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
UNIT 1: PRINCIPLES OF NURSING PRACTICE
Chapter 1: Professional Nursing Practice
Brunner & Suddarth–Inspired NGN Test Bank (20 Questions)
Question 1
Question Type: MCQ
Question Stem:
A nurse is explaining the concept of professional nursing to a
,newly admitted patient. Which statement best reflects the
foundation of professional nursing practice?
Options:
A. Nursing is primarily task-based care delivered under
physician direction
B. Nursing focuses on holistic care addressing the patient’s
physical, emotional, and social needs
C. Nursing is limited to hospital-based care environments
D. Nursing care is determined mainly by institutional policies
Correct Answer: B
Rationale for A:
Incorrect. Nursing is not limited to task completion or
physician-directed activity. Modern practice emphasizes
independent clinical judgment and patient-centered care.
Rationale for B:
Correct. Professional nursing is grounded in holistic care,
addressing the whole person—physical, psychological, social,
and spiritual dimensions—while promoting health and well-
being.
Rationale for C:
Incorrect. Nursing occurs across diverse settings including
community health, schools, home care, and long-term care, not
only hospitals.
Rationale for D:
Incorrect. While institutional policies guide care, nursing
,practice is primarily guided by professional standards, ethics,
and clinical judgment.
Key Takeaway:
Professional nursing is holistic, patient-centered, and extends
beyond task completion and hospital settings.
Question 2
Question Type: MCQ
Question Stem:
Which action best demonstrates the nurse’s role as a patient
advocate?
Options:
A. Following all physician orders without question
B. Encouraging family members to make decisions for the
patient
C. Supporting the patient’s informed decision-making regarding
treatment options
D. Limiting patient questions to reduce anxiety
Correct Answer: C
Rationale for A:
Incorrect. Nurses must use clinical judgment and question
unsafe or inappropriate orders when necessary.
Rationale for B:
Incorrect. While family involvement may be appropriate,
, advocacy centers on the patient’s autonomy unless the patient
lacks decision-making capacity.
Rationale for C:
Correct. Advocacy includes ensuring the patient understands
options and supports autonomous, informed decision-making.
Rationale for D:
Incorrect. Restricting questions undermines informed consent
and patient-centered care.
Key Takeaway:
Patient advocacy supports autonomy, informed consent, and
shared decision-making.
Question 3
Question Type: NGN Case Study
NCJMM Step: Recognize Cues
Question Stem:
A nurse assesses a newly admitted patient. Which findings
indicate potential barriers to effective nursing care?
Options:
A. The patient expresses fear about hospitalization
B. The patient has limited health literacy
C. The patient requests pain medication
D. The patient has stable vital signs
Correct Answer: B
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
UNIT 1: PRINCIPLES OF NURSING PRACTICE
Chapter 1: Professional Nursing Practice
Brunner & Suddarth–Inspired NGN Test Bank (20 Questions)
Question 1
Question Type: MCQ
Question Stem:
A nurse is explaining the concept of professional nursing to a
,newly admitted patient. Which statement best reflects the
foundation of professional nursing practice?
Options:
A. Nursing is primarily task-based care delivered under
physician direction
B. Nursing focuses on holistic care addressing the patient’s
physical, emotional, and social needs
C. Nursing is limited to hospital-based care environments
D. Nursing care is determined mainly by institutional policies
Correct Answer: B
Rationale for A:
Incorrect. Nursing is not limited to task completion or
physician-directed activity. Modern practice emphasizes
independent clinical judgment and patient-centered care.
Rationale for B:
Correct. Professional nursing is grounded in holistic care,
addressing the whole person—physical, psychological, social,
and spiritual dimensions—while promoting health and well-
being.
Rationale for C:
Incorrect. Nursing occurs across diverse settings including
community health, schools, home care, and long-term care, not
only hospitals.
Rationale for D:
Incorrect. While institutional policies guide care, nursing
,practice is primarily guided by professional standards, ethics,
and clinical judgment.
Key Takeaway:
Professional nursing is holistic, patient-centered, and extends
beyond task completion and hospital settings.
Question 2
Question Type: MCQ
Question Stem:
Which action best demonstrates the nurse’s role as a patient
advocate?
Options:
A. Following all physician orders without question
B. Encouraging family members to make decisions for the
patient
C. Supporting the patient’s informed decision-making regarding
treatment options
D. Limiting patient questions to reduce anxiety
Correct Answer: C
Rationale for A:
Incorrect. Nurses must use clinical judgment and question
unsafe or inappropriate orders when necessary.
Rationale for B:
Incorrect. While family involvement may be appropriate,
, advocacy centers on the patient’s autonomy unless the patient
lacks decision-making capacity.
Rationale for C:
Correct. Advocacy includes ensuring the patient understands
options and supports autonomous, informed decision-making.
Rationale for D:
Incorrect. Restricting questions undermines informed consent
and patient-centered care.
Key Takeaway:
Patient advocacy supports autonomy, informed consent, and
shared decision-making.
Question 3
Question Type: NGN Case Study
NCJMM Step: Recognize Cues
Question Stem:
A nurse assesses a newly admitted patient. Which findings
indicate potential barriers to effective nursing care?
Options:
A. The patient expresses fear about hospitalization
B. The patient has limited health literacy
C. The patient requests pain medication
D. The patient has stable vital signs
Correct Answer: B
