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 caring for a patient who requests additional
information before signing a surgical consent form. Which
action by the nurse best supports professional nursing practice?
A. Witness the signature because the provider already
explained the procedure
B. Ask the patient to sign the form to avoid delaying surgery
C. Notify the health care provider that the patient requires
further clarification
D. Explain the risks and benefits of the procedure in detail
Correct Answer: C
,Rationale:
The nurse supports patient advocacy and informed decision-
making by notifying the health care provider when the patient
requires additional clarification before signing consent. The
nurse may witness the signature but is not responsible for
providing detailed procedural explanations. Asking the patient
to sign without full understanding violates ethical nursing
practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 2
A nurse is implementing evidence-based practice when caring
for a patient with a pressure injury. Which action best
demonstrates evidence-based nursing care?
A. Following interventions based only on personal experience
B. Using current research findings together with clinical
expertise and patient preferences
C. Performing interventions according to unit tradition
D. Selecting interventions recommended by coworkers
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient values to guide nursing care
,decisions. Reliance solely on tradition, experience, or peer
preference does not meet evidence-based standards.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
A nurse identifies that a patient received the wrong medication
dosage. Which action should the nurse take first?
A. Complete an incident report
B. Notify the pharmacy department
C. Assess the patient for adverse effects
D. Inform the patient’s family immediately
Correct Answer: C
Rationale:
Patient safety is the priority. The nurse should first assess the
patient for adverse effects related to the medication error.
After ensuring patient stability, the nurse should notify the
provider, document findings, and complete institutional
reporting procedures.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
, Question 4
A nurse is teaching a group of nursing students about quality
improvement in health care. Which statement by a student
indicates correct understanding?
A. Quality improvement focuses only on reducing costs
B. Quality improvement aims to improve patient outcomes and
system performance
C. Quality improvement is performed only by nurse managers
D. Quality improvement eliminates the need for evidence-
based practice
Correct Answer: B
Rationale:
Quality improvement focuses on enhancing patient outcomes,
safety, and system effectiveness. It involves all members of the
health care team and complements evidence-based practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 5
A patient states, “I want to participate in decisions about my
treatment.” Which nursing concept is best demonstrated by
honoring this request?
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 caring for a patient who requests additional
information before signing a surgical consent form. Which
action by the nurse best supports professional nursing practice?
A. Witness the signature because the provider already
explained the procedure
B. Ask the patient to sign the form to avoid delaying surgery
C. Notify the health care provider that the patient requires
further clarification
D. Explain the risks and benefits of the procedure in detail
Correct Answer: C
,Rationale:
The nurse supports patient advocacy and informed decision-
making by notifying the health care provider when the patient
requires additional clarification before signing consent. The
nurse may witness the signature but is not responsible for
providing detailed procedural explanations. Asking the patient
to sign without full understanding violates ethical nursing
practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 2
A nurse is implementing evidence-based practice when caring
for a patient with a pressure injury. Which action best
demonstrates evidence-based nursing care?
A. Following interventions based only on personal experience
B. Using current research findings together with clinical
expertise and patient preferences
C. Performing interventions according to unit tradition
D. Selecting interventions recommended by coworkers
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient values to guide nursing care
,decisions. Reliance solely on tradition, experience, or peer
preference does not meet evidence-based standards.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
A nurse identifies that a patient received the wrong medication
dosage. Which action should the nurse take first?
A. Complete an incident report
B. Notify the pharmacy department
C. Assess the patient for adverse effects
D. Inform the patient’s family immediately
Correct Answer: C
Rationale:
Patient safety is the priority. The nurse should first assess the
patient for adverse effects related to the medication error.
After ensuring patient stability, the nurse should notify the
provider, document findings, and complete institutional
reporting procedures.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
, Question 4
A nurse is teaching a group of nursing students about quality
improvement in health care. Which statement by a student
indicates correct understanding?
A. Quality improvement focuses only on reducing costs
B. Quality improvement aims to improve patient outcomes and
system performance
C. Quality improvement is performed only by nurse managers
D. Quality improvement eliminates the need for evidence-
based practice
Correct Answer: B
Rationale:
Quality improvement focuses on enhancing patient outcomes,
safety, and system effectiveness. It involves all members of the
health care team and complements evidence-based practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 5
A patient states, “I want to participate in decisions about my
treatment.” Which nursing concept is best demonstrated by
honoring this request?
