Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1
1⃣ Reference
Ch. 1 — Professional Nursing Practice — The Patient: Consumer
of Nursing and Health Care
2️⃣ Question Stem
A 72️-year-old man with multiple chronic conditions tells the
nurse he prefers to manage his own medications and attend
virtual follow-ups. Which nursing action best supports this
patient's role as a consumer of health care?
,3️⃣ Options
A. Review and adjust his medication schedule without his input
to simplify dosing.
B. Explain the risks of self-management and insist on in-person
visits only.
C. Assess his understanding and offer tailored education plus
options for telehealth resources.
D. Tell him family members must be responsible for all
medication decisions.
4️⃣ Correct Answer
C
5⃣ Rationales
Correct (C): Brunner & Suddarth emphasize patient-centered
care and respecting patients as consumers; assessing
understanding and providing tailored education plus telehealth
options supports autonomy and safe self-management.
A: Unilateral medication changes disregard patient autonomy
and risk safety errors.
B: Dismissing his preference for telehealth ignores patient-
centered care and may reduce adherence.
D: Assigning decision-making to family without consent violates
autonomy and the patient's right to participate.
6️⃣ Teaching Point
Support patient autonomy by assessing understanding and
offering tailored care options.
,7⃣ Citation (simplified APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2️02️2️). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2
1⃣ Reference
Ch. 1 — Professional Nursing Practice — The Patient’s Basic
Needs: Maslow Hierarchy of Needs
2️⃣ Question Stem
A postoperative patient is hypoxic (SpO₂ 88%) and agitated.
Using Maslow’s hierarchy and safety priorities, which nursing
action is highest priority?
3️⃣ Options
A. Administer analgesic for reported pain.
B. Reassure the patient that everything will be fine.
C. Assess airway and oxygenation; apply supplemental oxygen
and call the provider as indicated.
D. Encourage the patient to discuss feelings to reduce agitation.
4️⃣ Correct Answer
C
5⃣ Rationales
Correct (C): Maslow and nursing practice prioritize physiologic
needs (airway/oxygenation). Brunner & Suddarth stress
, addressing life-threatening physiologic deficits first; assessing
airway and providing oxygen are immediate priorities.
A: Pain control is important but secondary to correcting
hypoxia.
B: Reassurance without addressing hypoxia fails to meet
physiologic need and is unsafe.
D: Emotional support is appropriate later but not before
securing oxygenation.
6️⃣ Teaching Point
Address airway and oxygenation first—physiologic needs
outrank psychosocial interventions.
7⃣ Citation (simplified APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2️02️2️). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3
1⃣ Reference
Ch. 1 — Professional Nursing Practice — Health Promotion
2️⃣ Question Stem
A clinic nurse sees a 4️5-year-old smoker with elevated blood
pressure. Which nursing intervention best reflects health
promotion strategies from Brunner & Suddarth?