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 newly licensed nurse is assigned a patient who requires a
complex wound therapy dressing change that the nurse has not
yet performed independently. What is the most professional
action for the nurse to take?
Options:
,A. Perform the dressing change and ask questions later if
problems arise.
B. Ask another staff member to watch silently while the nurse
completes the procedure.
C. Review the facility policy and request supervision or
competency validation before performing the procedure.
D. Delegate the dressing change to unlicensed assistive
personnel (UAP).
Correct Answer: C
Rationale for A:
This action is unsafe because it assumes competence without
verification. Professional nursing practice requires the nurse to
recognize personal limits and ensure that high-risk procedures
are performed correctly to protect the patient from harm.
Rationale for B:
Silent observation does not ensure that the nurse has the
knowledge, skill, or approved competency to perform the
procedure. Supervision should be intentional and tied to skill
validation, not informal watching.
Rationale for C:
This is the best answer because professional accountability
includes working within one’s competence and following facility
policy. Reviewing policy and obtaining supervision or validation
supports patient safety, reduces error risk, and reflects
responsible nursing practice.
,Rationale for D:
Wound therapy dressing changes are not appropriate to
delegate to UAP because they require assessment, sterile
technique, and clinical judgment. Delegating such care would
place the patient at risk.
Key Takeaway:
Professional nursing practice includes knowing one’s limits,
following policy, and protecting the patient through competent
care.
Question 2:
Question Type: MCQ
Question Stem:
Which nursing action best reflects the concept of the patient as
a consumer of nursing and health care?
Options:
A. Developing discharge goals based only on the provider’s
diagnosis
B. Asking the patient what outcomes matter most to them
before planning care
C. Teaching the patient to follow the standard hospital schedule
without discussion
D. Completing care tasks efficiently so the patient has fewer
questions
, Correct Answer: B
Rationale for A:
Diagnosis is important, but patient-centered care requires more
than disease management alone. This option ignores the
patient’s preferences, values, and goals.
Rationale for B:
This is correct because the patient as a consumer participates
actively in care decisions. Asking what matters most supports
shared decision-making, autonomy, satisfaction, and realistic
goal setting.
Rationale for C:
Rigidly imposing routines without discussion is not patient-
centered. The patient’s needs and preferences should guide
care whenever possible.
Rationale for D:
Efficiency is valuable, but care quality is not measured only by
speed. Patients should be informed partners, not passive
recipients of tasks.
Key Takeaway:
Patients are active participants in health care, and nursing care
should reflect their goals, values, and choices.
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 newly licensed nurse is assigned a patient who requires a
complex wound therapy dressing change that the nurse has not
yet performed independently. What is the most professional
action for the nurse to take?
Options:
,A. Perform the dressing change and ask questions later if
problems arise.
B. Ask another staff member to watch silently while the nurse
completes the procedure.
C. Review the facility policy and request supervision or
competency validation before performing the procedure.
D. Delegate the dressing change to unlicensed assistive
personnel (UAP).
Correct Answer: C
Rationale for A:
This action is unsafe because it assumes competence without
verification. Professional nursing practice requires the nurse to
recognize personal limits and ensure that high-risk procedures
are performed correctly to protect the patient from harm.
Rationale for B:
Silent observation does not ensure that the nurse has the
knowledge, skill, or approved competency to perform the
procedure. Supervision should be intentional and tied to skill
validation, not informal watching.
Rationale for C:
This is the best answer because professional accountability
includes working within one’s competence and following facility
policy. Reviewing policy and obtaining supervision or validation
supports patient safety, reduces error risk, and reflects
responsible nursing practice.
,Rationale for D:
Wound therapy dressing changes are not appropriate to
delegate to UAP because they require assessment, sterile
technique, and clinical judgment. Delegating such care would
place the patient at risk.
Key Takeaway:
Professional nursing practice includes knowing one’s limits,
following policy, and protecting the patient through competent
care.
Question 2:
Question Type: MCQ
Question Stem:
Which nursing action best reflects the concept of the patient as
a consumer of nursing and health care?
Options:
A. Developing discharge goals based only on the provider’s
diagnosis
B. Asking the patient what outcomes matter most to them
before planning care
C. Teaching the patient to follow the standard hospital schedule
without discussion
D. Completing care tasks efficiently so the patient has fewer
questions
, Correct Answer: B
Rationale for A:
Diagnosis is important, but patient-centered care requires more
than disease management alone. This option ignores the
patient’s preferences, values, and goals.
Rationale for B:
This is correct because the patient as a consumer participates
actively in care decisions. Asking what matters most supports
shared decision-making, autonomy, satisfaction, and realistic
goal setting.
Rationale for C:
Rigidly imposing routines without discussion is not patient-
centered. The patient’s needs and preferences should guide
care whenever possible.
Rationale for D:
Efficiency is valuable, but care quality is not measured only by
speed. Patients should be informed partners, not passive
recipients of tasks.
Key Takeaway:
Patients are active participants in health care, and nursing care
should reflect their goals, values, and choices.
Question 3:
Question Type: MCQ
