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 assigned to perform tracheostomy care for the first
time on a stable patient. Which action best reflects professional
accountability?
Options:
A. Perform the procedure from memory to avoid appearing
inexperienced.
,B. Ask an unlicensed assistive personnel (UAP) to assist with the
procedure.
C. Review the facility policy and request supervision or skill
validation before performing the procedure.
D. Refuse the assignment because the nurse has never cared
for a patient with a tracheostomy.
Correct Answer:
C
Rationale for A:
Performing a new skill from memory is unsafe and does not
demonstrate accountability. Professional nursing practice
requires competence before independent performance,
especially for procedures that can affect airway safety.
Rationale for B:
A UAP cannot perform a procedure that requires nursing
judgment or technical skill validation. Delegating an unfamiliar
sterile or airway-related task to unlicensed personnel places the
patient at risk.
Rationale for C:
This is the best action because it protects the patient and
supports safe, ethical practice. Reviewing policy and obtaining
supervision ensures the nurse practices within competence and
facility standards.
Rationale for D:
Refusing all care is not appropriate when the nurse can safely
,participate after obtaining guidance. The correct response is to
seek support and validation, not to abandon the assignment.
Key Takeaway:
Professional nursing practice includes knowing personal limits
and verifying competence before performing unfamiliar skills.
Question 2:
Question Type: MCQ
Question Stem:
A patient says, “I signed the consent form, so the nurse can
explain the procedure later.” What is the nurse’s best
response?
Options:
A. “That is correct, signing means you agree to everything.”
B. “I will ask the provider to return and answer your questions
before the procedure.”
C. “The consent form is only needed for the chart, so your
questions are not urgent.”
D. “I can explain the procedure and decide whether the form is
valid.”
Correct Answer:
B
Rationale for A:
Signing a form does not replace informed consent. The patient
, must understand the procedure, risks, benefits, and
alternatives before agreeing.
Rationale for B:
This is correct because the provider is responsible for explaining
the procedure and obtaining informed consent. The nurse
protects the patient’s rights by stopping the process until
questions are answered.
Rationale for C:
Questions about a procedure are always urgent before the
procedure begins. Treating consent as a routine charting task
ignores the patient’s right to informed decision-making.
Rationale for D:
The nurse may reinforce teaching, but the nurse does not
determine whether consent is valid or independently obtain
informed consent for an invasive procedure.
Key Takeaway:
The nurse protects informed consent by verifying
understanding and involving the provider when clarification is
needed.
Question 3:
Question Type: MCQ
Question Stem:
Which statement best describes health?
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 assigned to perform tracheostomy care for the first
time on a stable patient. Which action best reflects professional
accountability?
Options:
A. Perform the procedure from memory to avoid appearing
inexperienced.
,B. Ask an unlicensed assistive personnel (UAP) to assist with the
procedure.
C. Review the facility policy and request supervision or skill
validation before performing the procedure.
D. Refuse the assignment because the nurse has never cared
for a patient with a tracheostomy.
Correct Answer:
C
Rationale for A:
Performing a new skill from memory is unsafe and does not
demonstrate accountability. Professional nursing practice
requires competence before independent performance,
especially for procedures that can affect airway safety.
Rationale for B:
A UAP cannot perform a procedure that requires nursing
judgment or technical skill validation. Delegating an unfamiliar
sterile or airway-related task to unlicensed personnel places the
patient at risk.
Rationale for C:
This is the best action because it protects the patient and
supports safe, ethical practice. Reviewing policy and obtaining
supervision ensures the nurse practices within competence and
facility standards.
Rationale for D:
Refusing all care is not appropriate when the nurse can safely
,participate after obtaining guidance. The correct response is to
seek support and validation, not to abandon the assignment.
Key Takeaway:
Professional nursing practice includes knowing personal limits
and verifying competence before performing unfamiliar skills.
Question 2:
Question Type: MCQ
Question Stem:
A patient says, “I signed the consent form, so the nurse can
explain the procedure later.” What is the nurse’s best
response?
Options:
A. “That is correct, signing means you agree to everything.”
B. “I will ask the provider to return and answer your questions
before the procedure.”
C. “The consent form is only needed for the chart, so your
questions are not urgent.”
D. “I can explain the procedure and decide whether the form is
valid.”
Correct Answer:
B
Rationale for A:
Signing a form does not replace informed consent. The patient
, must understand the procedure, risks, benefits, and
alternatives before agreeing.
Rationale for B:
This is correct because the provider is responsible for explaining
the procedure and obtaining informed consent. The nurse
protects the patient’s rights by stopping the process until
questions are answered.
Rationale for C:
Questions about a procedure are always urgent before the
procedure begins. Treating consent as a routine charting task
ignores the patient’s right to informed decision-making.
Rationale for D:
The nurse may reinforce teaching, but the nurse does not
determine whether consent is valid or independently obtain
informed consent for an invasive procedure.
Key Takeaway:
The nurse protects informed consent by verifying
understanding and involving the provider when clarification is
needed.
Question 3:
Question Type: MCQ
Question Stem:
Which statement best describes health?
