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CHAPTER 1: INTRODUCTION TO MEDICAL-SURGICAL NURSING

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2025/2026 Written for academic year
Institution Med Surg
Course Med surg
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CHAPTER 1: INTRODUCTION TO MEDICAL-SURGICAL NURSING

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Chapter 1: Introduction to Medical-
st st st st


Surgical Nursing st




Astnursesthasstrecentlystbeenstassignedsttostastmedical-
surgicalstclinicalstrotation.stAccordingsttostthestscopestofstmedical-
surgicalstnursing,stwhatsttypestofstclientstassignmentsstdoesstthestnursestexpectst
tostsee?
A.stHospitalizedstchildrenstwithstacutestandstchronicstillnesses
B.stHospitalizedstadultsstwithstacutestandstchronicstillnesses
C.stOlderstadultsstinstastnursingsthome

D.stWorkingstadultsstinstastcorporatestsettingst-stcorrectstanswer✔ ✔
B.stHospitalizedstadultsstwithstacutestandstchronicstillnesses


Rationale
Thestscopestofstmedical-
surgicalstnursing,stsometimesstcalledstadultsthealthstnursing,stissttostpromotesth
ealthstandstpreventstillnessstorstinjurystinstclientsstfromst18sttost100styearsstofstage
storstolder.stThestmoststcommonstpracticestsettingstisstthestacutestcaresthospital.




Astnursingststudentsthasstbeenstassignedsttostthesthospital'sstRapidstResponsestT
eamst(RRT).stWhichststatementstbysttheststudentstindicatesstastcorrectstundersta
ndingstofstthestRRTstmember'sstpurpose?
A.st"Istwillstbestcaringstforstclientsstinstthesthospital."
B.st"Istwillstbestridingstalongstinstthesthospital'sstambulance."

,C.st"Istwillstbestadmittingstclientssttostthesthospital."

D.st"Istwillstbestobservingstcodest'blue'stresuscitations."st-stcorrectstanswer✔
✔ A.st"Istwillstbestcaringstforstclientsstinstthesthospital."


Rationale
A.stMembersstofstthestRRTstarestcriticalstcarestexpertsstwhostarestonstsitestinstthest
hospitalstandstarestavailablestatstanysttime.


Whichstprincipalstnursingstactionsstbeststsupportstastfocusstonstclientstsafety?stS
electstallstthatstapply.


A.stClientstrestraints
B.stHandwashing
C.stPreoperativestchecklists
D.stRespectstforstothers

E.stFivestrightsstofstdrugstadministrationst-stcorrectstanswer✔ ✔
B.stHandwashing
C.stPreoperativestchecklists
E.stFivestrightsstofstdrugstadministration


Rationale

, Thestnumberstonestwaysttostpreventstinfectionstinstclients!stThisstisstastmajorstme
thodstthatstfacilitatesstastsafestcarestenvironmentstforstthestclient.


Astnursestisstworkingstinstthestintensivestcarestunit.stWhenstdoesstthestnursestcallst
thestRapidstResponsestTeamst(RRT)?


A.stAnst87-year-
oldstclientstawakensstmildlystconfused,stthenstreorientsstquickly.
B.stAstnewlystadmittedstclientstrequestsstpainstmedication.
C.stAstpostoperativestclient'sstdressingsthasstmildstbloodystdrainage.
D.stAstpostoperativestclient'sstbloodstpressurestsuddenlystdrops.st-
stcorrectstanswer✔ ✔
D.stAstpostoperativestclient'sstbloodstpressurestsuddenlystdrops.


Rationale
D.stThestRRTstshouldstbestcalledstwheneverstastclientsthasstastslowstorstsuddenstd
eteriorationstinstclinicalstcondition.


Whichstrolestofstthestmedical-
surgicalstnursestisstdemonstratedstbystwritingstastcarestplanstforstthestclientstwhost
isstnewlystadmittedsttostthesthospital?
A.stAdvocate
B.stCaregiver

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