Brunner & Suddarth's Textbook of
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1
Question Type: MCQ
NCJMM Step: Not applicable
Question Stem:
A nurse is providing care in a medical-surgical unit. Which
action best demonstrates professional nursing practice?
Options:
A. Delegating all patient hygiene tasks to assistive personnel
B. Making independent clinical decisions based on nursing
,assessment findings
C. Following physician orders without questioning
D. Limiting patient education to discharge day only
Correct Answer: B
Rationale for A:
Delegation is appropriate in nursing practice, but delegating all
hygiene care removes the nurse from essential patient
assessment opportunities. This weakens holistic care and may
lead to missed clinical cues.
Rationale for B:
Professional nursing practice includes independent judgment,
especially in assessment, interpretation of findings, and nursing
interventions within scope. Nurses are accountable for clinical
decisions based on patient data.
Rationale for C:
Nurses do not follow physician orders blindly. They must
evaluate orders for safety, appropriateness, and alignment with
patient condition and evidence-based practice.
Rationale for D:
Patient education should be ongoing throughout care, not
limited to discharge. Early and continuous teaching improves
outcomes and supports patient-centered care.
Key Takeaway:
Professional nursing includes independent clinical judgment
based on assessment data.
,Question 2
Question Type: MCQ
NCJMM Step: Not applicable
Question Stem:
Which statement best reflects the concept of nursing as a
profession?
Options:
A. Nurses function primarily as assistants to physicians
B. Nursing is based solely on task completion and technical
skills
C. Nursing is a science-based, autonomous, and ethical practice
D. Nursing decisions are primarily made by healthcare
administrators
Correct Answer: C
Rationale for A:
Nursing is not subordinate to medicine. It is an independent
profession with its own scope, standards, and body of
knowledge.
Rationale for B:
While technical skills are important, nursing is not task-based. It
requires critical thinking, clinical judgment, and evidence-based
practice.
, Rationale for C:
Nursing is a profession grounded in science, ethics, autonomy,
and evidence-based care, with accountability for patient
outcomes.
Rationale for D:
Administrators manage systems, but clinical decisions are made
by nurses at the point of care within professional standards.
Key Takeaway:
Nursing is an autonomous, science-based profession guided by
ethics and evidence.
Question 3
Question Type: MCQ
NCJMM Step: Not applicable
Question Stem:
A nurse is applying evidence-based practice (EBP). Which action
best reflects this principle?
Options:
A. Using traditional methods that have always been used on the
unit
B. Combining clinical expertise, patient preferences, and
current research
C. Following senior nurses’ opinions without reviewing research
D. Using only textbook knowledge to guide care decisions
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1
Question Type: MCQ
NCJMM Step: Not applicable
Question Stem:
A nurse is providing care in a medical-surgical unit. Which
action best demonstrates professional nursing practice?
Options:
A. Delegating all patient hygiene tasks to assistive personnel
B. Making independent clinical decisions based on nursing
,assessment findings
C. Following physician orders without questioning
D. Limiting patient education to discharge day only
Correct Answer: B
Rationale for A:
Delegation is appropriate in nursing practice, but delegating all
hygiene care removes the nurse from essential patient
assessment opportunities. This weakens holistic care and may
lead to missed clinical cues.
Rationale for B:
Professional nursing practice includes independent judgment,
especially in assessment, interpretation of findings, and nursing
interventions within scope. Nurses are accountable for clinical
decisions based on patient data.
Rationale for C:
Nurses do not follow physician orders blindly. They must
evaluate orders for safety, appropriateness, and alignment with
patient condition and evidence-based practice.
Rationale for D:
Patient education should be ongoing throughout care, not
limited to discharge. Early and continuous teaching improves
outcomes and supports patient-centered care.
Key Takeaway:
Professional nursing includes independent clinical judgment
based on assessment data.
,Question 2
Question Type: MCQ
NCJMM Step: Not applicable
Question Stem:
Which statement best reflects the concept of nursing as a
profession?
Options:
A. Nurses function primarily as assistants to physicians
B. Nursing is based solely on task completion and technical
skills
C. Nursing is a science-based, autonomous, and ethical practice
D. Nursing decisions are primarily made by healthcare
administrators
Correct Answer: C
Rationale for A:
Nursing is not subordinate to medicine. It is an independent
profession with its own scope, standards, and body of
knowledge.
Rationale for B:
While technical skills are important, nursing is not task-based. It
requires critical thinking, clinical judgment, and evidence-based
practice.
, Rationale for C:
Nursing is a profession grounded in science, ethics, autonomy,
and evidence-based care, with accountability for patient
outcomes.
Rationale for D:
Administrators manage systems, but clinical decisions are made
by nurses at the point of care within professional standards.
Key Takeaway:
Nursing is an autonomous, science-based profession guided by
ethics and evidence.
Question 3
Question Type: MCQ
NCJMM Step: Not applicable
Question Stem:
A nurse is applying evidence-based practice (EBP). Which action
best reflects this principle?
Options:
A. Using traditional methods that have always been used on the
unit
B. Combining clinical expertise, patient preferences, and
current research
C. Following senior nurses’ opinions without reviewing research
D. Using only textbook knowledge to guide care decisions
