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
Topic: Overview of 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 (EBP)
Quality Improvement (QI)
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty: Mixed
Quality Review Statement
✓ Original content created for educational review purposes
✓ No publisher or proprietary test-bank content reproduced
✓ NCLEX-style clinical judgment emphasis
✓ Evidence-informed nursing practice integrated
✓ Contemporary patient safety standards incorporated
✓ Adult health nursing focus maintained
✓ Rationales and distractor analyses included
✓ Professional nursing competencies represented
,Question 1 (MCQ)
Clinical Scenario
A nurse is caring for a hospitalized patient with newly
diagnosed heart failure. During morning rounds, the patient
states, “I do not understand why I need to limit salt in my diet.”
Question Stem
Which nursing action best reflects the QSEN competency of
patient-centered care?
Options
A. Provide standardized dietary instructions to all patients with
heart failure.
B. Assess the patient's understanding, cultural food
preferences, and readiness to learn before teaching.
C. Ask the dietitian to provide all education related to diet.
D. Document that dietary education was provided.
Correct Answer
B
Detailed Rationale
Patient-centered care requires nurses to recognize patients as
full partners in their care. Assessing understanding, cultural
preferences, and readiness to learn allows individualized
education and shared decision-making, improving adherence
and outcomes.
, Incorrect Option Analysis
A: Uses a one-size-fits-all approach and ignores individual
needs.
C: Delegates nursing responsibility for education.
D: Documentation alone does not ensure effective learning.
Nursing Process Linkage
Assessment
NCJMM Competencies
Recognize Cues, Analyze Cues
Difficulty
Easy
Bloom's Level
Apply
NCLEX Category
Health Promotion and Maintenance
Learning Objective
Apply principles of patient-centered care during patient
education.
Question 2 (MCQ)
Clinical Scenario