Medical-Surgical Nursing – Ignatavicius 11th Edition
65-Chapter Review with NCLEX-Style Practice
Questions
Medical-Surgical Nursing – Ignatavicius 11th Edition 65-Chapter Review with
NCLEX-Style Practice Questions
Study Guide Overview
The Ignatavicius 11th Edition test bank and study materials are designed to align
with the Next-Generation NCLEX® Exam (NGN) format, emphasizing the
NCSBN Clinical Judgment Measurement Model's six cognitive skills. The official
study guide is a practical tool featuring hundreds of review questions including
multiple-choice, multiple-select, fill-in-the-blank, and matching questions, all with
in-depth rationales.
Core Concepts & Exam Topics
The study material covers key medical-surgical nursing concepts organized by
system and condition:
1
,| System/Topic Area | Key Concepts |
|-|--|
| Professional Nursing | Clinical judgment, patient safety, prioritization, delegation,
evidence-based practice, ethics |
| Perioperative Care | Preoperative assessment, intraoperative safety, postoperative
complications |
| Fluid & Electrolytes | Acid-base balance, dehydration, overload, electrolyte
imbalances |
| Immunity | Autoimmune disorders, HIV/AIDS, transplant care |
| Integumentary | Wound care, burns, pressure injuries, skin infections |
| Respiratory | COPD, asthma, pneumonia, ARDS, chest tubes |
| Cardiovascular | Heart failure, MI, hypertension, dysrhythmias, peripheral
vascular disease |
| Hematologic | Anemias, coagulation disorders, leukemia, lymphomas |
| Neurologic | Stroke, seizures, Alzheimer's, spinal cord injury |
| Sensory | Vision and hearing disorders |
| Musculoskeletal | Fractures, osteoarthritis, rheumatoid arthritis, joint replacements
|
| Gastrointestinal | GERD, peptic ulcers, IBD, cirrhosis, pancreatitis |
| Endocrine | Diabetes mellitus, thyroid disorders, adrenal insufficiency |
| Renal/Urinary | CKD, AKI, UTIs, dialysis |
| Reproductive | Prostate cancer, breast cancer, STIs |
| Emergency Care | Disaster preparedness, trauma, shock, sepsis |
2
, NCLEX-Style Practice Questions
The following questions are based on the Ignatavicius 11th Edition framework and
test clinical judgment skills.
Question 1: Assessing Acute Dyspnea
The client is 2 days post-operative following a total knee arthroplasty and suddenly
reports shortness of breath. Which action should the nurse take first?
A) Administer PRN morphine sulfate
B) Assess breath sounds and SpO₂
C) Notify the surgeon immediately
D) Elevate the head of the bed
Answer: B
Rationale:
- Correct (B): Assessing breath sounds and SpO₂ is the immediate data-gathering
step required to identify the cause of acute dyspnea and guide interventions.
3
65-Chapter Review with NCLEX-Style Practice
Questions
Medical-Surgical Nursing – Ignatavicius 11th Edition 65-Chapter Review with
NCLEX-Style Practice Questions
Study Guide Overview
The Ignatavicius 11th Edition test bank and study materials are designed to align
with the Next-Generation NCLEX® Exam (NGN) format, emphasizing the
NCSBN Clinical Judgment Measurement Model's six cognitive skills. The official
study guide is a practical tool featuring hundreds of review questions including
multiple-choice, multiple-select, fill-in-the-blank, and matching questions, all with
in-depth rationales.
Core Concepts & Exam Topics
The study material covers key medical-surgical nursing concepts organized by
system and condition:
1
,| System/Topic Area | Key Concepts |
|-|--|
| Professional Nursing | Clinical judgment, patient safety, prioritization, delegation,
evidence-based practice, ethics |
| Perioperative Care | Preoperative assessment, intraoperative safety, postoperative
complications |
| Fluid & Electrolytes | Acid-base balance, dehydration, overload, electrolyte
imbalances |
| Immunity | Autoimmune disorders, HIV/AIDS, transplant care |
| Integumentary | Wound care, burns, pressure injuries, skin infections |
| Respiratory | COPD, asthma, pneumonia, ARDS, chest tubes |
| Cardiovascular | Heart failure, MI, hypertension, dysrhythmias, peripheral
vascular disease |
| Hematologic | Anemias, coagulation disorders, leukemia, lymphomas |
| Neurologic | Stroke, seizures, Alzheimer's, spinal cord injury |
| Sensory | Vision and hearing disorders |
| Musculoskeletal | Fractures, osteoarthritis, rheumatoid arthritis, joint replacements
|
| Gastrointestinal | GERD, peptic ulcers, IBD, cirrhosis, pancreatitis |
| Endocrine | Diabetes mellitus, thyroid disorders, adrenal insufficiency |
| Renal/Urinary | CKD, AKI, UTIs, dialysis |
| Reproductive | Prostate cancer, breast cancer, STIs |
| Emergency Care | Disaster preparedness, trauma, shock, sepsis |
2
, NCLEX-Style Practice Questions
The following questions are based on the Ignatavicius 11th Edition framework and
test clinical judgment skills.
Question 1: Assessing Acute Dyspnea
The client is 2 days post-operative following a total knee arthroplasty and suddenly
reports shortness of breath. Which action should the nurse take first?
A) Administer PRN morphine sulfate
B) Assess breath sounds and SpO₂
C) Notify the surgeon immediately
D) Elevate the head of the bed
Answer: B
Rationale:
- Correct (B): Assessing breath sounds and SpO₂ is the immediate data-gathering
step required to identify the cause of acute dyspnea and guide interventions.
3
