Brunner & Suddarth's Textbook of
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1:
Question Type: MCQ
Question Stem:
Which statement best describes professional nursing practice?
Options:
A. Nursing practice is primarily the completion of provider-
prescribed tasks.
B. The nurse is accountable for the care provided and for
independent nursing judgments.
C. Nursing practice is shared equally by all members of the
interprofessional team.
,D. The nurse’s role is limited to carrying out interventions after
the provider signs the plan of care.
Correct Answer:
B
Rationale for A:
This option understates the scope of nursing. Nurses do
complete tasks, but professional practice is much broader than
task completion. Safe nursing care requires assessment,
judgment, planning, and evaluation, not just following
directions.
Rationale for B:
Professional nursing practice includes accountability for one’s
own actions, decisions, and outcomes. The RN uses clinical
judgment, applies standards of practice, and is responsible for
safe, ethical care even when other team members are involved.
Rationale for C:
Although care is collaborative, professional responsibility is not
shared equally in the same way across all disciplines. Each team
member has a distinct role, and the nurse remains accountable
for nursing actions and delegated care.
Rationale for D:
This reflects a narrow, outdated view of nursing. Nurses do not
wait for provider signature before using nursing judgment, and
they are responsible for assessment, patient advocacy, and
coordination of care.
,Key Takeaway:
Professional nursing practice requires accountability, judgment,
and responsibility for nursing care, not just task performance.
Question 2:
Question Type: MCQ
Question Stem:
Which task is most appropriate for the registered nurse to
delegate to unlicensed assistive personnel (UAP)?
Options:
A. Initial assessment of a client who reports shortness of breath
B. Teaching a client how to self-administer insulin
C. Ambulating a stable postoperative client who has been
cleared to walk
D. Evaluating whether a pain medication was effective
Correct Answer:
C
Rationale for A:
Initial assessment requires nursing judgment and cannot be
delegated to UAP. The RN must collect and interpret the
assessment data before assigning care.
Rationale for B:
Client teaching requires knowledge, judgment, and evaluation
of understanding. This is an RN responsibility, not a UAP task.
, Rationale for C:
Ambulation of a stable client with clear instructions is an
appropriate delegated task for UAP. The RN retains
accountability and must ensure the client is stable and the task
is clearly communicated.
Rationale for D:
Evaluating the effect of medication requires nursing assessment
and interpretation. UAP may report observations, but they do
not determine whether a medication was effective.
Key Takeaway:
Safe delegation requires matching the task to the right person
while keeping nursing accountability with the RN.
Question 3:
Question Type: MCQ
Question Stem:
A client refuses a prescribed medication until speaking with a
spiritual leader. Which nursing response is best?
Options:
A. Tell the client the medication must be taken immediately to
avoid delay in treatment.
B. Ask the client what beliefs or concerns are affecting the
decision.
C. Document the refusal and leave the medication at the
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1:
Question Type: MCQ
Question Stem:
Which statement best describes professional nursing practice?
Options:
A. Nursing practice is primarily the completion of provider-
prescribed tasks.
B. The nurse is accountable for the care provided and for
independent nursing judgments.
C. Nursing practice is shared equally by all members of the
interprofessional team.
,D. The nurse’s role is limited to carrying out interventions after
the provider signs the plan of care.
Correct Answer:
B
Rationale for A:
This option understates the scope of nursing. Nurses do
complete tasks, but professional practice is much broader than
task completion. Safe nursing care requires assessment,
judgment, planning, and evaluation, not just following
directions.
Rationale for B:
Professional nursing practice includes accountability for one’s
own actions, decisions, and outcomes. The RN uses clinical
judgment, applies standards of practice, and is responsible for
safe, ethical care even when other team members are involved.
Rationale for C:
Although care is collaborative, professional responsibility is not
shared equally in the same way across all disciplines. Each team
member has a distinct role, and the nurse remains accountable
for nursing actions and delegated care.
Rationale for D:
This reflects a narrow, outdated view of nursing. Nurses do not
wait for provider signature before using nursing judgment, and
they are responsible for assessment, patient advocacy, and
coordination of care.
,Key Takeaway:
Professional nursing practice requires accountability, judgment,
and responsibility for nursing care, not just task performance.
Question 2:
Question Type: MCQ
Question Stem:
Which task is most appropriate for the registered nurse to
delegate to unlicensed assistive personnel (UAP)?
Options:
A. Initial assessment of a client who reports shortness of breath
B. Teaching a client how to self-administer insulin
C. Ambulating a stable postoperative client who has been
cleared to walk
D. Evaluating whether a pain medication was effective
Correct Answer:
C
Rationale for A:
Initial assessment requires nursing judgment and cannot be
delegated to UAP. The RN must collect and interpret the
assessment data before assigning care.
Rationale for B:
Client teaching requires knowledge, judgment, and evaluation
of understanding. This is an RN responsibility, not a UAP task.
, Rationale for C:
Ambulation of a stable client with clear instructions is an
appropriate delegated task for UAP. The RN retains
accountability and must ensure the client is stable and the task
is clearly communicated.
Rationale for D:
Evaluating the effect of medication requires nursing assessment
and interpretation. UAP may report observations, but they do
not determine whether a medication was effective.
Key Takeaway:
Safe delegation requires matching the task to the right person
while keeping nursing accountability with the RN.
Question 3:
Question Type: MCQ
Question Stem:
A client refuses a prescribed medication until speaking with a
spiritual leader. Which nursing response is best?
Options:
A. Tell the client the medication must be taken immediately to
avoid delay in treatment.
B. Ask the client what beliefs or concerns are affecting the
decision.
C. Document the refusal and leave the medication at the
