Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1
Reference
Ch. 1 — Professional Nursing Practice — Ethical Nursing Care
Question
A nurse learns her unit occasionally assists with voluntary
termination of pregnancy, which conflicts with her personal
beliefs. Which action best reflects professional, ethical nursing
practice?
A. Refuse the job assignment and give no additional patient
care.
B. Inform the nurse manager of her objection, request
,reassignment, and ensure patient access to care.
C. Decline to participate and leave the patient to another nurse
without notification.
D. Continue to work on the unit and covertly avoid any
involvement without telling anyone.
Correct Answer
B
Rationales
Correct: Nurses must balance personal moral integrity with
professional obligation; ethically they should notify leadership,
request reassignment, and ensure the patient’s access to care
without abandoning the patient.
A: Refusing the assignment without attempting reassignment
can lead to patient abandonment and disrupt care.
C: Leaving patient care without notification violates professional
responsibility and continuity of care.
D: Covert avoidance fails to be transparent and risks patient
harm and professional misconduct.
Teaching Point
Notify leadership, request reassignment, and protect patient
access to care.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
,2
Reference
Ch. 1 — Professional Nursing Practice — The Patient’s Basic
Needs: Maslow Hierarchy of Needs
Question
A postoperative patient following abdominal surgery is
hypotensive (BP 82/50 mm Hg) and reporting moderate incision
pain (6/10). Using Maslow’s hierarchy and clinical priorities,
which nursing intervention should the nurse perform first?
A. Administer the ordered PRN opioid for pain.
B. Encourage the patient to perform deep-breathing exercises.
C. Assess airway, breathing, and circulation; notify the surgeon
and prepare for fluid resuscitation.
D. Provide emotional support to reduce anxiety.
Correct Answer
C
Rationales
Correct: Physiologic needs (airway, breathing, circulation) are
highest priority; hypotension requires immediate assessment
and intervention to prevent organ hypoperfusion.
A: Pain relief is important but secondary to stabilizing
circulation in hemodynamic instability.
B: Deep-breathing is beneficial but not the immediate priority
in hypotension.
, D: Emotional support is appropriate but lower priority when
physiologic compromise exists.
Teaching Point
Always address airway/breathing/circulation before pain or
psychosocial needs.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3
Reference
Ch. 1 — Professional Nursing Practice — Health Promotion
Question
A community clinic has rising prediabetes rates. As nurse leader,
which population-level intervention best applies principles of
health promotion to reduce disease progression?
A. Provide individual prescriptions for metformin to all at-risk
adults.
B. Implement a community program focused on diet, physical
activity, and weight management with follow-up.
C. Encourage patients to wait until laboratory-confirmed
diabetes develops before intervening.
D. Offer monthly lectures on the pathophysiology of diabetes
without behavior-change components.
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1
Reference
Ch. 1 — Professional Nursing Practice — Ethical Nursing Care
Question
A nurse learns her unit occasionally assists with voluntary
termination of pregnancy, which conflicts with her personal
beliefs. Which action best reflects professional, ethical nursing
practice?
A. Refuse the job assignment and give no additional patient
care.
B. Inform the nurse manager of her objection, request
,reassignment, and ensure patient access to care.
C. Decline to participate and leave the patient to another nurse
without notification.
D. Continue to work on the unit and covertly avoid any
involvement without telling anyone.
Correct Answer
B
Rationales
Correct: Nurses must balance personal moral integrity with
professional obligation; ethically they should notify leadership,
request reassignment, and ensure the patient’s access to care
without abandoning the patient.
A: Refusing the assignment without attempting reassignment
can lead to patient abandonment and disrupt care.
C: Leaving patient care without notification violates professional
responsibility and continuity of care.
D: Covert avoidance fails to be transparent and risks patient
harm and professional misconduct.
Teaching Point
Notify leadership, request reassignment, and protect patient
access to care.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
,2
Reference
Ch. 1 — Professional Nursing Practice — The Patient’s Basic
Needs: Maslow Hierarchy of Needs
Question
A postoperative patient following abdominal surgery is
hypotensive (BP 82/50 mm Hg) and reporting moderate incision
pain (6/10). Using Maslow’s hierarchy and clinical priorities,
which nursing intervention should the nurse perform first?
A. Administer the ordered PRN opioid for pain.
B. Encourage the patient to perform deep-breathing exercises.
C. Assess airway, breathing, and circulation; notify the surgeon
and prepare for fluid resuscitation.
D. Provide emotional support to reduce anxiety.
Correct Answer
C
Rationales
Correct: Physiologic needs (airway, breathing, circulation) are
highest priority; hypotension requires immediate assessment
and intervention to prevent organ hypoperfusion.
A: Pain relief is important but secondary to stabilizing
circulation in hemodynamic instability.
B: Deep-breathing is beneficial but not the immediate priority
in hypotension.
, D: Emotional support is appropriate but lower priority when
physiologic compromise exists.
Teaching Point
Always address airway/breathing/circulation before pain or
psychosocial needs.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3
Reference
Ch. 1 — Professional Nursing Practice — Health Promotion
Question
A community clinic has rising prediabetes rates. As nurse leader,
which population-level intervention best applies principles of
health promotion to reduce disease progression?
A. Provide individual prescriptions for metformin to all at-risk
adults.
B. Implement a community program focused on diet, physical
activity, and weight management with follow-up.
C. Encourage patients to wait until laboratory-confirmed
diabetes develops before intervening.
D. Offer monthly lectures on the pathophysiology of diabetes
without behavior-change components.
