ADULT HEALTH NURSING
EXAM PRACTICE QUESTIONS
AND ANSWERS
2. A nurse is speaking to a group of prospective nursing students about what it is like to be a nurse.
What is
one characteristic the nurse would cite as necessary to possess to be an effective nurse?
A) Sensitivity to cultural differences
B) Team-focused approach to problem-solving
C) Strict adherence to routine
D) Ability to face criticism - CORRECT ANSWER -Ans: A
Feedback:
To promote an effective nurse-patient relationship and positive outcomes of care, nursing care must be
culturally competent, appropriate, and sensitive to cultural differences. Team-focused nursing and strict
adherence to routine are not characteristics needed to be an effective nurse. The ability to handle
criticism is important, but to a lesser degree than cultural competence.
6. A group of nursing students are participating in a community health clinic. When providing care in this
context, what should the students teach participants about disease prevention?
A) It is best achieved through attending self-help groups.
B) It is best achieved by reducing psychological stress.
C) It is best achieved by being an active participant in the community.
D) It is best achieved by exhibiting behaviors that promote health. - CORRECT ANSWER -Ans: D
Feedback:
,Today, increasing emphasis is placed on health, health promotion, wellness, and self-care. Health is seen
as resulting from a lifestyle oriented toward wellness. Nurses in community health clinics do not teach
that disease prevention is best achieved through attending self-help groups, by reducing stress, or by
being an active participant in the community, though each of these activities is consistent with a healthy
lifestyle.
8. Nurses in acute care settings must work with other health care team members to maintain quality
care
while facing pressures to care for patients who are hospitalized for shorter periods of time than in the
past. To ensure positive health outcomes when patients return to their homes, what action should the
nurse prioritize?
A) Promotion of health literacy during hospitalization
B) Close communication with insurers
C) Thorough and evidence-based discharge planning
D) Participation in continuing education initiatives - CORRECT ANSWER -Ans: C
Feedback:
Following discharges that occur after increasingly short hospital stays, nurses in the community care for
patients who need high-technology acute care services as well as long-term care in the home. This is
dependent on effective discharge planning to a greater degree than continuing education,
communication with insurers, or promotion of health literacy.
9. You are admitting a patient to your medical unit after the patient has been transferred from the
emergency department. What is your priority nursing action at this time?
A) Identifying the immediate needs of the patient
B) Checking the admitting physicians orders
C) Obtaining a baseline set of vital signs
D) Allowing the family to be with the patient - CORRECT ANSWER -Ans: A
Feedback:
,Among the nurses important functions in health care delivery, identifying the patients immediate needs
and working in concert with the patient to address them is most important. The other nursing functions
are important, but they are not the most important functions.
12. Nurses now have the option to practice in a variety of settings and one of the fastest growing venues
of practice for the nurse in todays health care environment is home health care. What is the main basis
for
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 8
the growth in this health care setting?
A) Chronic nursing shortage
B) Western focus on treatment of disease
C) Nurses preferences for day shifts instead of evening or night shifts
D) Discharge of patients who are more critically ill - CORRECT ANSWER -Ans: D
Feedback:
With shorter hospital stays and increased use of outpatient health care services, more nursing care is
provided in the home and community setting. The other answers are incorrect because they are not the
basis for the growth in nursing care delivered in the home setting.
13. Nurses have different educational backgrounds and function under many titles in their practice
setting. If
a nurse practicing in an oncology clinic had the goal of improving patient outcomes and nursing care by
influencing the patient, the nurse, and the health care system, what would most accurately describe this
nurses title?
A) Nursing care expert
B) Clinical nurse specialist
C) Nurse manager
D) Staff nurse - CORRECT ANSWER -Ans: B
Feedback:
, Clinical nurse specialists are prepared as specialists who practice within a circumscribed area of care
(e.g., cardiovascular, oncology). They define their roles as having five major components: clinical
practice, education, management, consultation, and research. The other answers are incorrect because
they are not the most accurate titles for this nurse.
15. A hospice nurse is caring for a patient who is dying of lymphoma. According to Maslows hierarchy of
needs, what dimension of care should the nurse consider primary in importance when caring for a dying
patient?
A) Spiritual
B) Social
C) Physiologic
D) Emotional - CORRECT ANSWER -Ans: C
Feedback:
Maslow ranked human needs as follows: physiologic needs; safety and security; sense of belonging and
affection; esteem and self-respect; and self-actualization, which includes self-fulfillment, desire to know
and understand, and aesthetic needs. Such a hierarchy of needs is a useful framework that can be
applied to the various nursing models for assessment of a patients strengths, limitations, and need for
nursing interventions. The other answers are incorrect because they are not of primary importance
when caring for a dying patient, though each should certainly be addressed.
16. A nurse is planning a medical patients care with consideration of Maslows hierarchy of needs. Within
this framework of understanding, what would be the nurses first priority?
A) Allowing the family to see a newly admitted patient
B) Ambulating the patient in the hallway
C) Administering pain medication
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 10
D) Teaching the patient to self-administer insulin safely - CORRECT ANSWER -Ans: C
Feedback:
EXAM PRACTICE QUESTIONS
AND ANSWERS
2. A nurse is speaking to a group of prospective nursing students about what it is like to be a nurse.
What is
one characteristic the nurse would cite as necessary to possess to be an effective nurse?
A) Sensitivity to cultural differences
B) Team-focused approach to problem-solving
C) Strict adherence to routine
D) Ability to face criticism - CORRECT ANSWER -Ans: A
Feedback:
To promote an effective nurse-patient relationship and positive outcomes of care, nursing care must be
culturally competent, appropriate, and sensitive to cultural differences. Team-focused nursing and strict
adherence to routine are not characteristics needed to be an effective nurse. The ability to handle
criticism is important, but to a lesser degree than cultural competence.
6. A group of nursing students are participating in a community health clinic. When providing care in this
context, what should the students teach participants about disease prevention?
A) It is best achieved through attending self-help groups.
B) It is best achieved by reducing psychological stress.
C) It is best achieved by being an active participant in the community.
D) It is best achieved by exhibiting behaviors that promote health. - CORRECT ANSWER -Ans: D
Feedback:
,Today, increasing emphasis is placed on health, health promotion, wellness, and self-care. Health is seen
as resulting from a lifestyle oriented toward wellness. Nurses in community health clinics do not teach
that disease prevention is best achieved through attending self-help groups, by reducing stress, or by
being an active participant in the community, though each of these activities is consistent with a healthy
lifestyle.
8. Nurses in acute care settings must work with other health care team members to maintain quality
care
while facing pressures to care for patients who are hospitalized for shorter periods of time than in the
past. To ensure positive health outcomes when patients return to their homes, what action should the
nurse prioritize?
A) Promotion of health literacy during hospitalization
B) Close communication with insurers
C) Thorough and evidence-based discharge planning
D) Participation in continuing education initiatives - CORRECT ANSWER -Ans: C
Feedback:
Following discharges that occur after increasingly short hospital stays, nurses in the community care for
patients who need high-technology acute care services as well as long-term care in the home. This is
dependent on effective discharge planning to a greater degree than continuing education,
communication with insurers, or promotion of health literacy.
9. You are admitting a patient to your medical unit after the patient has been transferred from the
emergency department. What is your priority nursing action at this time?
A) Identifying the immediate needs of the patient
B) Checking the admitting physicians orders
C) Obtaining a baseline set of vital signs
D) Allowing the family to be with the patient - CORRECT ANSWER -Ans: A
Feedback:
,Among the nurses important functions in health care delivery, identifying the patients immediate needs
and working in concert with the patient to address them is most important. The other nursing functions
are important, but they are not the most important functions.
12. Nurses now have the option to practice in a variety of settings and one of the fastest growing venues
of practice for the nurse in todays health care environment is home health care. What is the main basis
for
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 8
the growth in this health care setting?
A) Chronic nursing shortage
B) Western focus on treatment of disease
C) Nurses preferences for day shifts instead of evening or night shifts
D) Discharge of patients who are more critically ill - CORRECT ANSWER -Ans: D
Feedback:
With shorter hospital stays and increased use of outpatient health care services, more nursing care is
provided in the home and community setting. The other answers are incorrect because they are not the
basis for the growth in nursing care delivered in the home setting.
13. Nurses have different educational backgrounds and function under many titles in their practice
setting. If
a nurse practicing in an oncology clinic had the goal of improving patient outcomes and nursing care by
influencing the patient, the nurse, and the health care system, what would most accurately describe this
nurses title?
A) Nursing care expert
B) Clinical nurse specialist
C) Nurse manager
D) Staff nurse - CORRECT ANSWER -Ans: B
Feedback:
, Clinical nurse specialists are prepared as specialists who practice within a circumscribed area of care
(e.g., cardiovascular, oncology). They define their roles as having five major components: clinical
practice, education, management, consultation, and research. The other answers are incorrect because
they are not the most accurate titles for this nurse.
15. A hospice nurse is caring for a patient who is dying of lymphoma. According to Maslows hierarchy of
needs, what dimension of care should the nurse consider primary in importance when caring for a dying
patient?
A) Spiritual
B) Social
C) Physiologic
D) Emotional - CORRECT ANSWER -Ans: C
Feedback:
Maslow ranked human needs as follows: physiologic needs; safety and security; sense of belonging and
affection; esteem and self-respect; and self-actualization, which includes self-fulfillment, desire to know
and understand, and aesthetic needs. Such a hierarchy of needs is a useful framework that can be
applied to the various nursing models for assessment of a patients strengths, limitations, and need for
nursing interventions. The other answers are incorrect because they are not of primary importance
when caring for a dying patient, though each should certainly be addressed.
16. A nurse is planning a medical patients care with consideration of Maslows hierarchy of needs. Within
this framework of understanding, what would be the nurses first priority?
A) Allowing the family to see a newly admitted patient
B) Ambulating the patient in the hallway
C) Administering pain medication
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 10
D) Teaching the patient to self-administer insulin safely - CORRECT ANSWER -Ans: C
Feedback:
