Medical-Surgical Nursing
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Print ISBN: 9780323878265
TEST BANK
Question 1 — MCQ
Clinical Scenario
A nurse receives a report on four newly admitted patients on a
medical-surgical unit.
Question Stem
,Which patient should the nurse assess first?
A. A patient reporting pain rated 8/10 after surgery
B. A patient with oxygen saturation of 88% on room air
C. A patient requesting assistance to the bathroom
D. A patient waiting for discharge teaching
Correct Answer
B. A patient with oxygen saturation of 88% on room air
Rationale
Airway and breathing problems take priority. Hypoxemia may
rapidly progress to respiratory failure and requires immediate
assessment.
Incorrect Option Analysis
A: Pain is important but not immediately life-threatening.
C: Fall prevention is necessary but not the highest priority.
D: Teaching can be delayed.
Nursing Process
Assessment
NCJMM Competencies
Recognize Cues
Prioritize Hypotheses
Take Action
Difficulty
,Moderate
Bloom Level
Analyze
NCLEX Category
Physiological Adaptation
Learning Objective
Prioritize patient care using airway, breathing, and circulation
principles.
Question 2 — SATA
Scenario
A nurse promotes patient-centered care during hospitalization.
Select all actions that demonstrate patient-centered care.
A. Asking about cultural preferences
B. Involving family in decisions if desired
C. Making decisions without consulting the patient
D. Respecting patient values
E. Providing individualized education
Correct Answers
A, B, D, E
Rationale
, Patient-centered care respects values, preferences, and active
participation.
Incorrect Analysis
C: Excluding patients violates autonomy and shared
decision-making.
Nursing Process
Planning
NCJMM
Recognize Cues
Generate Solutions
Difficulty
Easy
Bloom Level
Understand
NCLEX Category
Management of Care
Learning Objective
Apply principles of patient-centered care.
Question 3 — MCQ
Scenario
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Print ISBN: 9780323878265
TEST BANK
Question 1 — MCQ
Clinical Scenario
A nurse receives a report on four newly admitted patients on a
medical-surgical unit.
Question Stem
,Which patient should the nurse assess first?
A. A patient reporting pain rated 8/10 after surgery
B. A patient with oxygen saturation of 88% on room air
C. A patient requesting assistance to the bathroom
D. A patient waiting for discharge teaching
Correct Answer
B. A patient with oxygen saturation of 88% on room air
Rationale
Airway and breathing problems take priority. Hypoxemia may
rapidly progress to respiratory failure and requires immediate
assessment.
Incorrect Option Analysis
A: Pain is important but not immediately life-threatening.
C: Fall prevention is necessary but not the highest priority.
D: Teaching can be delayed.
Nursing Process
Assessment
NCJMM Competencies
Recognize Cues
Prioritize Hypotheses
Take Action
Difficulty
,Moderate
Bloom Level
Analyze
NCLEX Category
Physiological Adaptation
Learning Objective
Prioritize patient care using airway, breathing, and circulation
principles.
Question 2 — SATA
Scenario
A nurse promotes patient-centered care during hospitalization.
Select all actions that demonstrate patient-centered care.
A. Asking about cultural preferences
B. Involving family in decisions if desired
C. Making decisions without consulting the patient
D. Respecting patient values
E. Providing individualized education
Correct Answers
A, B, D, E
Rationale
, Patient-centered care respects values, preferences, and active
participation.
Incorrect Analysis
C: Excluding patients violates autonomy and shared
decision-making.
Nursing Process
Planning
NCJMM
Recognize Cues
Generate Solutions
Difficulty
Easy
Bloom Level
Understand
NCLEX Category
Management of Care
Learning Objective
Apply principles of patient-centered care.
Question 3 — MCQ
Scenario
