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 action best demonstrates professional nursing practice?
Options:
A. Following the health care provider’s order even when the
patient questions it
B. Accepting responsibility for one’s own clinical judgments and
actions
,C. Delegating all routine patient teaching to unlicensed assistive
personnel
D. Documenting only abnormal findings to save time
Correct Answer:
B
Rationale for A:
Following orders without critical evaluation is not professional
practice. The nurse remains accountable for safe, appropriate
care and must question orders that appear unsafe, unclear, or
inconsistent with the patient’s condition.
Rationale for B:
Professional nursing practice requires accountability, ethical
decision-making, and responsibility for clinical judgments. The
RN must use knowledge, standards of practice, and clinical
reasoning to provide safe care.
Rationale for C:
Patient teaching is an RN responsibility because it requires
assessment of learning needs, tailoring information, and
evaluating understanding. Unlicensed assistive personnel
cannot independently provide nursing education.
Rationale for D:
Documentation must be complete and objective. Recording
only abnormal findings can hide trends, impair continuity of
care, and increase risk for missed changes in condition.
,Key Takeaway:
Professional nursing practice depends on accountability, critical
thinking, and independent judgment.
Question 2
Question Type: MCQ
Question Stem:
A patient asks the nurse, “Why do I need to sign a consent form
before surgery if the doctor already explained it?” What is the
nurse’s best response?
Options:
A. “Signing the form protects the hospital legally.”
B. “The consent shows you agree after receiving the procedure
explanation.”
C. “The nurse is responsible for explaining all surgical risks.”
D. “The form is only required for major surgeries.”
Correct Answer:
B
Rationale for A:
Although a signed consent does have legal importance, this
answer does not explain the purpose of informed consent from
the patient’s perspective.
Rationale for B:
Informed consent indicates that the patient has been given
, information about the procedure, understands it, and agrees
voluntarily. The nurse supports the process by verifying that
consent appears informed, not by replacing the provider’s
explanation.
Rationale for C:
The provider performing the procedure is responsible for
explaining the procedure, risks, benefits, and alternatives. The
nurse may reinforce information, but does not replace the
provider’s legal role.
Rationale for D:
Consent is required for invasive procedures and many
treatments, not only major surgeries. The requirement is based
on the nature of the intervention, not just its size.
Key Takeaway:
Informed consent is the patient’s voluntary agreement after
adequate explanation and understanding.
Question 3
Question Type: MCQ
Question Stem:
Which example is a social determinant of health that can
influence a patient’s access to care?
Options:
A. The patient’s blood type
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 action best demonstrates professional nursing practice?
Options:
A. Following the health care provider’s order even when the
patient questions it
B. Accepting responsibility for one’s own clinical judgments and
actions
,C. Delegating all routine patient teaching to unlicensed assistive
personnel
D. Documenting only abnormal findings to save time
Correct Answer:
B
Rationale for A:
Following orders without critical evaluation is not professional
practice. The nurse remains accountable for safe, appropriate
care and must question orders that appear unsafe, unclear, or
inconsistent with the patient’s condition.
Rationale for B:
Professional nursing practice requires accountability, ethical
decision-making, and responsibility for clinical judgments. The
RN must use knowledge, standards of practice, and clinical
reasoning to provide safe care.
Rationale for C:
Patient teaching is an RN responsibility because it requires
assessment of learning needs, tailoring information, and
evaluating understanding. Unlicensed assistive personnel
cannot independently provide nursing education.
Rationale for D:
Documentation must be complete and objective. Recording
only abnormal findings can hide trends, impair continuity of
care, and increase risk for missed changes in condition.
,Key Takeaway:
Professional nursing practice depends on accountability, critical
thinking, and independent judgment.
Question 2
Question Type: MCQ
Question Stem:
A patient asks the nurse, “Why do I need to sign a consent form
before surgery if the doctor already explained it?” What is the
nurse’s best response?
Options:
A. “Signing the form protects the hospital legally.”
B. “The consent shows you agree after receiving the procedure
explanation.”
C. “The nurse is responsible for explaining all surgical risks.”
D. “The form is only required for major surgeries.”
Correct Answer:
B
Rationale for A:
Although a signed consent does have legal importance, this
answer does not explain the purpose of informed consent from
the patient’s perspective.
Rationale for B:
Informed consent indicates that the patient has been given
, information about the procedure, understands it, and agrees
voluntarily. The nurse supports the process by verifying that
consent appears informed, not by replacing the provider’s
explanation.
Rationale for C:
The provider performing the procedure is responsible for
explaining the procedure, risks, benefits, and alternatives. The
nurse may reinforce information, but does not replace the
provider’s legal role.
Rationale for D:
Consent is required for invasive procedures and many
treatments, not only major surgeries. The requirement is based
on the nature of the intervention, not just its size.
Key Takeaway:
Informed consent is the patient’s voluntary agreement after
adequate explanation and understanding.
Question 3
Question Type: MCQ
Question Stem:
Which example is a social determinant of health that can
influence a patient’s access to care?
Options:
A. The patient’s blood type
