TesT Bank for IgnaTavIcIus MedIcal-
surgIcal nursIng: concepTs for clInIcal
JudgMenT and collaBoraTIve care, 11Th
edITIon | 300+ verIfIed Q&a wITh raTIonales
| IsBn: 9780323878265 | nexT-gen nclex (ngn)
sTyle prep
Master the 11th Edition of Ignatavicius: Medical-Surgical Nursing with this verified bank of
300+ practice questions! This guide covers every major system, including Cardiac, Respiratory,
Renal, GI, Neuro, and Endocrine. Each question is aligned with the N CSBN Clinical Judgment
Measurement Model and QSEN competencies. Features bolded correct answers and detailed
rationales for every choice. Perfect for acing your unit exams and preparing for the Next-Gen
NCLEX (NGN). A+ grade assured!
Foundations of Medical-Surgical Nursing (1–15)
1. A nurse is caring for a client who is post-operative. The nurse uses the NCSBN Clinical
Judgment Measurement Model to guide care. Which action represents the first step,
"Recognizing Cues"?
A. Identifying that the client's heart rate has increased from 80 to 110 bpm.
B. Noting the client's surgical site is red and warm to the touch.
C. Deciding to administer PRN pain medication.
D. Asking the client to rate their pain on a scale of 0 to 10.
Rationale: Recognizing cues involves identifying relevant information (signs and symptoms)
that differ from the norm. A surgical site being red/warm is a significant cue.
2. Which QSEN competency is the nurse practicing when utilizing the SBAR tool during a hand-
off report?
A. Patient-Centered Care
B. Informatics
C. Teamwork and Collaboration
D. Evidence-Based Practice
Rationale: Teamwork and Collaboration involves functioning effectively within nursing and
interprofessional teams. SBAR is a standardized communication tool to facilitate this.
,3. A nurse is preparing to delegate a task to an Assistive Personnel (AP). Which task is
appropriate for the nurse to delegate?
A. Evaluating the effectiveness of a client's pain medication.
B. Recording the intake and output for a client on a fluid restriction.
C. Assessing a client’s breath sounds after a breathing treatment.
D. Creating a teaching plan for a client newly diagnosed with diabetes.
Rationale: Only non-invasive, routine tasks can be delegated. Evaluation, assessment, and
teaching require the clinical judgment of a licensed nurse.
4. A nurse uses the "Teach-Back" method while educating a client about wound care. This
action supports which concept?
A. Quality Improvement
B. Health Literacy and Safety
C. Systems Thinking
D. Clinical Reasoning
Rationale: The "Teach-Back" method verifies that the client understands the information
provided, which is essential for safety and addressing health literacy.
5. Which action by the nurse best demonstrates "Patient-Centered Care"?
A. Providing all care exactly as outlined in the hospital protocol.
B. Asking a transgender client for their preferred name and pronouns.
C. Telling the family to leave the room so the nurse can work faster.
D. Discouraging a client from using alternative therapies.
Rationale: Patient-centered care involves respecting the client’s identity, values, and
preferences as part of the care partnership.
6. A nurse is reviewing a hospital’s "never event" data to find ways to reduce falls. This nurse
is engaging in:
A. Quality Improvement (QI)
B. Evidence-Based Practice
C. Systems Thinking
D. Clinical Judgment
Rationale: QI involves using data to monitor outcomes and design changes to improve the
quality and safety of health care.
7. A nurse is caring for a client with limited English proficiency. What is the priority nursing
action?
A. Ask the client's 10-year-old child to translate.
B. Use a smartphone translation app.
C. Request a certified medical interpreter.
,D. Speak slowly and use hand gestures.
Rationale: To ensure safety and accuracy in medical communication, a certified interpreter
must be used.
8. Which is a characteristic of "Systems Thinking"?
A. Focusing only on an individual nurse's mistake.
B. Understanding how the environment and hospital structure affect patient safety.
C. Ignoring the root cause of an error.
D. Discouraging collaboration between departments.
Rationale: Systems thinking looks at how various components of a healthcare system work
together to prevent or cause errors.
9. The nurse implements a new protocol for Foley catheter insertion based on a recent meta-
analysis. This is an example of:
A. Informatics
B. Evidence-Based Practice (EBP)
C. Patient-Centered Care
D. Delegation
Rationale: EBP involves integrating the best current evidence from research with clinical
expertise and patient values.
10. What is the primary purpose of the "Joint Commission’s National Patient Safety Goals"?
A. To increase hospital revenue.
B. To provide specific requirements for patient safety in healthcare settings.
C. To replace the nursing process.
D. To regulate nursing licensure.
Rationale: These goals (like "Time-Outs") are specific strategies to prevent medical errors and
improve safety.
11. Which nursing action is a "Failure to Rescue" prevention strategy?
A. Checking the client's ID band.
B. Monitoring trends in vital signs and recognizing subtle clinical changes.
C. Documenting care at the end of the shift.
D. Following the facility's dress code.
Rationale: Failure to rescue is the inability to recognize or act upon early signs of clinical
deterioration.
12. A nurse is caring for a client who is a veteran. Which specific question should the nurse
ask to provide culturally sensitive care?
A. "Did you enjoy your service?"
, B. "Tell me about your military experience and if it affects your health."
C. "Why did you join the military?"
D. "Are you proud of your veteran status?"
Rationale: Asking open-ended questions about military service helps the nurse identify
specific health risks (e.g., PTSD, exposure).
13. In the Clinical Judgment Measurement Model, which step involves deciding which cues
are most concerning?
A. Recognize Cues
B. Analyze Cues
C. Prioritize Hypotheses
D. Generate Solutions
Rationale: Analyzing cues involves linking identified data to potential client problems and
determining the significance.
14. A nurse uses an electronic health record (EHR) to flag a potential drug interaction. This
represents:
A. Informatics
B. Quality Improvement
C. Patient-Centered Care
D. Teamwork
Rationale: Informatics is the use of information and technology to communicate, manage
knowledge, and support decision-making.
15. Rapid Response Teams (RRTs) are primarily designed to:
A. Assist with bed baths.
B. Intervene before a client experiences a cardiac or respiratory arrest.
C. Replace the primary physician.
D. Manage the discharge process.
Rationale: RRTs are called for acute changes in client status to prevent "failure to rescue."
Fluid, Electrolyte, and Acid-Base Balance (16–50)
16. Which client is at the highest risk for developing fluid volume deficit?
A. A young adult with a fractured arm.
B. An older adult with a fever and persistent vomiting.
C. A client receiving 0.9% Normal Saline at 50 mL/hr.
D. A client with chronic kidney disease.
surgIcal nursIng: concepTs for clInIcal
JudgMenT and collaBoraTIve care, 11Th
edITIon | 300+ verIfIed Q&a wITh raTIonales
| IsBn: 9780323878265 | nexT-gen nclex (ngn)
sTyle prep
Master the 11th Edition of Ignatavicius: Medical-Surgical Nursing with this verified bank of
300+ practice questions! This guide covers every major system, including Cardiac, Respiratory,
Renal, GI, Neuro, and Endocrine. Each question is aligned with the N CSBN Clinical Judgment
Measurement Model and QSEN competencies. Features bolded correct answers and detailed
rationales for every choice. Perfect for acing your unit exams and preparing for the Next-Gen
NCLEX (NGN). A+ grade assured!
Foundations of Medical-Surgical Nursing (1–15)
1. A nurse is caring for a client who is post-operative. The nurse uses the NCSBN Clinical
Judgment Measurement Model to guide care. Which action represents the first step,
"Recognizing Cues"?
A. Identifying that the client's heart rate has increased from 80 to 110 bpm.
B. Noting the client's surgical site is red and warm to the touch.
C. Deciding to administer PRN pain medication.
D. Asking the client to rate their pain on a scale of 0 to 10.
Rationale: Recognizing cues involves identifying relevant information (signs and symptoms)
that differ from the norm. A surgical site being red/warm is a significant cue.
2. Which QSEN competency is the nurse practicing when utilizing the SBAR tool during a hand-
off report?
A. Patient-Centered Care
B. Informatics
C. Teamwork and Collaboration
D. Evidence-Based Practice
Rationale: Teamwork and Collaboration involves functioning effectively within nursing and
interprofessional teams. SBAR is a standardized communication tool to facilitate this.
,3. A nurse is preparing to delegate a task to an Assistive Personnel (AP). Which task is
appropriate for the nurse to delegate?
A. Evaluating the effectiveness of a client's pain medication.
B. Recording the intake and output for a client on a fluid restriction.
C. Assessing a client’s breath sounds after a breathing treatment.
D. Creating a teaching plan for a client newly diagnosed with diabetes.
Rationale: Only non-invasive, routine tasks can be delegated. Evaluation, assessment, and
teaching require the clinical judgment of a licensed nurse.
4. A nurse uses the "Teach-Back" method while educating a client about wound care. This
action supports which concept?
A. Quality Improvement
B. Health Literacy and Safety
C. Systems Thinking
D. Clinical Reasoning
Rationale: The "Teach-Back" method verifies that the client understands the information
provided, which is essential for safety and addressing health literacy.
5. Which action by the nurse best demonstrates "Patient-Centered Care"?
A. Providing all care exactly as outlined in the hospital protocol.
B. Asking a transgender client for their preferred name and pronouns.
C. Telling the family to leave the room so the nurse can work faster.
D. Discouraging a client from using alternative therapies.
Rationale: Patient-centered care involves respecting the client’s identity, values, and
preferences as part of the care partnership.
6. A nurse is reviewing a hospital’s "never event" data to find ways to reduce falls. This nurse
is engaging in:
A. Quality Improvement (QI)
B. Evidence-Based Practice
C. Systems Thinking
D. Clinical Judgment
Rationale: QI involves using data to monitor outcomes and design changes to improve the
quality and safety of health care.
7. A nurse is caring for a client with limited English proficiency. What is the priority nursing
action?
A. Ask the client's 10-year-old child to translate.
B. Use a smartphone translation app.
C. Request a certified medical interpreter.
,D. Speak slowly and use hand gestures.
Rationale: To ensure safety and accuracy in medical communication, a certified interpreter
must be used.
8. Which is a characteristic of "Systems Thinking"?
A. Focusing only on an individual nurse's mistake.
B. Understanding how the environment and hospital structure affect patient safety.
C. Ignoring the root cause of an error.
D. Discouraging collaboration between departments.
Rationale: Systems thinking looks at how various components of a healthcare system work
together to prevent or cause errors.
9. The nurse implements a new protocol for Foley catheter insertion based on a recent meta-
analysis. This is an example of:
A. Informatics
B. Evidence-Based Practice (EBP)
C. Patient-Centered Care
D. Delegation
Rationale: EBP involves integrating the best current evidence from research with clinical
expertise and patient values.
10. What is the primary purpose of the "Joint Commission’s National Patient Safety Goals"?
A. To increase hospital revenue.
B. To provide specific requirements for patient safety in healthcare settings.
C. To replace the nursing process.
D. To regulate nursing licensure.
Rationale: These goals (like "Time-Outs") are specific strategies to prevent medical errors and
improve safety.
11. Which nursing action is a "Failure to Rescue" prevention strategy?
A. Checking the client's ID band.
B. Monitoring trends in vital signs and recognizing subtle clinical changes.
C. Documenting care at the end of the shift.
D. Following the facility's dress code.
Rationale: Failure to rescue is the inability to recognize or act upon early signs of clinical
deterioration.
12. A nurse is caring for a client who is a veteran. Which specific question should the nurse
ask to provide culturally sensitive care?
A. "Did you enjoy your service?"
, B. "Tell me about your military experience and if it affects your health."
C. "Why did you join the military?"
D. "Are you proud of your veteran status?"
Rationale: Asking open-ended questions about military service helps the nurse identify
specific health risks (e.g., PTSD, exposure).
13. In the Clinical Judgment Measurement Model, which step involves deciding which cues
are most concerning?
A. Recognize Cues
B. Analyze Cues
C. Prioritize Hypotheses
D. Generate Solutions
Rationale: Analyzing cues involves linking identified data to potential client problems and
determining the significance.
14. A nurse uses an electronic health record (EHR) to flag a potential drug interaction. This
represents:
A. Informatics
B. Quality Improvement
C. Patient-Centered Care
D. Teamwork
Rationale: Informatics is the use of information and technology to communicate, manage
knowledge, and support decision-making.
15. Rapid Response Teams (RRTs) are primarily designed to:
A. Assist with bed baths.
B. Intervene before a client experiences a cardiac or respiratory arrest.
C. Replace the primary physician.
D. Manage the discharge process.
Rationale: RRTs are called for acute changes in client status to prevent "failure to rescue."
Fluid, Electrolyte, and Acid-Base Balance (16–50)
16. Which client is at the highest risk for developing fluid volume deficit?
A. A young adult with a fractured arm.
B. An older adult with a fever and persistent vomiting.
C. A client receiving 0.9% Normal Saline at 50 mL/hr.
D. A client with chronic kidney disease.
