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:
The RN is making assignments for the shift. Which client should
the RN assign to self rather than delegate to an LPN/LVN or
UAP?
Options:
A. A client admitted 1 hour ago with chest discomfort who still
needs the initial nursing assessment
,B. A client who needs a routine sterile dressing change on a
stable surgical incision
C. A client who needs reinforcement of discharge teaching
about a low-sodium diet
D. A client who is 2 days postoperative and needs assistance
ambulating
Correct Answer:
A
Rationale for A:
The RN must retain initial assessment of a newly admitted
client because this requires clinical judgment, data collection,
and interpretation of findings. A client with chest discomfort
may also be unstable, making RN-level assessment essential for
safety.
Rationale for B:
A routine sterile dressing change for a stable client may be
assigned to an LPN/LVN depending on policy and competency.
This is a predictable task that does not require initial
assessment.
Rationale for C:
Reinforcement of teaching may be appropriate for an LPN/LVN
in some settings, but initial teaching is an RN responsibility. This
option is not the best answer because it is less urgent than the
initial assessment of a new admission.
,Rationale for D:
Assisting a stable postoperative client with ambulation can
often be delegated to a UAP if the client’s condition is stable
and the nurse has already assessed mobility needs. It is not the
highest-priority RN task.
Key Takeaway:
The RN should keep tasks that require initial assessment,
interpretation, or unstable-condition judgment.
Question 2
Question Type: MCQ
Question Stem:
Which statement best reflects the patient as a consumer of
nursing and health care?
Options:
A. “I have the right to ask questions before I agree to
treatment.”
B. “The nurse decides what treatment I need, so I should not
question the plan.”
C. “Only the provider can explain the risks and benefits of care.”
D. “I should follow the care plan without discussion.”
Correct Answer:
A
, Rationale for A:
Patients are active consumers of care and have the right to
information, participation, and informed decision-making.
Asking questions before agreeing to treatment supports
autonomy and shared decision-making.
Rationale for B:
This reflects a passive view of the patient role and ignores the
patient’s right to participate in care decisions. Patients are not
expected to simply accept care without understanding it.
Rationale for C:
While the provider explains the procedure and obtains
informed consent, the nurse also plays a key role in reinforcing
understanding and advocating for the patient. This statement is
too limited.
Rationale for D:
Patients should not be expected to follow a plan blindly. Health
care is more effective when the patient understands the plan
and participates in decisions.
Key Takeaway:
The patient is an informed consumer who has the right to ask
questions and participate in care decisions.
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:
The RN is making assignments for the shift. Which client should
the RN assign to self rather than delegate to an LPN/LVN or
UAP?
Options:
A. A client admitted 1 hour ago with chest discomfort who still
needs the initial nursing assessment
,B. A client who needs a routine sterile dressing change on a
stable surgical incision
C. A client who needs reinforcement of discharge teaching
about a low-sodium diet
D. A client who is 2 days postoperative and needs assistance
ambulating
Correct Answer:
A
Rationale for A:
The RN must retain initial assessment of a newly admitted
client because this requires clinical judgment, data collection,
and interpretation of findings. A client with chest discomfort
may also be unstable, making RN-level assessment essential for
safety.
Rationale for B:
A routine sterile dressing change for a stable client may be
assigned to an LPN/LVN depending on policy and competency.
This is a predictable task that does not require initial
assessment.
Rationale for C:
Reinforcement of teaching may be appropriate for an LPN/LVN
in some settings, but initial teaching is an RN responsibility. This
option is not the best answer because it is less urgent than the
initial assessment of a new admission.
,Rationale for D:
Assisting a stable postoperative client with ambulation can
often be delegated to a UAP if the client’s condition is stable
and the nurse has already assessed mobility needs. It is not the
highest-priority RN task.
Key Takeaway:
The RN should keep tasks that require initial assessment,
interpretation, or unstable-condition judgment.
Question 2
Question Type: MCQ
Question Stem:
Which statement best reflects the patient as a consumer of
nursing and health care?
Options:
A. “I have the right to ask questions before I agree to
treatment.”
B. “The nurse decides what treatment I need, so I should not
question the plan.”
C. “Only the provider can explain the risks and benefits of care.”
D. “I should follow the care plan without discussion.”
Correct Answer:
A
, Rationale for A:
Patients are active consumers of care and have the right to
information, participation, and informed decision-making.
Asking questions before agreeing to treatment supports
autonomy and shared decision-making.
Rationale for B:
This reflects a passive view of the patient role and ignores the
patient’s right to participate in care decisions. Patients are not
expected to simply accept care without understanding it.
Rationale for C:
While the provider explains the procedure and obtains
informed consent, the nurse also plays a key role in reinforcing
understanding and advocating for the patient. This statement is
too limited.
Rationale for D:
Patients should not be expected to follow a plan blindly. Health
care is more effective when the patient understands the plan
and participates in decisions.
Key Takeaway:
The patient is an informed consumer who has the right to ask
questions and participate in care decisions.
Question 3
Question Type: MCQ
