Medical-Surgical Nursing
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
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: 10
SATA: 4
NGN Case Study: 3
Bow-Tie: 2
Matrix/Grid: 1
QUALITY REVIEW
,✓ Original content created specifically for educational review
✓ No publisher-derived or copyrighted test bank material
✓ Contemporary NCLEX-style clinical judgment focus
✓ Evidence-informed nursing practice
✓ Patient safety emphasis throughout
✓ Integration of QSEN competencies
✓ Realistic adult-health clinical scenarios
✓ Appropriate cognitive complexity
✓ Consistent nursing terminology
✓ Single-best-answer format where applicable
Question 1 (MCQ)
Clinical Scenario
A nurse is caring for a 72-year-old patient admitted with heart
failure. During bedside report, the patient states, “No one has
explained why my medications were changed.”
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Answer Options
, A. Review medication changes with the patient and encourage
questions
B. Tell the patient the provider will discuss medications later
C. Document the concern and continue the assessment
D. Provide a printed medication list without explanation
Correct Answer
A. Review medication changes with the patient and encourage
questions
Detailed Rationale
Patient-centered care recognizes patients as active participants
in healthcare decisions. Reviewing medication changes and
inviting questions promotes understanding, shared decision-
making, and respect for patient preferences.
Incorrect Option Analysis
B.
Incorrect because it delays patient education.
Misconception: Only providers educate patients.
Safety concern: Poor understanding may affect medication
adherence.
C.
Incorrect because documentation alone does not address
the concern.
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
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: 10
SATA: 4
NGN Case Study: 3
Bow-Tie: 2
Matrix/Grid: 1
QUALITY REVIEW
,✓ Original content created specifically for educational review
✓ No publisher-derived or copyrighted test bank material
✓ Contemporary NCLEX-style clinical judgment focus
✓ Evidence-informed nursing practice
✓ Patient safety emphasis throughout
✓ Integration of QSEN competencies
✓ Realistic adult-health clinical scenarios
✓ Appropriate cognitive complexity
✓ Consistent nursing terminology
✓ Single-best-answer format where applicable
Question 1 (MCQ)
Clinical Scenario
A nurse is caring for a 72-year-old patient admitted with heart
failure. During bedside report, the patient states, “No one has
explained why my medications were changed.”
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Answer Options
, A. Review medication changes with the patient and encourage
questions
B. Tell the patient the provider will discuss medications later
C. Document the concern and continue the assessment
D. Provide a printed medication list without explanation
Correct Answer
A. Review medication changes with the patient and encourage
questions
Detailed Rationale
Patient-centered care recognizes patients as active participants
in healthcare decisions. Reviewing medication changes and
inviting questions promotes understanding, shared decision-
making, and respect for patient preferences.
Incorrect Option Analysis
B.
Incorrect because it delays patient education.
Misconception: Only providers educate patients.
Safety concern: Poor understanding may affect medication
adherence.
C.
Incorrect because documentation alone does not address
the concern.
