NURS 330 MED SURG EXAM 1 STUDY GUIDE | NURS 330 EXAM 1 PRACTICE
QUESTIONS & ANSWERS | MEDICAL SURGICAL NURSING REVIEW 2026/2027
Describe the scope and practice of medical-surgical nursing. - correct answer ✔✔used to delineate
actions that are legally permitted for a particular profession based on educational qualifications
Independent action of Care - correct answer ✔✔are "within" a nurse's scope of practice to perform or
initiate independently
Dependent Action of Care - correct answer ✔✔require an order from a Medical Doctor (MD), Doctor of
Osteopathic Medicine (DO), Nurse Practitioner (NP), Physician's Assistant (PA), or other advanced
practitioner
Patient and Family-Centered Care - correct answer ✔✔- Patient and family cared for by interdisciplinary
group of healthcare professionals
- Involves active involvement and collaboration
Collaborative Practice - correct answer ✔✔Nurses, physicians, ancillary health professionals perform
their particular job functions but share decision-making responsibility
Care Across the Continuum - correct answer ✔✔Ensuring in-patient and outpatient providers are all on
the same page
Describe members of the interdisciplinary team and their roles and responsibilities. - correct answer ✔✔
An RN can delegate to - correct answer ✔✔another RN, an LPN, or a UAP (CNA, PCT, etc.)
An LPN can delegate to - correct answer ✔✔another LPN or a UAP (CNA, PCT, etc.)
Describe the nurse's roles in management of care - correct answer ✔✔- ADPIE
- Interdisciplinary collaboration
Describe the nurse's roles in safety and infection control - correct answer ✔✔- Utilize all evidence-based
interventions to prevent infection and/or patient trauma
- Medical and surgical asepsis
Describe the nurse's roles in health promotion and maintenance - correct answer ✔✔
Explain the purpose of Healthy People initiative. - correct answer ✔✔- Health behaviors
- Varied populations
- Settings and systems
- Social determinants affecting health
- Goals are set for each objective to be reached by 2030
Illnesses in Med-Surg Acute - correct answer ✔✔- Sudden, short-lived illness process or trauma
- Curable; treatment options
, - Hospitalization? At-home management?
Illnesses in Med-Surg Chronic - correct answer ✔✔- No set definition in literature
- CDC defines as disease process lasting >/= 1 year
- Focuses on individual pathologies
- No cure, just symptom management
Illnesses in Med-Surg Terminal - correct answer ✔✔- Illness process that will result in death
- No cure, quality vs. quantity
- At-home management? Hospice house?
Discuss the relationship between evidence-based practice and quality improvement to patient outcomes
in medical-surgical nursing. - correct answer ✔✔- Changes in disease patterns require innovation to
prevent, treat, and find ways to live with disease and injury
- Technological advances provide access to faster, less invasive, and less painful diagnostic testing and
procedures
- Fewer inpatient days = decreased cost, decreased risk of injury
Recall the previously learned concept of the teaching and learning process, including effective teaching
strategies and evaluation or evidence of learning. - correct answer ✔✔
Describe methods to incorporate cultural practices, beliefs, and developmental levels into the care of
adult patients. - correct answer ✔✔
Culture - correct answer ✔✔- Similarities shared among members of a group
•Ways of thinking (values, norms), language, communication, customs
•Transmitted generationally
Cultural diversity - correct answer ✔✔- Existence of varied cultural groups within a society
Culture competence - correct answer ✔✔- Understand and address entire cultural context of each client
within the realm of the care delivered
Cultural Sensitivity - correct answer ✔✔- Being knowledgeable about the cultures prevalent in their area
of practice
Describe the use of a translator when communicating with patients that communicate in a different
language. - correct answer ✔✔- It is required that an interpreter is available in health care facilities
- Use a facility-approved medical interpreter; do not use a patient family member
•Keep the interpreter informed of the situation, patient, family members, etc.
- Allow time for interpretation; speak clearly and slowly
- Face the patient; speak to them as you would if the interpreter was not needed
Discuss the importance of integrating previously learned concepts into the care of patients in medical-
surgical nursing. - correct answer ✔✔
QUESTIONS & ANSWERS | MEDICAL SURGICAL NURSING REVIEW 2026/2027
Describe the scope and practice of medical-surgical nursing. - correct answer ✔✔used to delineate
actions that are legally permitted for a particular profession based on educational qualifications
Independent action of Care - correct answer ✔✔are "within" a nurse's scope of practice to perform or
initiate independently
Dependent Action of Care - correct answer ✔✔require an order from a Medical Doctor (MD), Doctor of
Osteopathic Medicine (DO), Nurse Practitioner (NP), Physician's Assistant (PA), or other advanced
practitioner
Patient and Family-Centered Care - correct answer ✔✔- Patient and family cared for by interdisciplinary
group of healthcare professionals
- Involves active involvement and collaboration
Collaborative Practice - correct answer ✔✔Nurses, physicians, ancillary health professionals perform
their particular job functions but share decision-making responsibility
Care Across the Continuum - correct answer ✔✔Ensuring in-patient and outpatient providers are all on
the same page
Describe members of the interdisciplinary team and their roles and responsibilities. - correct answer ✔✔
An RN can delegate to - correct answer ✔✔another RN, an LPN, or a UAP (CNA, PCT, etc.)
An LPN can delegate to - correct answer ✔✔another LPN or a UAP (CNA, PCT, etc.)
Describe the nurse's roles in management of care - correct answer ✔✔- ADPIE
- Interdisciplinary collaboration
Describe the nurse's roles in safety and infection control - correct answer ✔✔- Utilize all evidence-based
interventions to prevent infection and/or patient trauma
- Medical and surgical asepsis
Describe the nurse's roles in health promotion and maintenance - correct answer ✔✔
Explain the purpose of Healthy People initiative. - correct answer ✔✔- Health behaviors
- Varied populations
- Settings and systems
- Social determinants affecting health
- Goals are set for each objective to be reached by 2030
Illnesses in Med-Surg Acute - correct answer ✔✔- Sudden, short-lived illness process or trauma
- Curable; treatment options
, - Hospitalization? At-home management?
Illnesses in Med-Surg Chronic - correct answer ✔✔- No set definition in literature
- CDC defines as disease process lasting >/= 1 year
- Focuses on individual pathologies
- No cure, just symptom management
Illnesses in Med-Surg Terminal - correct answer ✔✔- Illness process that will result in death
- No cure, quality vs. quantity
- At-home management? Hospice house?
Discuss the relationship between evidence-based practice and quality improvement to patient outcomes
in medical-surgical nursing. - correct answer ✔✔- Changes in disease patterns require innovation to
prevent, treat, and find ways to live with disease and injury
- Technological advances provide access to faster, less invasive, and less painful diagnostic testing and
procedures
- Fewer inpatient days = decreased cost, decreased risk of injury
Recall the previously learned concept of the teaching and learning process, including effective teaching
strategies and evaluation or evidence of learning. - correct answer ✔✔
Describe methods to incorporate cultural practices, beliefs, and developmental levels into the care of
adult patients. - correct answer ✔✔
Culture - correct answer ✔✔- Similarities shared among members of a group
•Ways of thinking (values, norms), language, communication, customs
•Transmitted generationally
Cultural diversity - correct answer ✔✔- Existence of varied cultural groups within a society
Culture competence - correct answer ✔✔- Understand and address entire cultural context of each client
within the realm of the care delivered
Cultural Sensitivity - correct answer ✔✔- Being knowledgeable about the cultures prevalent in their area
of practice
Describe the use of a translator when communicating with patients that communicate in a different
language. - correct answer ✔✔- It is required that an interpreter is available in health care facilities
- Use a facility-approved medical interpreter; do not use a patient family member
•Keep the interpreter informed of the situation, patient, family members, etc.
- Allow time for interpretation; speak clearly and slowly
- Face the patient; speak to them as you would if the interpreter was not needed
Discuss the importance of integrating previously learned concepts into the care of patients in medical-
surgical nursing. - correct answer ✔✔
