Medical-Surgical Nursing
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Publisher Published by Elsevier
UK Copyright© 2024
Print ISBN: 9780323878265
TEST BANK
Below is an original 20-item question bank for Unit I: Essential
Concepts of Medical-Surgical Nursing — Overview of
Professional Nursing Concepts for Medical-Surgical Nursing.
,1) MCQ
Clinical Scenario:
A 68-year-old client is admitted after a hip fracture repair.
During admission teaching, the client says, “I do not want my
daughter in the room right now. I get overwhelmed when too
many people are talking.”
Question Stem:
Which nursing action best reflects patient-centered care?
Answer Options:
A. Include the daughter in every teaching session because
family support improves recovery
B. Ask the client who should be present for teaching and when
teaching is most effective
C. Provide all discharge instructions at once to reduce repeated
interruptions
D. Tell the client that family participation is standard and
cannot be declined
Correct Answer:
B
Detailed Rationale:
Patient-centered care means respecting the client’s
preferences, values, and readiness to participate. Asking who
should be present and when teaching is most effective supports
autonomy, reduces overwhelm, and improves learning.
Incorrect Option Analysis:
, A: Incorrect because it ignores the client’s stated
preference. A common misconception is that family
involvement always improves teaching. Safety issue:
overwhelmed clients may miss key instructions.
C: Incorrect because information overload reduces
comprehension and retention.
D: Incorrect because clients can refuse family involvement
unless a specific legal or safety issue exists.
Nursing Process Linkage:
Assessment
Clinical Judgment Competencies (NCJMM):
Recognize Cues; Analyze Cues
Difficulty Level: Moderate
Bloom’s Cognitive Level: Apply
NCLEX Client Needs Category: Psychosocial Integrity
Key Learning Objective:
Apply patient-centered communication that respects client
preferences and supports effective education.
2) SATA
Clinical Scenario:
An older adult client is receiving IV opioids after abdominal
surgery and has a history of falls.
, Question Stem:
Which nursing actions best promote safety? Select all that
apply.
Answer Options:
A. Keep the bed in the lowest position
B. Place the call light within reach
C. Encourage the client to ambulate independently to maintain
strength
D. Use non-skid footwear when out of bed
E. Place all four side rails up at all times
F. Assess the client for sedation before ambulation
Correct Answers:
A, B, D, F
Detailed Rationale:
These interventions reduce fall risk and support safe mobility.
Opioids increase sedation and dizziness, so checking sedation
before ambulation is essential.
Incorrect Option Analysis:
C: Incorrect because independent ambulation is unsafe in
a client at high fall risk and receiving opioids.
E: Incorrect because all four side rails can create a
restraint-like situation and increase injury risk if the client
tries to climb over them.
Nursing Process Linkage:
Implementation
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Publisher Published by Elsevier
UK Copyright© 2024
Print ISBN: 9780323878265
TEST BANK
Below is an original 20-item question bank for Unit I: Essential
Concepts of Medical-Surgical Nursing — Overview of
Professional Nursing Concepts for Medical-Surgical Nursing.
,1) MCQ
Clinical Scenario:
A 68-year-old client is admitted after a hip fracture repair.
During admission teaching, the client says, “I do not want my
daughter in the room right now. I get overwhelmed when too
many people are talking.”
Question Stem:
Which nursing action best reflects patient-centered care?
Answer Options:
A. Include the daughter in every teaching session because
family support improves recovery
B. Ask the client who should be present for teaching and when
teaching is most effective
C. Provide all discharge instructions at once to reduce repeated
interruptions
D. Tell the client that family participation is standard and
cannot be declined
Correct Answer:
B
Detailed Rationale:
Patient-centered care means respecting the client’s
preferences, values, and readiness to participate. Asking who
should be present and when teaching is most effective supports
autonomy, reduces overwhelm, and improves learning.
Incorrect Option Analysis:
, A: Incorrect because it ignores the client’s stated
preference. A common misconception is that family
involvement always improves teaching. Safety issue:
overwhelmed clients may miss key instructions.
C: Incorrect because information overload reduces
comprehension and retention.
D: Incorrect because clients can refuse family involvement
unless a specific legal or safety issue exists.
Nursing Process Linkage:
Assessment
Clinical Judgment Competencies (NCJMM):
Recognize Cues; Analyze Cues
Difficulty Level: Moderate
Bloom’s Cognitive Level: Apply
NCLEX Client Needs Category: Psychosocial Integrity
Key Learning Objective:
Apply patient-centered communication that respects client
preferences and supports effective education.
2) SATA
Clinical Scenario:
An older adult client is receiving IV opioids after abdominal
surgery and has a history of falls.
, Question Stem:
Which nursing actions best promote safety? Select all that
apply.
Answer Options:
A. Keep the bed in the lowest position
B. Place the call light within reach
C. Encourage the client to ambulate independently to maintain
strength
D. Use non-skid footwear when out of bed
E. Place all four side rails up at all times
F. Assess the client for sedation before ambulation
Correct Answers:
A, B, D, F
Detailed Rationale:
These interventions reduce fall risk and support safe mobility.
Opioids increase sedation and dizziness, so checking sedation
before ambulation is essential.
Incorrect Option Analysis:
C: Incorrect because independent ambulation is unsafe in
a client at high fall risk and receiving opioids.
E: Incorrect because all four side rails can create a
restraint-like situation and increase injury risk if the client
tries to climb over them.
Nursing Process Linkage:
Implementation
