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This Medical-Surgical Nursing covers core Med-Surg topics including patient assessment, clinical interventions, pharmacology, and system-based disorders, all aligned with QSEN competencies such as patient safety, teamwork and quality improvement.

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Medical-Surgical Nursing Study Guide (QSEN Focus)
- Page 1

Nursing Concept:
Fluid and Electrolyte Balance: Understanding regulation of body fluids is critical in preventing
complications such as dehydration or overload.


QSEN Competencies:
Patient-Centered Care: Recognize the patient as the source of control.
Teamwork & Collaboration: Function effectively within nursing teams.
Evidence-Based Practice: Integrate best current evidence.
Quality Improvement: Use data to monitor outcomes.
Safety: Minimize risk of harm.
Informatics: Use information technology to support care.

1. A patient has fluid imbalance. What is the nurse’s priority action?
A. Assess vital signs and fluid status
B. Ignore symptoms
C. Restrict all fluids immediately
D. Delay intervention
Answer: A. Assessment is the first step in nursing care to determine severity.

2. A patient has fluid imbalance. What is the nurse’s priority action?
A. Assess vital signs and fluid status
B. Ignore symptoms
C. Restrict all fluids immediately
D. Delay intervention
Answer: A. Assessment is the first step in nursing care to determine severity.

3. A patient has fluid imbalance. What is the nurse’s priority action?
A. Assess vital signs and fluid status
B. Ignore symptoms
C. Restrict all fluids immediately
D. Delay intervention
Answer: A. Assessment is the first step in nursing care to determine severity.

4. A patient has fluid imbalance. What is the nurse’s priority action?
A. Assess vital signs and fluid status
B. Ignore symptoms
C. Restrict all fluids immediately
D. Delay intervention
Answer: A. Assessment is the first step in nursing care to determine severity.

5. A patient has fluid imbalance. What is the nurse’s priority action?
A. Assess vital signs and fluid status
B. Ignore symptoms
C. Restrict all fluids immediately

,D. Delay intervention
Answer: A. Assessment is the first step in nursing care to determine severity.

,Medical-Surgical Nursing Study Guide (QSEN Focus)
- Page 2

Nursing Concept:
Fluid and Electrolyte Balance: Understanding regulation of body fluids is critical in preventing
complications such as dehydration or overload.


QSEN Competencies:
Patient-Centered Care: Recognize the patient as the source of control.
Teamwork & Collaboration: Function effectively within nursing teams.
Evidence-Based Practice: Integrate best current evidence.
Quality Improvement: Use data to monitor outcomes.
Safety: Minimize risk of harm.
Informatics: Use information technology to support care.

6. A patient has fluid imbalance. What is the nurse’s priority action?
A. Assess vital signs and fluid status
B. Ignore symptoms
C. Restrict all fluids immediately
D. Delay intervention
Answer: A. Assessment is the first step in nursing care to determine severity.

7. A patient has fluid imbalance. What is the nurse’s priority action?
A. Assess vital signs and fluid status
B. Ignore symptoms
C. Restrict all fluids immediately
D. Delay intervention
Answer: A. Assessment is the first step in nursing care to determine severity.

8. A patient has fluid imbalance. What is the nurse’s priority action?
A. Assess vital signs and fluid status
B. Ignore symptoms
C. Restrict all fluids immediately
D. Delay intervention
Answer: A. Assessment is the first step in nursing care to determine severity.

9. A patient has fluid imbalance. What is the nurse’s priority action?
A. Assess vital signs and fluid status
B. Ignore symptoms
C. Restrict all fluids immediately
D. Delay intervention
Answer: A. Assessment is the first step in nursing care to determine severity.

10. A patient has fluid imbalance. What is the nurse’s priority action?
A. Assess vital signs and fluid status
B. Ignore symptoms
C. Restrict all fluids immediately

, D. Delay intervention
Answer: A. Assessment is the first step in nursing care to determine severity.

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April 12, 2026
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