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 refuses a scheduled
treatment after receiving education about the risks and
benefits. Which action by the nurse best demonstrates respect
for patient autonomy?
A. Asking the provider to convince the patient to comply
B. Documenting the refusal and continuing to support the
patient’s decision
,C. Informing the patient that refusal may result in discharge
from care
D. Requesting a family member to make the decision for the
patient
Correct Answer: B
Rationale:
Respect for autonomy requires the nurse to support the
patient’s right to make informed decisions regarding care, even
when the patient declines treatment. Documentation of the
refusal and continued therapeutic support demonstrate ethical
nursing practice. Option A undermines patient independence,
option C is coercive, and option D removes decision-making
authority from a competent patient.
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 implementing evidence-based practice when
planning care for patients with chronic illness. Which action
best reflects evidence-based nursing practice?
A. Following unit routines regardless of patient outcomes
B. Using interventions based solely on personal experience
C. Combining current research findings with clinical expertise
,and patient preferences
D. Applying interventions recommended by coworkers without
evaluation
Correct Answer: C
Rationale:
Evidence-based practice integrates the best available evidence,
clinical expertise, and patient preferences to guide nursing
care. This approach promotes safe, high-quality patient
outcomes. Options A, B, and D fail to incorporate current
evidence and systematic evaluation.
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 preparing to administer a medication and notices
that the medication administration record does not match the
provider’s prescription. Which action should the nurse take
first?
A. Administer the medication as scheduled
B. Ask another nurse to verify the prescription
C. Clarify the discrepancy before administering the medication
D. Document the discrepancy after administering the
medication
, Correct Answer: C
Rationale:
Patient safety requires the nurse to clarify discrepancies before
medication administration. Verification prevents medication
errors and supports safe nursing practice. Administering the
medication without clarification places the patient at risk.
Although consultation with another nurse may be helpful,
clarification with the appropriate source is the priority.
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 newly licensed nurse asks why quality improvement
initiatives are important in health care settings. Which response
by the experienced nurse is most appropriate?
A. “Quality improvement focuses primarily on reducing staffing
costs.”
B. “Quality improvement helps identify system issues that
affect patient outcomes.”
C. “Quality improvement is mainly used to evaluate physician
performance.”
D. “Quality improvement eliminates the need for evidence-
based 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 caring for a patient who refuses a scheduled
treatment after receiving education about the risks and
benefits. Which action by the nurse best demonstrates respect
for patient autonomy?
A. Asking the provider to convince the patient to comply
B. Documenting the refusal and continuing to support the
patient’s decision
,C. Informing the patient that refusal may result in discharge
from care
D. Requesting a family member to make the decision for the
patient
Correct Answer: B
Rationale:
Respect for autonomy requires the nurse to support the
patient’s right to make informed decisions regarding care, even
when the patient declines treatment. Documentation of the
refusal and continued therapeutic support demonstrate ethical
nursing practice. Option A undermines patient independence,
option C is coercive, and option D removes decision-making
authority from a competent patient.
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 implementing evidence-based practice when
planning care for patients with chronic illness. Which action
best reflects evidence-based nursing practice?
A. Following unit routines regardless of patient outcomes
B. Using interventions based solely on personal experience
C. Combining current research findings with clinical expertise
,and patient preferences
D. Applying interventions recommended by coworkers without
evaluation
Correct Answer: C
Rationale:
Evidence-based practice integrates the best available evidence,
clinical expertise, and patient preferences to guide nursing
care. This approach promotes safe, high-quality patient
outcomes. Options A, B, and D fail to incorporate current
evidence and systematic evaluation.
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 preparing to administer a medication and notices
that the medication administration record does not match the
provider’s prescription. Which action should the nurse take
first?
A. Administer the medication as scheduled
B. Ask another nurse to verify the prescription
C. Clarify the discrepancy before administering the medication
D. Document the discrepancy after administering the
medication
, Correct Answer: C
Rationale:
Patient safety requires the nurse to clarify discrepancies before
medication administration. Verification prevents medication
errors and supports safe nursing practice. Administering the
medication without clarification places the patient at risk.
Although consultation with another nurse may be helpful,
clarification with the appropriate source is the priority.
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 newly licensed nurse asks why quality improvement
initiatives are important in health care settings. Which response
by the experienced nurse is most appropriate?
A. “Quality improvement focuses primarily on reducing staffing
costs.”
B. “Quality improvement helps identify system issues that
affect patient outcomes.”
C. “Quality improvement is mainly used to evaluate physician
performance.”
D. “Quality improvement eliminates the need for evidence-
based practice.”
