Medical Surgical Nursing Test Bank | Brunner & Suddarth 16th Edition Exam Prep with NCLEX Practice Questions & NGN Review

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 explaining the concept of professional nursing
practice to a group of newly hired nurses. Which statement
best reflects professional nursing practice?
A. Nursing care is based primarily on physician directives
B. Professional nursing integrates evidence-based care with
clinical judgment and patient-centered care
C. Nursing focuses mainly on performing technical skills
correctly
D. Professional nursing emphasizes disease treatment rather
than health promotion

,Correct Answer: B
Rationale:
Professional nursing practice integrates evidence-based
practice, clinical judgment, patient-centered care, and safe,
quality nursing interventions. Nursing is not limited to carrying
out physician orders or technical tasks alone. Health promotion
and holistic care are essential nursing responsibilities.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice, Chapter 1 Professional
Nursing Practice


Question 2
A nurse is caring for a patient from a cultural background
different from the nurse’s own. Which action demonstrates
patient-centered care?
A. Encouraging the patient to adopt the nurse’s health beliefs
B. Providing standardized care regardless of cultural beliefs
C. Incorporating the patient’s preferences and values into the
plan of care
D. Limiting family involvement to avoid treatment delays
Correct Answer: C
Rationale:
Patient-centered care recognizes the patient’s values,
preferences, and cultural beliefs as important components of

,care planning. Standardized care without individualization does
not support holistic nursing care.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice, Chapter 1 Professional
Nursing Practice


Question 3
A nurse is participating in a quality improvement initiative to
reduce patient falls on a medical-surgical unit. Which outcome
indicates the initiative is effective?
A. Increased nurse overtime hours
B. Reduced patient fall rates over six months
C. Increased admissions to the unit
D. Decreased patient length of stay unrelated to falls
Correct Answer: B
Rationale:
Quality improvement initiatives are evaluated using
measurable patient outcomes. A reduction in patient fall rates
demonstrates improved safety and effectiveness of nursing
interventions.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice, Chapter 1 Professional
Nursing Practice

, Question 4
A nurse is using evidence-based practice when planning patient
care. Which action best demonstrates this approach?
A. Following routines used by senior nurses regardless of
evidence
B. Using current research findings along with clinical expertise
and patient preferences
C. Relying only on institutional traditions
D. Choosing interventions based solely on physician preference
Correct Answer: B
Rationale:
Evidence-based practice integrates current best evidence,
clinical expertise, and patient preferences to improve patient
outcomes and safety. Tradition alone is not sufficient for
evidence-based care.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice, Chapter 1 Professional
Nursing Practice


Question 5
A nurse identifies a medication error before administration and
reports it according to policy. Which principle is the nurse
demonstrating?