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 receives a medication order that reads, “furosemide 20
mg IV now,” but the route and frequency are unclear for the
patient’s current condition. What is the nurse’s best action?
Options:
A. Give the medication because the dose appears standard
B. Clarify the order with the prescribing provider before
,administering it
C. Ask the charge nurse to approve the order
D. Delay the medication until the next scheduled dose time
Correct Answer: B
Rationale for A:
The nurse should not assume that a medication order is
complete or appropriate. Administering a medication based on
an unclear order can lead to serious medication errors and
violates professional accountability.
Rationale for B:
This is the safest and most appropriate action. Nurses are
responsible for clarifying incomplete, unclear, or potentially
unsafe orders before administration to protect the patient and
ensure accurate treatment.
Rationale for C:
A charge nurse may be a resource, but the responsibility to
clarify the order remains with the nurse who will administer the
medication. Approval from another nurse does not replace
provider clarification.
Rationale for D:
Delaying the medication without clarification does not solve the
problem. The nurse must first determine whether the order is
complete and safe before deciding when or whether to
administer it.
,Key Takeaway:
Professional accountability requires the nurse to clarify unsafe
or incomplete orders before action.
Question 2:
Question Type: MCQ
Question Stem:
Which statement best describes health?
Options:
A. Health is a dynamic state of physical, mental, and social well-
being
B. Health means the absence of any illness or disability
C. Health is determined only by genetics and age
D. Health is the same as being able to perform all tasks without
help
Correct Answer: A
Rationale for A:
This is the broadest and most accurate description of health.
Health is dynamic and includes physical, mental, and social
well-being, not just the absence of disease.
Rationale for B:
A person may live with a chronic condition and still be
considered healthy if they are functioning well and adapting
effectively. Health is more than the absence of illness.
, Rationale for C:
Genetics and age influence health, but they are only two of
many factors. Environment, behavior, access to care, and social
conditions also affect health.
Rationale for D:
A person may need help with certain tasks and still experience
good health. Health is not defined solely by independence in all
activities.
Key Takeaway:
Health is a dynamic, holistic concept that includes physical,
emotional, and social functioning.
Question 3:
Question Type: MCQ
Question Stem:
A patient misses several follow-up appointments because there
is no reliable transportation to the clinic. Which factor is most
likely influencing health care delivery?
Options:
A. Genetics
B. Laboratory availability
C. Access to care
D. Personal hygiene
Correct Answer: C
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 receives a medication order that reads, “furosemide 20
mg IV now,” but the route and frequency are unclear for the
patient’s current condition. What is the nurse’s best action?
Options:
A. Give the medication because the dose appears standard
B. Clarify the order with the prescribing provider before
,administering it
C. Ask the charge nurse to approve the order
D. Delay the medication until the next scheduled dose time
Correct Answer: B
Rationale for A:
The nurse should not assume that a medication order is
complete or appropriate. Administering a medication based on
an unclear order can lead to serious medication errors and
violates professional accountability.
Rationale for B:
This is the safest and most appropriate action. Nurses are
responsible for clarifying incomplete, unclear, or potentially
unsafe orders before administration to protect the patient and
ensure accurate treatment.
Rationale for C:
A charge nurse may be a resource, but the responsibility to
clarify the order remains with the nurse who will administer the
medication. Approval from another nurse does not replace
provider clarification.
Rationale for D:
Delaying the medication without clarification does not solve the
problem. The nurse must first determine whether the order is
complete and safe before deciding when or whether to
administer it.
,Key Takeaway:
Professional accountability requires the nurse to clarify unsafe
or incomplete orders before action.
Question 2:
Question Type: MCQ
Question Stem:
Which statement best describes health?
Options:
A. Health is a dynamic state of physical, mental, and social well-
being
B. Health means the absence of any illness or disability
C. Health is determined only by genetics and age
D. Health is the same as being able to perform all tasks without
help
Correct Answer: A
Rationale for A:
This is the broadest and most accurate description of health.
Health is dynamic and includes physical, mental, and social
well-being, not just the absence of disease.
Rationale for B:
A person may live with a chronic condition and still be
considered healthy if they are functioning well and adapting
effectively. Health is more than the absence of illness.
, Rationale for C:
Genetics and age influence health, but they are only two of
many factors. Environment, behavior, access to care, and social
conditions also affect health.
Rationale for D:
A person may need help with certain tasks and still experience
good health. Health is not defined solely by independence in all
activities.
Key Takeaway:
Health is a dynamic, holistic concept that includes physical,
emotional, and social functioning.
Question 3:
Question Type: MCQ
Question Stem:
A patient misses several follow-up appointments because there
is no reliable transportation to the clinic. Which factor is most
likely influencing health care delivery?
Options:
A. Genetics
B. Laboratory availability
C. Access to care
D. Personal hygiene
Correct Answer: C
