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:
Which statement best reflects professional nursing practice?
Options:
A. Nursing care integrates scientific knowledge, clinical
judgment, advocacy, and accountability to promote patient
well-being.
,B. Nursing care is primarily the completion of assigned tasks in
the most efficient order.
C. Nursing practice depends mainly on personal experience and
unit routines.
D. Nursing care is effective when the nurse follows provider
orders without questioning them.
Correct Answer:
A
Rationale for A:
This statement accurately describes professional nursing
practice. Nursing is not task completion alone; it requires
scientific knowledge, critical thinking, ethical practice,
advocacy, and accountability to achieve safe, patient-centered
outcomes.
Rationale for B:
Task completion is only one part of nursing, and efficiency
alone does not ensure safety, quality, or sound judgment. A
professional nurse must assess, prioritize, and evaluate care
rather than simply finish tasks.
Rationale for C:
Personal experience and unit routines may inform practice, but
they are not sufficient by themselves. Evidence-based practice
and clinical judgment are essential to safe professional nursing
care.
,Rationale for D:
Nurses must implement orders safely, but blind compliance is
not professional practice. The nurse has a duty to clarify
questionable orders and advocate for the patient when safety
is at risk.
Key Takeaway:
Professional nursing practice combines knowledge, judgment,
ethics, advocacy, and accountability.
Question 2:
Question Type:
MCQ
Question Stem:
Which action best demonstrates accountability by the nurse?
Options:
A. Completing an incident report after a medication error is
discovered.
B. Asking a nursing assistant to explain why vital signs were not
obtained.
C. Waiting until the end of the shift to document a change in
condition.
D. Telling the patient to speak directly with the provider about
a safety concern.
Correct Answer:
A
, Rationale for A:
Accountability includes accepting responsibility for actions,
reporting errors appropriately, and participating in system
improvement. An incident report is used for quality review and
safety follow-up.
Rationale for B:
Questioning a team member may be appropriate, but it does
not by itself demonstrate accountability. The accountable nurse
takes responsibility for reporting, correcting, and preventing
recurrence.
Rationale for C:
Delayed documentation can lead to inaccurate records and
unsafe care. Timely charting is part of professional
responsibility and supports continuity of care.
Rationale for D:
Patients should be supported, but the nurse should not transfer
responsibility without first addressing the concern.
Accountability requires the nurse to act on safety issues, not
simply redirect them.
Key Takeaway:
Accountability means owning actions, reporting errors
appropriately, and taking steps to improve safety.
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:
Which statement best reflects professional nursing practice?
Options:
A. Nursing care integrates scientific knowledge, clinical
judgment, advocacy, and accountability to promote patient
well-being.
,B. Nursing care is primarily the completion of assigned tasks in
the most efficient order.
C. Nursing practice depends mainly on personal experience and
unit routines.
D. Nursing care is effective when the nurse follows provider
orders without questioning them.
Correct Answer:
A
Rationale for A:
This statement accurately describes professional nursing
practice. Nursing is not task completion alone; it requires
scientific knowledge, critical thinking, ethical practice,
advocacy, and accountability to achieve safe, patient-centered
outcomes.
Rationale for B:
Task completion is only one part of nursing, and efficiency
alone does not ensure safety, quality, or sound judgment. A
professional nurse must assess, prioritize, and evaluate care
rather than simply finish tasks.
Rationale for C:
Personal experience and unit routines may inform practice, but
they are not sufficient by themselves. Evidence-based practice
and clinical judgment are essential to safe professional nursing
care.
,Rationale for D:
Nurses must implement orders safely, but blind compliance is
not professional practice. The nurse has a duty to clarify
questionable orders and advocate for the patient when safety
is at risk.
Key Takeaway:
Professional nursing practice combines knowledge, judgment,
ethics, advocacy, and accountability.
Question 2:
Question Type:
MCQ
Question Stem:
Which action best demonstrates accountability by the nurse?
Options:
A. Completing an incident report after a medication error is
discovered.
B. Asking a nursing assistant to explain why vital signs were not
obtained.
C. Waiting until the end of the shift to document a change in
condition.
D. Telling the patient to speak directly with the provider about
a safety concern.
Correct Answer:
A
, Rationale for A:
Accountability includes accepting responsibility for actions,
reporting errors appropriately, and participating in system
improvement. An incident report is used for quality review and
safety follow-up.
Rationale for B:
Questioning a team member may be appropriate, but it does
not by itself demonstrate accountability. The accountable nurse
takes responsibility for reporting, correcting, and preventing
recurrence.
Rationale for C:
Delayed documentation can lead to inaccurate records and
unsafe care. Timely charting is part of professional
responsibility and supports continuity of care.
Rationale for D:
Patients should be supported, but the nurse should not transfer
responsibility without first addressing the concern.
Accountability requires the nurse to act on safety issues, not
simply redirect them.
Key Takeaway:
Accountability means owning actions, reporting errors
appropriately, and taking steps to improve safety.
Question 3:
Question Type:
MCQ
