Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
TEST BANK
Question 1
Question Type: MCQ
Question Stem:
,A newly licensed nurse asks the charge nurse about the primary
responsibility of the professional nurse. Which response by the
charge nurse is most appropriate?
Options:
A. Completing prescribed treatments exactly as written.
B. Coordinating patient-centered care while applying clinical
judgment and evidence-based practice.
C. Ensuring that all patient decisions align with the health care
team's recommendations.
D. Delegating most direct care activities to assistive personnel.
Correct Answer: B
Rationale for A:
Although carrying out prescribed treatments is an important
responsibility, professional nursing extends beyond task
completion. Nurses continuously assess, evaluate, and adapt
care based on patient responses.
Rationale for B:
This is correct. Modern professional nursing emphasizes
patient-centered care, collaboration, evidence-based practice,
safety, advocacy, and ongoing clinical judgment throughout the
care process.
Rationale for C:
,Patients have the right to make informed decisions, even when
they differ from the team's recommendations. Nurses support
patient autonomy.
Rationale for D:
Delegation is appropriate only for selected tasks. The registered
nurse remains accountable for assessment, planning,
evaluation, and overall coordination of care.
Key Takeaway:
Professional nursing integrates clinical judgment, evidence-
based practice, patient advocacy, and coordinated care.
Question 2
Question Type: MCQ
Question Stem:
A nurse identifies a discrepancy between a patient's medication
list and the provider's admission orders. Which action best
demonstrates the nurse's role as a patient advocate?
Options:
A. Administer the medications as prescribed.
B. Ask another nurse for an opinion before acting.
C. Clarify the discrepancy with the prescribing provider before
administration.
, D. Allow the pharmacist to resolve the issue independently.
Correct Answer: C
Rationale for A:
Administering medications without clarification may expose the
patient to harm.
Rationale for B:
Consulting colleagues may be helpful but does not resolve the
safety concern.
Rationale for C:
This action promotes patient safety by preventing potential
medication errors and reflects the nurse's advocacy role.
Rationale for D:
Pharmacists are valuable collaborators, but the nurse must
actively address identified concerns.
Key Takeaway:
Advocacy requires nurses to intervene whenever patient safety
is threatened.
Question 3
Question Type: MCQ
Question Stem:
Which patient statement best reflects health literacy?