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
Unit 1 Principles of Nursing Practice — NCLEX-Style MCQs
Based on Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 16th Edition
Question 1
A nurse is caring for a patient who requests detailed
information about a newly prescribed treatment plan before
signing the consent form. Which nursing action best
demonstrates professional nursing practice?
,A. Asking the family member to explain the treatment to the
patient
B. Encouraging the patient to ask questions and clarifying
information within the nurse’s scope
C. Advising the patient to sign the consent form because the
provider recommended it
D. Explaining that informed consent is solely the physician’s
responsibility
Correct Answer: B
Rationale:
Professional nursing practice includes patient advocacy,
communication, and support of informed decision-making. The
nurse should encourage questions and provide clarification
within the nursing scope of practice. Asking family members to
explain treatment may lead to misinformation. Advising the
patient to sign the form without understanding violates patient
autonomy. Although the provider obtains informed consent,
nurses reinforce understanding and advocate for the patient.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1 Principles of Nursing Practice
Question 2
A nurse is implementing evidence-based practice when
planning patient care. Which action best reflects this approach?
,A. Following routines that have always been used on the unit
B. Selecting interventions supported by current research and
clinical expertise
C. Using only interventions preferred by the physician
D. Choosing interventions based solely on patient satisfaction
surveys
Correct Answer: B
Rationale:
Evidence-based practice integrates current best evidence,
clinical expertise, and patient preferences to improve
outcomes. Relying solely on tradition does not ensure quality
care. Physician preference alone is insufficient for evidence-
based care. Patient satisfaction is important but should not be
the sole basis for clinical decisions.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1 Principles of Nursing Practice
Question 3
A nurse identifies that a patient received the wrong dietary
tray. Which action should the nurse take first to support patient
safety?
A. Remove the tray and assess whether the patient consumed
any food
B. Complete an incident report before addressing the patient
, C. Notify dietary services after the meal period ends
D. Ask another nurse to evaluate the patient
Correct Answer: A
Rationale:
The nurse’s priority is immediate patient safety. The incorrect
tray should be removed, and the nurse should assess whether
the patient consumed any food that could cause harm. Incident
reports are completed after ensuring patient safety. Delaying
notification or delegating assessment could place the patient at
risk.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1 Principles of Nursing Practice
Question 4
Which patient statement best reflects understanding of the
concept of health?
A. “Health means never having any illness.”
B. “Health involves physical, emotional, social, and spiritual
well-being.”
C. “Health is determined only by laboratory test results.”
D. “Health depends entirely on access to health care providers.”
Correct Answer: B
Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Unit 1 Principles of Nursing Practice — NCLEX-Style MCQs
Based on Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 16th Edition
Question 1
A nurse is caring for a patient who requests detailed
information about a newly prescribed treatment plan before
signing the consent form. Which nursing action best
demonstrates professional nursing practice?
,A. Asking the family member to explain the treatment to the
patient
B. Encouraging the patient to ask questions and clarifying
information within the nurse’s scope
C. Advising the patient to sign the consent form because the
provider recommended it
D. Explaining that informed consent is solely the physician’s
responsibility
Correct Answer: B
Rationale:
Professional nursing practice includes patient advocacy,
communication, and support of informed decision-making. The
nurse should encourage questions and provide clarification
within the nursing scope of practice. Asking family members to
explain treatment may lead to misinformation. Advising the
patient to sign the form without understanding violates patient
autonomy. Although the provider obtains informed consent,
nurses reinforce understanding and advocate for the patient.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1 Principles of Nursing Practice
Question 2
A nurse is implementing evidence-based practice when
planning patient care. Which action best reflects this approach?
,A. Following routines that have always been used on the unit
B. Selecting interventions supported by current research and
clinical expertise
C. Using only interventions preferred by the physician
D. Choosing interventions based solely on patient satisfaction
surveys
Correct Answer: B
Rationale:
Evidence-based practice integrates current best evidence,
clinical expertise, and patient preferences to improve
outcomes. Relying solely on tradition does not ensure quality
care. Physician preference alone is insufficient for evidence-
based care. Patient satisfaction is important but should not be
the sole basis for clinical decisions.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1 Principles of Nursing Practice
Question 3
A nurse identifies that a patient received the wrong dietary
tray. Which action should the nurse take first to support patient
safety?
A. Remove the tray and assess whether the patient consumed
any food
B. Complete an incident report before addressing the patient
, C. Notify dietary services after the meal period ends
D. Ask another nurse to evaluate the patient
Correct Answer: A
Rationale:
The nurse’s priority is immediate patient safety. The incorrect
tray should be removed, and the nurse should assess whether
the patient consumed any food that could cause harm. Incident
reports are completed after ensuring patient safety. Delaying
notification or delegating assessment could place the patient at
risk.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1 Principles of Nursing Practice
Question 4
Which patient statement best reflects understanding of the
concept of health?
A. “Health means never having any illness.”
B. “Health involves physical, emotional, social, and spiritual
well-being.”
C. “Health is determined only by laboratory test results.”
D. “Health depends entirely on access to health care providers.”
Correct Answer: B
