8th Edition
Author(s)Adrianne Dill Linton;
Mary Ann Matteson
Print ISBN: 9780323826716
TEST BANK
Medical-Surgical Nursing Exam Revision Question Bank
Unit I: Medical-Surgical Nursing
Chapter 1: Aspects of Medical-Surgical Nursing
Difficulty: Mixed
,Question 1 – MCQ
Clinical Scenario
A newly licensed nurse is caring for four patients on a medical-
surgical unit. During shift report, the nurse identifies several
patient care needs and must determine the most appropriate
nursing role to perform.
Question Stem
Which action best demonstrates the nurse's role as a patient
advocate?
Answer Options
A. Administering prescribed medications on schedule
B. Reporting a patient's concerns about a treatment plan to the
healthcare provider
C. Completing documentation before the end of the shift
D. Delegating hygiene care to assistive personnel
Correct Answer
B. Reporting a patient's concerns about a treatment plan to
the healthcare provider
Detailed Rationale
,Advocacy involves protecting patient rights, supporting
informed decision-making, and ensuring that patient
preferences are communicated to the healthcare team. When a
patient expresses concerns regarding treatment, the nurse acts
as an advocate by facilitating communication and ensuring the
patient's voice is heard.
Incorrect Option Analysis
A. Administering prescribed medications on schedule
Why Incorrect: Reflects implementation of care, not
advocacy.
Misconception: Believing all nursing actions constitute
advocacy.
Safety Risk: Patient concerns may remain unaddressed.
C. Completing documentation before shift end
Why Incorrect: Demonstrates accountability rather than
advocacy.
Misconception: Documentation alone protects patient
rights.
Safety Risk: Missed opportunities for patient-centered
care.
D. Delegating hygiene care
Why Incorrect: Demonstrates management skills.
, Misconception: Delegation equals advocacy.
Safety Risk: Patient preferences may not be
communicated.
Nursing Process Linkage
Implementation
NCJMM Competencies
Recognize Cues
Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs
Management of Care
Key Learning Objective
Differentiate nursing advocacy from other professional nursing
roles.
Question 2 – MCQ
Clinical Scenario