Surgical Nursing (16th ed.)
Medical-Surgical Nursing Revision
Chapter 1: Professional Nursing Practice — MCQs (20)
1. The primary goal of professional nursing practice is to:
A. Cure disease
B. Promote health and prevent illness
C. Provide physician-directed care
D. Reduce health care costs
Correct Answer: B
Rationale: Nursing focuses on health promotion, illness
prevention, and holistic care, not solely cure.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
2. Which action best reflects patient-centered care?
,A. Following hospital routines strictly
B. Making decisions for the patient
C. Involving the patient in care decisions
D. Prioritizing efficiency over preferences
Correct Answer: C
Rationale: Patient-centered care respects patient values, needs,
and active participation.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
3. Advocacy in nursing primarily involves:
A. Reporting coworkers
B. Supporting patient rights and choices
C. Ensuring physician orders are followed
D. Completing documentation
Correct Answer: B
Rationale: Advocacy ensures protection of patient autonomy,
rights, and informed decision-making.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
4. Which component is central to professional accountability?
A. Delegation
B. Autonomy
C. Responsibility for nursing actions
D. Team collaboration
,Correct Answer: C
Rationale: Nurses are legally and ethically responsible for their
own actions and omissions.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
5. A patient refusing treatment best demonstrates which
ethical principle?
A. Beneficence
B. Justice
C. Autonomy
D. Fidelity
Correct Answer: C
Rationale: Autonomy supports the patient’s right to make
informed decisions about care.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
6. Health is best defined as:
A. Absence of disease
B. Ability to perform ADLs
C. A dynamic state of physical, mental, and social well-being
D. Normal laboratory values
Correct Answer: C
Rationale: Health is multidimensional and changes across the
, lifespan.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
7. Which factor most strongly influences health outcomes?
A. Genetics alone
B. Access to technology
C. Social determinants of health
D. Hospital policies
Correct Answer: C
Rationale: Social, economic, and environmental factors
significantly affect health status.
Citation: Brunner & Suddarth, 16th ed., Ch. 1
8. The nurse’s role in health promotion includes:
A. Treating acute illness
B. Providing discharge medications
C. Teaching lifestyle modifications
D. Ordering diagnostic tests
Correct Answer: C
Rationale: Education on lifestyle changes is a core nursing
intervention for health promotion.
Citation: Brunner & Suddarth, 16th ed., Ch. 1