Medical-Surgical Nursing Test Bank 2026-
2027 | Ignatavicius 11th Edition | 100
NCLEX-Style Questions with Answers &
Explanations for Nursing Students
Description:
Download the complete Medical-Surgical Nursing Test Bank 2026-2027 for Ignatavicius
11th Edition. 100 exam-style questions with correct answers and rationales. Covers patient
safety, fluid/electrolytes, pharmacology, and critical care. Ace your nursing exams.
Download now and pass on your first attempt!
, Medical-Surgical Nursing Test Bank 2026-2027 (Ignatavicius 11th)
Source: Based on core concepts from Medical-Surgical Nursing: Concepts for Clinical
Judgment and Collaborative Care, 11th Edition (Ignatavicius).
Instructions: This examination assesses knowledge of foundational medical-surgical nursing
concepts, including patient-centered care, safety, interdisciplinary collaboration, fluid and
electrolyte balance, cellular regulation, and immunity. Select the best answer for each multiple-
choice question.
Section 1: Foundational Concepts of Patient-Centered Care and Safety
1. A nurse strives to implement client-centered care in all clinical interactions. Which action best
exemplifies this competency?
A. Evaluating the client’s cultural background and its influence on health beliefs and practices.
B. Ensuring all of the client’s basic physical needs are consistently met.
C. Informing the client and family about all scheduled diagnostic tests.
D. Conducting a thorough orientation of the client and family to the hospital room.
Answer: A
Explanation: Client-centered care emphasizes respect, compassion, cultural competence,
education, and empowerment. Assessing cultural influences directly addresses the client’s unique
values and preferences, which is the essence of this competency. While meeting basic needs and
providing information are important, they do not fully demonstrate client-centeredness without
attention to the individual’s cultural and personal context.
2. A postoperative client on a surgical unit had a blood pressure of 142/76 mm Hg 30 minutes
ago. The current reading is 88/50 mm Hg. What is the nurse’s priority action?
A. Activate the Rapid Response Team (RRT).
B. Document the finding and continue routine monitoring.
,C. Page the primary health care provider.
D. Recheck the blood pressure in 15 minutes.
Answer: A
Explanation: The Rapid Response Team (RRT) is designed to intervene when a client shows
signs of clinical deterioration before a respiratory or cardiac arrest occurs. A significant drop in
systolic blood pressure (greater than 40 mm Hg) is a critical change. Activating the RRT ensures
immediate, collaborative assessment and intervention. Delaying action for further monitoring or
solely notifying the provider is unsafe.
3. The nurse is orienting a newly admitted client and family to the inpatient unit. Which
instruction best promotes the client’s active role in personal safety?
A. “You and your family should be active partners in all aspects of your care.”
B. “Please monitor all health care workers for proper hand hygiene.”
C. “You are welcome to have a family member stay with you at all times.”
D. “Make sure you keep your identification armband on at all times.”
Answer: A
Explanation: Encouraging the client and family to be active partners is the broadest and most
effective safety strategy. It empowers them to ask questions, verify information, speak up about
concerns, and participate in decision-making. The other actions are specific and helpful but
limited in scope compared to the comprehensive protection gained through active engagement.
4. A preceptor is mentoring a newly licensed nurse on a medical-surgical unit. Which priority
should the preceptor emphasize as the foundation of professional nursing practice?
A. Addressing holistic client needs.
B. Ensuring client safety at all times.
C. Avoiding all medication errors.
D. Providing culturally competent care.
Answer: B
, Explanation: Client safety is the non-negotiable priority in professional nursing. According to
landmark reports (e.g., Institute of Medicine, 2000), preventable errors in hospital care result in
significant morbidity and mortality. While holistic care, medication safety, and cultural
competence are critical, they are all components of the overarching duty to ensure the client’s
physical and psychological safety.
5. A client is being admitted for elective surgery. Which action does the nurse explain as the
most important for the client to take to prevent health care errors?
A. Bring a complete, updated list of all home medications and their purposes.
B. Keep the surgeon’s contact number readily available.
C. Remind all providers to perform hand hygiene before entering the room.
D. Document the name and role of each caregiver who enters the room.
Answer: A
Explanation: Medication errors are among the most common types of health care mistakes. The
Joint Commission’s Speak Up™ campaign emphasizes that clients should know all their
medications, including names, doses, and reasons for taking them. This knowledge allows the
client to verify medications at admission, during transfers, and before administration, directly
preventing medication errors.
6. Which nursing action best demonstrates respect for the ethical principle of autonomy?
A. Asking the client if they have any remaining questions before signing a consent form.
B. Providing accurate, truthful information when the client asks a question.
C. Following through on a promise made to the client and family.
D. Ensuring the client receives the same quality of care as other clients.
Answer: A
Explanation: Autonomy refers to the client’s right to self-determination and informed decision-
making. Obtaining a signature on a consent form is a legal process, but the nurse’s assessment of
whether the client has unanswered questions ensures that the client has sufficient information to
2027 | Ignatavicius 11th Edition | 100
NCLEX-Style Questions with Answers &
Explanations for Nursing Students
Description:
Download the complete Medical-Surgical Nursing Test Bank 2026-2027 for Ignatavicius
11th Edition. 100 exam-style questions with correct answers and rationales. Covers patient
safety, fluid/electrolytes, pharmacology, and critical care. Ace your nursing exams.
Download now and pass on your first attempt!
, Medical-Surgical Nursing Test Bank 2026-2027 (Ignatavicius 11th)
Source: Based on core concepts from Medical-Surgical Nursing: Concepts for Clinical
Judgment and Collaborative Care, 11th Edition (Ignatavicius).
Instructions: This examination assesses knowledge of foundational medical-surgical nursing
concepts, including patient-centered care, safety, interdisciplinary collaboration, fluid and
electrolyte balance, cellular regulation, and immunity. Select the best answer for each multiple-
choice question.
Section 1: Foundational Concepts of Patient-Centered Care and Safety
1. A nurse strives to implement client-centered care in all clinical interactions. Which action best
exemplifies this competency?
A. Evaluating the client’s cultural background and its influence on health beliefs and practices.
B. Ensuring all of the client’s basic physical needs are consistently met.
C. Informing the client and family about all scheduled diagnostic tests.
D. Conducting a thorough orientation of the client and family to the hospital room.
Answer: A
Explanation: Client-centered care emphasizes respect, compassion, cultural competence,
education, and empowerment. Assessing cultural influences directly addresses the client’s unique
values and preferences, which is the essence of this competency. While meeting basic needs and
providing information are important, they do not fully demonstrate client-centeredness without
attention to the individual’s cultural and personal context.
2. A postoperative client on a surgical unit had a blood pressure of 142/76 mm Hg 30 minutes
ago. The current reading is 88/50 mm Hg. What is the nurse’s priority action?
A. Activate the Rapid Response Team (RRT).
B. Document the finding and continue routine monitoring.
,C. Page the primary health care provider.
D. Recheck the blood pressure in 15 minutes.
Answer: A
Explanation: The Rapid Response Team (RRT) is designed to intervene when a client shows
signs of clinical deterioration before a respiratory or cardiac arrest occurs. A significant drop in
systolic blood pressure (greater than 40 mm Hg) is a critical change. Activating the RRT ensures
immediate, collaborative assessment and intervention. Delaying action for further monitoring or
solely notifying the provider is unsafe.
3. The nurse is orienting a newly admitted client and family to the inpatient unit. Which
instruction best promotes the client’s active role in personal safety?
A. “You and your family should be active partners in all aspects of your care.”
B. “Please monitor all health care workers for proper hand hygiene.”
C. “You are welcome to have a family member stay with you at all times.”
D. “Make sure you keep your identification armband on at all times.”
Answer: A
Explanation: Encouraging the client and family to be active partners is the broadest and most
effective safety strategy. It empowers them to ask questions, verify information, speak up about
concerns, and participate in decision-making. The other actions are specific and helpful but
limited in scope compared to the comprehensive protection gained through active engagement.
4. A preceptor is mentoring a newly licensed nurse on a medical-surgical unit. Which priority
should the preceptor emphasize as the foundation of professional nursing practice?
A. Addressing holistic client needs.
B. Ensuring client safety at all times.
C. Avoiding all medication errors.
D. Providing culturally competent care.
Answer: B
, Explanation: Client safety is the non-negotiable priority in professional nursing. According to
landmark reports (e.g., Institute of Medicine, 2000), preventable errors in hospital care result in
significant morbidity and mortality. While holistic care, medication safety, and cultural
competence are critical, they are all components of the overarching duty to ensure the client’s
physical and psychological safety.
5. A client is being admitted for elective surgery. Which action does the nurse explain as the
most important for the client to take to prevent health care errors?
A. Bring a complete, updated list of all home medications and their purposes.
B. Keep the surgeon’s contact number readily available.
C. Remind all providers to perform hand hygiene before entering the room.
D. Document the name and role of each caregiver who enters the room.
Answer: A
Explanation: Medication errors are among the most common types of health care mistakes. The
Joint Commission’s Speak Up™ campaign emphasizes that clients should know all their
medications, including names, doses, and reasons for taking them. This knowledge allows the
client to verify medications at admission, during transfers, and before administration, directly
preventing medication errors.
6. Which nursing action best demonstrates respect for the ethical principle of autonomy?
A. Asking the client if they have any remaining questions before signing a consent form.
B. Providing accurate, truthful information when the client asks a question.
C. Following through on a promise made to the client and family.
D. Ensuring the client receives the same quality of care as other clients.
Answer: A
Explanation: Autonomy refers to the client’s right to self-determination and informed decision-
making. Obtaining a signature on a consent form is a legal process, but the nurse’s assessment of
whether the client has unanswered questions ensures that the client has sufficient information to
