,IGNATAVICIUS MEDICAL-SURGICAL
NURSING 11TH EDITION TEST BANK
(2025/2026 UPDATE) | COMPLETE 400
CHAPTER QUESTION BANK WITH
DETAILED CLINICAL RATIONALES &
CLINICAL JUDGMENT SOLUTIONS
Maximize your study efficiency, master
Next-Generation NCLEX (NGN) styles,
and ace your nursing exams with the
most comprehensive study companion
available for Medical-Surgical Nursing:
Concepts for Clinical Judgment and
Collaborative Care, 11th Edition by
,Donna D. Ignatavicius, Cherie R. Rebar,
and Nicole M. Heimgartner.
This premium digital test bank delivers 150
highly realistic, high-yield practice
questions explicitly structured to mirror
current 2025/2026 nursing curricula and
national board testing patterns. Every single
multi-layered question is combined with its
correct answer in a highly visible format,
followed immediately by an in-depth,
clinically grounded rationale that breaks
down the underlying pathophysiology,
nursing interventions, and core prioritization
frameworks.
, 1.A nurse is caring for an older adult patient who was admitted with deep vein
thrombosis (DVT) and is now experiencing sudden-onset shortness of breath and chest
pain. Which action should the nurse take first based on the concept of clinical
judgment?
A) Prepare the patient for a routine chest X-ray scheduled for the next morning.
B) Elevate the head of the bed, apply oxygen, and immediately notify the Rapid
Response Team (RRT).
C) Document the patient's vital signs in the electronic health record.
D) Administer the next scheduled dose of oral warfarine.
Answer: B) Elevate the head of the bed, apply oxygen, and immediately notify the
Rapid Response Team (RRT).
Rationale: Sudden shortness of breath and chest pain in a patient with a known DVT
are classic signs of a life-threatening pulmonary embolism (PE). Clinical judgment
prioritizes immediate stabilization (elevating the bed and administering oxygen) and
rapid collaborative rescue intervention (notifying the RRT) to prevent respiratory and
cardiac arrest.
1. The medical-surgical nurse is collaborating with the clinical pharmacist and healthcare
provider to reconcile a patient's home medications upon admission. This process
addresses which core Quality and Safety Education for Nurses (QSEN) competency?
A) Patient-Centered Care
B) Quality Improvement
C) Teamwork and Collaboration
D) Evidence-Based Practice
Answer: C) Teamwork and Collaboration
Rationale: Medication reconciliation requires open communication, shared decision-
making, and joint problem-solving among multiple healthcare disciplines (nurse,
pharmacist, physician). This directly exemplifies the QSEN competency of Teamwork
and Collaboration to achieve optimal patient outcomes.
2. A nurse is reviewing a new hospital policy regarding the use of chlorhexidine gluconate
for central line dressing changes. The policy references multiple multi-center
randomized controlled trials. What concept is the nurse applying by following this
policy?
A) Informatics
B) Evidence-Based Practice (EBP)
C) Quality Improvement (QI)
D) Patient-Centered Care
Answer: B) Evidence-Based Practice (EBP)
NURSING 11TH EDITION TEST BANK
(2025/2026 UPDATE) | COMPLETE 400
CHAPTER QUESTION BANK WITH
DETAILED CLINICAL RATIONALES &
CLINICAL JUDGMENT SOLUTIONS
Maximize your study efficiency, master
Next-Generation NCLEX (NGN) styles,
and ace your nursing exams with the
most comprehensive study companion
available for Medical-Surgical Nursing:
Concepts for Clinical Judgment and
Collaborative Care, 11th Edition by
,Donna D. Ignatavicius, Cherie R. Rebar,
and Nicole M. Heimgartner.
This premium digital test bank delivers 150
highly realistic, high-yield practice
questions explicitly structured to mirror
current 2025/2026 nursing curricula and
national board testing patterns. Every single
multi-layered question is combined with its
correct answer in a highly visible format,
followed immediately by an in-depth,
clinically grounded rationale that breaks
down the underlying pathophysiology,
nursing interventions, and core prioritization
frameworks.
, 1.A nurse is caring for an older adult patient who was admitted with deep vein
thrombosis (DVT) and is now experiencing sudden-onset shortness of breath and chest
pain. Which action should the nurse take first based on the concept of clinical
judgment?
A) Prepare the patient for a routine chest X-ray scheduled for the next morning.
B) Elevate the head of the bed, apply oxygen, and immediately notify the Rapid
Response Team (RRT).
C) Document the patient's vital signs in the electronic health record.
D) Administer the next scheduled dose of oral warfarine.
Answer: B) Elevate the head of the bed, apply oxygen, and immediately notify the
Rapid Response Team (RRT).
Rationale: Sudden shortness of breath and chest pain in a patient with a known DVT
are classic signs of a life-threatening pulmonary embolism (PE). Clinical judgment
prioritizes immediate stabilization (elevating the bed and administering oxygen) and
rapid collaborative rescue intervention (notifying the RRT) to prevent respiratory and
cardiac arrest.
1. The medical-surgical nurse is collaborating with the clinical pharmacist and healthcare
provider to reconcile a patient's home medications upon admission. This process
addresses which core Quality and Safety Education for Nurses (QSEN) competency?
A) Patient-Centered Care
B) Quality Improvement
C) Teamwork and Collaboration
D) Evidence-Based Practice
Answer: C) Teamwork and Collaboration
Rationale: Medication reconciliation requires open communication, shared decision-
making, and joint problem-solving among multiple healthcare disciplines (nurse,
pharmacist, physician). This directly exemplifies the QSEN competency of Teamwork
and Collaboration to achieve optimal patient outcomes.
2. A nurse is reviewing a new hospital policy regarding the use of chlorhexidine gluconate
for central line dressing changes. The policy references multiple multi-center
randomized controlled trials. What concept is the nurse applying by following this
policy?
A) Informatics
B) Evidence-Based Practice (EBP)
C) Quality Improvement (QI)
D) Patient-Centered Care
Answer: B) Evidence-Based Practice (EBP)
