11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Print ISBN: 9780323878265
TEST BANK
Medical-Surgical Nursing Exam Revision Question Bank
Unit I: Essential Concepts of Medical-Surgical Nursing
,Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topic: Professional Nursing Concepts for Medical-Surgical
Nursing
Subtopics:
Quality and Safety Education for Nurses (QSEN)
Competencies
Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty: Mixed
Question Distribution
MCQ: 8
SATA: 4
NGN Case Study: 3
, Bow-Tie: 2
Matrix/Grid: 2
Priority/Delegation/Extended Clinical Judgment: 1
Quality Assurance Review
✓ Original content created for educational review purposes
✓ No reproduction of textbook or publisher test-bank items
✓ Evidence-informed nursing practice integrated throughout
✓ NCLEX-style clinical judgment emphasis
✓ Patient safety and prioritization incorporated
✓ Realistic adult medical-surgical scenarios
✓ Clear wording and single best answers where applicable
✓ Alignment with professional nursing competencies and QSEN
standards
Question 1 — MCQ
Clinical Scenario
A nurse is caring for a patient newly diagnosed with heart
failure. During assessment, the patient states, "My goal is to
stay healthy enough to attend my granddaughter's wedding in
three months."
Question Stem
, Which nursing action best demonstrates patient-centered care?
Options
A. Focus on completing required documentation first
B. Develop goals based primarily on hospital protocols
C. Incorporate the patient's personal goal into the plan of care
D. Delay discussion of goals until discharge teaching
Correct Answer
C. Incorporate the patient's personal goal into the plan of care
Detailed Rationale
Patient-centered care recognizes patients as partners in
healthcare decisions. Integrating the patient's personal
priorities into care planning improves engagement, adherence,
and outcomes.
Incorrect Option Analysis
A
Documentation is important but does not address patient
priorities.
Misconception: Administrative tasks should supersede
patient engagement.
Safety concern: May overlook motivational factors
affecting adherence.
B