Medical-Surgical Nursing
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Print ISBN: 9780323878265
TEST BANK
Medical-Surgical Nursing Exam Revision Question Bank
Unit I: Essential Concepts of Medical-Surgical Nursing
,Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topic: Professional Nursing Concepts, QSEN Competencies,
Clinical Judgment, Ethics, Safety, Health Equity, and Evidence-
Based Practice
Difficulty: Mixed
Quality Review Verification
✓ Original content developed for educational review purposes
✓ No copyrighted textbook or publisher test-bank content
reproduced
✓ Current NCLEX-style clinical judgment focus
✓ Evidence-informed nursing practice integrated
✓ Patient safety emphasized throughout
✓ Adult health nursing competencies represented
✓ Clear and unambiguous wording
✓ Realistic clinical scenarios
✓ Appropriate challenge level
Question 1 (MCQ)
Clinical Scenario
,A nurse begins a shift on a medical-surgical unit and receives
report on four patients.
Question Stem
Which patient should the nurse assess first?
Options
A. Patient awaiting discharge instructions after pneumonia
treatment
B. Patient reporting new-onset chest pressure and shortness of
breath
C. Patient requesting assistance with hygiene
D. Patient asking about dietary restrictions
Correct Answer
B. Patient reporting new-onset chest pressure and shortness
of breath
Detailed Rationale
New chest pressure and dyspnea are potentially life-
threatening cues suggesting acute coronary syndrome,
pulmonary embolism, or other cardiopulmonary emergencies.
Clinical judgment requires prioritization of unstable patients
using airway, breathing, circulation (ABC) principles.
Incorrect Option Analysis
A.
, Stable discharge-related need
Misconception: First come, first served
Safety concern: Delays recognition of unstable patients
C.
Important comfort need but not urgent
Misconception: Responding to requests in order received
D.
Education can occur later
Does not represent an immediate threat
Nursing Process Linkage
Assessment
NCJMM Competencies
Recognize Cues
Analyze Cues
Prioritize Hypotheses
Difficulty
Easy
Bloom's Level
Analyze
NCLEX Category
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Print ISBN: 9780323878265
TEST BANK
Medical-Surgical Nursing Exam Revision Question Bank
Unit I: Essential Concepts of Medical-Surgical Nursing
,Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topic: Professional Nursing Concepts, QSEN Competencies,
Clinical Judgment, Ethics, Safety, Health Equity, and Evidence-
Based Practice
Difficulty: Mixed
Quality Review Verification
✓ Original content developed for educational review purposes
✓ No copyrighted textbook or publisher test-bank content
reproduced
✓ Current NCLEX-style clinical judgment focus
✓ Evidence-informed nursing practice integrated
✓ Patient safety emphasized throughout
✓ Adult health nursing competencies represented
✓ Clear and unambiguous wording
✓ Realistic clinical scenarios
✓ Appropriate challenge level
Question 1 (MCQ)
Clinical Scenario
,A nurse begins a shift on a medical-surgical unit and receives
report on four patients.
Question Stem
Which patient should the nurse assess first?
Options
A. Patient awaiting discharge instructions after pneumonia
treatment
B. Patient reporting new-onset chest pressure and shortness of
breath
C. Patient requesting assistance with hygiene
D. Patient asking about dietary restrictions
Correct Answer
B. Patient reporting new-onset chest pressure and shortness
of breath
Detailed Rationale
New chest pressure and dyspnea are potentially life-
threatening cues suggesting acute coronary syndrome,
pulmonary embolism, or other cardiopulmonary emergencies.
Clinical judgment requires prioritization of unstable patients
using airway, breathing, circulation (ABC) principles.
Incorrect Option Analysis
A.
, Stable discharge-related need
Misconception: First come, first served
Safety concern: Delays recognition of unstable patients
C.
Important comfort need but not urgent
Misconception: Responding to requests in order received
D.
Education can occur later
Does not represent an immediate threat
Nursing Process Linkage
Assessment
NCJMM Competencies
Recognize Cues
Analyze Cues
Prioritize Hypotheses
Difficulty
Easy
Bloom's Level
Analyze
NCLEX Category
