Brunner & Suddarth’s Textbook of Medical-
Surgical Nursing (16th ed.)
Medical-Surgical Nursing Revision
Unit 1: Principles of Nursing Practice
Chapter: Professional Nursing Practice
1. Which action best demonstrates accountability in
professional nursing practice?
A. Delegating tasks to unlicensed personnel
B. Reporting a medication error immediately
C. Following physician orders without question
D. Completing tasks independently
,Correct Answer: B
Rationale: Accountability requires nurses to accept
responsibility for actions and report errors promptly to ensure
patient safety.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
2. The primary goal of nursing care is to:
A. Cure disease
B. Promote comfort only
C. Promote, maintain, and restore health
D. Prevent legal liability
Correct Answer: C
Rationale: Nursing focuses on holistic health promotion, illness
prevention, restoration of health, and end-of-life care.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
3. Which element is central to patient-centered care?
A. Nurse-directed decision-making
B. Standardized care plans
C. Respect for patient values and preferences
D. Cost containment
Correct Answer: C
Rationale: Patient-centered care emphasizes respect for patient
,preferences, values, and involvement in decision-making.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
4. A nurse uses clinical guidelines supported by research. This
reflects:
A. Quality improvement
B. Evidence-based practice
C. Risk management
D. Cost-effective care
Correct Answer: B
Rationale: Evidence-based practice integrates best research
evidence with clinical expertise and patient values.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
5. Which organization sets standards that guide safe nursing
practice?
A. World Health Organization
B. State boards of nursing
C. Hospital ethics committees
D. Joint Commission
Correct Answer: B
Rationale: State boards of nursing regulate nursing practice and
define legal scope of practice.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
, 6. Which factor most influences access to health care?
A. Nurse staffing levels
B. Cultural beliefs
C. Health insurance coverage
D. Patient education level
Correct Answer: C
Rationale: Insurance coverage strongly affects access to health
services and treatment options.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
7. The nurse’s role in quality improvement (QI) primarily
involves:
A. Punishing unsafe practices
B. Identifying system-level problems
C. Reporting staff errors publicly
D. Reducing staffing costs
Correct Answer: B
Rationale: QI focuses on identifying and improving processes to
enhance patient outcomes and safety.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
8. Which action best promotes a culture of safety?
Surgical Nursing (16th ed.)
Medical-Surgical Nursing Revision
Unit 1: Principles of Nursing Practice
Chapter: Professional Nursing Practice
1. Which action best demonstrates accountability in
professional nursing practice?
A. Delegating tasks to unlicensed personnel
B. Reporting a medication error immediately
C. Following physician orders without question
D. Completing tasks independently
,Correct Answer: B
Rationale: Accountability requires nurses to accept
responsibility for actions and report errors promptly to ensure
patient safety.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
2. The primary goal of nursing care is to:
A. Cure disease
B. Promote comfort only
C. Promote, maintain, and restore health
D. Prevent legal liability
Correct Answer: C
Rationale: Nursing focuses on holistic health promotion, illness
prevention, restoration of health, and end-of-life care.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
3. Which element is central to patient-centered care?
A. Nurse-directed decision-making
B. Standardized care plans
C. Respect for patient values and preferences
D. Cost containment
Correct Answer: C
Rationale: Patient-centered care emphasizes respect for patient
,preferences, values, and involvement in decision-making.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
4. A nurse uses clinical guidelines supported by research. This
reflects:
A. Quality improvement
B. Evidence-based practice
C. Risk management
D. Cost-effective care
Correct Answer: B
Rationale: Evidence-based practice integrates best research
evidence with clinical expertise and patient values.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
5. Which organization sets standards that guide safe nursing
practice?
A. World Health Organization
B. State boards of nursing
C. Hospital ethics committees
D. Joint Commission
Correct Answer: B
Rationale: State boards of nursing regulate nursing practice and
define legal scope of practice.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
, 6. Which factor most influences access to health care?
A. Nurse staffing levels
B. Cultural beliefs
C. Health insurance coverage
D. Patient education level
Correct Answer: C
Rationale: Insurance coverage strongly affects access to health
services and treatment options.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
7. The nurse’s role in quality improvement (QI) primarily
involves:
A. Punishing unsafe practices
B. Identifying system-level problems
C. Reporting staff errors publicly
D. Reducing staffing costs
Correct Answer: B
Rationale: QI focuses on identifying and improving processes to
enhance patient outcomes and safety.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
8. Which action best promotes a culture of safety?
