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MEDICAL-SURGICAL NURSING, 7TH EDITION (IGNATAVICIUS &
WORKMAN) EXAM LATEST VERSION QUESTIONS AND
ANSWERS 2026 EDITION
Medical-Surgical Nursing, 7th Edition (Ignatavicius & Workman): 250 Practice
DOMAIN 1: FOUNDATIONS OF MEDICAL-SURGICAL NURSING (25 Questions)
1. The scope of medical-surgical nursing includes care of patients in which age
range?
A) 18 to 65 years
B) 21 to 80 years
C) 18 to older than 100 years
D) 25 to 75 years
Answer: C) 18 to older than 100 years
Rationale: The scope of medical-surgical nursing, sometimes called adult health
nursing, is to promote health and prevent illness or injury in patients from 18 to older
than 100 years of age .
2. Which of the following is NOT one of the six core competencies identified by the
Institute of Medicine (IOM) and QSEN for healthcare professionals?
A) Patient-centered care
B) Evidence-based practice
C) Financial management
D) Teamwork and collaboration
Answer: C) Financial management
, Page 2 of 78
Rationale: The six core competencies for health care professionals based on research
by the Institute of Medicine (IOM) and Quality and Safety Education for Nurses (QSEN)
are patient-centered care, teamwork and collaboration, evidence-based practice,
quality improvement, informatics, and safety .
3. A nurse is caring for a patient who prefers to make decisions independently. The
nurse respects this preference. Which QSEN competency is the nurse
demonstrating?
A) Quality improvement
B) Patient-centered care
C) Evidence-based practice
D) Informatics
Answer: B) Patient-centered care
Rationale: Patient-centered care is "care that recognizes the patient or designee as the
source of control and full partner in providing compassionate and coordinated care
based on respect for the patient's preferences, values, and needs" .
4. A nurse manager is implementing a new hand-off communication tool. Which
model is recommended for standardizing critical communication?
A) SBAR
B) SHARE
C) TEAMSTEPPS
D) CUS
Answer: B) SHARE
Rationale: A good tool for standardizing hand-off reports and other critical
communication is the SHARE model. SHARE stands for standardize critical information,
hardwire within your system, allow opportunities to ask questions, reinforce quality and
measurement, and educate and coach .
5. Which of the following is a core competency of QSEN?
A) Patient-centered care
B) Teamwork and collaboration
C) Evidence-based practice
D) All of the above
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Answer: D) All of the above
Rationale: The six core competencies for health care professionals based on research
by the Institute of Medicine (IOM) and Quality and Safety Education for Nurses (QSEN)
are patient-centered care, teamwork and collaboration, evidence-based practice,
quality improvement, informatics, and safety .
6. The nurse is delegating a task to an unlicensed assistive personnel (UAP). Which
of the following is one of the "Five Rights" of delegation?
A) Right time
B) Right task
C) Right patient
D) Right outcome
Answer: B) Right task
Rationale: The Five Rights of Delegation include: Right task, Right circumstances, Right
person, Right direction/communication, and Right supervision/evaluation .
7. A nurse is preparing to call the Rapid Response Team (RRT). The RRT is designed
to:
A) Respond to cardiac arrests
B) Respond to patients who are beginning to clinically decline
C) Replace the Code Team
D) Provide palliative care
Answer: B) Respond to patients who are beginning to clinically decline
Rationale: Outcome data demonstrate that the RRT approach to emergency care
reduces medical complications and decreases the number of cardiac and respiratory
arrests. The team does not replace the Code Team, but acts rapidly when needed for
those who are beginning to clinically decline .
8. The NCSBN Clinical Judgment Model includes which of the following cognitive
skills?
A) Recognize cues
B) Analyze cues and prioritize hypotheses
C) Generate solutions and take action
D) All of the above
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Answer: D) All of the above
Rationale: The NCSBN Cognitive Skills in the Nursing Process include: Recognize Cues,
Analyze Cues and Prioritize Hypotheses, Generate Solutions and Take Action, and
Evaluate Outcomes .
9. The four spheres of care in medical-surgical nursing include:
A) Acute care, chronic care, palliative care, and preventive care
B) Disease prevention/promotion of health, chronic disease care, regenerative or
restorative care, hospice/palliative/supportive care
C) Primary, secondary, tertiary, and quaternary care
D) Inpatient, outpatient, home health, and hospice care
Answer: B) Disease prevention/promotion of health, chronic disease care,
regenerative or restorative care, hospice/palliative/supportive care
Rationale: The four spheres of care in medical-surgical nursing are disease
prevention/promotion of health, chronic disease care, regenerative or restorative care,
and hospice/palliative/supportive care .
10. A nurse is providing care that recognizes the patient as the source of control
and a full partner in care. This is an example of:
A) Evidence-based practice
B) Patient-centered care
C) Quality improvement
D) Informatics
Answer: B) Patient-centered care
Rationale: Patient-centered care means the patient or designee is the source of control
and a full partner in care .
11. What does SBAR stand for in communication?
A) Situation, Background, Assessment, Recommendation
B) Situation, Briefing, Assessment, Response
C) Summary, Background, Analysis, Recommendation
D) Situation, Background, Action, Response
Answer: A) Situation, Background, Assessment, Recommendation
MEDICAL-SURGICAL NURSING, 7TH EDITION (IGNATAVICIUS &
WORKMAN) EXAM LATEST VERSION QUESTIONS AND
ANSWERS 2026 EDITION
Medical-Surgical Nursing, 7th Edition (Ignatavicius & Workman): 250 Practice
DOMAIN 1: FOUNDATIONS OF MEDICAL-SURGICAL NURSING (25 Questions)
1. The scope of medical-surgical nursing includes care of patients in which age
range?
A) 18 to 65 years
B) 21 to 80 years
C) 18 to older than 100 years
D) 25 to 75 years
Answer: C) 18 to older than 100 years
Rationale: The scope of medical-surgical nursing, sometimes called adult health
nursing, is to promote health and prevent illness or injury in patients from 18 to older
than 100 years of age .
2. Which of the following is NOT one of the six core competencies identified by the
Institute of Medicine (IOM) and QSEN for healthcare professionals?
A) Patient-centered care
B) Evidence-based practice
C) Financial management
D) Teamwork and collaboration
Answer: C) Financial management
, Page 2 of 78
Rationale: The six core competencies for health care professionals based on research
by the Institute of Medicine (IOM) and Quality and Safety Education for Nurses (QSEN)
are patient-centered care, teamwork and collaboration, evidence-based practice,
quality improvement, informatics, and safety .
3. A nurse is caring for a patient who prefers to make decisions independently. The
nurse respects this preference. Which QSEN competency is the nurse
demonstrating?
A) Quality improvement
B) Patient-centered care
C) Evidence-based practice
D) Informatics
Answer: B) Patient-centered care
Rationale: Patient-centered care is "care that recognizes the patient or designee as the
source of control and full partner in providing compassionate and coordinated care
based on respect for the patient's preferences, values, and needs" .
4. A nurse manager is implementing a new hand-off communication tool. Which
model is recommended for standardizing critical communication?
A) SBAR
B) SHARE
C) TEAMSTEPPS
D) CUS
Answer: B) SHARE
Rationale: A good tool for standardizing hand-off reports and other critical
communication is the SHARE model. SHARE stands for standardize critical information,
hardwire within your system, allow opportunities to ask questions, reinforce quality and
measurement, and educate and coach .
5. Which of the following is a core competency of QSEN?
A) Patient-centered care
B) Teamwork and collaboration
C) Evidence-based practice
D) All of the above
, Page 3 of 78
Answer: D) All of the above
Rationale: The six core competencies for health care professionals based on research
by the Institute of Medicine (IOM) and Quality and Safety Education for Nurses (QSEN)
are patient-centered care, teamwork and collaboration, evidence-based practice,
quality improvement, informatics, and safety .
6. The nurse is delegating a task to an unlicensed assistive personnel (UAP). Which
of the following is one of the "Five Rights" of delegation?
A) Right time
B) Right task
C) Right patient
D) Right outcome
Answer: B) Right task
Rationale: The Five Rights of Delegation include: Right task, Right circumstances, Right
person, Right direction/communication, and Right supervision/evaluation .
7. A nurse is preparing to call the Rapid Response Team (RRT). The RRT is designed
to:
A) Respond to cardiac arrests
B) Respond to patients who are beginning to clinically decline
C) Replace the Code Team
D) Provide palliative care
Answer: B) Respond to patients who are beginning to clinically decline
Rationale: Outcome data demonstrate that the RRT approach to emergency care
reduces medical complications and decreases the number of cardiac and respiratory
arrests. The team does not replace the Code Team, but acts rapidly when needed for
those who are beginning to clinically decline .
8. The NCSBN Clinical Judgment Model includes which of the following cognitive
skills?
A) Recognize cues
B) Analyze cues and prioritize hypotheses
C) Generate solutions and take action
D) All of the above
, Page 4 of 78
Answer: D) All of the above
Rationale: The NCSBN Cognitive Skills in the Nursing Process include: Recognize Cues,
Analyze Cues and Prioritize Hypotheses, Generate Solutions and Take Action, and
Evaluate Outcomes .
9. The four spheres of care in medical-surgical nursing include:
A) Acute care, chronic care, palliative care, and preventive care
B) Disease prevention/promotion of health, chronic disease care, regenerative or
restorative care, hospice/palliative/supportive care
C) Primary, secondary, tertiary, and quaternary care
D) Inpatient, outpatient, home health, and hospice care
Answer: B) Disease prevention/promotion of health, chronic disease care,
regenerative or restorative care, hospice/palliative/supportive care
Rationale: The four spheres of care in medical-surgical nursing are disease
prevention/promotion of health, chronic disease care, regenerative or restorative care,
and hospice/palliative/supportive care .
10. A nurse is providing care that recognizes the patient as the source of control
and a full partner in care. This is an example of:
A) Evidence-based practice
B) Patient-centered care
C) Quality improvement
D) Informatics
Answer: B) Patient-centered care
Rationale: Patient-centered care means the patient or designee is the source of control
and a full partner in care .
11. What does SBAR stand for in communication?
A) Situation, Background, Assessment, Recommendation
B) Situation, Briefing, Assessment, Response
C) Summary, Background, Analysis, Recommendation
D) Situation, Background, Action, Response
Answer: A) Situation, Background, Assessment, Recommendation
