Medical-Surgical Nursing
11th Edition
• Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
• Print ISBN: 9780323878265
TEST BANK
Question 1
A newly licensed nurse begins work on a medical-surgical unit.
During orientation, the nurse asks about the primary goal of
medical-surgical nursing practice.
,Which statement by the preceptor is most accurate?
A. "The focus is limited to administering prescribed
treatments."
B. "The goal is to provide holistic care that promotes,
maintains, and restores health."
C. "The nurse's role is primarily to carry out physician orders."
D. "The primary responsibility is managing hospital resources."
Correct Answer: B
Rationale:
Medical-surgical nursing focuses on holistic care that promotes
health, prevents illness, restores wellness, and supports
patients through acute and chronic conditions. Administering
treatments is only one component of care. Nurses function
independently and collaboratively rather than merely carrying
out orders. Resource management is important but is not the
primary goal of nursing practice.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 2
A nurse is caring for four patients. Which patient should the
nurse assess first?
,A. A patient requesting assistance with bathing
B. A patient scheduled for discharge teaching later in the day
C. A patient reporting sudden shortness of breath
D. A patient asking for a dietary consultation
Correct Answer: C
Rationale:
Clinical judgment prioritizes patients with actual or potential
threats to airway, breathing, or circulation. Sudden shortness of
breath may indicate rapid clinical deterioration and requires
immediate assessment. The other needs are important but are
not urgent.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 3
A nurse participates in a professional nursing organization.
Which outcome best reflects the purpose of professional
organizations?
A. Limiting continuing education requirements
B. Promoting professional development and nursing standards
C. Replacing institutional policies
D. Supervising nursing licensure examinations
Correct Answer: B
, Rationale:
Professional organizations support professional growth,
evidence-based practice, continuing education, leadership
development, and advancement of nursing standards. They do
not replace institutional policies or directly supervise licensure
examinations.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 4
A nurse reviews a patient's record and notices a medication
error occurred during the previous shift.
What is the nurse's priority action?
A. Document the error accurately according to policy
B. Delete the previous entry
C. Ignore the error if the patient was not harmed
D. Wait until the next shift to report the event
Correct Answer: A
Rationale:
Legal and ethical nursing practice requires accurate
documentation and reporting according to organizational
policy. Altering records is inappropriate and may have legal
11th Edition
• Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
• Print ISBN: 9780323878265
TEST BANK
Question 1
A newly licensed nurse begins work on a medical-surgical unit.
During orientation, the nurse asks about the primary goal of
medical-surgical nursing practice.
,Which statement by the preceptor is most accurate?
A. "The focus is limited to administering prescribed
treatments."
B. "The goal is to provide holistic care that promotes,
maintains, and restores health."
C. "The nurse's role is primarily to carry out physician orders."
D. "The primary responsibility is managing hospital resources."
Correct Answer: B
Rationale:
Medical-surgical nursing focuses on holistic care that promotes
health, prevents illness, restores wellness, and supports
patients through acute and chronic conditions. Administering
treatments is only one component of care. Nurses function
independently and collaboratively rather than merely carrying
out orders. Resource management is important but is not the
primary goal of nursing practice.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 2
A nurse is caring for four patients. Which patient should the
nurse assess first?
,A. A patient requesting assistance with bathing
B. A patient scheduled for discharge teaching later in the day
C. A patient reporting sudden shortness of breath
D. A patient asking for a dietary consultation
Correct Answer: C
Rationale:
Clinical judgment prioritizes patients with actual or potential
threats to airway, breathing, or circulation. Sudden shortness of
breath may indicate rapid clinical deterioration and requires
immediate assessment. The other needs are important but are
not urgent.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 3
A nurse participates in a professional nursing organization.
Which outcome best reflects the purpose of professional
organizations?
A. Limiting continuing education requirements
B. Promoting professional development and nursing standards
C. Replacing institutional policies
D. Supervising nursing licensure examinations
Correct Answer: B
, Rationale:
Professional organizations support professional growth,
evidence-based practice, continuing education, leadership
development, and advancement of nursing standards. They do
not replace institutional policies or directly supervise licensure
examinations.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 4
A nurse reviews a patient's record and notices a medication
error occurred during the previous shift.
What is the nurse's priority action?
A. Document the error accurately according to policy
B. Delete the previous entry
C. Ignore the error if the patient was not harmed
D. Wait until the next shift to report the event
Correct Answer: A
Rationale:
Legal and ethical nursing practice requires accurate
documentation and reporting according to organizational
policy. Altering records is inappropriate and may have legal
