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 initiative
designed to reduce patient falls on a medical-surgical unit.
Which action best demonstrates evidence-based nursing
practice?
A. Implementing interventions based on unit tradition
B. Using interventions supported by current research findings
,and patient preferences
C. Following only the physician’s recommendations for fall
prevention
D. Applying interventions that were effective at another
hospital without evaluation
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient preferences to improve patient
outcomes. Implementing interventions solely based on
tradition, physician preference, or unexamined practices from
another institution does not reflect evidence-based nursing
care.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 2
A nurse is caring for a patient who refuses a prescribed
treatment after receiving education about the risks and
benefits. Which nursing action is most appropriate?
A. Notify security because the patient is being noncompliant
B. Respect the patient’s decision and document the discussion
C. Administer the treatment because it is prescribed
D. Ask the family to convince the patient to accept treatment
,Correct Answer: B
Rationale:
Patients have the right to make informed decisions regarding
their care, including the refusal of treatment. The nurse must
respect autonomy, ensure the patient is informed, and
document the interaction appropriately.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
The nurse manager emphasizes the importance of patient-
centered care during staff orientation. Which nursing action
best reflects patient-centered care?
A. Scheduling nursing care according to staff convenience
B. Encouraging patients to participate in decisions regarding
their care
C. Limiting patient questions during medication administration
D. Following standardized routines for all patients regardless of
preference
Correct Answer: B
Rationale:
Patient-centered care focuses on respecting patient
preferences, values, and needs while encouraging active
, participation in health care decisions. Care based primarily on
staff convenience or rigid routines does not support patient-
centered principles.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 4
A nurse identifies a medication error before administering the
medication to the patient. What is the nurse’s priority action?
A. Report the error according to agency policy
B. Discard the medication without documentation
C. Administer the medication because no harm occurred
D. Wait until the end of the shift to notify the provider
Correct Answer: A
Rationale:
Patient safety requires prompt reporting of medication errors
and near misses according to institutional policy to prevent
future occurrences and support quality improvement
initiatives. Failure to report compromises safety systems.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of 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 participating in a quality improvement initiative
designed to reduce patient falls on a medical-surgical unit.
Which action best demonstrates evidence-based nursing
practice?
A. Implementing interventions based on unit tradition
B. Using interventions supported by current research findings
,and patient preferences
C. Following only the physician’s recommendations for fall
prevention
D. Applying interventions that were effective at another
hospital without evaluation
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient preferences to improve patient
outcomes. Implementing interventions solely based on
tradition, physician preference, or unexamined practices from
another institution does not reflect evidence-based nursing
care.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 2
A nurse is caring for a patient who refuses a prescribed
treatment after receiving education about the risks and
benefits. Which nursing action is most appropriate?
A. Notify security because the patient is being noncompliant
B. Respect the patient’s decision and document the discussion
C. Administer the treatment because it is prescribed
D. Ask the family to convince the patient to accept treatment
,Correct Answer: B
Rationale:
Patients have the right to make informed decisions regarding
their care, including the refusal of treatment. The nurse must
respect autonomy, ensure the patient is informed, and
document the interaction appropriately.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
The nurse manager emphasizes the importance of patient-
centered care during staff orientation. Which nursing action
best reflects patient-centered care?
A. Scheduling nursing care according to staff convenience
B. Encouraging patients to participate in decisions regarding
their care
C. Limiting patient questions during medication administration
D. Following standardized routines for all patients regardless of
preference
Correct Answer: B
Rationale:
Patient-centered care focuses on respecting patient
preferences, values, and needs while encouraging active
, participation in health care decisions. Care based primarily on
staff convenience or rigid routines does not support patient-
centered principles.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 4
A nurse identifies a medication error before administering the
medication to the patient. What is the nurse’s priority action?
A. Report the error according to agency policy
B. Discard the medication without documentation
C. Administer the medication because no harm occurred
D. Wait until the end of the shift to notify the provider
Correct Answer: A
Rationale:
Patient safety requires prompt reporting of medication errors
and near misses according to institutional policy to prevent
future occurrences and support quality improvement
initiatives. Failure to report compromises safety systems.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
