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
Question Stem:
A nurse is caring for four patients on a medical-surgical unit.
Which patient should the nurse assess first?
Options:
A. A postoperative patient reporting pain rated 8/10 after
receiving analgesics 1 hour ago
,B. A patient with chronic obstructive pulmonary disease whose
oxygen saturation decreased from 94% to 88%
C. A patient newly diagnosed with diabetes mellitus requesting
dietary teaching
D. A patient awaiting discharge who needs clarification about
medications
Correct Answer:
B
Rationale for A:
Postoperative pain requires nursing intervention and
reassessment; however, the patient is not exhibiting evidence
of immediate physiologic instability. Pain management is
important but does not take priority over compromised
oxygenation.
Rationale for B:
A decline in oxygen saturation in a patient with chronic
obstructive pulmonary disease may indicate worsening
respiratory compromise. Airway and breathing are the highest
priorities according to the ABC framework. Early assessment
and intervention can prevent respiratory failure.
Rationale for C:
Education is an important nursing responsibility, especially for
newly diagnosed patients. However, teaching can be delayed
until more urgent physiologic concerns are addressed.
,Rationale for D:
Medication clarification is essential for safe discharge planning,
but this patient is stable and can safely wait while the nurse
addresses higher-priority concerns.
Key Takeaway:
Prioritize patients using airway, breathing, circulation, and
physiologic stability principles.
Question 2:
Question Type: MCQ
Question Stem:
Which action by the nurse best demonstrates evidence-based
nursing practice?
Options:
A. Following a procedure because it has always been performed
that way on the unit
B. Using current research findings combined with clinical
expertise and patient preferences
C. Implementing interventions based solely on provider
preference
D. Relying primarily on personal clinical experience to guide
patient care
Correct Answer:
B
, Rationale for A:
Tradition alone is not evidence-based practice. Nursing care
should evolve according to current scientific evidence and
patient outcomes.
Rationale for B:
Evidence-based practice integrates the best available research
evidence, clinical expertise, and patient preferences to improve
patient outcomes and safety.
Rationale for C:
Provider preference may influence care decisions, but
evidence-based practice requires integration of research and
patient-centered considerations rather than reliance on one
individual's preference.
Rationale for D:
Clinical experience is valuable but should not be the sole basis
for care decisions. Evidence-based nursing also requires current
research and patient input.
Key Takeaway:
Evidence-based nursing combines research evidence, clinical
expertise, and patient preferences to guide safe, high-quality
care.
Question 3:
Question Type: MCQ
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
Question Stem:
A nurse is caring for four patients on a medical-surgical unit.
Which patient should the nurse assess first?
Options:
A. A postoperative patient reporting pain rated 8/10 after
receiving analgesics 1 hour ago
,B. A patient with chronic obstructive pulmonary disease whose
oxygen saturation decreased from 94% to 88%
C. A patient newly diagnosed with diabetes mellitus requesting
dietary teaching
D. A patient awaiting discharge who needs clarification about
medications
Correct Answer:
B
Rationale for A:
Postoperative pain requires nursing intervention and
reassessment; however, the patient is not exhibiting evidence
of immediate physiologic instability. Pain management is
important but does not take priority over compromised
oxygenation.
Rationale for B:
A decline in oxygen saturation in a patient with chronic
obstructive pulmonary disease may indicate worsening
respiratory compromise. Airway and breathing are the highest
priorities according to the ABC framework. Early assessment
and intervention can prevent respiratory failure.
Rationale for C:
Education is an important nursing responsibility, especially for
newly diagnosed patients. However, teaching can be delayed
until more urgent physiologic concerns are addressed.
,Rationale for D:
Medication clarification is essential for safe discharge planning,
but this patient is stable and can safely wait while the nurse
addresses higher-priority concerns.
Key Takeaway:
Prioritize patients using airway, breathing, circulation, and
physiologic stability principles.
Question 2:
Question Type: MCQ
Question Stem:
Which action by the nurse best demonstrates evidence-based
nursing practice?
Options:
A. Following a procedure because it has always been performed
that way on the unit
B. Using current research findings combined with clinical
expertise and patient preferences
C. Implementing interventions based solely on provider
preference
D. Relying primarily on personal clinical experience to guide
patient care
Correct Answer:
B
, Rationale for A:
Tradition alone is not evidence-based practice. Nursing care
should evolve according to current scientific evidence and
patient outcomes.
Rationale for B:
Evidence-based practice integrates the best available research
evidence, clinical expertise, and patient preferences to improve
patient outcomes and safety.
Rationale for C:
Provider preference may influence care decisions, but
evidence-based practice requires integration of research and
patient-centered considerations rather than reliance on one
individual's preference.
Rationale for D:
Clinical experience is valuable but should not be the sole basis
for care decisions. Evidence-based nursing also requires current
research and patient input.
Key Takeaway:
Evidence-based nursing combines research evidence, clinical
expertise, and patient preferences to guide safe, high-quality
care.
Question 3:
Question Type: MCQ
