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 asks why nurses use
evidence-based practice when planning care. Which response
by the nurse is most appropriate?
A. “Evidence-based practice helps nurses follow physician
preferences exactly.”
B. “Evidence-based practice combines research findings, clinical
expertise, and patient preferences to improve outcomes.”
C. “Evidence-based practice replaces clinical judgment in
patient care.”
,D. “Evidence-based practice focuses primarily on reducing
hospital costs.”
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient values to promote safe, high-
quality patient outcomes. Option A is incorrect because
evidence-based practice is not based solely on physician
preferences. Option C is incorrect because clinical judgment
remains essential. Option D is incorrect because patient
outcomes and safety are the primary goals.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 2
A nurse manager emphasizes the importance of patient-
centered care during orientation. Which nursing action best
demonstrates patient-centered care?
A. Scheduling procedures based on unit convenience
B. Encouraging the patient to participate in care decisions
C. Limiting family involvement during discharge teaching
D. Following standardized care plans without modification
Correct Answer: B
,Rationale:
Patient-centered care emphasizes respect for patient
preferences, values, and active participation in decision-
making. Option A prioritizes unit convenience rather than
patient needs. Option C may reduce support and collaboration.
Option D ignores individual patient needs.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
The nurse identifies which patient as having the greatest risk
for health disparities?
A. A patient with reliable transportation and private insurance
B. A patient with limited English proficiency and low health
literacy
C. A patient who attends regular preventive health
appointments
D. A patient who lives near a major medical center
Correct Answer: B
Rationale:
Limited English proficiency and low health literacy can create
barriers to health care access, understanding, and outcomes,
increasing the risk for health disparities. The other options
describe factors associated with improved access to care.
, Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 4
A nurse is teaching a newly licensed nurse about the Quality
and Safety Education for Nurses (QSEN) competencies. Which
example best reflects the competency of safety?
A. Reporting a near-miss medication error
B. Encouraging patient independence during bathing
C. Delegating vital signs measurement to assistive personnel
D. Using standardized terminology in documentation
Correct Answer: A
Rationale:
The QSEN safety competency focuses on minimizing risk of
harm to patients and providers through system effectiveness
and individual performance. Reporting near-miss events
promotes patient safety and system improvement. The other
options relate to patient-centered care, delegation, and
informatics.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing 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 asks why nurses use
evidence-based practice when planning care. Which response
by the nurse is most appropriate?
A. “Evidence-based practice helps nurses follow physician
preferences exactly.”
B. “Evidence-based practice combines research findings, clinical
expertise, and patient preferences to improve outcomes.”
C. “Evidence-based practice replaces clinical judgment in
patient care.”
,D. “Evidence-based practice focuses primarily on reducing
hospital costs.”
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient values to promote safe, high-
quality patient outcomes. Option A is incorrect because
evidence-based practice is not based solely on physician
preferences. Option C is incorrect because clinical judgment
remains essential. Option D is incorrect because patient
outcomes and safety are the primary goals.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 2
A nurse manager emphasizes the importance of patient-
centered care during orientation. Which nursing action best
demonstrates patient-centered care?
A. Scheduling procedures based on unit convenience
B. Encouraging the patient to participate in care decisions
C. Limiting family involvement during discharge teaching
D. Following standardized care plans without modification
Correct Answer: B
,Rationale:
Patient-centered care emphasizes respect for patient
preferences, values, and active participation in decision-
making. Option A prioritizes unit convenience rather than
patient needs. Option C may reduce support and collaboration.
Option D ignores individual patient needs.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
The nurse identifies which patient as having the greatest risk
for health disparities?
A. A patient with reliable transportation and private insurance
B. A patient with limited English proficiency and low health
literacy
C. A patient who attends regular preventive health
appointments
D. A patient who lives near a major medical center
Correct Answer: B
Rationale:
Limited English proficiency and low health literacy can create
barriers to health care access, understanding, and outcomes,
increasing the risk for health disparities. The other options
describe factors associated with improved access to care.
, Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 4
A nurse is teaching a newly licensed nurse about the Quality
and Safety Education for Nurses (QSEN) competencies. Which
example best reflects the competency of safety?
A. Reporting a near-miss medication error
B. Encouraging patient independence during bathing
C. Delegating vital signs measurement to assistive personnel
D. Using standardized terminology in documentation
Correct Answer: A
Rationale:
The QSEN safety competency focuses on minimizing risk of
harm to patients and providers through system effectiveness
and individual performance. Reporting near-miss events
promotes patient safety and system improvement. The other
options relate to patient-centered care, delegation, and
informatics.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
