Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1
1⃣ Reference
Ch. 1 — The Practice of Nursing — Delegation & Scope
2️⃣ Question Stem
An RN on a medical-surgical unit must delegate tasks after
receiving report on four patients. Which task is most
appropriate to assign to a licensed practical nurse (LPN)?
3️⃣ Options
A. Perform the initial comprehensive admission assessment for
a newly transferred patient.
,B. Administer scheduled oral metformin to a stable patient with
type 2 diabetes.
C. Develop and adjust the individualized nursing care plan for a
patient with heart failure.
D. Teach a newly diagnosed patient how to self-manage insulin
dosing.
4️⃣ Correct Answer
B
5⃣ Rationales
• Correct (B): LPNs are generally competent to administer
stable, routine oral medications under RN supervision; this
is within typical scope and supports safe delegation per
Brunner & Suddarth.
• Incorrect (A): Initial comprehensive admission
assessments require RN clinical judgment and critical
thinking and should not be delegated.
• Incorrect (C): Developing and adjusting individualized care
plans requires RN assessment, critical thinking, and
validation of outcomes.
• Incorrect (D): Patient teaching about insulin self-
management requires RN education, assessment of
learning needs, and evaluation of competency.
,6️⃣ Teaching Point
Delegate routine, stable tasks; reserve assessments, teaching,
and complex planning for the RN.
7️⃣ Citation (APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2️
1⃣ Reference
Ch. 1 — The Patient: Consumer of Nursing and Health Care —
Health Literacy
2️⃣ Question Stem
A patient with limited health literacy is discharged with a new
antihypertensive. Which nursing action best promotes safe
medication self-management?
3️⃣ Options
A. Provide a standard pharmacy leaflet with drug information.
B. Ask the patient to explain, in their own words, how and when
they will take the medication.
C. Tell the patient to call the clinic if they have questions after
discharge.
D. Document that the prescription was written and send the
patient home.
, 4️⃣ Correct Answer
B
5⃣ Rationales
• Correct (B): Teach-back (asking the patient to explain back
instructions) confirms understanding and is recommended
for patients with limited health literacy.
• Incorrect (A): Standard leaflets often exceed reading ability
and do not confirm comprehension.
• Incorrect (C): Passive instructions place burden on the
patient; proactive verification of understanding is safer.
• Incorrect (D): Documentation alone does not ensure
patient comprehension or safe self-management.
6️⃣ Teaching Point
Use teach-back to confirm understanding and promote safe
medication use.
7️⃣ Citation (APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3️
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1
1⃣ Reference
Ch. 1 — The Practice of Nursing — Delegation & Scope
2️⃣ Question Stem
An RN on a medical-surgical unit must delegate tasks after
receiving report on four patients. Which task is most
appropriate to assign to a licensed practical nurse (LPN)?
3️⃣ Options
A. Perform the initial comprehensive admission assessment for
a newly transferred patient.
,B. Administer scheduled oral metformin to a stable patient with
type 2 diabetes.
C. Develop and adjust the individualized nursing care plan for a
patient with heart failure.
D. Teach a newly diagnosed patient how to self-manage insulin
dosing.
4️⃣ Correct Answer
B
5⃣ Rationales
• Correct (B): LPNs are generally competent to administer
stable, routine oral medications under RN supervision; this
is within typical scope and supports safe delegation per
Brunner & Suddarth.
• Incorrect (A): Initial comprehensive admission
assessments require RN clinical judgment and critical
thinking and should not be delegated.
• Incorrect (C): Developing and adjusting individualized care
plans requires RN assessment, critical thinking, and
validation of outcomes.
• Incorrect (D): Patient teaching about insulin self-
management requires RN education, assessment of
learning needs, and evaluation of competency.
,6️⃣ Teaching Point
Delegate routine, stable tasks; reserve assessments, teaching,
and complex planning for the RN.
7️⃣ Citation (APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2️
1⃣ Reference
Ch. 1 — The Patient: Consumer of Nursing and Health Care —
Health Literacy
2️⃣ Question Stem
A patient with limited health literacy is discharged with a new
antihypertensive. Which nursing action best promotes safe
medication self-management?
3️⃣ Options
A. Provide a standard pharmacy leaflet with drug information.
B. Ask the patient to explain, in their own words, how and when
they will take the medication.
C. Tell the patient to call the clinic if they have questions after
discharge.
D. Document that the prescription was written and send the
patient home.
, 4️⃣ Correct Answer
B
5⃣ Rationales
• Correct (B): Teach-back (asking the patient to explain back
instructions) confirms understanding and is recommended
for patients with limited health literacy.
• Incorrect (A): Standard leaflets often exceed reading ability
and do not confirm comprehension.
• Incorrect (C): Passive instructions place burden on the
patient; proactive verification of understanding is safer.
• Incorrect (D): Documentation alone does not ensure
patient comprehension or safe self-management.
6️⃣ Teaching Point
Use teach-back to confirm understanding and promote safe
medication use.
7️⃣ Citation (APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3️
