Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 11th Edition (2 Volumes in 1) Test Bank

Name: Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 11th Edition (2 Volumes in 1) Test Bank
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Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 11th Edition (2 Volumes in 1) Test Bank provides an exam-oriented approach, helping you study effectively with real-world examples.

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Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 1- Health Care Delivery and Nursing Practice
1
1. The school nurse teaching a health promotion class to high-school students informs the
group that health may be defined as:
A) Being disease free
B) Having fulfilling relationships
C) Having a clean drinking source and nutritious food
D) Being connected in body, mind, and spirit
2. Which of the following desirable characteristics would an effective nurse possess?
A) Sensitivity to cultural differences C) Strict adherence to routine
B) Team-focused nursing approach D) One set cultural practice
3. What type of health problem is the nurse most likely to see in the health care system?
A) Poor prenatal care C) Immobility
B) Lack of information D) Chronic disease
4. The nurse is assisting a patient in planning to return to work after an extensive illness.
The patient's need for self-fulfillment fits in which level of Maslow's Hierarchy of basic
needs?
A) Physiologic C) Love and belonging
B) Safety and security D) Self-actualization
5. Viewing health and illness on a continuum assists the nurse in understanding that:
A) Care should focus on the treatment of disease.
B) A person's state of health is ever-changing.
C) A person does not have varying degrees of illness.
D) Care should focus on the patient's response to medications.
6. The nurse working in a community health clinic teaches that disease prevention is best
achieved through:
A) Attending self-help groups C) Community social events
B) Yearly physicals D) Behaviors that promote health
7. A nurse on a medical-surgical unit has been asked to become a member of the hospital's
Continuous Quality Improvement (CQI) committee. In preparing to serve on this
committee, the nurse learns that CQI programs:
A) Establish accountability on the part of health care professionals
B) Focus on the process used to provide care
C) Identify incidents rather than processes
D) Justify health care costs

Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 1- Health Care Delivery and Nursing Practice
Page 2
8. Managed health care has led to significant changes in the health care delivery system.
What effect has managed health care had on the hospital's patient population?
A) Patients are in the hospital for a longer period of time.
B) Pre-negotiated payment rates have remained unchanged.
C) Patients with high home care needs are being discharged into the community.
D) Use of ambulatory care has decreased.
9. The Patient's Bill of Rights includes the patient's right to privacy. When might the nurse
break this right?
A) When the patient has threatened to harm himself or herself
B) When the patient has been diagnosed with a terminal disease
C) If a family member has called to inquire about the patient's condition
D) There are no circumstances when this rule may be broken.
10. In order for the nurse to implement the interventions in a clinical pathway, what first
must be done?
A) Interventions must have a signed physician's order.
B) The nurse manager must review the plan.
C) The unit must approve the document.
D) The nurse must sign the document prior to initiating.
11. A nurse researcher is conducting a study about the effects of noise on hospitalized
patients' pain levels. The primary purpose of nursing research is to:
A) Involve patients in their care while hospitalized
B) Contribute to the scientific base of nursing practice
C) Draw conclusions about the quality of patient care
D) Explain ongoing medical studies to patients
12. Home health care is becoming one of the largest practice areas for nurses. What has
contributed to this change?
A) Chronic nursing shortage
B) Focus on treatment of disease
C) Nurses prefer working during the day instead of evening or night shifts
D) More critically ill patients being discharged to home from the hospital
13. A nurse is practicing in an oncology clinic and her role includes clinical practice,
education, management, consultation, and research. Which of the following would most
accurately describe this nurse's title?
A) Midwife B) Clinical nurse specialist C) Nurse manager D) Staff
nurse

Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 1- Health Care Delivery and Nursing Practice
Page 3
14. Nursing continues to recognize the importance of collaboration with other health care
disciplines to meet the complex needs of the patient. Which of the following would be
an example of a collaborative practice model?
A) The nurse and the physician discussing and jointly making clinical decisions
B) The nurse accompanying the physician on rounds
C) The nurse making a referral on behalf of the patient
D) The nurse attending an appointment with the patient
15. According to Maslow's Hierarchy of needs, which dimension of care is considered
primary in importance when caring for a dying patient?
A) Spiritual B) Social C) Physiologic D) Emotional
16. When prioritizing a patient's care plan based on Maslow's Hierarchy of needs, the
nurse's first priority would be:
A) Allowing the family to see a newly admitted patient
B) Ambulating the patient in the hallway
C) Administering pain medication
D) Teaching the patient to self-administer insulin

Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 2- Community-Based Nursing Practice
1
1. A nurse has scheduled a hypertension clinic. This service would be an example of which
type of health care?
A) Tertiary prevention C) Primary prevention
B) Secondary prevention D) Disease prevention
2. The nursing instructor preparing to take her students into the community to provide
nursing care discusses the patients that they are likely to care for in the home. Which of
the following are the most frequent users of home care services?
A) Postpartum patients C) Terminally ill patients
B) Postoperative patients D) Elderly patients
3. Patients' lifestyles in the home may vary greatly from the nurse's own beliefs. To work
successfully with the patient, the nurse must:
A) Ask for another assignment if there is a conflict of interest.
B) Ask the patient to come to the agency to receive treatment.
C) Convey respect for the patient's beliefs.
D) Adapt the patient's home to a hospital-like environment.
4. When providing care in a home, how will the nurse best implement infection control?
A) Cleanse the hands before and after giving direct patient care
B) Remove the patient's wound dressings from the home
C) Dispose of patient's syringes in the patient's garbage
D) Disinfect all work areas in the patient's home
5. The patient is ready to be discharged from the hospital. When should discharge planning
begin?
A) The day prior to discharge C) The day the patient is admitted
B) The day of estimated discharge D) Once the nurse determines care needs
6. During the home care nurse's initial visit to a patient's home, it is important to provide
the patient and family with which of the following information?
A) Other available community resources to meet their needs
B) Information on other patients in the area with similar health care needs
C) The nurse's home address and phone number
D) Dates and times of all scheduled home care visits

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Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 2- Community-Based Nursing Practice
Page 2
7. After the home health nurse has read a referral from the hospital for a patient who needs
a home visit, she should:
A) Identify community services to initiate for the patient.
B) Obtain a physician's order for the visit.
C) Call the patient to obtain permission to visit.
D) Schedule a home health aide to visit the patient.
8. The nurse should inform the health care agency of the daily routines and phone numbers
of the patients that are scheduled. The purpose of this is to:
A) Allow the agency to keep track of payment due to the nurse
B) Protect the nurse making a home care visit
C) Allow the nurse to be easy accessibility for changes in assignments
D) Allow the patient to cancel appointments with minimal inconvenience
9. Documentation related to home care has specific guidelines and regulations that the
nurse must consider and follow. What is most important for the nurse to document to
ensure reimbursement for services while taking care of a patient who has Medicaid?
A) The supplies the nurse will need
B) Directions to the patient's home
C) Quality of nursing care needed
D) The patient's homebound status and the need for skilled professional nursing care
10. The patient who is being discharged following a total knee replacement will need to
walk with crutches for 6 weeks. What assessment does the home care nurse need to
make prior to the patient being discharged home?
A) Assistance of significant others C) Costs of the visits
B) Previous health status D) Home environment
11. A nurse who has achieved advanced education in primary care for a pediatric population
and who is employed in a health clinic is functioning in the role of a:
A) Nurse practitioner C) Clinical nurse specialist
B) Case co-coordinator D) Clinic supervisor
12. A nurse working in a large meat packaging plant sees patients for work-related issues.
The nurse would be functioning in which of the following roles?
A) Occupational health nurse C) Nurse clinician
B) Staff nurse D) Nurse educator

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Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 2- Community-Based Nursing Practice
Page 3
13. A school nurse is concerned about a 4th-grade student with cystic fibrosis because she is
aware that children with health problems are at risk for:
A) Sports injuries
B) Attention disorders
C) Experiencing school-related stress due to a desire to overachieve
D) Underachieving or failing in school
14. Which type of patient seeks health care late in the course of illness and deteriorates
more quickly than other patients?
A) The homeless B) Immigrants C) The elderly D) Adolescents

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Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 3- Critical Thinking, Ethical Decision Making & The Nursing
Process
Page 1
1. A nurse is applying for work at a clinic that offers therapeutic abortions, which
contradicts the nurse's personal beliefs. The nurse feels unable to care for these patients
objectively. What is the nurse's ethical obligation to these patients?
A) The nurse is required by law to continue service to these patients.
B) The nurse should make the choice to decline this position.
C) The nurse may discriminate between patients and refuse to care for the patient.
D) The nurse may express his or her opinion and provide another option to terminating
the pregnancy.
2. The physician has ordered a large dose of narcotic via intravenous infusion for a
terminally ill patient whose respiratory rate has decreased from 16 breaths/min to 10
breaths/min. What action should the nurse take?
A) Decrease the IV infusion
B) Stimulate the patient
C) Report the decreased respiratory rate to the physician
D) Allow the patient to rest comfortably
3. A terminally ill patient has requested a “do not resuscitate” (DNR) order. The family of
the patient is strongly opposed to the patient's request. What is the responsibility of the
nurse?
A) Perform a “slow code” until a decision is made.
B) Honor the request of the patient.
C) Contact a lawyer to intervene.
D) Terminate nursing care until the physician talks to the family.
4. Upon admission the nurse asks the patient, “Do you have a living will?” Which of the
following would correctly define a living will?
A) A legal document that is always honored.
B) A legal document that specifies the patient's wishes before hospitalization.
C) A legal document that is binding for the duration of the patient's life.
D) A legal document drawn by the patient's family to determine DNR status.
5. Which of the following would be considered a nursing implementation?
A) The patient will ambulate twice a day.
B) The patient appears diaphoretic.
C) The patient is at risk for aspiration.
D) The patient is monitored for peripheral edema twice a day.

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Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 3- Critical Thinking, Ethical Decision Making & The Nursing
Process
Page 2
6. Which of the following would be considered a contradiction to the nurse's duty of
nonmaleficence?
A) Provide comfort measures for a terminally ill patient.
B) Assist the patient with ADLs.
C) Refuse to administer pain medication as ordered.
D) Provide all information related to procedures.
7. The physician has arranged an amniocentesis for an 18-year-old woman who is 34
weeks' gestation and does not want this procedure. The physician insisting that the
patient have the procedure would be an example of which of the following?
A) Veracity B) Beneficence C) Paternalism D) Autonomy
8. Which of the following would be an example of the nurse practicing fidelity?
A) Regulating visitors
B) Staying with the patient during his or her death as promised
C) Withholding information as requested
D) Providing continuity of care
9. The patient has been given the wrong medication and asks the nurse if an error has been
made. Which of the following principles would apply if the nurse gives an accurate
response?
A) Veracity B) Confidentiality C) Respect D) Justice
10. When using restraints in a long-term-care setting, what ethical dilemma does this pose?
A) Limits personal safety C) Threatens autonomy
B) Increases confusion D) Prevents self-directed care
11. The nurse is receiving report on her patients and learns that a patient with terminal
cancer has granted power of attorney to her brother. Which of the following applies to
the power of attorney?
A) Another individual has been identified to make decisions on behalf of the patient.
B) It is binding even if the patient changes his or her mind.
C) The named individual is in charge of the patient's finances.
D) It is a legal document delegating custody of children.

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Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 3- Critical Thinking, Ethical Decision Making & The Nursing
Process
Page 3
12. After a discussion with the patient's husband, the nurse discovers that the patient has a
living will. Which of the following applies to a living will?
A) The patient is legally unable to refuse basic life support.
B) The physician may disagree with the patient's desires for treatment.
C) The patient may nullify the living will during the illness.
D) Power of attorney may change while the patient is hospitalized.
13. Which of the following organizations is responsible for developing the taxonomy of a
nursing diagnosis?
A) American Nurses Association (ANA)
B) North American Nursing Diagnosis Association (NANDA)
C) National League for Nursing (NLN)
D) Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
14. Which of the following must be done prior to making a nursing diagnosis?
A) Establish a plan.
B) Assign a positive value to each consequence.
C) Collect and analyze data.
D) Evaluate the plan of care.
15. The phase of the nursing process accomplished by a nurse who administers an
antiemetic medication to a patient who is suffering from postoperative vomiting is the:
A) Assessment phase C) Implementation phase
B) Planning phase D) Evaluation phase
16. One hour after the administration of Zofran to a patient with nausea and vomiting, the
nurse determines that the medication has been effective and documents this in the
patient's record. This phase of the nursing process is termed:
A) Analysis B) Evaluation C) Assessment D) Data collection
17. Which of the following nursing diagnoses would be applicable to a patient who has
rheumatoid arthritis?
A) Self-care deficit related to fatigue and joint stiffness
B) Ineffective airway clearance related to body image disturbance
C) Risk for violence related to anxiety
D) Urinary retention related to chronic pain

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Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 3- Critical Thinking, Ethical Decision Making & The Nursing
Process
Page 4
18. The rationale for documenting and planning the patient's care upon admission is to:
A) Provide continuity of care
B) Create a teaching log for family
C) Verify staffing
D) Provide the patient with information about treatments
19. Nursing diagnoses can be best defined as:
A) Health problems that are amenable to resolution by nursing actions
B) Medical treatments prescribed by the physician
C) Problems that the nurse experiences while caring for the patient
D) The equipment used to implement medical therapy
20. How might the nurse establish a good rapport with the patient during the initial
assessment interview?
A) Ask open-ended questions.
B) Physically distance himself or herself from the patient during the interview.
C) Keep questions short and focused.
D) Perform invasive procedures at the beginning of the assessment.
21. A 65-year-old patient admitted to the hospital with pneumonia has decreased air entry to
bilateral lung bases. An appropriate nursing diagnosis for the patient is:
A) Ineffective airway clearance related to copious tracheobronchial secretions
B) Pneumonia related to disease process
C) Poor ventilation related to infection
D) Immobility related to fatigue
22. Which of the following would be classified as the planning phase of the nursing process
for a patient diagnosed with pneumonia?
A) Improved airway patency C) Administer fluids
B) Promote fluid intake D) Avoid overexertion

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Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 3- Critical Thinking, Ethical Decision Making & The Nursing
Process
Page 5
23. A nurse is caring for a patient with an allergy to peanuts. Which of the following would
be an immediate goal with a nursing diagnosis of knowledge deficit related to the
patient's administration of an EpiPen?
A) The patient will demonstrate correct injection technique with today's teaching
session.
B) The patient will observe the nurse demonstrating the injection.
C) The nurse will teach the patient's family member to administer the injection.
D) The patient will return to the clinic in 2 weeks to demonstrate the injection.
24. A nurse is performing an interdependent nursing intervention when he or she:
A) Provides a back rub to a restless patient to help her sleep
B) Provides mouth care
C) Administers IV fluid
D) Elevates the head of the bed
25. During the evaluation phase of the nursing process, the nurse should:
A) Have the patient provide input on quality of care
B) Discontinue surgical sutures
C) Provide a follow-up appointment for the postoperative patient
D) Document improved gas exchange with incentive spirometry use
26. The nurse is caring for a patient with a fractured hip who is combative and confused,
and he's trying to get out of bed. The nurse should:
A) Leave the patient and get help.
B) Obtain a physician's order to restrain the patient.
C) Read the facility's policy on restraints.
D) Order soft restraints from the storeroom.
27. A patient is to be discharged from an acute-care facility following treatment for right leg
thrombophlebitis. The nurse notes that the patient's leg is pain-free, without redness or
edema. The nurse's actions reflect which step of the nursing process?
A) Assessment B) Analysis C) Implementation D) Evaluation

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Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 3- Critical Thinking, Ethical Decision Making & The Nursing
Process
Page 6
28. To maintain a therapeutic environment with a patient and his family, the nurse can use
such communication techniques as the clarification technique. An example of the
clarification technique is:
A) "How is it going?"
B) "You say you aren't concerned, but you've asked me many questions on this same
subject."
C) "What do you mean when you say...?"
D) "For now, I would like to concentrate on..."
29. After completing rounds, the physician prescribes restraints for four patients on the
floor. Upon reviewing the orders, the nurse knows that it's inappropriate to apply
restraints to which of the following patients?
A) A postlaryngectomy patient attempting to pull out his tracheostomy tube
B) A patient in hypovolemic shock trying to pull out his IV catheter
C) A patient with urosepsis who rings the call bell often to use the bedside commode
D) A paranoid patient who has just tried to commit suicide and is refusing restraints
30. What phase of the nursing process is the nurse performing after admitting a new patient
and focusing on risk factors that could affect the health of this patient?
A) Evaluation B) Diagnosis C) Analysis D) Implementation
31. A 76-year-old patient who has been diagnosed with cancer is weighing his options to
undergo chemotherapy or radiation as his treatment. This patient is utilizing which
ethical principle in making his decision?
A) Beneficence B) Confidentiality C) Autonomy D) Justice
32. A staff nurse discussing the treatment plan of a patient with others members of the
health care team is exhibiting which ethical principle?
A) Confidentiality B) Autonomy C) Justice D) Beneficence
33. Restraints are utilized in certain circumstances to prevent the patient from harming
himself or others. When a nurse uses a restraint on a patient, the nurse is infringing on
which ethical principle?
A) Veracity B) Autonomy C) Double effect D) Fidelity

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Brunner & Suddarth 11th Edition Medical Surgical
Nursing Test Bank
Chapter 3- Critical Thinking, Ethical Decision Making & The Nursing
Process
Page 7
34. A 45-year-old patient who is in a research study dealing with management of migraine
headaches does not know that she is receiving a placebo for pain management. Which
ethical principle is involved in this situation?
A) Sanctity of life B) Confidentiality C) Veracity D) Fidelity
35. A nurse who has been assigned to care for a patient with AIDS refuses to assist in his
care. The nurse has an obligation to this patient under which legal premise?
A) Good Samaritan Act
B) Nursing Interventions Classification (NIC)
C) Patient Self-Determination Act
D) ANA Code of Ethics
36. A terminally ill patient with liver cancer is moaning and very agitated. He is going in
and out of consciousness. The nurse has an order to given morphine sulfate IV for pain
control. His respiratory rate is 10. Which ethical principle would the nurse use to decide
whether or not to administer the medication?
A) Veracity B) Double effect C) Confidentiality D) Autonomy
37. A patient who sustained a T3 spinal cord injury one month ago is now entering the
rehabilitation phase of his treatment. The nurse developing goals and measurable
outcomes for his treatment is working in which step of the nursing process?
A) Assessment B) Planning C) Diagnosis D) Evaluation
38. A 7-year-old child suspected of having meningitis is to undergo a lumbar puncture. The
nurse discussing postprocedure teaching with the child and the mother is demonstrating
which therapeutic communication technique?
A) Informing B) Suggesting C) Humor D) Broad openings
39. The nurse who is preparing to discharge a patient who has undergone a left knee
replacement examines whether or not patient goals have been met. What stage of the
nursing process is being explored?
A) Assessment B) Planning C) Intervention D) Evaluation

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