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Test Bank for Medical-Surgical Nursing, 11th Edition By Donna D. Ignatavicius, M. Linda Workman, Cherie R. Rebar, Nicole M. Heimgartner.pdf

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Prepare for medical-surgical nursing examinations with this comprehensive study resource based on Medical-Surgical Nursing, 11th Edition. Designed to support focused revision, reinforce essential nursing knowledge, and strengthen clinical judgment, this resource covers adult health nursing, pathophysiology, patient assessment, diagnostic investigations, nursing interventions, pharmacological management, and the prevention of complications. Medical-surgical nursing requires students to connect disease processes with assessment findings, laboratory results, treatment decisions, and individualized nursing care. Effective preparation involves more than memorizing conditions; students must recognize changes in patient status, prioritize nursing interventions, evaluate treatment outcomes, and apply evidence-based principles to clinical situations. This test bank-style resource is intended to help nursing students review major medical-surgical concepts, practice examination-style questions, identify knowledge gaps, and prepare for academic assessments and clinical evaluations. Chapter-by-Chapter Topic Coverage Part 1: Foundations of Adult Health Nursing Chapter 1: Medical-Surgical Nursing Practice Scope and responsibilities of the medical-surgical nurse Evidence-based nursing and clinical judgment Patient-centered care and shared decision-making Safety, quality improvement, and professional accountability Interprofessional collaboration and communication Chapter 2: Health Assessment and Clinical Judgment Comprehensive health history and physical assessment Recognition of normal and abnormal findings Analysis of patient symptoms and clinical data Prioritization of nursing problems Clinical reasoning and evaluation of outcomes Chapter 3: Care of Patients With Fluid, Electrolyte, and Acid–Base Imbalances Fluid volume deficit and excess Sodium, potassium, calcium, and magnesium imbalances Assessment of hydration and electrolyte status Acid–base disturbances and interpretation of laboratory results Nursing interventions and monitoring for complications Chapter 4: Pain Management and Comfort Acute and chronic pain assessment Pharmacological and nonpharmacological interventions Safe analgesic administration Evaluation of treatment effectiveness Patient education and individualized pain management Chapter 5: Perioperative Nursing Care Preoperative assessment and preparation Informed consent and patient education Intraoperative safety principles Postoperative monitoring and recovery Prevention of infection, bleeding, respiratory complications, and thromboembolism Part 2: Immune, Infectious, and Inflammatory Disorders Chapter 6: Care of Patients With Infection and Inflammatory Conditions Recognition of localized and systemic infections Infection prevention and control Assessment for sepsis and deterioration Antimicrobial therapy and monitoring Nursing interventions and patient education Chapter 7: Care of Patients With Immune Disorders Immune system function and dysfunction Hypersensitivity and allergic reactions Autoimmune disorders Immunosuppressive therapies Monitoring treatment response and complications Chapter 8: Care of Patients With HIV and Other Immune-Related Conditions HIV infection and disease progression Antiretroviral therapy and adherence Opportunistic infections Prevention of transmission Patient education and psychosocial support Part 3: Respiratory Disorders Chapter 9: Assessment of Respiratory Function Respiratory history and physical examination Breath sounds and oxygenation assessment Pulse oximetry and arterial blood gases Pulmonary function testing and imaging Recognition of respiratory distress Chapter 10: Care of Patients With Upper Respiratory Disorders Common upper respiratory infections Sinus and pharyngeal disorders Airway assessment and symptom management Medication therapy and supportive care Prevention of complications Chapter 11: Care of Patients With Lower Respiratory Disorders Pneumonia and other lower respiratory infections Chronic obstructive pulmonary disease Asthma and airway obstruction Oxygen therapy and inhaled medications Airway clearance and respiratory monitoring Chapter 12: Care of Patients With Complex Respiratory Problems Acute respiratory failure Pulmonary embolism Pleural disorders and chest injuries Mechanical ventilation principles Recognition of deterioration and emergency interventions Part 4: Cardiovascular Disorders Chapter 13: Assessment of Cardiovascular Function Cardiovascular history and physical examination Heart sounds, pulses, and peripheral perfusion Electrocardiography and cardiac investigations Blood pressure assessment Recognition of impaired circulation Chapter 14: Care of Patients With Hypertension Primary and secondary hypertension Risk factors and complications Antihypertensive medications Lifestyle modification and patient education Monitoring and prevention of end-organ damage Chapter 15: Care of Patients With Coronary Artery Disease Atherosclerosis and coronary circulation Angina and myocardial ischemia Acute coronary syndromes and myocardial infarction Diagnostic testing and cardiac monitoring Medication therapy and lifestyle modification Chapter 16: Care of Patients With Heart Failure Left-sided and right-sided heart failure Assessment of fluid overload and impaired perfusion Diuretics and other heart failure medications Daily weight, fluid balance, and symptom monitoring Prevention of exacerbations and patient education Chapter 17: Care of Patients With Dysrhythmias Common cardiac rhythm disturbances ECG interpretation principles Assessment of hemodynamic stability Antiarrhythmic therapy and monitoring Emergency response to life-threatening rhythms Chapter 18: Care of Patients With Vascular Disorders Peripheral arterial and venous disease Deep vein thrombosis Aneurysms and vascular emergencies Assessment of circulation and tissue perfusion Anticoagulation, mobility, and prevention of complications Part 5: Hematologic Disorders Chapter 19: Assessment and Management of Hematologic Problems Blood cell function and hematopoiesis Complete blood count and related investigations Anemia and its major classifications Bleeding and clotting disorders Blood transfusion principles and reaction monitoring Chapter 20: Care of Patients With Hematologic Disorders Iron-deficiency and other forms of anemia Sickle cell disease and related complications Leukemia and other blood cancers Thrombocytopenia and coagulation abnormalities Nursing management, medication therapy, and patient education Part 6: Neurologic Disorders Chapter 21: Assessment of Neurologic Function Neurologic history and examination Level of consciousness and Glasgow Coma Scale Cranial nerve and motor assessment Sensory function and reflexes Recognition of acute neurologic deterioration Chapter 22: Care of Patients With Acute Neurologic Disorders Stroke and transient ischemic attack Seizures and status epilepticus Increased intracranial pressure Head injury and acute neurologic emergencies Airway protection, safety, and rehabilitation needs Chapter 23: Care of Patients With Chronic Neurologic Disorders Parkinson disease Multiple sclerosis Myasthenia gravis Dementia and other chronic neurologic conditions Mobility, communication, nutrition, and supportive care Part 7: Endocrine Disorders Chapter 24: Assessment of Endocrine Function Endocrine glands and hormone regulation Assessment of endocrine symptoms Hormone testing and diagnostic investigations Interpretation of relevant laboratory findings Nursing care and patient education Chapter 25: Care of Patients With Diabetes Mellitus Type 1 and type 2 diabetes Blood glucose monitoring and insulin administration Oral and injectable antidiabetic medications Hypoglycemia and hyperglycemia Diabetic ketoacidosis and hyperosmolar emergencies Long-term complication prevention and self-management Chapter 26: Care of Patients With Other Endocrine Disorders Thyroid disorders Adrenal gland dysfunction Pituitary disorders Hormone replacement and related medications Recognition of endocrine emergencies Part 8: Gastrointestinal and Hepatobiliary Disorders Chapter 27: Assessment of Gastrointestinal Function Abdominal history and physical examination Assessment of nutrition, bowel function, and hydration Gastrointestinal diagnostic procedures Laboratory investigations and interpretation Nursing preparation and postprocedure care Chapter 28: Care of Patients With Gastrointestinal Disorders Gastroesophageal reflux and peptic ulcer disease Inflammatory bowel disease Bowel obstruction and related conditions Gastrointestinal bleeding Nutrition, medication therapy, and symptom management Chapter 29: Care of Patients With Liver, Biliary, and Pancreatic Disorders Hepatitis and cirrhosis Portal hypertension and hepatic complications Gallbladder disorders Pancreatitis Assessment of jaundice, bleeding, pain, and fluid accumulation Nutritional support and complication prevention Part 9: Renal and Urinary Disorders Chapter 30: Assessment of Renal and Urinary Function Renal anatomy and normal function Urinary history and physical assessment Urinalysis and renal function testing Fluid balance and urine output monitoring Recognition of impaired renal function Chapter 31: Care of Patients With Renal Disorders Acute kidney injury Chronic kidney disease Glomerular and other renal disorders Dialysis and related nursing care Fluid, electrolyte, and dietary management Chapter 32: Care of Patients With Urinary Disorders Urinary tract infections Urinary retention and incontinence Urinary obstruction and stone formation Catheter care and infection prevention Patient education and monitoring Part 10: Musculoskeletal Disorders Chapter 33: Assessment of Musculoskeletal Function Musculoskeletal history and physical examination Range of motion, strength, and mobility assessment Diagnostic imaging and other investigations Assessment of pain and functional limitations Fall prevention and mobility support Chapter 34: Care of Patients With Musculoskeletal Injuries Fractures and dislocations Sprains and soft-tissue injuries Casts, traction, and orthopedic procedures Neurovascular assessment Prevention of compartment syndrome and thromboembolism Chapter 35: Care of Patients With Musculoskeletal Disorders Osteoarthritis and rheumatoid arthritis Osteoporosis Degenerative joint disorders Joint replacement and postoperative care Pain management, mobility, and rehabilitation Part 11: Integumentary Disorders Chapter 36: Assessment of Skin and Wound Conditions Skin assessment and identification of lesions Pressure injuries and wound classification Wound healing and factors that delay recovery Infection prevention and wound care Documentation and patient education Chapter 37: Care of Patients With Skin Disorders and Burns Common inflammatory and infectious skin disorders Burns and assessment of burn severity Fluid management and wound protection Pain control and infection prevention Nutritional support and rehabilitation Part 12: Sensory Disorders Chapter 38: Care of Patients With Eye and Vision Disorders Assessment of visual function Cataracts and glaucoma Retinal disorders Eye surgery and postoperative care Medication administration and safety education Chapter 39: Care of Patients With Ear and Hearing Disorders Hearing assessment and common hearing problems Vestibular dysfunction and balance disorders Assessment of vertigo Medication and procedural considerations Fall prevention and communication support Part 13: Reproductive and Sexual Health Chapter 40: Care of Patients With Reproductive System Disorders Assessment of reproductive health Common male and female reproductive disorders Sexually transmitted infections Diagnostic testing and treatment Patient education and sensitive communication Chapter 41: Care of Patients With Breast and Related Disorders Breast assessment and diagnostic investigations Benign breast conditions Breast cancer and treatment approaches Surgical and postoperative nursing care Patient education and psychosocial support Part 14: Oncology and Palliative Care Chapter 42: Care of Patients With Cancer Cancer development, classification, and staging Diagnostic investigations and treatment planning Chemotherapy, radiation, and targeted therapies Management of treatment-related adverse effects Infection prevention and nutritional support Patient education and supportive care Chapter 43: Care of Patients With Complex and End-of-Life Needs Symptom assessment and comfort measures Pain and other distressing symptoms Palliative and supportive care principles Communication with patients and families Ethical considerations and dignity in care Family support and bereavement considerations Part 15: Emergency, Critical, and Complex Care Chapter 44: Care of Patients With Shock and Multisystem Problems Types and mechanisms of shock Assessment of perfusion and organ function Recognition of clinical deterioration Hemodynamic monitoring principles Emergency interventions and reassessment Chapter 45: Care of Patients With Critical Illness Prioritization of care for unstable patients Respiratory and cardiovascular support Prevention of complications associated with immobility Monitoring of vital signs and laboratory results Interprofessional collaboration and continuity of care Chapter 46: Emergency Management and Clinical Prioritization Rapid assessment and identification of urgent needs Airway, breathing, and circulation principles Recognition of life-threatening changes Emergency interventions and patient safety Delegation, communication, and reassessment Important note: The chapter headings and sequence above are a broad subject-based study outline, not a verified transcription of the exact table of contents for the 11th edition. The book's actual organization may differ, and exact chapter alignment should be confirmed against the contents page of the specified edition. Key Topics Covered at a Glance Medical-surgical nursing foundations and clinical judgment Health assessment and interpretation of clinical findings Fluid, electrolyte, and acid–base imbalances Perioperative nursing and postoperative complications Infection, inflammation, and immune disorders Respiratory diseases and oxygenation Cardiovascular disease, hypertension, and heart failure Cardiac dysrhythmias and vascular disorders Hematologic disorders and blood transfusion safety Neurologic emergencies and chronic neurologic conditions Diabetes and other endocrine disorders Gastrointestinal, hepatic, biliary, and pancreatic conditions Renal and urinary disorders Musculoskeletal injuries and chronic joint disorders Skin conditions, wounds, and burns Eye, ear, and sensory disorders Reproductive health and breast disorders Oncology, symptom management, and palliative care Shock, critical illness, and emergency nursing Medication safety, patient education, and complication prevention

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,Chapter 1: Overview of Professional Nursing Concepts for Medical-Surgical Nursing

PART I: MULTIPLE CHOICE (Questions 1–35)

Question 1: What is the primary focus of medical-surgical nursing?
A) Care of adults with acute and chronic illness
B) Care of children only
C) Care of pregnant women only
D) Care of psychiatric patients only
ANS: A
Rationale: Medical-surgical nursing focuses on the care of adults with acute and chronic health
conditions.

Question 2: What is clinical judgment in nursing?
A) The observed outcome of critical thinking and decision-making
B) A random guess about patient care
C) Following physician orders without question
D) Ignoring patient preferences
ANS: A
Rationale: Clinical judgment is the observed outcome of critical thinking and decision-making in nursing
practice.

Question 3: What are the six cognitive skills of the National Council of State Boards of Nursing (NCSBN)
Clinical Judgment Measurement Model?
A) Recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, evaluate
outcomes
B) Assess, diagnose, plan, implement, evaluate, document
C) Observe, report, record, communicate, delegate, supervise
D) Assess, intervene, evaluate, document, report, discharge
ANS: A
Rationale: The six cognitive skills are recognize cues, analyze cues, prioritize hypotheses, generate
solutions, take action, and evaluate outcomes.

Question 4: What is the purpose of the NCSBN Clinical Judgment Measurement Model?
A) To guide the development of Next Generation NCLEX items
B) To replace the nursing process
C) To eliminate clinical judgment from nursing
D) To simplify nursing education
ANS: A
Rationale: The NCSBN Clinical Judgment Measurement Model guides the development of Next
Generation NCLEX items that measure clinical judgment.

Question 5: What is the role of the LPN/LVN in medical-surgical nursing?
A) Provide direct patient care under the supervision of an RN
B) Independently manage complex patient care
C) Prescribe medications
D) Perform surgery

,ANS: A
Rationale: LPNs/LVNs provide direct patient care under the supervision of an RN.

Question 6: What is the role of the RN in medical-surgical nursing?
A) Manage complex patient care and supervise LPNs/LVNs and UAP
B) Provide only basic patient care
C) Prescribe medications
D) Perform surgery
ANS: A
Rationale: RNs manage complex patient care and supervise LPNs/LVNs and unlicensed assistive
personnel (UAP).

Question 7: What is interprofessional collaboration?
A) Collaboration among healthcare professionals from different disciplines
B) Collaboration among nurses only
C) Collaboration among physicians only
D) Collaboration among administrators only
ANS: A
Rationale: Interprofessional collaboration involves collaboration among healthcare professionals from
different disciplines.

Question 8: What is patient-centered care?
A) Care that is respectful of and responsive to patient preferences, needs, and values
B) Care that is based only on physician orders
C) Care that is based only on hospital policies
D) Care that is based only on nurse preferences
ANS: A
Rationale: Patient-centered care is respectful of and responsive to individual patient preferences, needs,
and values.

Question 9: What is evidence-based practice?
A) Integration of best research evidence with clinical expertise and patient values
B) Practice based only on tradition
C) Practice based only on intuition
D) Practice based only on authority
ANS: A
Rationale: Evidence-based practice integrates the best research evidence with clinical expertise and
patient values.

Question 10: What is quality improvement in healthcare?
A) Systematic approach to improve healthcare outcomes
B) Random change in healthcare processes
C) Ignoring healthcare outcomes
D) Maintaining the status quo
ANS: A
Rationale: Quality improvement is a systematic approach to improve healthcare outcomes.

, Question 11: What is safety in healthcare?
A) Prevention of harm to patients and healthcare providers
B) Ignoring patient safety
C) Promoting harm to patients
D) Maintaining unsafe practices
ANS: A
Rationale: Safety is the prevention of harm to patients and healthcare providers.

Question 12: What is informatics in healthcare?
A) Use of technology to improve healthcare outcomes
B) Ignoring technology in healthcare
C) Avoiding electronic health records
D) Maintaining paper records only
ANS: A
Rationale: Informatics is the use of technology to improve healthcare outcomes.

Question 13: What is teamwork and collaboration in healthcare?
A) Working effectively with others to achieve shared goals
B) Working alone
C) Ignoring team members
D) Competing with team members
ANS: A
Rationale: Teamwork and collaboration involve working effectively with others to achieve shared goals.

Question 14: What is the role of the nurse in patient education?
A) Provide information to help patients make informed decisions
B) Withhold information from patients
C) Make decisions for patients
D) Ignore patient education needs
ANS: A
Rationale: The nurse's role in patient education is to provide information to help patients make
informed decisions.

Question 15: What is the role of the nurse in advocacy?
A) Protect patient rights and interests
B) Ignore patient rights
C) Promote institutional interests over patient interests
D) Make decisions for patients
ANS: A
Rationale: The nurse's role in advocacy is to protect patient rights and interests.

Question 16: What is the role of the nurse in care coordination?
A) Coordinate care among multiple providers and settings
B) Provide care in isolation
C) Ignore care transitions
D) Duplicate care
ANS: A

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Subido en
12 de octubre de 2026
Número de páginas
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