Brunner & Suddarth’s Textbook of Medical-
Surgical Nursing (16th ed.)
Medical-Surgical Nursing Revision
1. Which statement best reflects the primary goal of
professional nursing practice?
A. Treating disease using medical interventions
B. Promoting, maintaining, and restoring health through
patient-centered care
C. Assisting physicians with clinical procedures
D. Providing care only to acutely ill patients
Correct Answer: B
Rationale: Nursing focuses on holistic, patient-centered care
across the health–illness continuum.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
,2. The nurse recognizes a patient as a “consumer of health
care” when the patient:
A. Receives care from multiple providers
B. Pays directly for health services
C. Actively participates in health-related decision-making
D. Requires complex medical treatment
Correct Answer: C
Rationale: Modern health care emphasizes patient autonomy
and shared decision-making.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
3. Which component is central to the nursing metaparadigm?
A. Technology
B. Environment
C. Organization
D. Policy
Correct Answer: B
Rationale: The nursing metaparadigm includes person,
environment, health, and nursing.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
4. A nurse practices accountability by:
A. Delegating tasks appropriately
B. Accepting responsibility for nursing actions and outcomes
,C. Following physician orders without question
D. Documenting only abnormal findings
Correct Answer: B
Rationale: Professional accountability requires nurses to answer
for their clinical judgments and actions.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
5. Which factor most directly influences an individual’s health
status?
A. Access to diagnostic technology
B. Genetic predisposition, lifestyle, and environment
C. Number of hospital visits
D. Insurance coverage
Correct Answer: B
Rationale: Health is influenced by biological, behavioral,
environmental, and social determinants.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
6. The nurse applies evidence-based practice (EBP) by:
A. Using interventions based on tradition
B. Relying solely on expert opinion
C. Integrating research evidence, clinical expertise, and patient
preferences
D. Implementing new practices without evaluation
, Correct Answer: C
Rationale: EBP combines best evidence with clinical judgment
and patient values.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
7. Which nursing action best promotes patient safety?
A. Completing tasks quickly
B. Using standardized communication tools
C. Limiting patient education
D. Reducing documentation
Correct Answer: B
Rationale: Structured communication reduces errors and
improves care coordination.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
8. Quality improvement in nursing primarily focuses on:
A. Individual nurse performance
B. Identifying and correcting system-level issues
C. Increasing workload efficiency
D. Reducing staffing costs
Correct Answer: B
Rationale: Quality improvement targets processes and systems
to enhance patient outcomes.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
Surgical Nursing (16th ed.)
Medical-Surgical Nursing Revision
1. Which statement best reflects the primary goal of
professional nursing practice?
A. Treating disease using medical interventions
B. Promoting, maintaining, and restoring health through
patient-centered care
C. Assisting physicians with clinical procedures
D. Providing care only to acutely ill patients
Correct Answer: B
Rationale: Nursing focuses on holistic, patient-centered care
across the health–illness continuum.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
,2. The nurse recognizes a patient as a “consumer of health
care” when the patient:
A. Receives care from multiple providers
B. Pays directly for health services
C. Actively participates in health-related decision-making
D. Requires complex medical treatment
Correct Answer: C
Rationale: Modern health care emphasizes patient autonomy
and shared decision-making.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
3. Which component is central to the nursing metaparadigm?
A. Technology
B. Environment
C. Organization
D. Policy
Correct Answer: B
Rationale: The nursing metaparadigm includes person,
environment, health, and nursing.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
4. A nurse practices accountability by:
A. Delegating tasks appropriately
B. Accepting responsibility for nursing actions and outcomes
,C. Following physician orders without question
D. Documenting only abnormal findings
Correct Answer: B
Rationale: Professional accountability requires nurses to answer
for their clinical judgments and actions.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
5. Which factor most directly influences an individual’s health
status?
A. Access to diagnostic technology
B. Genetic predisposition, lifestyle, and environment
C. Number of hospital visits
D. Insurance coverage
Correct Answer: B
Rationale: Health is influenced by biological, behavioral,
environmental, and social determinants.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
6. The nurse applies evidence-based practice (EBP) by:
A. Using interventions based on tradition
B. Relying solely on expert opinion
C. Integrating research evidence, clinical expertise, and patient
preferences
D. Implementing new practices without evaluation
, Correct Answer: C
Rationale: EBP combines best evidence with clinical judgment
and patient values.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
7. Which nursing action best promotes patient safety?
A. Completing tasks quickly
B. Using standardized communication tools
C. Limiting patient education
D. Reducing documentation
Correct Answer: B
Rationale: Structured communication reduces errors and
improves care coordination.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
8. Quality improvement in nursing primarily focuses on:
A. Individual nurse performance
B. Identifying and correcting system-level issues
C. Increasing workload efficiency
D. Reducing staffing costs
Correct Answer: B
Rationale: Quality improvement targets processes and systems
to enhance patient outcomes.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
