Test Bank – Brunner & Suddarth’s
Textbook of Medical-Surgical Nursing,
16th Edition (Hinkle, Cheever &
Overbaugh) | Complete Verified Q&A |
ISBN 9781975221157
,Table of Contents
Chapter 01 Professional Nursing Practice 2
Chapter 02 Medical-Surgical Nursing 17
Chapter 03 Health Education and Health Promotion 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment 45
Chapter 05 Stress and Inflammatory Responses 60
Chapter 06 Genetics and Genomics in Nursing 76
Chapter 07 Disability and Chronic Illness 92
Chapter 08 Management of the Older Adult Patient 107
Chapter 09 Pain Management 121
Chapter 10 Fluid and Electrolytes 137
Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 153
Chapter 12 Management of Patients with Oncologic Disorders 169
Chapter 13 Palliative and End-of-Life Care 183
Chapter 14 Preoperative Nursing Management 199
Chapter 15 Intraoperative Nursing Management 214
Chapter 16 Postoperative Nursing Management 228
Chapter 17 Assessment of Respiratory Function 243
Chapter 18 Management of Patients with Upper Respiratory Tract Disorders 258
Chapter 19 Management of Patients with Chest and Lower Respiratory Tract Disorders 272
Chapter 20 Management of Patients with Chronic Pulmonary Disease 288
Chapter 21 Assessment of Cardiovascular Function 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems 318
Chapter 23 Management of Patients with Coronary Vascular Disorders 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
of Peripheral Circulation 375
Chapter 27 Assessment and Management of Patients with Hypertension 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders 420
Chapter 30 Management of Patients with Hematologic Neoplasms 433
Chapter 31 Assessment of Immune Function 448
Chapter 32 Management of Patients with Immune Deficiency Disorders 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders 492
Chapter 35 Assessment of Musculoskeletal Function 506
Chapter 36 Management of Patients with Musculoskeletal Disorders 520
,Chapter 37 Management of Patients with Musculoskeletal Trauma 535
Chapter 38 Assessment of Digestive and Gastrointestinal Function 550
Chapter 39 Management of Patients with Oral and Esophageal Disorders 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders 578
Chapter 41 Management of Patients with Intestinal and Rectal Disorders 591
Chapter 42 Assessment and Management of Patients with Obesity 606
Chapter 43 Assessment and Management of Patients with Hepatic Disorders 621
Chapter 44 Management of Patients with Biliary Disorders 635
Chapter 45 Assessment and Management of Patients with Endocrine Disorders 650
Chapter 46 Management of Patients with Diabetes 665
Chapter 47 Assessment of Kidney and Urinary Function 680
Chapter 48 Management of Patients with Kidney Disorders 695
Chapter 49 Management of Patients with Urinary Disorders 710
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes 725
Chapter 51 Management of Patients with Female Reproductive Disorders 741
Chapter 52 Assessment and Management of Patients with Breast Disorders 757
Chapter 53 Assessment and Management of Patients with Male Reproductive Disorders 771
Chapter 54 Assessment and Management of Patients Who Are LGBTQ 786
Chapter 55 Assessment of Integumentary Function 794
Chapter 56 Management of Patients with Dermatologic Disorders 808
Chapter 57 Management of Patients with Burn Injury 822
Chapter 58 Assessment and Management of Patients with Eye and Vision Disorders 837
Chapter 59 Assessment and Management of Patients with Hearing and Balance Disorders 851
Chapter 60 Assessment of Neurologic Function 866
Chapter 61 Management of Patients With Neurologic Dysfunction 881
Chapter 62 Management of Patients With Cerebrovascular Disorders 895
Chapter 63 Management of Patients with Neurologic Trauma 911
Chapter 64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders 940
Chapter 66 Management of Patients with Infectious Diseases 955
Chapter 67 Emergency Nursing 968
Chapter 68 Disaster Nursing 977
, Test Bank – Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 16th Edition (Hinkle,
Cheever & Overbaugh) | Complete Verified Q&A | ISBN 9781975221157
Chapter 1: Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
MULTIPLE CHOICE
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers
therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the
nurse's ethical obligation to these clients?
A. The nurse should adhere to professional standards of practice and offer service
to these clients.
B. The nurse should make the choice to decline this position and pursue a different
nursing role.
C. The nurse should decline to care for the client’sconsidering abortion.
D. The nurse should express alternatives to women considering terminating their pregnancy.
ANS: B
Rationale: To avoid facing the ethical dilemma beliefs, the nurse should consider working in an area of
nursing that would not pose this dilemma. The
nurse should not provide care to the client because it is a conflict of personal values. The
nurse should not deny care to these clients as this would be a breach in the Code of Ethics
for nurses. If the client is not requesting information for alternatives to abortions, then the
nurse should not be providing this information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia.
During admission the client states, "I have a living will." What implication of this should the
nurse recognize?
A. This document is always honored, regardless of circumstances.
B. This document specifies the client's wishes before hospitalization.
C. This document is binding for the duration of the client's life.
D. This document has been drawn up by the client's family to determine DNR status.
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are
limited to situations in which the client's medical condition is deemed terminal. The other
answers are incorrect because living wills are not always honored in every circumstance,
they are not binding for the duration of the client's life, and they are not drawn up by the
client's family.
PTS: 1 REF: p. 29
NAT: Client Needs: Safe, Effective Care Environment: Management
of Care TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level:
Analyze NOT: Multiple Choice
3. A nurse has been providing ethical care for many years and is aware of the need to maintain
the ethical principle of nonmaleficence. Which of the following actions would be considered
a violation of this principle?
A. Discussing a DNR order with a terminally ill client
,B. Assisting a semi-independent client with ADLs
C. Refusing to administer pain medication as prescribed
1|Page
, Test Bank – Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 16th Edition
(Hinkle, Cheever & Overbaugh) | Complete Verified Q&A | ISBN 9781975221157
D. Providing more care for one client than for another
ANS: C
Rationale: The duty not to inflict as well as prevent and remove harm is termed
nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a client
with ADLs would not be considered contradictions to the nurse's duty of nonmaleficence.
Some clients justifiably require more care than others.
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
BLM: Cognitive Level:
KEY: Integrated Process: Nursing Process Analyze
NOT: Multiple Choice
4. A nurse has begun creating a client's plan of care shortly after the client's admission. The
nurse knows that it is important that the wording of the chosen nursing diagnoses falls within
the taxonomy of nursing. Which organization is responsible for developing the taxonomy of
a nursing diagnosis?
A. American Nurses Association (ANA)
B. North American Nursing Diagnosis Association (NANDA)
C. National League for Nursing (NLN)
D. Joint Commission
ANS: B
Rationale: NANDA International is the official organization responsible for developing the
taxonomy of nursing diagnoses and formulating nursing diagnoses acceptable for study. The
ANA, NLN, and Joint Commission are not charged with the task of developing the
taxonomy of nursing diagnoses.
PTS: 1 REF: p. 15
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
BLM: Cognitive Level:
KEY: Integrated Process: Nursing Process Understand
NOT: Multiple Choice
20. A medical nurse has obtained a new client's health history and has completed the admission
assessment. The nurse followed this by documenting the results and creating a care plan for
the client. Which of the following is the most important rationale for documenting the
client's care?
A. It provides continuity of care.
B. It creates a teaching log for the family.
C. It verifies appropriate staffing levels.
D. It keeps the client fully informed.
ANS: A
Rationale: This record provides a means of communication among members of the health
care team and facilitates coordinated planning and continuity of care. It serves as the legal
and business record for a health care agency and for the professional staff members who are
responsible for the client's care. Documentation is not primarily a teaching log; it does not
verify staffing; and it is not intended to provide the client with information about treatments.
PTS: 1 REF: p. 14
,NAT: Client Needs: Safe, Effective Care Environment: Management
of Care TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level:
Understand NOT: Multiple Choice
2|Page
, Test Bank – Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 16th Edition
(Hinkle, Cheever & Overbaugh) | Complete Verified Q&A | ISBN 9781975221157
6. The nurse has been assigned to care for a client admitted with an opportunistic infection
secondary to AID S. The nurse informs the clinical nurse leader that the nurse refuses to care
for a client with AIDS. The nurs e has an obligation to this client under which of the
following?
A. Good Samaritan Act
B. Nursing Interventions Classification (NIC)
C. The nurse practice act in the nurse's jurisdiction
D. International Council of Nurses (ICN) Code of Ethics for Nurses
ANS: D
Rationale: The ethical obligation to care for all clients is included in the Code of Ethics for
Nurses. The Good Samaritan Act relates to lay people helping others in need. The NIC is a
standardized classificatio n of nursing treatment that includes independent and
collaborative interventions. Nurse practice acts pri marily address scope of practice.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of
Care TO P: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level:
Understand
NOT: Multiple Choice
11. The nurse, in collaboration with the client's family, is determining priorities related to the care
of the client
. The nurse explains that it is important to consider the urgency of specific problems when
setting priorities. What should the nurse adopt as the best framework for prioritizing client
problems?
A. Availability of hospital resources
B. Family member statements
C. Maslow hierarchy of needs
D. The nurse's skill set
ANS: C
Rationale: The Maslow hierarchy of needs provides a useful framework for prioritizing
problems, with the first level given to meeting physical needs of the client. Availability of
hospital resources, family member statements, and nursing skill do not provide a framework
for prioritization of client problems, though eac h may be considered.
PTS: 1 REF: p. 6
NAT: Client Needs: Safe, Effective Care Environment: Management of
Care TO P: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply
NOT: Multiple Choice
8. A medical nurse is caring for a client who is receiving palliative care following cancer
metastasis. The nur se is aware of the need to uphold the ethical principle of beneficence.
How can the nurse best exemplify th is principle in the care of this client?
A. The nurse tactfully regulates the number and timing of visitors as per the client's wishes.
B. The nurse stays with the client during their death.
C. The nurse ensures that all members of the care team are aware of the client's DNR order.
D. The nurse collaborates with members of the care team to ensure continuity of care.
ANS: A
,Rationale: Beneficence is the duty to do good and the active promotion of benevolent acts.
Enacting the client's wishes regarding visitors is an example of this. Each of the other
nursing actions is consistent wi th ethical practice, but none directly exemplifies the
principle of beneficence.
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
3|Page
, Test Bank – Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 16th Edition
(Hinkle, Cheever & Overbaugh) | Complete Verified Q&A | ISBN 9781975221157
TOP: Chapter 1: Professional Nursing Practice
KEY: IntegratedProcess: Caring BLM: Cognitive
Level
: Apply NOT: Multiple Choice
9. In the process of planning a client's care, the nurse has identified a nursing diagnosis of
Ineffective Hea lth Maintenance related to alcohol use. What must precede the
determination of this nursing diagnosis
?
A. Establishing of a plan to address the underlying problem
B. Assigninga positive value to each consequence of the diagnosis
C. Collecting and analyzing data that corroborate the diagnosis
D. Evaluating the client's chances of recovery
ANS: C
Rationale: In the diagnostic phase of the nursing process, the client's nursing problems are
defined through analysis of client data. Establishing a plan comes after collecting and
analyzing data; evaluating a plan is t he last step of the nursing process; and assigning a
positive value to each consequence is not done.
PTS: 1 REF: p. 16
NAT: Client Needs: Safe, Effective Care Environment: Management of
Care TO P: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply
NOT: Multiple Choice
10. The provider has recommended an amniocentesis for an 18-year-
old primiparous client. The client is at 34 weeks' gestation and does not want this procedure,
but the health care provider arranges for the amniocentesis to be performed. The nurse should
recognize that the provider is in violation of which ethical principle?
A. Veracity
B. Beneficence
C. Nonmaleficence
D. Autonomy
ANS: D
Rationale: The principle of autonomy specifies that individuals have the ability to make a
choice free fro m external constraints. The provider's actions in this case violate this
principle. This action may or may n ot violate the principle of beneficence. Veracity centers
on truth-
telling, and nonmaleficence is avoiding the infliction of harm.
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of
Care TO P: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze
NOT: Multiple Choice
11. During a discussion with the client and the client's spouse, the nurse discovers that the
D D D D D D D D D D D D D D
client has a livi ng will. How does the presence of a living will influence the client's
D D D D D D D D D D D D D D D D D
care?
D D
Textbook of Medical-Surgical Nursing,
16th Edition (Hinkle, Cheever &
Overbaugh) | Complete Verified Q&A |
ISBN 9781975221157
,Table of Contents
Chapter 01 Professional Nursing Practice 2
Chapter 02 Medical-Surgical Nursing 17
Chapter 03 Health Education and Health Promotion 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment 45
Chapter 05 Stress and Inflammatory Responses 60
Chapter 06 Genetics and Genomics in Nursing 76
Chapter 07 Disability and Chronic Illness 92
Chapter 08 Management of the Older Adult Patient 107
Chapter 09 Pain Management 121
Chapter 10 Fluid and Electrolytes 137
Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 153
Chapter 12 Management of Patients with Oncologic Disorders 169
Chapter 13 Palliative and End-of-Life Care 183
Chapter 14 Preoperative Nursing Management 199
Chapter 15 Intraoperative Nursing Management 214
Chapter 16 Postoperative Nursing Management 228
Chapter 17 Assessment of Respiratory Function 243
Chapter 18 Management of Patients with Upper Respiratory Tract Disorders 258
Chapter 19 Management of Patients with Chest and Lower Respiratory Tract Disorders 272
Chapter 20 Management of Patients with Chronic Pulmonary Disease 288
Chapter 21 Assessment of Cardiovascular Function 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems 318
Chapter 23 Management of Patients with Coronary Vascular Disorders 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
of Peripheral Circulation 375
Chapter 27 Assessment and Management of Patients with Hypertension 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders 420
Chapter 30 Management of Patients with Hematologic Neoplasms 433
Chapter 31 Assessment of Immune Function 448
Chapter 32 Management of Patients with Immune Deficiency Disorders 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders 492
Chapter 35 Assessment of Musculoskeletal Function 506
Chapter 36 Management of Patients with Musculoskeletal Disorders 520
,Chapter 37 Management of Patients with Musculoskeletal Trauma 535
Chapter 38 Assessment of Digestive and Gastrointestinal Function 550
Chapter 39 Management of Patients with Oral and Esophageal Disorders 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders 578
Chapter 41 Management of Patients with Intestinal and Rectal Disorders 591
Chapter 42 Assessment and Management of Patients with Obesity 606
Chapter 43 Assessment and Management of Patients with Hepatic Disorders 621
Chapter 44 Management of Patients with Biliary Disorders 635
Chapter 45 Assessment and Management of Patients with Endocrine Disorders 650
Chapter 46 Management of Patients with Diabetes 665
Chapter 47 Assessment of Kidney and Urinary Function 680
Chapter 48 Management of Patients with Kidney Disorders 695
Chapter 49 Management of Patients with Urinary Disorders 710
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes 725
Chapter 51 Management of Patients with Female Reproductive Disorders 741
Chapter 52 Assessment and Management of Patients with Breast Disorders 757
Chapter 53 Assessment and Management of Patients with Male Reproductive Disorders 771
Chapter 54 Assessment and Management of Patients Who Are LGBTQ 786
Chapter 55 Assessment of Integumentary Function 794
Chapter 56 Management of Patients with Dermatologic Disorders 808
Chapter 57 Management of Patients with Burn Injury 822
Chapter 58 Assessment and Management of Patients with Eye and Vision Disorders 837
Chapter 59 Assessment and Management of Patients with Hearing and Balance Disorders 851
Chapter 60 Assessment of Neurologic Function 866
Chapter 61 Management of Patients With Neurologic Dysfunction 881
Chapter 62 Management of Patients With Cerebrovascular Disorders 895
Chapter 63 Management of Patients with Neurologic Trauma 911
Chapter 64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders 940
Chapter 66 Management of Patients with Infectious Diseases 955
Chapter 67 Emergency Nursing 968
Chapter 68 Disaster Nursing 977
, Test Bank – Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 16th Edition (Hinkle,
Cheever & Overbaugh) | Complete Verified Q&A | ISBN 9781975221157
Chapter 1: Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
MULTIPLE CHOICE
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers
therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the
nurse's ethical obligation to these clients?
A. The nurse should adhere to professional standards of practice and offer service
to these clients.
B. The nurse should make the choice to decline this position and pursue a different
nursing role.
C. The nurse should decline to care for the client’sconsidering abortion.
D. The nurse should express alternatives to women considering terminating their pregnancy.
ANS: B
Rationale: To avoid facing the ethical dilemma beliefs, the nurse should consider working in an area of
nursing that would not pose this dilemma. The
nurse should not provide care to the client because it is a conflict of personal values. The
nurse should not deny care to these clients as this would be a breach in the Code of Ethics
for nurses. If the client is not requesting information for alternatives to abortions, then the
nurse should not be providing this information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia.
During admission the client states, "I have a living will." What implication of this should the
nurse recognize?
A. This document is always honored, regardless of circumstances.
B. This document specifies the client's wishes before hospitalization.
C. This document is binding for the duration of the client's life.
D. This document has been drawn up by the client's family to determine DNR status.
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are
limited to situations in which the client's medical condition is deemed terminal. The other
answers are incorrect because living wills are not always honored in every circumstance,
they are not binding for the duration of the client's life, and they are not drawn up by the
client's family.
PTS: 1 REF: p. 29
NAT: Client Needs: Safe, Effective Care Environment: Management
of Care TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level:
Analyze NOT: Multiple Choice
3. A nurse has been providing ethical care for many years and is aware of the need to maintain
the ethical principle of nonmaleficence. Which of the following actions would be considered
a violation of this principle?
A. Discussing a DNR order with a terminally ill client
,B. Assisting a semi-independent client with ADLs
C. Refusing to administer pain medication as prescribed
1|Page
, Test Bank – Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 16th Edition
(Hinkle, Cheever & Overbaugh) | Complete Verified Q&A | ISBN 9781975221157
D. Providing more care for one client than for another
ANS: C
Rationale: The duty not to inflict as well as prevent and remove harm is termed
nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a client
with ADLs would not be considered contradictions to the nurse's duty of nonmaleficence.
Some clients justifiably require more care than others.
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
BLM: Cognitive Level:
KEY: Integrated Process: Nursing Process Analyze
NOT: Multiple Choice
4. A nurse has begun creating a client's plan of care shortly after the client's admission. The
nurse knows that it is important that the wording of the chosen nursing diagnoses falls within
the taxonomy of nursing. Which organization is responsible for developing the taxonomy of
a nursing diagnosis?
A. American Nurses Association (ANA)
B. North American Nursing Diagnosis Association (NANDA)
C. National League for Nursing (NLN)
D. Joint Commission
ANS: B
Rationale: NANDA International is the official organization responsible for developing the
taxonomy of nursing diagnoses and formulating nursing diagnoses acceptable for study. The
ANA, NLN, and Joint Commission are not charged with the task of developing the
taxonomy of nursing diagnoses.
PTS: 1 REF: p. 15
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
BLM: Cognitive Level:
KEY: Integrated Process: Nursing Process Understand
NOT: Multiple Choice
20. A medical nurse has obtained a new client's health history and has completed the admission
assessment. The nurse followed this by documenting the results and creating a care plan for
the client. Which of the following is the most important rationale for documenting the
client's care?
A. It provides continuity of care.
B. It creates a teaching log for the family.
C. It verifies appropriate staffing levels.
D. It keeps the client fully informed.
ANS: A
Rationale: This record provides a means of communication among members of the health
care team and facilitates coordinated planning and continuity of care. It serves as the legal
and business record for a health care agency and for the professional staff members who are
responsible for the client's care. Documentation is not primarily a teaching log; it does not
verify staffing; and it is not intended to provide the client with information about treatments.
PTS: 1 REF: p. 14
,NAT: Client Needs: Safe, Effective Care Environment: Management
of Care TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level:
Understand NOT: Multiple Choice
2|Page
, Test Bank – Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 16th Edition
(Hinkle, Cheever & Overbaugh) | Complete Verified Q&A | ISBN 9781975221157
6. The nurse has been assigned to care for a client admitted with an opportunistic infection
secondary to AID S. The nurse informs the clinical nurse leader that the nurse refuses to care
for a client with AIDS. The nurs e has an obligation to this client under which of the
following?
A. Good Samaritan Act
B. Nursing Interventions Classification (NIC)
C. The nurse practice act in the nurse's jurisdiction
D. International Council of Nurses (ICN) Code of Ethics for Nurses
ANS: D
Rationale: The ethical obligation to care for all clients is included in the Code of Ethics for
Nurses. The Good Samaritan Act relates to lay people helping others in need. The NIC is a
standardized classificatio n of nursing treatment that includes independent and
collaborative interventions. Nurse practice acts pri marily address scope of practice.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of
Care TO P: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level:
Understand
NOT: Multiple Choice
11. The nurse, in collaboration with the client's family, is determining priorities related to the care
of the client
. The nurse explains that it is important to consider the urgency of specific problems when
setting priorities. What should the nurse adopt as the best framework for prioritizing client
problems?
A. Availability of hospital resources
B. Family member statements
C. Maslow hierarchy of needs
D. The nurse's skill set
ANS: C
Rationale: The Maslow hierarchy of needs provides a useful framework for prioritizing
problems, with the first level given to meeting physical needs of the client. Availability of
hospital resources, family member statements, and nursing skill do not provide a framework
for prioritization of client problems, though eac h may be considered.
PTS: 1 REF: p. 6
NAT: Client Needs: Safe, Effective Care Environment: Management of
Care TO P: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply
NOT: Multiple Choice
8. A medical nurse is caring for a client who is receiving palliative care following cancer
metastasis. The nur se is aware of the need to uphold the ethical principle of beneficence.
How can the nurse best exemplify th is principle in the care of this client?
A. The nurse tactfully regulates the number and timing of visitors as per the client's wishes.
B. The nurse stays with the client during their death.
C. The nurse ensures that all members of the care team are aware of the client's DNR order.
D. The nurse collaborates with members of the care team to ensure continuity of care.
ANS: A
,Rationale: Beneficence is the duty to do good and the active promotion of benevolent acts.
Enacting the client's wishes regarding visitors is an example of this. Each of the other
nursing actions is consistent wi th ethical practice, but none directly exemplifies the
principle of beneficence.
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
3|Page
, Test Bank – Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 16th Edition
(Hinkle, Cheever & Overbaugh) | Complete Verified Q&A | ISBN 9781975221157
TOP: Chapter 1: Professional Nursing Practice
KEY: IntegratedProcess: Caring BLM: Cognitive
Level
: Apply NOT: Multiple Choice
9. In the process of planning a client's care, the nurse has identified a nursing diagnosis of
Ineffective Hea lth Maintenance related to alcohol use. What must precede the
determination of this nursing diagnosis
?
A. Establishing of a plan to address the underlying problem
B. Assigninga positive value to each consequence of the diagnosis
C. Collecting and analyzing data that corroborate the diagnosis
D. Evaluating the client's chances of recovery
ANS: C
Rationale: In the diagnostic phase of the nursing process, the client's nursing problems are
defined through analysis of client data. Establishing a plan comes after collecting and
analyzing data; evaluating a plan is t he last step of the nursing process; and assigning a
positive value to each consequence is not done.
PTS: 1 REF: p. 16
NAT: Client Needs: Safe, Effective Care Environment: Management of
Care TO P: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply
NOT: Multiple Choice
10. The provider has recommended an amniocentesis for an 18-year-
old primiparous client. The client is at 34 weeks' gestation and does not want this procedure,
but the health care provider arranges for the amniocentesis to be performed. The nurse should
recognize that the provider is in violation of which ethical principle?
A. Veracity
B. Beneficence
C. Nonmaleficence
D. Autonomy
ANS: D
Rationale: The principle of autonomy specifies that individuals have the ability to make a
choice free fro m external constraints. The provider's actions in this case violate this
principle. This action may or may n ot violate the principle of beneficence. Veracity centers
on truth-
telling, and nonmaleficence is avoiding the infliction of harm.
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of
Care TO P: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze
NOT: Multiple Choice
11. During a discussion with the client and the client's spouse, the nurse discovers that the
D D D D D D D D D D D D D D
client has a livi ng will. How does the presence of a living will influence the client's
D D D D D D D D D D D D D D D D D
care?
D D
