Table of Contents
Chapter 01 Professional Nursing Practice 2
Chapter 02 Medical-Surgical Nursing 17
Chapter 03 Health Education and Health Promotion 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment 45
Chapter 05 Stress and Inflammatory Responses 60
Chapter 06 Genetics and Genomics in Nursing 76
Chapter 07 Disability and Chronic Illness 92
Chapter 08 Management of the Older Adult Patient 107
Chapter 09 Pain Management 121
Chapter 10 Fluid and Electrolytes 137
Test Bank For Brunner & Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
Chapter 12 Management of Patients with Oncologic Disorders
153
169
Suddarth's Textbook of Medical-
Chapter 13 Palliative and End-of-Life Care 183
Chapter 14 Preoperative Nursing Management 199
Chapter 15 Intraoperative Nursing Management 214
Surgical Nursing 15th Edition By Chapter 16 Postoperative Nursing Management
Chapter 17 Assessment of Respiratory Function
228
243
Janice L Hinkle, Kerry H. Cheever, Chapter 18 Management of Patients with Upper Respiratory Tract Disorders
Chapter 19 Management of Patients with Chest and Lower Respiratory Tract Disorders
258
272
Et al. | Complete |Chapters 1-68 Chapter 20 Management of Patients with Chronic Pulmonary Disease
Chapter 21 Assessment of Cardiovascular Function
288
304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems 318
Chapter 23 Management of Patients with Coronary Vascular Disorders 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
of Peripheral Circulation 375
Chapter 27 Assessment and Management of Patients with Hypertension 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders 420
Chapter 30 Management of Patients with Hematologic Neoplasms 433
Chapter 31 Assessment of Immune Function 448
Chapter 32 Management of Patients with Immune Deficiency Disorders 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders 492
Chapter 35 Assessment of Musculoskeletal Function 506
Chapter 36 Management of Patients with Musculoskeletal Disorders 520
, ______________________________________________________________________________________________
Chapter 37 Management of Patients with Musculoskeletal Trauma 535 Chapter 1: Professional Nursing Practice
Chapter 38 Assessment of Digestive and Gastrointestinal Function 550 Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
Chapter 39 Management of Patients with Oral and Esophageal Disorders 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders 578 MULTIPLE CHOICE
Chapter 41 Management of Patients with Intestinal and Rectal Disorders 591
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic
Chapter 42 Assessment and Management of Patients with Obesity 606 abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical
Chapter 43 Assessment and Management of Patients with Hepatic Disorders 621 obligation to these clients?
A. The nurse should adhere to professional standards of practice and offer service to these
Chapter 44 Management of Patients with Biliary Disorders 635 clients.
Chapter 45 Assessment and Management of Patients with Endocrine Disorders 650 B. The nurse should make the choice to decline this position and pursue a different nursing
role.
Chapter 46 Management of Patients with Diabetes 665 C. The nurse should decline to care for the client’s considering abortion.
Chapter 47 Assessment of Kidney and Urinary Function 680 D. The nurse should express alternatives to women considering terminating their pregnancy.
Chapter 48 Management of Patients with Kidney Disorders 695 ANS: B
Chapter 49 Management of Patients with Urinary Disorders 710 Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s personal
beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma. The
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes 725 nurse should not provide care to the client because it is a conflict of personal values. The nurse should
Chapter 51 Management of Patients with Female Reproductive Disorders 741 not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If the client is
not requesting information for alternatives to abortions, then the nurse should not be providing this
Chapter 52 Assessment and Management of Patients with Breast Disorders 757
information.
Chapter 53 Assessment and Management of Patients with Male Reproductive Disorders 771
Chapter 54 Assessment and Management of Patients Who Are LGBTQ 786 PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
Chapter 55 Assessment of Integumentary Function 794 TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
Chapter 56 Management of Patients with Dermatologic Disorders 808 BLM: Cognitive Level: Apply
Chapter 57 Management of Patients with Burn Injury 822 2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During
Chapter 58 Assessment and Management of Patients with Eye and Vision Disorders 837 admission the client states, "I have a living will." What implication of this should the nurse recognize?
Chapter 59 Assessment and Management of Patients with Hearing and Balance Disorders 851 A. This document is always honored, regardless of circumstances.
B. This document specifies the client's wishes before hospitalization.
Chapter 60 Assessment of Neurologic Function 866 C. This document is binding for the duration of the client's life.
Chapter 61 Management of Patients With Neurologic Dysfunction 881 D. This document has been drawn up by the client's family to determine DNR status.
Chapter 62 Management of Patients With Cerebrovascular Disorders 895 ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
Chapter 63 Management of Patients with Neurologic Trauma 911
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
Chapter 64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and because living wills are not always honored in every circumstance, they are not binding for the
Neuropathies 926 duration of the client's life, and they are not drawn up by the client's family.
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders 940 PTS: 1 REF: p. 29
Chapter 66 Management of Patients with Infectious Diseases 955 NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
Chapter 67 Emergency Nursing 968 KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Analyze
Chapter 68 Disaster Nursing 977 NOT: Multiple Choice
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical
principle of nonmaleficence. Which of the following actions would be considered a violation of this
principle?
A. Discussing a DNR order with a terminally ill client
B. Assisting a semi-independent client with ADLs
C. Refusing to administer pain medication as prescribed
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1|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
______________________________________________________________________________________________ Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
______________________________________________________________________________________________
D. Providing more care for one client than for another 6. The nurse has been assigned to care for a client admitted with an opportunistic infection secondary to
AIDS. The nurse informs the clinical nurse leader that the nurse refuses to care for a client with AIDS.
ANS: C The nurse has an obligation to this client under which of the following?
Rationale: The duty not to inflict as well as prevent and remove harm is termed nonmaleficence. A. Good Samaritan Act
Discussing a DNR order with a terminally ill client and assisting a client with ADLs would not be B. Nursing Interventions Classification (NIC)
considered contradictions to the nurse's duty of nonmaleficence. Some clients justifiably require more C. The nurse practice act in the nurse's jurisdiction
care than others. D. International Council of Nurses (ICN) Code of Ethics for Nurses
PTS: 1 REF: p. 25 ANS: D
NAT: Client Needs: Safe, Effective Care Environment: Management of Care Rationale: The ethical obligation to care for all clients is included in the Code of Ethics for Nurses.
TOP: Chapter 1: Professional Nursing Practice The Good Samaritan Act relates to lay people helping others in need. The NIC is a standardized
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze classification of nursing treatment that includes independent and collaborative interventions. Nurse
NOT: Multiple Choice practice acts primarily address scope of practice.
4. A nurse has begun creating a client's plan of care shortly after the client's admission. The nurse knows PTS: 1 REF: p. 27
that it is important that the wording of the chosen nursing diagnoses falls within the taxonomy of NAT: Client Needs: Safe, Effective Care Environment: Management of Care
nursing. Which organization is responsible for developing the taxonomy of a nursing diagnosis? TOP: Chapter 1: Professional Nursing Practice
A. American Nurses Association (ANA) KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
B. North American Nursing Diagnosis Association (NANDA) NOT: Multiple Choice
C. National League for Nursing (NLN)
D. Joint Commission 7. The nurse, in collaboration with the client's family, is determining priorities related to the care of the
client. The nurse explains that it is important to consider the urgency of specific problems when setting
ANS: B priorities. What should the nurse adopt as the best framework for prioritizing client problems?
Rationale: NANDA International is the official organization responsible for developing the taxonomy A. Availability of hospital resources
of nursing diagnoses and formulating nursing diagnoses acceptable for study. The ANA, NLN, and B. Family member statements
Joint Commission are not charged with the task of developing the taxonomy of nursing diagnoses. C. Maslow hierarchy of needs
D. The nurse's skill set
PTS: 1 REF: p. 15
NAT: Client Needs: Safe, Effective Care Environment: Management of Care ANS: C
TOP: Chapter 1: Professional Nursing Practice Rationale: The Maslow hierarchy of needs provides a useful framework for prioritizing problems, with
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand the first level given to meeting physical needs of the client. Availability of hospital resources, family
NOT: Multiple Choice member statements, and nursing skill do not provide a framework for prioritization of client problems,
though each may be considered.
5. A medical nurse has obtained a new client's health history and has completed the admission
assessment. The nurse followed this by documenting the results and creating a care plan for the client. PTS: 1 REF: p. 6
Which of the following is the most important rationale for documenting the client's care? NAT: Client Needs: Safe, Effective Care Environment: Management of Care
A. It provides continuity of care. TOP: Chapter 1: Professional Nursing Practice
B. It creates a teaching log for the family. KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
C. It verifies appropriate staffing levels. NOT: Multiple Choice
D. It keeps the client fully informed.
8. A medical nurse is caring for a client who is receiving palliative care following cancer metastasis. The
ANS: A nurse is aware of the need to uphold the ethical principle of beneficence. How can the nurse best
Rationale: This record provides a means of communication among members of the health care team exemplify this principle in the care of this client?
and facilitates coordinated planning and continuity of care. It serves as the legal and business record A. The nurse tactfully regulates the number and timing of visitors as per the client's wishes.
for a health care agency and for the professional staff members who are responsible for the client's B. The nurse stays with the client during their death.
care. Documentation is not primarily a teaching log; it does not verify staffing; and it is not intended to C. The nurse ensures that all members of the care team are aware of the client's DNR order.
provide the client with information about treatments. D. The nurse collaborates with members of the care team to ensure continuity of care.
PTS: 1 REF: p. 14 ANS: A
NAT: Client Needs: Safe, Effective Care Environment: Management of Care Rationale: Beneficence is the duty to do good and the active promotion of benevolent acts. Enacting
TOP: Chapter 1: Professional Nursing Practice the client's wishes regarding visitors is an example of this. Each of the other nursing actions is
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Understand consistent with ethical practice, but none directly exemplifies the principle of beneficence.
NOT: Multiple Choice
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
______________________________________________________________________________________________ ______________________________________________________________________________________________
2|Page 3|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
______________________________________________________________________________________________ Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
______________________________________________________________________________________________
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring Rationale: Because living wills are often written when the person is in good health, it is not unusual for
BLM: Cognitive Level: Apply NOT: Multiple Choice the client to nullify the living will during illness. A living will does not make a client legally unable to
refuse basic life support. The health care provider may disagree with the client's wishes but is ethically
9. In the process of planning a client's care, the nurse has identified a nursing diagnosis of Ineffective bound to carry out those wishes. A power of attorney is not synonymous with a living will.
Health Maintenance related to alcohol use. What must precede the determination of this nursing
diagnosis? PTS: 1 REF: p. 29
A. Establishing of a plan to address the underlying problem NAT: Client Needs: Safe, Effective Care Environment: Management of Care
B. Assigning a positive value to each consequence of the diagnosis TOP: Chapter 1: Professional Nursing Practice
C. Collecting and analyzing data that corroborate the diagnosis KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Apply
D. Evaluating the client's chances of recovery NOT: Multiple Choice
ANS: C 12. The nurse is providing care for a client who has a diagnosis of pneumonia due to Streptococcus
Rationale: In the diagnostic phase of the nursing process, the client's nursing problems are defined pneumonia infection. What aspect of nursing care would constitute part of the planning phase of the
through analysis of client data. Establishing a plan comes after collecting and analyzing data; nursing process?
evaluating a plan is the last step of the nursing process; and assigning a positive value to each A. Achieve SaO2 92% at all times.
consequence is not done. B. Auscultate chest q4h.
C. Administer oral fluids q1h and PRN.
PTS: 1 REF: p. 16 D. Avoid overexertion at all times.
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice ANS: A
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply Rationale: The planning phase entails specifying the immediate, intermediate, and long-term goals of
NOT: Multiple Choice nursing action, such as maintaining a certain level of oxygen saturation in a client with pneumonia.
Providing fluids and avoiding overexertion are parts of the implementation phase of the nursing
10. The provider has recommended an amniocentesis for an 18-year-old primiparous client. The client is at process. Chest auscultation is an assessment.
34 weeks' gestation and does not want this procedure, but the health care provider arranges for the
amniocentesis to be performed. The nurse should recognize that the provider is in violation of which PTS: 1 REF: p. 12
ethical principle? NAT: Client Needs: Safe, Effective Care Environment: Management of Care
A. Veracity TOP: Chapter 1: Professional Nursing Practice
B. Beneficence KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
C. Nonmaleficence NOT: Multiple Choice
D. Autonomy
13. A recent nursing graduate is aware of the differences between nursing actions that are independent and
ANS: D nursing actions that are interdependent. A nurse performs an interdependent nursing intervention when
Rationale: The principle of autonomy specifies that individuals have the ability to make a choice free performing which of the following actions?
from external constraints. The provider's actions in this case violate this principle. This action may or A. Auscultating a client's apical heart rate during an admission assessment
may not violate the principle of beneficence. Veracity centers on truth-telling, and nonmaleficence is B. Providing mouth care to a client who is unconscious following a cerebrovascular accident
avoiding the infliction of harm. C. Administering an IV bolus of normal saline to a client with hypotension
D. Providing discharge teaching to a postsurgical client about the rationale for a course of
PTS: 1 REF: p. 25 oral antibiotics
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice ANS: C
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze Rationale: Although many nursing actions are independent, others are interdependent, such as carrying
NOT: Multiple Choice out prescribed treatments; administering medications and therapies; collaborating with other health
care team members to accomplish specific, expected outcomes; and to monitor and manage potential
11. During a discussion with the client and the client's spouse, the nurse discovers that the client has a complications. Irrigating a wound, administering pain medication, and administering IV fluids are
living will. How does the presence of a living will influence the client's care? interdependent nursing actions and require a health care provider's order. An independent nursing
A. The client is legally unable to refuse basic life support. action occurs when the nurse assesses a client's heart rate, provides discharge education, or provides
B. The health care provider can override the client's desires for treatment if desires are not mouth care.
evidence based.
C. The client may nullify the living will during the hospitalization. PTS: 1 REF: p. 19
D. Power of attorney may change while the client is hospitalized. NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
ANS: C KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
NOT: Multiple Choice
______________________________________________________________________________________________ ______________________________________________________________________________________________
4|Page 5|Page
Chapter 01 Professional Nursing Practice 2
Chapter 02 Medical-Surgical Nursing 17
Chapter 03 Health Education and Health Promotion 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment 45
Chapter 05 Stress and Inflammatory Responses 60
Chapter 06 Genetics and Genomics in Nursing 76
Chapter 07 Disability and Chronic Illness 92
Chapter 08 Management of the Older Adult Patient 107
Chapter 09 Pain Management 121
Chapter 10 Fluid and Electrolytes 137
Test Bank For Brunner & Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
Chapter 12 Management of Patients with Oncologic Disorders
153
169
Suddarth's Textbook of Medical-
Chapter 13 Palliative and End-of-Life Care 183
Chapter 14 Preoperative Nursing Management 199
Chapter 15 Intraoperative Nursing Management 214
Surgical Nursing 15th Edition By Chapter 16 Postoperative Nursing Management
Chapter 17 Assessment of Respiratory Function
228
243
Janice L Hinkle, Kerry H. Cheever, Chapter 18 Management of Patients with Upper Respiratory Tract Disorders
Chapter 19 Management of Patients with Chest and Lower Respiratory Tract Disorders
258
272
Et al. | Complete |Chapters 1-68 Chapter 20 Management of Patients with Chronic Pulmonary Disease
Chapter 21 Assessment of Cardiovascular Function
288
304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems 318
Chapter 23 Management of Patients with Coronary Vascular Disorders 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
of Peripheral Circulation 375
Chapter 27 Assessment and Management of Patients with Hypertension 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders 420
Chapter 30 Management of Patients with Hematologic Neoplasms 433
Chapter 31 Assessment of Immune Function 448
Chapter 32 Management of Patients with Immune Deficiency Disorders 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders 492
Chapter 35 Assessment of Musculoskeletal Function 506
Chapter 36 Management of Patients with Musculoskeletal Disorders 520
, ______________________________________________________________________________________________
Chapter 37 Management of Patients with Musculoskeletal Trauma 535 Chapter 1: Professional Nursing Practice
Chapter 38 Assessment of Digestive and Gastrointestinal Function 550 Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
Chapter 39 Management of Patients with Oral and Esophageal Disorders 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders 578 MULTIPLE CHOICE
Chapter 41 Management of Patients with Intestinal and Rectal Disorders 591
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic
Chapter 42 Assessment and Management of Patients with Obesity 606 abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical
Chapter 43 Assessment and Management of Patients with Hepatic Disorders 621 obligation to these clients?
A. The nurse should adhere to professional standards of practice and offer service to these
Chapter 44 Management of Patients with Biliary Disorders 635 clients.
Chapter 45 Assessment and Management of Patients with Endocrine Disorders 650 B. The nurse should make the choice to decline this position and pursue a different nursing
role.
Chapter 46 Management of Patients with Diabetes 665 C. The nurse should decline to care for the client’s considering abortion.
Chapter 47 Assessment of Kidney and Urinary Function 680 D. The nurse should express alternatives to women considering terminating their pregnancy.
Chapter 48 Management of Patients with Kidney Disorders 695 ANS: B
Chapter 49 Management of Patients with Urinary Disorders 710 Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s personal
beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma. The
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes 725 nurse should not provide care to the client because it is a conflict of personal values. The nurse should
Chapter 51 Management of Patients with Female Reproductive Disorders 741 not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If the client is
not requesting information for alternatives to abortions, then the nurse should not be providing this
Chapter 52 Assessment and Management of Patients with Breast Disorders 757
information.
Chapter 53 Assessment and Management of Patients with Male Reproductive Disorders 771
Chapter 54 Assessment and Management of Patients Who Are LGBTQ 786 PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
Chapter 55 Assessment of Integumentary Function 794 TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
Chapter 56 Management of Patients with Dermatologic Disorders 808 BLM: Cognitive Level: Apply
Chapter 57 Management of Patients with Burn Injury 822 2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During
Chapter 58 Assessment and Management of Patients with Eye and Vision Disorders 837 admission the client states, "I have a living will." What implication of this should the nurse recognize?
Chapter 59 Assessment and Management of Patients with Hearing and Balance Disorders 851 A. This document is always honored, regardless of circumstances.
B. This document specifies the client's wishes before hospitalization.
Chapter 60 Assessment of Neurologic Function 866 C. This document is binding for the duration of the client's life.
Chapter 61 Management of Patients With Neurologic Dysfunction 881 D. This document has been drawn up by the client's family to determine DNR status.
Chapter 62 Management of Patients With Cerebrovascular Disorders 895 ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
Chapter 63 Management of Patients with Neurologic Trauma 911
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
Chapter 64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and because living wills are not always honored in every circumstance, they are not binding for the
Neuropathies 926 duration of the client's life, and they are not drawn up by the client's family.
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders 940 PTS: 1 REF: p. 29
Chapter 66 Management of Patients with Infectious Diseases 955 NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
Chapter 67 Emergency Nursing 968 KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Analyze
Chapter 68 Disaster Nursing 977 NOT: Multiple Choice
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical
principle of nonmaleficence. Which of the following actions would be considered a violation of this
principle?
A. Discussing a DNR order with a terminally ill client
B. Assisting a semi-independent client with ADLs
C. Refusing to administer pain medication as prescribed
______________________________________________________________________________________________
1|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
______________________________________________________________________________________________ Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
______________________________________________________________________________________________
D. Providing more care for one client than for another 6. The nurse has been assigned to care for a client admitted with an opportunistic infection secondary to
AIDS. The nurse informs the clinical nurse leader that the nurse refuses to care for a client with AIDS.
ANS: C The nurse has an obligation to this client under which of the following?
Rationale: The duty not to inflict as well as prevent and remove harm is termed nonmaleficence. A. Good Samaritan Act
Discussing a DNR order with a terminally ill client and assisting a client with ADLs would not be B. Nursing Interventions Classification (NIC)
considered contradictions to the nurse's duty of nonmaleficence. Some clients justifiably require more C. The nurse practice act in the nurse's jurisdiction
care than others. D. International Council of Nurses (ICN) Code of Ethics for Nurses
PTS: 1 REF: p. 25 ANS: D
NAT: Client Needs: Safe, Effective Care Environment: Management of Care Rationale: The ethical obligation to care for all clients is included in the Code of Ethics for Nurses.
TOP: Chapter 1: Professional Nursing Practice The Good Samaritan Act relates to lay people helping others in need. The NIC is a standardized
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze classification of nursing treatment that includes independent and collaborative interventions. Nurse
NOT: Multiple Choice practice acts primarily address scope of practice.
4. A nurse has begun creating a client's plan of care shortly after the client's admission. The nurse knows PTS: 1 REF: p. 27
that it is important that the wording of the chosen nursing diagnoses falls within the taxonomy of NAT: Client Needs: Safe, Effective Care Environment: Management of Care
nursing. Which organization is responsible for developing the taxonomy of a nursing diagnosis? TOP: Chapter 1: Professional Nursing Practice
A. American Nurses Association (ANA) KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
B. North American Nursing Diagnosis Association (NANDA) NOT: Multiple Choice
C. National League for Nursing (NLN)
D. Joint Commission 7. The nurse, in collaboration with the client's family, is determining priorities related to the care of the
client. The nurse explains that it is important to consider the urgency of specific problems when setting
ANS: B priorities. What should the nurse adopt as the best framework for prioritizing client problems?
Rationale: NANDA International is the official organization responsible for developing the taxonomy A. Availability of hospital resources
of nursing diagnoses and formulating nursing diagnoses acceptable for study. The ANA, NLN, and B. Family member statements
Joint Commission are not charged with the task of developing the taxonomy of nursing diagnoses. C. Maslow hierarchy of needs
D. The nurse's skill set
PTS: 1 REF: p. 15
NAT: Client Needs: Safe, Effective Care Environment: Management of Care ANS: C
TOP: Chapter 1: Professional Nursing Practice Rationale: The Maslow hierarchy of needs provides a useful framework for prioritizing problems, with
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand the first level given to meeting physical needs of the client. Availability of hospital resources, family
NOT: Multiple Choice member statements, and nursing skill do not provide a framework for prioritization of client problems,
though each may be considered.
5. A medical nurse has obtained a new client's health history and has completed the admission
assessment. The nurse followed this by documenting the results and creating a care plan for the client. PTS: 1 REF: p. 6
Which of the following is the most important rationale for documenting the client's care? NAT: Client Needs: Safe, Effective Care Environment: Management of Care
A. It provides continuity of care. TOP: Chapter 1: Professional Nursing Practice
B. It creates a teaching log for the family. KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
C. It verifies appropriate staffing levels. NOT: Multiple Choice
D. It keeps the client fully informed.
8. A medical nurse is caring for a client who is receiving palliative care following cancer metastasis. The
ANS: A nurse is aware of the need to uphold the ethical principle of beneficence. How can the nurse best
Rationale: This record provides a means of communication among members of the health care team exemplify this principle in the care of this client?
and facilitates coordinated planning and continuity of care. It serves as the legal and business record A. The nurse tactfully regulates the number and timing of visitors as per the client's wishes.
for a health care agency and for the professional staff members who are responsible for the client's B. The nurse stays with the client during their death.
care. Documentation is not primarily a teaching log; it does not verify staffing; and it is not intended to C. The nurse ensures that all members of the care team are aware of the client's DNR order.
provide the client with information about treatments. D. The nurse collaborates with members of the care team to ensure continuity of care.
PTS: 1 REF: p. 14 ANS: A
NAT: Client Needs: Safe, Effective Care Environment: Management of Care Rationale: Beneficence is the duty to do good and the active promotion of benevolent acts. Enacting
TOP: Chapter 1: Professional Nursing Practice the client's wishes regarding visitors is an example of this. Each of the other nursing actions is
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Understand consistent with ethical practice, but none directly exemplifies the principle of beneficence.
NOT: Multiple Choice
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
______________________________________________________________________________________________ ______________________________________________________________________________________________
2|Page 3|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
______________________________________________________________________________________________ Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
______________________________________________________________________________________________
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring Rationale: Because living wills are often written when the person is in good health, it is not unusual for
BLM: Cognitive Level: Apply NOT: Multiple Choice the client to nullify the living will during illness. A living will does not make a client legally unable to
refuse basic life support. The health care provider may disagree with the client's wishes but is ethically
9. In the process of planning a client's care, the nurse has identified a nursing diagnosis of Ineffective bound to carry out those wishes. A power of attorney is not synonymous with a living will.
Health Maintenance related to alcohol use. What must precede the determination of this nursing
diagnosis? PTS: 1 REF: p. 29
A. Establishing of a plan to address the underlying problem NAT: Client Needs: Safe, Effective Care Environment: Management of Care
B. Assigning a positive value to each consequence of the diagnosis TOP: Chapter 1: Professional Nursing Practice
C. Collecting and analyzing data that corroborate the diagnosis KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Apply
D. Evaluating the client's chances of recovery NOT: Multiple Choice
ANS: C 12. The nurse is providing care for a client who has a diagnosis of pneumonia due to Streptococcus
Rationale: In the diagnostic phase of the nursing process, the client's nursing problems are defined pneumonia infection. What aspect of nursing care would constitute part of the planning phase of the
through analysis of client data. Establishing a plan comes after collecting and analyzing data; nursing process?
evaluating a plan is the last step of the nursing process; and assigning a positive value to each A. Achieve SaO2 92% at all times.
consequence is not done. B. Auscultate chest q4h.
C. Administer oral fluids q1h and PRN.
PTS: 1 REF: p. 16 D. Avoid overexertion at all times.
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice ANS: A
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply Rationale: The planning phase entails specifying the immediate, intermediate, and long-term goals of
NOT: Multiple Choice nursing action, such as maintaining a certain level of oxygen saturation in a client with pneumonia.
Providing fluids and avoiding overexertion are parts of the implementation phase of the nursing
10. The provider has recommended an amniocentesis for an 18-year-old primiparous client. The client is at process. Chest auscultation is an assessment.
34 weeks' gestation and does not want this procedure, but the health care provider arranges for the
amniocentesis to be performed. The nurse should recognize that the provider is in violation of which PTS: 1 REF: p. 12
ethical principle? NAT: Client Needs: Safe, Effective Care Environment: Management of Care
A. Veracity TOP: Chapter 1: Professional Nursing Practice
B. Beneficence KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
C. Nonmaleficence NOT: Multiple Choice
D. Autonomy
13. A recent nursing graduate is aware of the differences between nursing actions that are independent and
ANS: D nursing actions that are interdependent. A nurse performs an interdependent nursing intervention when
Rationale: The principle of autonomy specifies that individuals have the ability to make a choice free performing which of the following actions?
from external constraints. The provider's actions in this case violate this principle. This action may or A. Auscultating a client's apical heart rate during an admission assessment
may not violate the principle of beneficence. Veracity centers on truth-telling, and nonmaleficence is B. Providing mouth care to a client who is unconscious following a cerebrovascular accident
avoiding the infliction of harm. C. Administering an IV bolus of normal saline to a client with hypotension
D. Providing discharge teaching to a postsurgical client about the rationale for a course of
PTS: 1 REF: p. 25 oral antibiotics
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice ANS: C
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze Rationale: Although many nursing actions are independent, others are interdependent, such as carrying
NOT: Multiple Choice out prescribed treatments; administering medications and therapies; collaborating with other health
care team members to accomplish specific, expected outcomes; and to monitor and manage potential
11. During a discussion with the client and the client's spouse, the nurse discovers that the client has a complications. Irrigating a wound, administering pain medication, and administering IV fluids are
living will. How does the presence of a living will influence the client's care? interdependent nursing actions and require a health care provider's order. An independent nursing
A. The client is legally unable to refuse basic life support. action occurs when the nurse assesses a client's heart rate, provides discharge education, or provides
B. The health care provider can override the client's desires for treatment if desires are not mouth care.
evidence based.
C. The client may nullify the living will during the hospitalization. PTS: 1 REF: p. 19
D. Power of attorney may change while the client is hospitalized. NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
ANS: C KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
NOT: Multiple Choice
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