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a href="#"Medical Surgical Nursing IAG Integrated Assessment Guide Comprehensive Med Surg Nursing Review NCLEX ATI Study Guide 2025/ 2026/a

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Strengthen your clinical competence with the Medical-Surgical Nursing IAG (Integrated Assessment Guide). This 2025/ 2026 resource helps nursing students review essential adult health concepts including cardiovascular, respiratory, neurological, renal, endocrine, gastrointestinal, and musculoskeletal disorders, as well as fluid and electrolyte balance, infection control, pharmacology principles, patient assessment, and priority nursing interventions. Designed for NCLEX and ATI preparation, this guide supports clinical judgment, evidence-based practice, and safe patient care through structured medical-surgical nursing review and application-based learning.

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,OpenStax Medical-Surgical Nursing Instructor Answer Guide



OpenStax Medical-Surgical Nursing
Instructor Answer Guide
Chapter 1: Professional Medical-Surgical Nursing...........................................................................9
Chapter 1: Professional Medical-Surgical Nursing...........................................................................9
Review Questions........................................................................................................................9
Check Your Understanding Questions......................................................................................11
Reflection Questions.................................................................................................................12
What Should the Nurse Do?......................................................................................................15
Competency-Based Assessments..............................................................................................18
Chapter 2: Culturally Competent Care..........................................................................................21
Chapter 2: Culturally Competent Care..........................................................................................21
Review Questions......................................................................................................................21
Check Your Understanding Questions......................................................................................22
Reflection Questions.................................................................................................................23
What Should the Nurse Do?......................................................................................................24
Competency-Based Assessments..............................................................................................26
Chapter 3: Health Promotion and Patient Education....................................................................27
Chapter 3: Health Promotion and Patient Education....................................................................27
Review Questions......................................................................................................................27
Check Your Understanding Questions......................................................................................29
Reflection Questions.................................................................................................................31
What Should the Nurse Do?......................................................................................................33
Competency-Based Assessments..............................................................................................37
Chapter 4: Clinical Judgment in the Nursing Process....................................................................39
Chapter 4: Clinical Judgment in the Nursing Process....................................................................39
Review Questions......................................................................................................................39
Check Your Understanding Questions......................................................................................42
Reflection Questions.................................................................................................................43
What Should the Nurse Do?......................................................................................................44
Competency-Based Assessments..............................................................................................45
Chapter 5: Ethical Decision Making...............................................................................................47
Chapter 5: Ethical Decision Making...............................................................................................47
Review Questions......................................................................................................................47
Check Your Understanding Questions......................................................................................49
Reflection Questions.................................................................................................................49
What Should the Nurse Do?......................................................................................................51
2

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9/25/2024

, Competency-Based Assessments..............................................................................................52
Chapter 6: Comprehensive Health Assessment and Physical Examination..................................54
Chapter 6: Comprehensive Health Assessment and Physical Examination..................................54
Review Questions......................................................................................................................54
Check Your Understanding Questions......................................................................................56
Reflection Questions.................................................................................................................57
What Should the Nurse Do?......................................................................................................58
Competency-Based Assessments..............................................................................................58
Chapter 7: Pain Assessment and Management.............................................................................60
Chapter 7: Pain Assessment and Management.............................................................................60
Review Questions......................................................................................................................60
Check Your Understanding Questions......................................................................................62
Reflection Questions.................................................................................................................63
What Should the Nurse Do?......................................................................................................63
Competency-Based Assessments..............................................................................................64
Chapter 8: Stress and Stress-Related Disorders............................................................................65
Chapter 8: Stress and Stress-Related Disorders............................................................................65
Review Questions......................................................................................................................65
Check Your Understanding Questions......................................................................................68
Reflection Questions.................................................................................................................69
What Should the Nurse Do?......................................................................................................70
Competency-Based Assessments..............................................................................................72
Chapter 9: Management of Chronic Illness...................................................................................74
Chapter 9: Management of Chronic Illness...................................................................................74
Review Questions......................................................................................................................74
Check Your Understanding Questions......................................................................................75
Reflection Questions.................................................................................................................76
What Should the Nurse Do?......................................................................................................77
Competency-Based Assessments..............................................................................................78
Chapter 10: Fluid, Electrolyte, and Acid-Base Imbalances............................................................80
Chapter 10: Fluid, Electrolyte, and Acid-Base Imbalances............................................................80
Review Questions......................................................................................................................80
Check Your Understanding Questions......................................................................................82
Reflection Questions.................................................................................................................82
What Should the Nurse Do?......................................................................................................83
Competency-Based Assessments..............................................................................................84
Chapter 11: Gas Exchange, Airway Management and Respiratory System Disorders..................86
Chapter 11: Gas Exchange, Airway Management and Respiratory System Disorders..................86
Review Questions......................................................................................................................86
Check Your Understanding Questions......................................................................................92

3

, OpenStax Medical-Surgical Nursing Instructor Answer Guide


Reflection Questions.................................................................................................................94
Critical-Thinking Questions about Case Studies........................................................................95
Competency-Based Assessments..............................................................................................96
Chapter 12: Cardiovascular System...............................................................................................98
Chapter 12: Cardiovascular System...............................................................................................98
Review Questions......................................................................................................................98
Check Your Understanding Questions....................................................................................102
Reflection Questions...............................................................................................................103
Critical-Thinking Questions about Case Studies.....................................................................104
Competency-Based Assessments............................................................................................104
Chapter 13: Musculoskeletal System...........................................................................................106
Chapter 13: Musculoskeletal System...........................................................................................106
Review Questions....................................................................................................................106
Check Your Understanding Questions....................................................................................109
Reflection Questions...............................................................................................................110
What Should the Nurse Do?....................................................................................................111
Competency-Based Assessments............................................................................................111
Chapter 14: Integumentary System.............................................................................................113
Chapter 14: Integumentary System.............................................................................................113
Review Questions....................................................................................................................113
Check Your Understanding Questions....................................................................................114
Reflection Questions...............................................................................................................115
What Should the Nurse Do?....................................................................................................117
Competency-Based Assessments............................................................................................118
Chapter 15: Cerebrovascular System..........................................................................................120
Chapter 15: Cerebrovascular System..........................................................................................120
Review Questions....................................................................................................................120
Check Your Understanding Questions....................................................................................122
Reflection Questions...............................................................................................................123
Competency-Based Assessments............................................................................................123
Chapter 16: Hematopoietic Disorders and Regulation................................................................125
Chapter 16: Hematopoietic Disorders and Regulation................................................................125
Review Questions....................................................................................................................125
Check Your Understanding Questions....................................................................................129
Reflection Questions...............................................................................................................130
What Should the Nurse Do?....................................................................................................131
Competency-Based Assessments............................................................................................132
Chapter 17: Nervous System and Chronic Diseases of the Nervous System..............................133

4

For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
9/25/2024

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