MindPlug Academic Solutions | Verified Exam Guides | 2025 Edition
Brunner & Suddarth’s Medical-Surgical Nursing, 15th
Edition (Hinkle) – Complete Verified Test Bank 2025
Chapter 1
MULTIPLE CHOICE
1. A nurse has been working with a client whose poorly controlled type 1 diabetes has led to
numerous health problems. Over the past several years the client has had several admissions to the
hospital medical unit, and the nurse has often carried out health promotion interventions. Who is
ultimately responsible for maintaining and promoting this client's health?
A. The medical nurse
B. The community health nurse who has also worked with the client
C. The client's primary care provider
D. The client
ANS: D
Rationale: Society places a great importance on health and the responsibility that each of us ultimately
has to maintain and promote our own health. Even though the medical nurse, community health nurse,
and primary care provider all actively participate in promoting the client's health, the client must accept
responsibility in order for health promotion to be successful.
2. An 82-year-old client has come to the clinic for a scheduled follow-up appointment. The nurse
learns from the client's child that the client is not following the instructions the client received upon
discharge from the hospital last month. What is the most likely factor causing the client not to adhere to
the therapeutic regimen?
A. Ethnic background of health care provider
B. Costs of the prescribed regimen
C. Presence of a learning disability
D. Personality of the primary provider
ANS: B
Rationale: Variables that appear to influence the degree of adherence to a prescribed therapeutic
regimen include gender, race, education, illness, complexity of the regimen, and the cost of treatments.
The ethnic background and personality of the health care provider and the personality of the health care
MindPlug Academic Solutions – Turning Study Into Strategy
,MindPlug Academic Solutions | Verified Exam Guides | 2025 Edition
provider are not considered variables that appear to influence the degree of adherence to a prescribed
therapeutic regimen.
3. A gerontologic nurse has observed that clients often fail to adhere to their therapeutic regimen.
What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen
involving wound care?
A. Demonstrate a dressing change and allow the client to practice.
B. Provide a detailed pamphlet on a dressing change.
C. Verbally instruct how to change a dressing and check for comprehension.
D. Delegate the dressing change to a trusted family member.
ANS: A
Rationale: The nurse must consider that older adults may have deficits in the ability to draw inferences,
apply information, or understand major teaching points.
Demonstration and practice are essential in meeting their learning needs. The other options are
incorrect because providing written instructions is not a substitute for a comprehensive teaching plan.
Verbally teaching how to change a dressing and then checking for comprehension of the teaching is not
as effective as demonstrating a dressing change and observing the client practicing the dressing change.
Having a family member change the dressing when the client is capable of doing it impedes self-care and
independence.
4. A 20-year-old client newly diagnosed with type 1 diabetes needs to learn how to self-administer
insulin. When planning the appropriate educational interventions and considering variables that will
affect the client’s learning, the nurse should prioritize what factor?
A. Client's expected lifespan
B. Client's gender
C. Client's occupation
D. Client's culture
ANS: D
Rationale: One of the major variables that influence a client's readiness to learn is the client's culture
because it affects how a person learns and what information is learned. Other variables include illness
states, values, emotional readiness, and physical readiness. Lifespan, occupation, and gender are
variables that are usually less salient.
MindPlug Academic Solutions – Turning Study Into Strategy
,MindPlug Academic Solutions | Verified Exam Guides | 2025 Edition
5. The nurse is planning to teach a 75-year-old client with coronary artery disease about
administering the prescribed antiplatelet medication. How can the nurse best enhance the client's
ability to learn?
A. Provide links to websites that contain evidence-based information.
B. Exclude family members from the session to prevent distraction.
C. Use color-coded materials that are succinct and engaging.
D. Make the information directly relevant to the client's condition.
ANS: D
Rationale: Studies have shown that older adults can learn and remember if the information is paced
appropriately, relevant, and followed by appropriate feedback. Family members should be included in
health education. The nurse should not assume that the client's color vision is intact or that the client
possesses adequate computer skills.
6. A nurse is planning care for an older adult who lives with a number of chronic health problems.
Which nursing diagnosis would educate the client and be the priority intervention?
A. Risk for impaired physical mobility related to joint pain
B. Functional urinary incontinence related decreased mobility
C. Activity intolerance related to contractures
D. Ineffective health maintenance related to nonadherence to therapeutic regimen
ANS: D
Rationale: For some nursing diagnoses, such as ineffective health maintenance related to nonadherence
to therapeutic regimen, education is a primary nursing intervention leading to a change in behavior and
improved adherence. For the other nursing diagnoses listed, client education is important, but it is just
one of many other interventions that must be performed to achieve the desired goal.
7. A class of nursing students has been asked to break into groups of four and complete a
health-promotion teaching project and present a report to their fellow students. What project most
clearly demonstrates the principles of health promotion teaching?
MindPlug Academic Solutions – Turning Study Into Strategy
, MindPlug Academic Solutions | Verified Exam Guides | 2025 Edition
A. Demonstrating an injection technique to a client for anticoagulant therapy
B. Explaining the side effects of a medication to an adult client
C. Discussing prevention of sexually transmitted infections (STI) to high school students
D. Instructing an adolescent client how to avoid hypoglycemic episodes
ANS: C
Rationale: Health promotion encourages people to live a healthy lifestyle and to achieve a high level of
wellness. Discussing the importance of STI prevention to a group of high school students is the best
example of a health promotion teaching project. Teaching a client an injection technique, side effects of
medication, and how to avoid hypoglycemia are interventions to treat disease or illness and not
examples of health promotion.
8. Based on current knowledge of health promotion, what factor should the nurse prioritize in an
effort to promote health, longevity, and weight control in clients?
A. Good nutrition
B. Stress reduction
C. Use of vitamins
D. Screening for health risks
ANS: A
Rationale: It has been suggested that good nutrition is the single most significant factor in determining
health status, longevity, and weight control. A balanced diet that uses few artificial ingredients and is
low in fat, caffeine, and sodium constitutes a healthy diet. Stress reduction and screening for health risks
are correct answers, just not the most significant factors. Vitamin use is not normally necessary when an
individual eats a healthy diet, except in specific circumstances.
9. The nursing profession and nurses as individuals have a responsibility to promote activities that
foster well-being. What factor has most influenced nurses' abilities to play this vital role?
A. Nurses are seen as nurturing professionals.
B. Nurses possess a baccalaureate degree as the entry to practice.
C. Nurses possess an authentic desire to help others.
D. Nurses have long-established credibility with the public.
ANS: D
MindPlug Academic Solutions – Turning Study Into Strategy
Brunner & Suddarth’s Medical-Surgical Nursing, 15th
Edition (Hinkle) – Complete Verified Test Bank 2025
Chapter 1
MULTIPLE CHOICE
1. A nurse has been working with a client whose poorly controlled type 1 diabetes has led to
numerous health problems. Over the past several years the client has had several admissions to the
hospital medical unit, and the nurse has often carried out health promotion interventions. Who is
ultimately responsible for maintaining and promoting this client's health?
A. The medical nurse
B. The community health nurse who has also worked with the client
C. The client's primary care provider
D. The client
ANS: D
Rationale: Society places a great importance on health and the responsibility that each of us ultimately
has to maintain and promote our own health. Even though the medical nurse, community health nurse,
and primary care provider all actively participate in promoting the client's health, the client must accept
responsibility in order for health promotion to be successful.
2. An 82-year-old client has come to the clinic for a scheduled follow-up appointment. The nurse
learns from the client's child that the client is not following the instructions the client received upon
discharge from the hospital last month. What is the most likely factor causing the client not to adhere to
the therapeutic regimen?
A. Ethnic background of health care provider
B. Costs of the prescribed regimen
C. Presence of a learning disability
D. Personality of the primary provider
ANS: B
Rationale: Variables that appear to influence the degree of adherence to a prescribed therapeutic
regimen include gender, race, education, illness, complexity of the regimen, and the cost of treatments.
The ethnic background and personality of the health care provider and the personality of the health care
MindPlug Academic Solutions – Turning Study Into Strategy
,MindPlug Academic Solutions | Verified Exam Guides | 2025 Edition
provider are not considered variables that appear to influence the degree of adherence to a prescribed
therapeutic regimen.
3. A gerontologic nurse has observed that clients often fail to adhere to their therapeutic regimen.
What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen
involving wound care?
A. Demonstrate a dressing change and allow the client to practice.
B. Provide a detailed pamphlet on a dressing change.
C. Verbally instruct how to change a dressing and check for comprehension.
D. Delegate the dressing change to a trusted family member.
ANS: A
Rationale: The nurse must consider that older adults may have deficits in the ability to draw inferences,
apply information, or understand major teaching points.
Demonstration and practice are essential in meeting their learning needs. The other options are
incorrect because providing written instructions is not a substitute for a comprehensive teaching plan.
Verbally teaching how to change a dressing and then checking for comprehension of the teaching is not
as effective as demonstrating a dressing change and observing the client practicing the dressing change.
Having a family member change the dressing when the client is capable of doing it impedes self-care and
independence.
4. A 20-year-old client newly diagnosed with type 1 diabetes needs to learn how to self-administer
insulin. When planning the appropriate educational interventions and considering variables that will
affect the client’s learning, the nurse should prioritize what factor?
A. Client's expected lifespan
B. Client's gender
C. Client's occupation
D. Client's culture
ANS: D
Rationale: One of the major variables that influence a client's readiness to learn is the client's culture
because it affects how a person learns and what information is learned. Other variables include illness
states, values, emotional readiness, and physical readiness. Lifespan, occupation, and gender are
variables that are usually less salient.
MindPlug Academic Solutions – Turning Study Into Strategy
,MindPlug Academic Solutions | Verified Exam Guides | 2025 Edition
5. The nurse is planning to teach a 75-year-old client with coronary artery disease about
administering the prescribed antiplatelet medication. How can the nurse best enhance the client's
ability to learn?
A. Provide links to websites that contain evidence-based information.
B. Exclude family members from the session to prevent distraction.
C. Use color-coded materials that are succinct and engaging.
D. Make the information directly relevant to the client's condition.
ANS: D
Rationale: Studies have shown that older adults can learn and remember if the information is paced
appropriately, relevant, and followed by appropriate feedback. Family members should be included in
health education. The nurse should not assume that the client's color vision is intact or that the client
possesses adequate computer skills.
6. A nurse is planning care for an older adult who lives with a number of chronic health problems.
Which nursing diagnosis would educate the client and be the priority intervention?
A. Risk for impaired physical mobility related to joint pain
B. Functional urinary incontinence related decreased mobility
C. Activity intolerance related to contractures
D. Ineffective health maintenance related to nonadherence to therapeutic regimen
ANS: D
Rationale: For some nursing diagnoses, such as ineffective health maintenance related to nonadherence
to therapeutic regimen, education is a primary nursing intervention leading to a change in behavior and
improved adherence. For the other nursing diagnoses listed, client education is important, but it is just
one of many other interventions that must be performed to achieve the desired goal.
7. A class of nursing students has been asked to break into groups of four and complete a
health-promotion teaching project and present a report to their fellow students. What project most
clearly demonstrates the principles of health promotion teaching?
MindPlug Academic Solutions – Turning Study Into Strategy
, MindPlug Academic Solutions | Verified Exam Guides | 2025 Edition
A. Demonstrating an injection technique to a client for anticoagulant therapy
B. Explaining the side effects of a medication to an adult client
C. Discussing prevention of sexually transmitted infections (STI) to high school students
D. Instructing an adolescent client how to avoid hypoglycemic episodes
ANS: C
Rationale: Health promotion encourages people to live a healthy lifestyle and to achieve a high level of
wellness. Discussing the importance of STI prevention to a group of high school students is the best
example of a health promotion teaching project. Teaching a client an injection technique, side effects of
medication, and how to avoid hypoglycemia are interventions to treat disease or illness and not
examples of health promotion.
8. Based on current knowledge of health promotion, what factor should the nurse prioritize in an
effort to promote health, longevity, and weight control in clients?
A. Good nutrition
B. Stress reduction
C. Use of vitamins
D. Screening for health risks
ANS: A
Rationale: It has been suggested that good nutrition is the single most significant factor in determining
health status, longevity, and weight control. A balanced diet that uses few artificial ingredients and is
low in fat, caffeine, and sodium constitutes a healthy diet. Stress reduction and screening for health risks
are correct answers, just not the most significant factors. Vitamin use is not normally necessary when an
individual eats a healthy diet, except in specific circumstances.
9. The nursing profession and nurses as individuals have a responsibility to promote activities that
foster well-being. What factor has most influenced nurses' abilities to play this vital role?
A. Nurses are seen as nurturing professionals.
B. Nurses possess a baccalaureate degree as the entry to practice.
C. Nurses possess an authentic desire to help others.
D. Nurses have long-established credibility with the public.
ANS: D
MindPlug Academic Solutions – Turning Study Into Strategy
