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 explaining the meaning of professional nursing
practice to a group of first-year students. Which statement is
most accurate?
Options:
,A. Nursing practice is based only on carrying out provider
prescriptions.
B. Nursing is a profession that uses clinical judgment, evidence,
and ethical standards to care for individuals and communities.
C. Nursing practice is limited to bedside care in hospitals.
D. Nursing is primarily focused on task completion and
technical skill.
Correct Answer:
B
Rationale for A:
This is incorrect because nursing practice is not limited to
following prescriptions. Nurses assess, plan, implement, and
evaluate care using independent judgment within their scope
of practice.
Rationale for B:
This is correct. Professional nursing practice combines clinical
judgment, evidence-based practice, ethics, communication, and
patient advocacy. Nurses care for individuals, families, and
communities in many settings.
Rationale for C:
This is incorrect because nursing occurs in hospitals, homes,
schools, clinics, long-term care, public health, and many other
settings.
Rationale for D:
This is incorrect because technical skills are important, but
,professional nursing is broader and includes critical thinking,
patient-centered care, and accountability.
Key Takeaway:
Professional nursing is a knowledge-based, ethically grounded
practice that uses judgment and evidence to improve
outcomes.
Question 2:
Question Type:
MCQ
Question Stem:
Which action best demonstrates the nurse’s role as an
advocate for the patient?
Options:
A. Explaining the unit routine to the patient
B. Asking the provider to clarify a treatment plan the patient
does not understand
C. Administering medication on time
D. Documenting intake and output accurately
Correct Answer:
B
Rationale for A:
This is helpful, but it is not the best example of advocacy.
, Routine teaching supports orientation, not necessarily patient
advocacy.
Rationale for B:
This is correct. Advocacy means protecting the patient’s rights
and ensuring the patient understands and can participate in
decisions. Clarifying an unclear plan supports informed
decision-making.
Rationale for C:
This is important nursing care, but it does not specifically show
advocacy.
Rationale for D:
Accurate documentation is essential, but it is not the clearest
example of advocacy.
Key Takeaway:
Advocacy means acting in the patient’s best interest and
supporting informed, safe care.
Question 3:
Question Type:
MCQ
Question Stem:
A nurse is assessing a patient’s health status. Which finding
best reflects a social determinant that may influence health?
Options: