Test Bank for Medical-Surgical Nursing (7th
Edition)Comprehensive Q&A Study Guide
Chapter 1: Introduction to Medical-Surgical Nursing & Core Concepts
Q1: A nurse is caring for a patient who is non-compliant with their
diabetes medication due to financial constraints. Which member of the
interdisciplinary team should the nurse consult first?
A) Pharmacist
B) Social Worker
C) Clinical Dietitian
D) Chaplain
CORRECT ANSWER>: B) Social Worker.
Rationale: Social workers are specifically trained to assist patients with
financial constraints, insurance issues, and connecting patients with
community resources to obtain necessary medications.
Q2: When using the nursing process, which step involves the systematic
collection of data to establish a patient database?
A) Diagnosis
B) Planning
C) Assessment
D) Implementation
CORRECT ANSWER>: C) Assessment.
,Rationale: Assessment is the first step of the nursing process and
involves gathering subjective and objective data to form a
comprehensive patient database.
Q3: A patient is scheduled for a colonoscopy and asks the nurse about
the procedure. The nurse explains the steps clearly and answers all
questions. Which ethical principle is the nurse upholding?
A) Autonomy
B) Beneficence
C) Justice
D) Non-maleficence
CORRECT ANSWER>: A) Autonomy.
Rationale: Autonomy respects the patient's right to self-determination
and make informed decisions, which is facilitated by proper education
and answering questions.
Q4: Which of the following is an example of a primary prevention
nursing intervention?
A) Administering an influenza vaccine
B) Performing a monthly breast self-exam
C) Initiating a cardiac rehabilitation program
D) Administering antibiotics for an infection
CORRECT ANSWER>: A) Administering an influenza vaccine.
, Rationale: Primary prevention aims to prevent disease before it occurs.
Vaccinations are a classic example of primary prevention.
Q5: A nurse is prioritizing care for four patients. Which patient should
the nurse assess first?
A) A patient requesting pain medication for a headache.
B) A patient with a new onset of confusion and restlessness.
C) A patient who is 2 days post-op needing a dressing change.
D) A patient scheduled for physical therapy in 1 hour.
CORRECT ANSWER>: B) A patient with a new onset of confusion and
restlessness.
Rationale: Using the ABC and Maslow’s hierarchy frameworks, a new
onset of confusion or change in mental status can indicate hypoxia or a
life-threatening neurological event, requiring immediate assessment.
Chapter 2: Gerontological Nursing
Q6: An 82-year-old patient is admitted with dehydration. The nurse
notes the patient has decreased skin turgor and dry oral mucosa. Which
physiological change of aging contributes most to dehydration in older
adults?
A) Increased thirst response
B) Decreased renal blood flow
C) Increased total body water
Edition)Comprehensive Q&A Study Guide
Chapter 1: Introduction to Medical-Surgical Nursing & Core Concepts
Q1: A nurse is caring for a patient who is non-compliant with their
diabetes medication due to financial constraints. Which member of the
interdisciplinary team should the nurse consult first?
A) Pharmacist
B) Social Worker
C) Clinical Dietitian
D) Chaplain
CORRECT ANSWER>: B) Social Worker.
Rationale: Social workers are specifically trained to assist patients with
financial constraints, insurance issues, and connecting patients with
community resources to obtain necessary medications.
Q2: When using the nursing process, which step involves the systematic
collection of data to establish a patient database?
A) Diagnosis
B) Planning
C) Assessment
D) Implementation
CORRECT ANSWER>: C) Assessment.
,Rationale: Assessment is the first step of the nursing process and
involves gathering subjective and objective data to form a
comprehensive patient database.
Q3: A patient is scheduled for a colonoscopy and asks the nurse about
the procedure. The nurse explains the steps clearly and answers all
questions. Which ethical principle is the nurse upholding?
A) Autonomy
B) Beneficence
C) Justice
D) Non-maleficence
CORRECT ANSWER>: A) Autonomy.
Rationale: Autonomy respects the patient's right to self-determination
and make informed decisions, which is facilitated by proper education
and answering questions.
Q4: Which of the following is an example of a primary prevention
nursing intervention?
A) Administering an influenza vaccine
B) Performing a monthly breast self-exam
C) Initiating a cardiac rehabilitation program
D) Administering antibiotics for an infection
CORRECT ANSWER>: A) Administering an influenza vaccine.
, Rationale: Primary prevention aims to prevent disease before it occurs.
Vaccinations are a classic example of primary prevention.
Q5: A nurse is prioritizing care for four patients. Which patient should
the nurse assess first?
A) A patient requesting pain medication for a headache.
B) A patient with a new onset of confusion and restlessness.
C) A patient who is 2 days post-op needing a dressing change.
D) A patient scheduled for physical therapy in 1 hour.
CORRECT ANSWER>: B) A patient with a new onset of confusion and
restlessness.
Rationale: Using the ABC and Maslow’s hierarchy frameworks, a new
onset of confusion or change in mental status can indicate hypoxia or a
life-threatening neurological event, requiring immediate assessment.
Chapter 2: Gerontological Nursing
Q6: An 82-year-old patient is admitted with dehydration. The nurse
notes the patient has decreased skin turgor and dry oral mucosa. Which
physiological change of aging contributes most to dehydration in older
adults?
A) Increased thirst response
B) Decreased renal blood flow
C) Increased total body water
