, BRUNNER & SUDDARTH'S TEXTBOOK OF
MEDICAL-SURGICAL NURSING 15TH EDITION
HINKLE TEST BANK 2025 -2026 QUESTIONS AND
ANSWERS WITH RATIONALES.
Chapter,1:,Professional,Nursing,Practice,
1.,A,nurse,has,been,offered,a,position,on,an,obstetric,unit,and,has,learned,that,t
he,unit,offers,therapeutic,abortions,,a,procedure,that,contradicts,the,nurse's,per
sonal,beliefs.,What,is,the,nurse's,ethical,obligation,to,these,clients?,
A. The,nurse,should,adhere,to,professional,standards,of,practice,and,offer,servic
e,to,these,clients.,
B. The,nurse,should,make,the,choice,to,decline,this,position,and,pursue,a,differe
nt,nursing,role.,
C. The,nurse,should,decline,to,care,for,the,clients,considering,abortion.
D. The,nurse,should,express,alternatives,to,women,considering,terminating,their,
pregnancy.,
ANS:,B,
Rationale:,To,avoid,facing,the,ethical,dilemma,of,providing,care,that,contradicts,t
he,
nurse’s,personal,beliefs,,the,nurse,should,consider,working,in,an,area,of,nursing,
that,would,not,pose,this,dilemma.,The,nurse,should,not,provide,care,to,the,client
,because,it,is,a,conflict,of,personal,values.,The,nurse,should,not,deny,care,to,the
se,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,information.,
PTS:,1,REF:,p.,27,
,NAT:,Client,Needs:,Safe,,Effective,Care,Environment:,Management,of,Care,
TOP:,Chapter,1:,Professional,Nursing,Practice,KEY:,Integrated,Process:,Caring,
BLM:,Cognitive,Level:,Apply,NOT:,Multiple,Choice,
2.,An,80-year-old,client,is,admitted,with,a,diagnosis,of,community-
acquired,pneumonia.,During,admission,the,client,states,,"I,have,a,living,wi
ll.",What,implication,of,this,should,the,nurse,recognize?,
A. This,document,is,always,honored,,regardless,of,circumstances.
B. This,document,specifies,the,client's,wishes,before,hospitalization.
C. This,document,is,binding,for,the,duration,of,the,client's,life.
D. This,document,has,been,drawn,up,by,the,client's,family,to,determine,DNR,stat
us.,
ANS:,B,
Rationale:,A,living,will,is,one,type,of,advance,directive.,In,most,situations,,living,
wills,are,limited,to,situations,in,which,the,client's,medical,condition,is,deemed,ter
minal.,The,other,answers,are,incorrect,because,living,wills,are,not,always,honore
d,in,every,circumstance,,they,are,not,binding,for,the,duration,of,the,client's,life,,
and,they,are,not,drawn,up,by,the,client's,family.,
PTS:,1,REF:,p.,29,
NAT:,Client,Needs:,Safe,,Effective,Care,Environment:,Management,of,Care,
TOP:,Chapter,1:,Professional,Nursing,Practice,
KEY:,Integrated,Process:,Communication,and,Documentation,BLM:,Cognitive,
Level:,Analyze,
NOT:,Multiple,Choice,
3.,A,nurse,has,been,providing,ethical,care,for,many,years,and,is,aware,of,the,ne
ed,to,maintain,the,ethical,principle,of,nonmaleficence.,Which,of,the,following,acti
ons,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
D. Providing,more,care,for,one,client,than,for,another
ANS:,C,
Rationale:,The,duty,not,to,inflict,as,well,as,prevent,and,remove,harm,is,termed,n
onmaleficence.,Discussing,a,DNR,order,with,a,terminally,ill,client,and,assisting,a,
client,with,ADLs,would,not,be,considered,contradictions,to,the,nurse's,duty,of,no
nmaleficence.,Some,clients,justifiably,require,more,care,than,others.,
PTS:,1,REF:,p.,25,
NAT:,Client,Needs:,Safe,,Effective,Care,Environment:,Management,of,Care,TOP
:,Chapter,1:,Professional,Nursing,Practice,
KEY:,Integrated,Process:,Nursing,Process, BLM:,Cognitive,Level:,Analyze,
NOT:,Multiple,Choice,
4.,A,nurse,has,begun,creating,a,client's,plan,of,care,shortly,after,the,client's,adm
ission.,The,nurse,knows,that,it,is,important,that,the,wording,of,the,chosen,nursi
ng,diagnoses,falls,within,the,taxonomy,of,nursing.,Which,organization,is,responsi
ble,for,developing,the,taxonomy,of,a,nursing,diagnosis?,
A. American,Nurses,Association,(ANA)
B. North,American,Nursing,Diagnosis,Association,(NANDA)
C. National,League,for,Nursing,(NLN)
D. Joint,Commission
ANS:,B,
Rationale:,NANDA,International,is,the,official,organization,responsible,for,develo
ping,the,taxonomy,of,nursing,diagnoses,and,formulating,nursing,diagnoses,acce
ptable,for,study.,The,ANA,,NLN,,and,Joint,Commission,are,not,charged,with,the,t
ask,of,developing,the,taxonomy,of,nursing,diagnoses.,
MEDICAL-SURGICAL NURSING 15TH EDITION
HINKLE TEST BANK 2025 -2026 QUESTIONS AND
ANSWERS WITH RATIONALES.
Chapter,1:,Professional,Nursing,Practice,
1.,A,nurse,has,been,offered,a,position,on,an,obstetric,unit,and,has,learned,that,t
he,unit,offers,therapeutic,abortions,,a,procedure,that,contradicts,the,nurse's,per
sonal,beliefs.,What,is,the,nurse's,ethical,obligation,to,these,clients?,
A. The,nurse,should,adhere,to,professional,standards,of,practice,and,offer,servic
e,to,these,clients.,
B. The,nurse,should,make,the,choice,to,decline,this,position,and,pursue,a,differe
nt,nursing,role.,
C. The,nurse,should,decline,to,care,for,the,clients,considering,abortion.
D. The,nurse,should,express,alternatives,to,women,considering,terminating,their,
pregnancy.,
ANS:,B,
Rationale:,To,avoid,facing,the,ethical,dilemma,of,providing,care,that,contradicts,t
he,
nurse’s,personal,beliefs,,the,nurse,should,consider,working,in,an,area,of,nursing,
that,would,not,pose,this,dilemma.,The,nurse,should,not,provide,care,to,the,client
,because,it,is,a,conflict,of,personal,values.,The,nurse,should,not,deny,care,to,the
se,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,information.,
PTS:,1,REF:,p.,27,
,NAT:,Client,Needs:,Safe,,Effective,Care,Environment:,Management,of,Care,
TOP:,Chapter,1:,Professional,Nursing,Practice,KEY:,Integrated,Process:,Caring,
BLM:,Cognitive,Level:,Apply,NOT:,Multiple,Choice,
2.,An,80-year-old,client,is,admitted,with,a,diagnosis,of,community-
acquired,pneumonia.,During,admission,the,client,states,,"I,have,a,living,wi
ll.",What,implication,of,this,should,the,nurse,recognize?,
A. This,document,is,always,honored,,regardless,of,circumstances.
B. This,document,specifies,the,client's,wishes,before,hospitalization.
C. This,document,is,binding,for,the,duration,of,the,client's,life.
D. This,document,has,been,drawn,up,by,the,client's,family,to,determine,DNR,stat
us.,
ANS:,B,
Rationale:,A,living,will,is,one,type,of,advance,directive.,In,most,situations,,living,
wills,are,limited,to,situations,in,which,the,client's,medical,condition,is,deemed,ter
minal.,The,other,answers,are,incorrect,because,living,wills,are,not,always,honore
d,in,every,circumstance,,they,are,not,binding,for,the,duration,of,the,client's,life,,
and,they,are,not,drawn,up,by,the,client's,family.,
PTS:,1,REF:,p.,29,
NAT:,Client,Needs:,Safe,,Effective,Care,Environment:,Management,of,Care,
TOP:,Chapter,1:,Professional,Nursing,Practice,
KEY:,Integrated,Process:,Communication,and,Documentation,BLM:,Cognitive,
Level:,Analyze,
NOT:,Multiple,Choice,
3.,A,nurse,has,been,providing,ethical,care,for,many,years,and,is,aware,of,the,ne
ed,to,maintain,the,ethical,principle,of,nonmaleficence.,Which,of,the,following,acti
ons,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
D. Providing,more,care,for,one,client,than,for,another
ANS:,C,
Rationale:,The,duty,not,to,inflict,as,well,as,prevent,and,remove,harm,is,termed,n
onmaleficence.,Discussing,a,DNR,order,with,a,terminally,ill,client,and,assisting,a,
client,with,ADLs,would,not,be,considered,contradictions,to,the,nurse's,duty,of,no
nmaleficence.,Some,clients,justifiably,require,more,care,than,others.,
PTS:,1,REF:,p.,25,
NAT:,Client,Needs:,Safe,,Effective,Care,Environment:,Management,of,Care,TOP
:,Chapter,1:,Professional,Nursing,Practice,
KEY:,Integrated,Process:,Nursing,Process, BLM:,Cognitive,Level:,Analyze,
NOT:,Multiple,Choice,
4.,A,nurse,has,begun,creating,a,client's,plan,of,care,shortly,after,the,client's,adm
ission.,The,nurse,knows,that,it,is,important,that,the,wording,of,the,chosen,nursi
ng,diagnoses,falls,within,the,taxonomy,of,nursing.,Which,organization,is,responsi
ble,for,developing,the,taxonomy,of,a,nursing,diagnosis?,
A. American,Nurses,Association,(ANA)
B. North,American,Nursing,Diagnosis,Association,(NANDA)
C. National,League,for,Nursing,(NLN)
D. Joint,Commission
ANS:,B,
Rationale:,NANDA,International,is,the,official,organization,responsible,for,develo
ping,the,taxonomy,of,nursing,diagnoses,and,formulating,nursing,diagnoses,acce
ptable,for,study.,The,ANA,,NLN,,and,Joint,Commission,are,not,charged,with,the,t
ask,of,developing,the,taxonomy,of,nursing,diagnoses.,