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 purpose of evidence-based practice
(EBP) to a newly licensed nurse. Which statement by the new
nurse indicates correct understanding?
A. “EBP relies primarily on institutional traditions.”
B. “EBP combines research evidence, clinical expertise, and
patient preferences.”
,C. “EBP eliminates the need for clinical judgment.”
D. “EBP focuses only on randomized controlled trials.”
Correct Answer: B
Rationale:
Evidence-based practice integrates the best available research
evidence, clinical expertise, and patient values/preferences to
improve patient outcomes and quality of care. Institutional
traditions alone are insufficient, and clinical judgment remains
essential. EBP is not limited solely to randomized controlled
trials.
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 four patients. Which patient should the
nurse assess first?
A. A patient with chronic arthritis reporting pain rated 4/10
B. A patient awaiting discharge instructions after cataract
surgery
C. A patient with sudden shortness of breath and oxygen
saturation of 86%
D. A patient requesting assistance to the bathroom
Correct Answer: C
,Rationale:
Using ABC priorities, airway and breathing problems take
precedence. Sudden shortness of breath with hypoxemia may
indicate acute respiratory compromise and requires immediate
assessment. The other patients are stable and can be addressed
afterward.
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 is reviewing patient safety strategies with
staff nurses. Which intervention best promotes patient safety?
A. Limiting patient involvement in care decisions
B. Encouraging reporting of near-miss events
C. Avoiding standardized communication tools
D. Delegating all assessments to assistive personnel
Correct Answer: B
Rationale:
Reporting near-miss events helps identify system weaknesses
and supports development of safer processes. Patient
involvement enhances safety, standardized communication
improves care continuity, and nursing assessments remain the
responsibility of licensed nurses.
, 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 a culturally diverse patient population.
Which nursing action best demonstrates patient-centered care?
A. Providing identical care to every patient
B. Prioritizing institutional routines over patient preferences
C. Respecting the patient’s values and involving the patient in
decisions
D. Limiting family participation in discussions
Correct Answer: C
Rationale:
Patient-centered care recognizes patient preferences, values,
cultural beliefs, and active participation in decision-making.
Providing identical care without considering individual needs
may not meet patient-centered standards.
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 explaining the purpose of evidence-based practice
(EBP) to a newly licensed nurse. Which statement by the new
nurse indicates correct understanding?
A. “EBP relies primarily on institutional traditions.”
B. “EBP combines research evidence, clinical expertise, and
patient preferences.”
,C. “EBP eliminates the need for clinical judgment.”
D. “EBP focuses only on randomized controlled trials.”
Correct Answer: B
Rationale:
Evidence-based practice integrates the best available research
evidence, clinical expertise, and patient values/preferences to
improve patient outcomes and quality of care. Institutional
traditions alone are insufficient, and clinical judgment remains
essential. EBP is not limited solely to randomized controlled
trials.
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 four patients. Which patient should the
nurse assess first?
A. A patient with chronic arthritis reporting pain rated 4/10
B. A patient awaiting discharge instructions after cataract
surgery
C. A patient with sudden shortness of breath and oxygen
saturation of 86%
D. A patient requesting assistance to the bathroom
Correct Answer: C
,Rationale:
Using ABC priorities, airway and breathing problems take
precedence. Sudden shortness of breath with hypoxemia may
indicate acute respiratory compromise and requires immediate
assessment. The other patients are stable and can be addressed
afterward.
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 is reviewing patient safety strategies with
staff nurses. Which intervention best promotes patient safety?
A. Limiting patient involvement in care decisions
B. Encouraging reporting of near-miss events
C. Avoiding standardized communication tools
D. Delegating all assessments to assistive personnel
Correct Answer: B
Rationale:
Reporting near-miss events helps identify system weaknesses
and supports development of safer processes. Patient
involvement enhances safety, standardized communication
improves care continuity, and nursing assessments remain the
responsibility of licensed nurses.
, 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 a culturally diverse patient population.
Which nursing action best demonstrates patient-centered care?
A. Providing identical care to every patient
B. Prioritizing institutional routines over patient preferences
C. Respecting the patient’s values and involving the patient in
decisions
D. Limiting family participation in discussions
Correct Answer: C
Rationale:
Patient-centered care recognizes patient preferences, values,
cultural beliefs, and active participation in decision-making.
Providing identical care without considering individual needs
may not meet patient-centered standards.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
