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 explains to a student nurse that professional nursing
practice is distinguished from technical health care roles
primarily by which characteristic?
A. Performance of delegated medical tasks
B. Integration of critical thinking and clinical judgment
C. Administration of prescribed medications
D. Use of standardized procedures without modification
Correct Answer: B
,Rationale:
Professional nursing practice involves the use of critical
thinking, clinical judgment, and evidence-based decision-
making to provide patient-centered care. Delegated tasks and
standardized procedures may be components of care but do
not define professional nursing practice. Medication
administration alone is not unique to professional nursing.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 2
A nurse caring for several patients identifies which action as
demonstrating patient-centered care?
A. Following unit routines regardless of patient preference
B. Prioritizing physician requests over patient concerns
C. Incorporating the patient’s values and preferences into the
plan of care
D. Limiting patient participation to reduce decision-making time
Correct Answer: C
Rationale:
Patient-centered care emphasizes respect for the patient’s
preferences, values, and expressed needs. Nursing care should
actively involve the patient in planning and decision-making.
,Ignoring preferences or limiting participation contradicts
patient-centered principles.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
The nurse is participating in a quality improvement initiative
aimed at reducing medication administration errors. Which
outcome best indicates successful quality improvement?
A. Increased nurse overtime hours
B. Reduced incidence of medication errors on the unit
C. Increased number of physician prescriptions
D. Decreased patient admissions
Correct Answer: B
Rationale:
Quality improvement initiatives focus on measurable
improvements in patient outcomes and safety. A reduction in
medication administration errors reflects enhanced patient
safety and improved nursing practice. The other options do not
directly measure quality improvement success.
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 wound care
procedures on the unit. This action reflects which principle?
A. Delegation
B. Evidence-based practice
C. Primary prevention
D. Cost containment
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient preferences to guide nursing
care. Revising procedures based on research findings
demonstrates application of evidence-based practice principles.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 5
Which patient should the nurse assess first?
A. A patient requesting assistance with hygiene care
B. A patient reporting new-onset shortness of breath
C. A patient awaiting discharge instructions
D. A patient asking for a scheduled snack
Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Question 1
A nurse explains to a student nurse that professional nursing
practice is distinguished from technical health care roles
primarily by which characteristic?
A. Performance of delegated medical tasks
B. Integration of critical thinking and clinical judgment
C. Administration of prescribed medications
D. Use of standardized procedures without modification
Correct Answer: B
,Rationale:
Professional nursing practice involves the use of critical
thinking, clinical judgment, and evidence-based decision-
making to provide patient-centered care. Delegated tasks and
standardized procedures may be components of care but do
not define professional nursing practice. Medication
administration alone is not unique to professional nursing.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 2
A nurse caring for several patients identifies which action as
demonstrating patient-centered care?
A. Following unit routines regardless of patient preference
B. Prioritizing physician requests over patient concerns
C. Incorporating the patient’s values and preferences into the
plan of care
D. Limiting patient participation to reduce decision-making time
Correct Answer: C
Rationale:
Patient-centered care emphasizes respect for the patient’s
preferences, values, and expressed needs. Nursing care should
actively involve the patient in planning and decision-making.
,Ignoring preferences or limiting participation contradicts
patient-centered principles.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
The nurse is participating in a quality improvement initiative
aimed at reducing medication administration errors. Which
outcome best indicates successful quality improvement?
A. Increased nurse overtime hours
B. Reduced incidence of medication errors on the unit
C. Increased number of physician prescriptions
D. Decreased patient admissions
Correct Answer: B
Rationale:
Quality improvement initiatives focus on measurable
improvements in patient outcomes and safety. A reduction in
medication administration errors reflects enhanced patient
safety and improved nursing practice. The other options do not
directly measure quality improvement success.
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 wound care
procedures on the unit. This action reflects which principle?
A. Delegation
B. Evidence-based practice
C. Primary prevention
D. Cost containment
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient preferences to guide nursing
care. Revising procedures based on research findings
demonstrates application of evidence-based practice principles.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 5
Which patient should the nurse assess first?
A. A patient requesting assistance with hygiene care
B. A patient reporting new-onset shortness of breath
C. A patient awaiting discharge instructions
D. A patient asking for a scheduled snack
