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
Quality Review
✓ Original content developed specifically for exam revision
purposes
✓ No copyrighted textbook or publisher test bank content
reproduced
✓ Current NCLEX-style clinical judgment emphasis
✓ Evidence-informed nursing practice incorporated
,✓ Patient safety prioritized throughout
✓ Realistic adult health clinical scenarios
✓ Consistent medical-surgical nursing terminology
✓ Alignment with QSEN competencies and NCJMM framework
✓ Rationales include analysis of all options
✓ Appropriate challenge for nursing students and NCLEX
preparation
Question 1
Type
MCQ
Clinical Scenario
A nurse begins a shift on a medical-surgical unit and reviews a
patient's goals of care. The patient states, "I want to be
involved in every decision about my treatment."
Question Stem
Which nursing action best demonstrates patient-centered care?
Options
A. Following the physician's treatment plan without discussing
options
, B. Encouraging the patient to participate in decisions regarding
treatment goals
C. Asking family members to make decisions for the patient
D. Limiting information to avoid overwhelming the patient
Correct Answer
B. Encouraging the patient to participate in decisions regarding
treatment goals
Detailed Rationale
Patient-centered care emphasizes respect for patient
preferences, values, and involvement in healthcare decisions.
Shared decision-making improves satisfaction, adherence, and
outcomes.
Incorrect Option Analysis
A: Incorrect.
Excludes patient participation.
Misconception: Provider-directed care is always best.
Safety concern: May reduce adherence and trust.
C: Incorrect.
Patient autonomy should be respected unless decision-
making capacity is impaired.
D: Incorrect.