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 applying the nursing process when caring for a
patient with newly diagnosed hypertension. Which action
reflects the evaluation phase of the nursing process?
A. Measuring the patient’s blood pressure
B. Administering prescribed antihypertensive medication
C. Determining whether the patient’s blood pressure goals
,were achieved
D. Teaching the patient about low-sodium dietary choices
Correct Answer: C
Rationale:
Evaluation involves determining whether expected outcomes
have been achieved. Measuring blood pressure is assessment,
administering medication is implementation, and teaching is an
intervention within implementation.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice
Question 2
Which patient statement best reflects the concept of patient-
centered care?
A. “The nurse knows what is best for me.”
B. “My treatment decisions are based on hospital routines.”
C. “My preferences and goals are included in planning my care.”
D. “The physician makes all decisions regarding my treatment.”
Correct Answer: C
Rationale:
Patient-centered care emphasizes respect for patient
preferences, values, and active participation in care decisions.
,The other statements reflect provider-centered or system-
centered approaches.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice
Question 3
A nurse identifies a medication error before administering the
drug to the patient. What is the nurse’s priority action?
A. Discard the medication and continue the shift
B. Report the error according to agency policy
C. Ask another nurse to administer the medication
D. Document the incident only if the patient is affected
Correct Answer: B
Rationale:
Reporting errors and near misses promotes patient safety and
quality improvement. Medication errors should be reported
according to agency policy even if no patient harm occurred.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice
, Question 4
Which factor is most likely to influence a patient’s perception of
health?
A. Hospital staffing patterns
B. Personal beliefs and cultural values
C. Availability of advanced diagnostic testing
D. Number of health care providers involved in care
Correct Answer: B
Rationale:
A patient’s perception of health is strongly influenced by
personal beliefs, culture, developmental level, and life
experiences. The other factors may affect care delivery but not
directly the patient’s health perception.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice
Question 5
The nurse is caring for four patients. Which patient should the
nurse assess first?
A. A patient requesting assistance with ambulation
B. A patient reporting sudden shortness of breath
C. A patient asking for discharge instructions
D. A patient waiting for routine morning medications
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 applying the nursing process when caring for a
patient with newly diagnosed hypertension. Which action
reflects the evaluation phase of the nursing process?
A. Measuring the patient’s blood pressure
B. Administering prescribed antihypertensive medication
C. Determining whether the patient’s blood pressure goals
,were achieved
D. Teaching the patient about low-sodium dietary choices
Correct Answer: C
Rationale:
Evaluation involves determining whether expected outcomes
have been achieved. Measuring blood pressure is assessment,
administering medication is implementation, and teaching is an
intervention within implementation.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice
Question 2
Which patient statement best reflects the concept of patient-
centered care?
A. “The nurse knows what is best for me.”
B. “My treatment decisions are based on hospital routines.”
C. “My preferences and goals are included in planning my care.”
D. “The physician makes all decisions regarding my treatment.”
Correct Answer: C
Rationale:
Patient-centered care emphasizes respect for patient
preferences, values, and active participation in care decisions.
,The other statements reflect provider-centered or system-
centered approaches.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice
Question 3
A nurse identifies a medication error before administering the
drug to the patient. What is the nurse’s priority action?
A. Discard the medication and continue the shift
B. Report the error according to agency policy
C. Ask another nurse to administer the medication
D. Document the incident only if the patient is affected
Correct Answer: B
Rationale:
Reporting errors and near misses promotes patient safety and
quality improvement. Medication errors should be reported
according to agency policy even if no patient harm occurred.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice
, Question 4
Which factor is most likely to influence a patient’s perception of
health?
A. Hospital staffing patterns
B. Personal beliefs and cultural values
C. Availability of advanced diagnostic testing
D. Number of health care providers involved in care
Correct Answer: B
Rationale:
A patient’s perception of health is strongly influenced by
personal beliefs, culture, developmental level, and life
experiences. The other factors may affect care delivery but not
directly the patient’s health perception.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing –
Unit 1: Principles of Nursing Practice
Question 5
The nurse is caring for four patients. Which patient should the
nurse assess first?
A. A patient requesting assistance with ambulation
B. A patient reporting sudden shortness of breath
C. A patient asking for discharge instructions
D. A patient waiting for routine morning medications
