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 meeting
focused on reducing medication administration errors on a
medical-surgical unit. Which action best reflects evidence-
based nursing practice?
A. Following unit routines that have been used for many years
B. Applying interventions supported by current research and
clinical expertise
C. Implementing only physician-directed interventions
,D. Relying solely on personal clinical experience when making
decisions
Correct Answer: B
Rationale:
Evidence-based nursing practice integrates current best
research evidence, clinical expertise, and patient preferences to
improve patient outcomes and safety. Following outdated
routines or relying solely on personal experience does not
ensure best practice. Physician-directed care alone does not
encompass the full scope of nursing judgment and evidence-
based decision-making.
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 caring for a hospitalized patient identifies a near-miss
medication error before administration. Which action should
the nurse take first?
A. Report the incident according to agency policy
B. Notify the patient’s family immediately
C. Discard the medication and continue care
D. Document the event only in the nurse’s personal notes
,Correct Answer: A
Rationale:
Reporting near-miss events supports patient safety initiatives
and quality improvement processes within health care
organizations. Near misses provide important data for
identifying system vulnerabilities and preventing future errors.
Discarding the medication without reporting bypasses safety
improvement opportunities.
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 is explaining the concept of patient-centered care to a
newly licensed nurse. Which statement best describes patient-
centered care?
A. The nurse independently determines the patient’s priorities
B. Care decisions are based primarily on institutional policies
C. The patient’s values and preferences guide clinical decisions
D. Standardized care plans are used for all patients with similar
diagnoses
Correct Answer: C
, Rationale:
Patient-centered care emphasizes respect for patients’ values,
preferences, and expressed needs. Patients are active
participants in care planning and decision-making. Standardized
care may be useful but must be individualized according to
patient needs and preferences.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 4
The nurse manager is discussing factors that influence health
care delivery in the United States. Which factor has the greatest
impact on accessibility of health care services?
A. Patient satisfaction surveys
B. Availability of health insurance coverage
C. Hospital architectural design
D. Nursing uniform policies
Correct Answer: B
Rationale:
Health insurance coverage significantly affects access to health
care services, preventive care, and treatment options. Limited
insurance coverage may create barriers to obtaining timely
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 meeting
focused on reducing medication administration errors on a
medical-surgical unit. Which action best reflects evidence-
based nursing practice?
A. Following unit routines that have been used for many years
B. Applying interventions supported by current research and
clinical expertise
C. Implementing only physician-directed interventions
,D. Relying solely on personal clinical experience when making
decisions
Correct Answer: B
Rationale:
Evidence-based nursing practice integrates current best
research evidence, clinical expertise, and patient preferences to
improve patient outcomes and safety. Following outdated
routines or relying solely on personal experience does not
ensure best practice. Physician-directed care alone does not
encompass the full scope of nursing judgment and evidence-
based decision-making.
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 caring for a hospitalized patient identifies a near-miss
medication error before administration. Which action should
the nurse take first?
A. Report the incident according to agency policy
B. Notify the patient’s family immediately
C. Discard the medication and continue care
D. Document the event only in the nurse’s personal notes
,Correct Answer: A
Rationale:
Reporting near-miss events supports patient safety initiatives
and quality improvement processes within health care
organizations. Near misses provide important data for
identifying system vulnerabilities and preventing future errors.
Discarding the medication without reporting bypasses safety
improvement opportunities.
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 is explaining the concept of patient-centered care to a
newly licensed nurse. Which statement best describes patient-
centered care?
A. The nurse independently determines the patient’s priorities
B. Care decisions are based primarily on institutional policies
C. The patient’s values and preferences guide clinical decisions
D. Standardized care plans are used for all patients with similar
diagnoses
Correct Answer: C
, Rationale:
Patient-centered care emphasizes respect for patients’ values,
preferences, and expressed needs. Patients are active
participants in care planning and decision-making. Standardized
care may be useful but must be individualized according to
patient needs and preferences.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice, Chapter 1:
Professional Nursing Practice
Question 4
The nurse manager is discussing factors that influence health
care delivery in the United States. Which factor has the greatest
impact on accessibility of health care services?
A. Patient satisfaction surveys
B. Availability of health insurance coverage
C. Hospital architectural design
D. Nursing uniform policies
Correct Answer: B
Rationale:
Health insurance coverage significantly affects access to health
care services, preventive care, and treatment options. Limited
insurance coverage may create barriers to obtaining timely
