Brunner & Suddarth's Textbook of
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1:
Question Type: MCQ
Question Stem: Which statement best reflects professional
nursing practice?
Options:
A. Nursing care is based mainly on routine tasks completed
efficiently.
B. Nursing focuses on carrying out provider orders as written.
,C. Nursing integrates evidence, clinical judgment, ethics, and
compassion to promote optimal outcomes.
D. Nursing primarily emphasizes technical skill over patient
communication.
Correct Answer: C
Rationale for A: Routine tasks are part of care, but professional
nursing is not limited to task completion. This option ignores
assessment, judgment, advocacy, and outcome-based care.
Rationale for B: Following provider orders is one part of
nursing, but it does not define the profession. Nurses are
accountable for independent assessment, evaluation, and safe
clinical judgment.
Rationale for C: Professional nursing combines scientific
knowledge, critical thinking, ethical practice, communication,
and evidence-based interventions. This best reflects the role of
the nurse in modern practice.
Rationale for D: Technical skill is important, but it must be
paired with communication, assessment, and judgment. A
nurse who focuses only on procedures risks unsafe and
incomplete care.
Key Takeaway: Professional nursing is holistic, evidence-based,
and grounded in clinical judgment and accountability.
Question 2:
,Question Type: MCQ
Question Stem: A competent adult client refuses a
recommended procedure after receiving teaching. Which
nursing action best demonstrates advocacy?
Options:
A. Ask the client’s family to convince the client to agree.
B. Respect the decision and notify the provider so the plan can
be revised.
C. Document the refusal and leave the client without further
discussion.
D. Tell the client the procedure is necessary and ask again later.
Correct Answer: B
Rationale for A: Family support can be helpful, but the client’s
autonomous decision must be respected. Pressuring the client
undermines informed choice and ethical practice.
Rationale for B: Advocacy means supporting the client’s right
to make informed decisions and ensuring the team responds
appropriately. The nurse should respect the refusal, document
it, and communicate it to the provider.
Rationale for C: Documentation is necessary, but the nurse
should also communicate the refusal to the provider and
continue to support informed decision-making. Simply
documenting and walking away is incomplete care.
, Rationale for D: Repeated pressure may be coercive and
violates autonomy. The nurse should provide information, not
force agreement.
Key Takeaway: Advocacy includes respecting informed refusal
and ensuring the care team responds appropriately.
Question 3:
Question Type: MCQ
Question Stem: Which task is most appropriate for the nurse to
delegate to unlicensed assistive personnel (UAP)?
Options:
A. Obtain a morning weight from a stable client.
B. Assess a client’s new chest pain.
C. Teach a client how to use an incentive spirometer.
D. Evaluate whether a client understands discharge
instructions.
Correct Answer: A
Rationale for A: Collecting a routine weight from a stable client
is a predictable, noninvasive task that can usually be delegated
to UAP within policy. The nurse remains responsible for
interpretation and follow-up.
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1:
Question Type: MCQ
Question Stem: Which statement best reflects professional
nursing practice?
Options:
A. Nursing care is based mainly on routine tasks completed
efficiently.
B. Nursing focuses on carrying out provider orders as written.
,C. Nursing integrates evidence, clinical judgment, ethics, and
compassion to promote optimal outcomes.
D. Nursing primarily emphasizes technical skill over patient
communication.
Correct Answer: C
Rationale for A: Routine tasks are part of care, but professional
nursing is not limited to task completion. This option ignores
assessment, judgment, advocacy, and outcome-based care.
Rationale for B: Following provider orders is one part of
nursing, but it does not define the profession. Nurses are
accountable for independent assessment, evaluation, and safe
clinical judgment.
Rationale for C: Professional nursing combines scientific
knowledge, critical thinking, ethical practice, communication,
and evidence-based interventions. This best reflects the role of
the nurse in modern practice.
Rationale for D: Technical skill is important, but it must be
paired with communication, assessment, and judgment. A
nurse who focuses only on procedures risks unsafe and
incomplete care.
Key Takeaway: Professional nursing is holistic, evidence-based,
and grounded in clinical judgment and accountability.
Question 2:
,Question Type: MCQ
Question Stem: A competent adult client refuses a
recommended procedure after receiving teaching. Which
nursing action best demonstrates advocacy?
Options:
A. Ask the client’s family to convince the client to agree.
B. Respect the decision and notify the provider so the plan can
be revised.
C. Document the refusal and leave the client without further
discussion.
D. Tell the client the procedure is necessary and ask again later.
Correct Answer: B
Rationale for A: Family support can be helpful, but the client’s
autonomous decision must be respected. Pressuring the client
undermines informed choice and ethical practice.
Rationale for B: Advocacy means supporting the client’s right
to make informed decisions and ensuring the team responds
appropriately. The nurse should respect the refusal, document
it, and communicate it to the provider.
Rationale for C: Documentation is necessary, but the nurse
should also communicate the refusal to the provider and
continue to support informed decision-making. Simply
documenting and walking away is incomplete care.
, Rationale for D: Repeated pressure may be coercive and
violates autonomy. The nurse should provide information, not
force agreement.
Key Takeaway: Advocacy includes respecting informed refusal
and ensuring the care team responds appropriately.
Question 3:
Question Type: MCQ
Question Stem: Which task is most appropriate for the nurse to
delegate to unlicensed assistive personnel (UAP)?
Options:
A. Obtain a morning weight from a stable client.
B. Assess a client’s new chest pain.
C. Teach a client how to use an incentive spirometer.
D. Evaluate whether a client understands discharge
instructions.
Correct Answer: A
Rationale for A: Collecting a routine weight from a stable client
is a predictable, noninvasive task that can usually be delegated
to UAP within policy. The nurse remains responsible for
interpretation and follow-up.
