advised me
to.”
Correct Answer: C
Rationale:
Health literacy refers to the ability to obtain, process, and
understand health information needed for appropriate
decision-making. The patient who correctly explains blood
glucose monitoring demonstrates understanding of health
instructions. The remaining options indicate poor
understanding or unsafe decision-making.