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 the professional role of the
registered nurse?
Options:
A. “The nurse’s main responsibility is to carry out the provider’s
orders exactly as written.”
B. “The nurse uses independent judgment, clinical reasoning,
,and accountability to plan and deliver care.”
C. “The nurse’s role is limited to providing physical care and
comfort measures.”
D. “The nurse may delegate any task that improves efficiency,
even if it requires nursing judgment.”
Correct Answer:
B
Rationale for A:
Following provider orders is part of nursing practice, but it is
not the full scope of the RN role. RNs are expected to assess,
interpret data, make decisions, and evaluate outcomes rather
than function only as order executors.
Rationale for B:
This statement captures professional nursing accurately. The
RN uses clinical judgment, integrates assessment data, and
remains accountable for the care delivered. Professional
practice includes leadership, advocacy, patient education,
coordination, and evaluation of outcomes.
Rationale for C:
Nursing includes physical care, but the profession is much
broader. RNs manage complex clinical problems, support
decision-making, and promote safety, quality, and patient-
centered care.
Rationale for D:
Delegation must follow scope, competency, and patient
,stability. Tasks requiring nursing judgment, assessment, or
evaluation cannot be delegated to unlicensed personnel.
Key Takeaway:
Professional nursing is defined by accountability, clinical
judgment, and independent decision-making within the scope
of practice.
Question 2:
Question Type: MCQ
Question Stem:
A patient asks why the nurse keeps confirming the patient’s
name and date of birth before each medication administration.
Which response by the nurse is best?
Options:
A. “This is done to reduce the number of medication errors and
improve patient safety.”
B. “This is required only when the patient is receiving a high-
alert medication.”
C. “This is mainly done to make documentation easier for the
health care team.”
D. “This is optional if the patient is awake and able to answer
questions.”
Correct Answer:
A
, Rationale for A:
Using two patient identifiers is a core safety practice that helps
prevent wrong-patient errors. It supports safe medication
administration and is recommended for all patients, not just
those receiving certain medications.
Rationale for B:
Two identifiers are required broadly in patient care, not only for
high-alert medications. Limiting the practice to special
situations would increase the risk of preventable harm.
Rationale for C:
Accurate identification supports documentation, but the
primary purpose is patient safety, not administrative
convenience.
Rationale for D:
A patient being alert does not eliminate risk for identification
error. Safety verification is still required every time.
Key Takeaway:
Two patient identifiers are a universal safety standard, not an
optional step.
Question 3:
Question Type: MCQ
Question Stem:
Which patient situation best demonstrates the concept of
health as described in nursing practice?
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 the professional role of the
registered nurse?
Options:
A. “The nurse’s main responsibility is to carry out the provider’s
orders exactly as written.”
B. “The nurse uses independent judgment, clinical reasoning,
,and accountability to plan and deliver care.”
C. “The nurse’s role is limited to providing physical care and
comfort measures.”
D. “The nurse may delegate any task that improves efficiency,
even if it requires nursing judgment.”
Correct Answer:
B
Rationale for A:
Following provider orders is part of nursing practice, but it is
not the full scope of the RN role. RNs are expected to assess,
interpret data, make decisions, and evaluate outcomes rather
than function only as order executors.
Rationale for B:
This statement captures professional nursing accurately. The
RN uses clinical judgment, integrates assessment data, and
remains accountable for the care delivered. Professional
practice includes leadership, advocacy, patient education,
coordination, and evaluation of outcomes.
Rationale for C:
Nursing includes physical care, but the profession is much
broader. RNs manage complex clinical problems, support
decision-making, and promote safety, quality, and patient-
centered care.
Rationale for D:
Delegation must follow scope, competency, and patient
,stability. Tasks requiring nursing judgment, assessment, or
evaluation cannot be delegated to unlicensed personnel.
Key Takeaway:
Professional nursing is defined by accountability, clinical
judgment, and independent decision-making within the scope
of practice.
Question 2:
Question Type: MCQ
Question Stem:
A patient asks why the nurse keeps confirming the patient’s
name and date of birth before each medication administration.
Which response by the nurse is best?
Options:
A. “This is done to reduce the number of medication errors and
improve patient safety.”
B. “This is required only when the patient is receiving a high-
alert medication.”
C. “This is mainly done to make documentation easier for the
health care team.”
D. “This is optional if the patient is awake and able to answer
questions.”
Correct Answer:
A
, Rationale for A:
Using two patient identifiers is a core safety practice that helps
prevent wrong-patient errors. It supports safe medication
administration and is recommended for all patients, not just
those receiving certain medications.
Rationale for B:
Two identifiers are required broadly in patient care, not only for
high-alert medications. Limiting the practice to special
situations would increase the risk of preventable harm.
Rationale for C:
Accurate identification supports documentation, but the
primary purpose is patient safety, not administrative
convenience.
Rationale for D:
A patient being alert does not eliminate risk for identification
error. Safety verification is still required every time.
Key Takeaway:
Two patient identifiers are a universal safety standard, not an
optional step.
Question 3:
Question Type: MCQ
Question Stem:
Which patient situation best demonstrates the concept of
health as described in nursing practice?
