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Exam (elaborations)

OpenStax Medical-Surgical Nursing Test Bank – Complete Chapter-by-Chapter NCLEX-Style Questions with Rationales

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This document is a comprehensive test bank for OpenStax Medical-Surgical Nursing, covering all units and chapters from foundational nursing concepts to complex medical-surgical conditions and NCLEX preparation. It includes high-quality NCLEX-style multiple-choice questions with correct answers and detailed rationales to strengthen clinical judgment, care coordination, and exam readiness. Ideal for nursing students preparing for quizzes, exams, and licensure-focused practice, this resource supports both course success and NCLEX RN preparation.

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Institution
Medical-Surgical Nursing
Course
Medical-Surgical Nursing











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Institution
Medical-Surgical Nursing
Course
Medical-Surgical Nursing

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Uploaded on
January 9, 2026
Number of pages
216
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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Test Bank For OpenStax Medical-Surgical
Nursing.

,Table of Contents

Unit 1: Introduction and Foundations of Medical-Surgical Nursing
●​ Chapter 1: Professional Medical-Surgical Nursing
●​ Chapter 2: Culturally Competent Care
●​ Chapter 3: Health Promotion and Patient Education


Unit 2: Critical Thinking in Nursing Practice
●​ Chapter 4: Clinical Judgment in the Nursing Process
●​ Chapter 5: Ethical Decision Making


Unit 3: General Assessment Considerations
●​ Chapter 6: Comprehensive Health Assessment and Physical Examination
●​ Chapter 7: Pain Assessment and Management
●​ Chapter 8: Stress and Stress-Related Disorders
●​ Chapter 9: Management of Chronic Illness


Unit 4: Nursing Management and Considerations
●​ Chapter 10: Fluid, Electrolyte, and Acid-Base Imbalances
●​ Chapter 11: Gas Exchange, Airway Management, and Respiratory System
Disorders
●​ Chapter 12: Cardiovascular System
●​ Chapter 13: Musculoskeletal System
●​ Chapter 14: Integumentary System
●​ Chapter 15: Cerebrovascular System
●​ Chapter 16: Hematopoietic Disorders and Regulation
●​ Chapter 17: Nervous System and Chronic Diseases of the Nervous System
●​ Chapter 18: Sensory Organs
●​ Chapter 19: Gastrointestinal System and Disorders
●​ Chapter 20: Genitourinary and Reproductive Systems
●​ Chapter 21: Endocrine System and Endocrine System Disorders
●​ Chapter 22: Infection and Infectious Diseases
●​ Chapter 23: Shock and Sepsis
●​ Chapter 24: Management of Patients with Allergic Disorders


Unit 5: Care of the Surgical Patient
●​ Chapter 25: Preoperative Care
●​ Chapter 26: Intraoperative Care
●​ Chapter 27: Postoperative Care
●​ Chapter 28: Inflammation and Healing
●​ Chapter 29: Immunological Function

,Unit 6: Special Considerations and Concepts
●​ Chapter 30: Genetics
●​ Chapter 31: Cancer
●​ Chapter 32: Palliative Care
●​ Chapter 33: Emergency Care
●​ Chapter 34: Disaster and Recovery
●​ Chapter 35: Nursing Care of the Critically Ill Patient
●​ Chapter 36: Home Health Nursing and Rehabilitation
●​ Chapter 37: Trends in Health-Care Technology


Unit 7: Putting It All Together
●​ Chapter 38: Unfolding Case Study and NCLEX Preparation

, Chapter 1: Professional Medical-Surgical Nursing


1.

A nurse notices a subtle but progressive change in a postoperative patient’s mental status
and reports it immediately to the provider, preventing clinical deterioration. This action best
exemplifies which core professional nursing role?

A. Delegation​
B. Patient advocacy​
C. Quality improvement​
D. Informatics utilization

Correct Answer: B

Explanation: Patient advocacy involves vigilant assessment, early recognition of changes,
and prompt communication to protect patient safety. The nurse’s proactive reporting reflects
accountability and prioritization of patient welfare.




2.

Which nursing action most directly aligns with the QSEN competency of patient-centered
care?

A. Following standardized postoperative orders without deviation​
B. Educating the patient using standardized discharge materials​
C. Incorporating the patient’s cultural beliefs into the care plan​
D. Ensuring documentation meets legal standards

Correct Answer: C

Explanation: Patient-centered care prioritizes individual values, preferences, and beliefs.
Integrating cultural beliefs into care planning ensures holistic, individualized treatment.




3.

A nurse questions a medication dosage that appears inconsistent with the patient’s renal
function. Which QSEN competency is primarily demonstrated?

A. Informatics​
B. Teamwork and collaboration​
C. Safety​
D. Quality improvement

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