2026 UPDATE
BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING
16th Edition
Janice L. Hinkle, Kerry H. Cheever, Kristen Overbaugh & Carolyn E. Bradley
COMPLETE ORIGINAL TEST BANK
1,500 Questions • Correct Answers • Detailed Rationales
NCLEX-RN & NGN • Clinical Judgment • Chapter-by-Chapter Review
An independently developed question bank for study and review. Not an official publisher test bank.
,Resource Coverage
Resource Coverage
Questions 1,500
Chapters 69
4-option multiple choice; correct answer and
Format
detailed rationale after each item
medical-surgical nursing, clinical judgment,
Focus prioritization, safety, patient teaching,
assessment, and complications
Format Note: Questions are numbered continuously from 1 to 1,500. There is no separate
answer key; each answer and rationale follows its question.
,Chapter 1: Professional Nursing Practice
1. Which adverse event is most closely associated with unsafe documentation practice?
A. communication and legal risk
B. invalid consent
C. injury from a preventable fall
D. preventable adverse drug event
Answer: A. communication and legal risk
Rationale: Communication and legal risk is a major complication associated with
documentation. Nursing care therefore emphasizes early recognition and the priority action to
document after care is provided.
2. Which instruction should the nurse reinforce to reduce risk associated with patient
identification?
A. report sudden confusion rather than assuming normal aging
B. ask for help before ambulating
C. bring medications or use a written schedule
D. ask the patient to state identifiers rather than confirming a suggested name
Answer: D. ask the patient to state identifiers rather than confirming a suggested name
Rationale: This instruction (ask the patient to state identifiers rather than confirming a
suggested name) supports safer self-management of patient identification and helps reduce the
risk of wrong-patient treatment.
3. Which example is most consistent with safe management of medication safety?
A. objective, timely description of findings and response
B. new allergy or major interaction discovered before administration
C. acute change from baseline cognition
D. difficulty explaining a new care plan in own words
Answer: B. new allergy or major interaction discovered before administration
Rationale: The finding 'new allergy or major interaction discovered before administration' is the
best match for medication safety. Recognizing this pattern supports timely clinical judgment and
helps the nurse watch for preventable adverse drug event.
4. Which assessment method should the nurse use when falls is the primary concern?
A. review gait, medications, orthostasis, and environment
, B. review oxygenation, infection, medications, hydration, and metabolic status
C. assess preferred language and literacy needs
D. reconcile medication, dose, route, timing, allergies, and labs
Answer: A. review gait, medications, orthostasis, and environment
Rationale: The most useful evaluation is review gait, medications, orthostasis, and
environment. These data help assess falls, guide treatment, and detect deterioration or
complications such as injury from a preventable fall.
5. Which nursing action should be implemented first to address delegation?
A. initiate individualized fall precautions
B. use open-ended, nonjudgmental therapeutic communication
C. retain assessment, teaching, evaluation, and clinical judgment with the RN
D. use plain language and teach-back
Answer: C. retain assessment, teaching, evaluation, and clinical judgment with the RN
Rationale: The priority is to retain assessment, teaching, evaluation, and clinical judgment with
the RN. This action directly addresses the immediate problem associated with delegation and
helps reduce the risk of unsafe delegation.
6. Which outcome should be monitored for when problems with communication occur?
A. missed concerns or unsafe plan
B. wrong-patient treatment
C. invalid consent
D. preventable adverse drug event
Answer: A. missed concerns or unsafe plan
Rationale: Missed concerns or unsafe plan is a major complication associated with
communication. Nursing care therefore emphasizes early recognition and the priority action to
use open-ended, nonjudgmental therapeutic communication.
7. Which instruction is most appropriate for preventing problems related to informed
consent?
A. repeat back key instructions and questions
B. ask the patient to state identifiers rather than confirming a suggested name
C. ask questions before sedating medication is given
D. perform hand hygiene even when gloves are used
BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING
16th Edition
Janice L. Hinkle, Kerry H. Cheever, Kristen Overbaugh & Carolyn E. Bradley
COMPLETE ORIGINAL TEST BANK
1,500 Questions • Correct Answers • Detailed Rationales
NCLEX-RN & NGN • Clinical Judgment • Chapter-by-Chapter Review
An independently developed question bank for study and review. Not an official publisher test bank.
,Resource Coverage
Resource Coverage
Questions 1,500
Chapters 69
4-option multiple choice; correct answer and
Format
detailed rationale after each item
medical-surgical nursing, clinical judgment,
Focus prioritization, safety, patient teaching,
assessment, and complications
Format Note: Questions are numbered continuously from 1 to 1,500. There is no separate
answer key; each answer and rationale follows its question.
,Chapter 1: Professional Nursing Practice
1. Which adverse event is most closely associated with unsafe documentation practice?
A. communication and legal risk
B. invalid consent
C. injury from a preventable fall
D. preventable adverse drug event
Answer: A. communication and legal risk
Rationale: Communication and legal risk is a major complication associated with
documentation. Nursing care therefore emphasizes early recognition and the priority action to
document after care is provided.
2. Which instruction should the nurse reinforce to reduce risk associated with patient
identification?
A. report sudden confusion rather than assuming normal aging
B. ask for help before ambulating
C. bring medications or use a written schedule
D. ask the patient to state identifiers rather than confirming a suggested name
Answer: D. ask the patient to state identifiers rather than confirming a suggested name
Rationale: This instruction (ask the patient to state identifiers rather than confirming a
suggested name) supports safer self-management of patient identification and helps reduce the
risk of wrong-patient treatment.
3. Which example is most consistent with safe management of medication safety?
A. objective, timely description of findings and response
B. new allergy or major interaction discovered before administration
C. acute change from baseline cognition
D. difficulty explaining a new care plan in own words
Answer: B. new allergy or major interaction discovered before administration
Rationale: The finding 'new allergy or major interaction discovered before administration' is the
best match for medication safety. Recognizing this pattern supports timely clinical judgment and
helps the nurse watch for preventable adverse drug event.
4. Which assessment method should the nurse use when falls is the primary concern?
A. review gait, medications, orthostasis, and environment
, B. review oxygenation, infection, medications, hydration, and metabolic status
C. assess preferred language and literacy needs
D. reconcile medication, dose, route, timing, allergies, and labs
Answer: A. review gait, medications, orthostasis, and environment
Rationale: The most useful evaluation is review gait, medications, orthostasis, and
environment. These data help assess falls, guide treatment, and detect deterioration or
complications such as injury from a preventable fall.
5. Which nursing action should be implemented first to address delegation?
A. initiate individualized fall precautions
B. use open-ended, nonjudgmental therapeutic communication
C. retain assessment, teaching, evaluation, and clinical judgment with the RN
D. use plain language and teach-back
Answer: C. retain assessment, teaching, evaluation, and clinical judgment with the RN
Rationale: The priority is to retain assessment, teaching, evaluation, and clinical judgment with
the RN. This action directly addresses the immediate problem associated with delegation and
helps reduce the risk of unsafe delegation.
6. Which outcome should be monitored for when problems with communication occur?
A. missed concerns or unsafe plan
B. wrong-patient treatment
C. invalid consent
D. preventable adverse drug event
Answer: A. missed concerns or unsafe plan
Rationale: Missed concerns or unsafe plan is a major complication associated with
communication. Nursing care therefore emphasizes early recognition and the priority action to
use open-ended, nonjudgmental therapeutic communication.
7. Which instruction is most appropriate for preventing problems related to informed
consent?
A. repeat back key instructions and questions
B. ask the patient to state identifiers rather than confirming a suggested name
C. ask questions before sedating medication is given
D. perform hand hygiene even when gloves are used
