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
designed to reduce medication administration errors on a
medical-surgical unit. Which action best reflects evidence-
based nursing practice?
A. Administering medications according to personal clinical
experience only
B. Following unit traditions regardless of patient outcomes
C. Integrating current research findings with clinical expertise
and patient preferences
,D. Delaying implementation of new interventions until all staff
members agree
Correct Answer: C
Rationale:
Evidence-based nursing practice integrates the best current
evidence, clinical expertise, and patient preferences to improve
patient outcomes and safety. Relying solely on tradition or
personal experience may not support optimal care. Waiting for
complete consensus may unnecessarily delay implementation
of effective practices.
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 requests detailed
information about treatment options before consenting to
surgery. Which patient right is the nurse primarily supporting?
A. Confidentiality
B. Autonomy
C. Fidelity
D. Veracity
Correct Answer: B
,Rationale:
Autonomy refers to the patient’s right to make informed
decisions regarding personal health care. Providing information
that supports informed decision-making promotes patient
autonomy. Confidentiality involves privacy, fidelity refers to
keeping commitments, and veracity involves truthfulness.
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 manager emphasizes the importance of reducing
hospital-acquired infections through adherence to hand
hygiene protocols. Which quality indicator is most directly
addressed by this initiative?
A. Cost reduction
B. Patient safety
C. Staff retention
D. Interdisciplinary collaboration
Correct Answer: B
Rationale:
Hand hygiene initiatives primarily focus on improving patient
safety by preventing healthcare-associated infections. Although
infection prevention may influence costs and teamwork, the
, direct objective is the protection of patients from preventable
harm.
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 is caring for four patients on a medical-surgical unit.
Which patient should the nurse assess first?
A. A patient requesting assistance with discharge paperwork
B. A patient reporting sudden shortness of breath after
ambulation
C. A patient asking for scheduled pain medication for chronic
arthritis pain
D. A patient awaiting transportation for a diagnostic test
Correct Answer: B
Rationale:
Sudden shortness of breath may indicate a life-threatening
complication requiring immediate assessment and intervention.
Prioritization follows the ABCs framework, with airway and
breathing concerns addressed first.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,