1
Test Bank for OpenStax Medical-Surgical
Nursing. Questions and Verified Answers 100%
Correct Grade A + New 2026 Update
,2
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
,3
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
, 4
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
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.
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
Answer>>C
Explanation: Safety focuses on minimizing risk of harm. Questioning potentially harmful
orders reflects clinical judgment aimed at preventing medication errors.
3.
Which scenario best illustrates interprofessional collaborative care?
A. The nurse independently modifies the plan of care
B. The nurse delegates tasks to unlicensed assistive personnel
C. The nurse coordinates care with physical therapy, pharmacy, and social work
D. The nurse follows physician orders exactly as written
Answer>>C
Explanation: Interprofessional collaboration involves multiple disciplines working
together to achieve optimal patient outcomes, each contributing unique expertise.
Test Bank for OpenStax Medical-Surgical
Nursing. Questions and Verified Answers 100%
Correct Grade A + New 2026 Update
,2
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
,3
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
, 4
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
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.
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
Answer>>C
Explanation: Safety focuses on minimizing risk of harm. Questioning potentially harmful
orders reflects clinical judgment aimed at preventing medication errors.
3.
Which scenario best illustrates interprofessional collaborative care?
A. The nurse independently modifies the plan of care
B. The nurse delegates tasks to unlicensed assistive personnel
C. The nurse coordinates care with physical therapy, pharmacy, and social work
D. The nurse follows physician orders exactly as written
Answer>>C
Explanation: Interprofessional collaboration involves multiple disciplines working
together to achieve optimal patient outcomes, each contributing unique expertise.
