Medical-Surgical Nursing: Concepts for
Clinical Judgment and Collaborative Care
(11th Edition) Comprehensive Examination
Review | 100 Practice Questions with
Detailed Rationales | NCLEX-RN, Clinical
Judgment, Prioritization, Delegation,
Collaborative Care, Chapters 1–74 Success
Guide
Medical-Surgical Nursing: Concepts for
Clinical Judgment and Collaborative
Care (11th Edition)
Comprehensive Medical-Surgical Nursing
Examination Review
Chapters 1–74 | Questions 1–100
This practice examination is based on the major concepts covered throughout
the 11th edition, including professional nursing concepts, clinical judgment,
,older adult care, pain management, perioperative nursing, emergency care, fluid
and electrolyte balance, acid-base disorders, infusion therapy, immunity, cancer,
infection, and foundational medical-surgical nursing practice.
Professional Nursing Concepts
1. A nurse demonstrates patient-centered care by:
A. Assessing cultural influences on health care decisions
B. Completing tasks as quickly as possible
C. Focusing primarily on physician instructions
D. Prioritizing organizational goals over patient needs
Correct Answer: A
Rationale: Patient-centered care involves respecting individual values,
preferences, culture, and needs while involving patients in decision-making.
Difficulty: Easy
2. Clinical judgment is best defined as the ability to:
A. Recognize cues, analyze information, and make safe decisions
B. Follow physician orders without question
C. Memorize nursing procedures
D. Delegate all patient care activities
Correct Answer: A
Rationale: Clinical judgment involves recognizing relevant information,
analyzing it, prioritizing hypotheses, and implementing appropriate nursing
actions.
Difficulty: Easy
3. Which nursing action best reflects evidence-based practice?
A. Integrating research evidence, clinical expertise, and patient preferences
B. Following traditions regardless of evidence
,C. Using personal opinions exclusively
D. Ignoring patient preferences
Correct Answer: A
Rationale: Evidence-based practice combines research findings, professional
expertise, and patient values.
Difficulty: Easy
4. Systems thinking helps nurses:
A. Understand how various healthcare components interact
B. Focus on one problem at a time exclusively
C. Ignore organizational factors
D. Eliminate teamwork
Correct Answer: A
Rationale: Systems thinking recognizes relationships among patients,
providers, processes, and healthcare environments.
Difficulty: Moderate
5. Which factor places older adults at increased risk for adverse drug
reactions?
A. Age-related physiologic changes
B. Increased muscle mass
C. Enhanced renal clearance
D. Reduced medication use
Correct Answer: A
Rationale: Aging affects absorption, distribution, metabolism, and excretion
of medications.
Difficulty: Moderate
, Pain Management
6. The most reliable indicator of pain is:
A. The patient's self-report
B. Vital signs alone
C. Facial expression only
D. Diagnostic imaging
Correct Answer: A
Rationale: Pain is subjective, and the patient's report remains the gold
standard for assessment.
Difficulty: Easy
7. Which statement about pain is accurate?
A. Pain is whatever the experiencing person says it is.
B. Pain can be measured objectively in all patients.
C. Vital signs accurately reflect pain intensity.
D. Chronic pain always has an identifiable cause.
Correct Answer: A
Rationale: Pain perception is subjective and individualized.
Difficulty: Easy
8. A patient receiving morphine should be monitored closely for:
A. Respiratory depression
B. Hypertension
C. Hyperglycemia
D. Tachypnea
Correct Answer: A
Rationale: Opioids may depress respiratory drive, requiring ongoing
assessment.
Clinical Judgment and Collaborative Care
(11th Edition) Comprehensive Examination
Review | 100 Practice Questions with
Detailed Rationales | NCLEX-RN, Clinical
Judgment, Prioritization, Delegation,
Collaborative Care, Chapters 1–74 Success
Guide
Medical-Surgical Nursing: Concepts for
Clinical Judgment and Collaborative
Care (11th Edition)
Comprehensive Medical-Surgical Nursing
Examination Review
Chapters 1–74 | Questions 1–100
This practice examination is based on the major concepts covered throughout
the 11th edition, including professional nursing concepts, clinical judgment,
,older adult care, pain management, perioperative nursing, emergency care, fluid
and electrolyte balance, acid-base disorders, infusion therapy, immunity, cancer,
infection, and foundational medical-surgical nursing practice.
Professional Nursing Concepts
1. A nurse demonstrates patient-centered care by:
A. Assessing cultural influences on health care decisions
B. Completing tasks as quickly as possible
C. Focusing primarily on physician instructions
D. Prioritizing organizational goals over patient needs
Correct Answer: A
Rationale: Patient-centered care involves respecting individual values,
preferences, culture, and needs while involving patients in decision-making.
Difficulty: Easy
2. Clinical judgment is best defined as the ability to:
A. Recognize cues, analyze information, and make safe decisions
B. Follow physician orders without question
C. Memorize nursing procedures
D. Delegate all patient care activities
Correct Answer: A
Rationale: Clinical judgment involves recognizing relevant information,
analyzing it, prioritizing hypotheses, and implementing appropriate nursing
actions.
Difficulty: Easy
3. Which nursing action best reflects evidence-based practice?
A. Integrating research evidence, clinical expertise, and patient preferences
B. Following traditions regardless of evidence
,C. Using personal opinions exclusively
D. Ignoring patient preferences
Correct Answer: A
Rationale: Evidence-based practice combines research findings, professional
expertise, and patient values.
Difficulty: Easy
4. Systems thinking helps nurses:
A. Understand how various healthcare components interact
B. Focus on one problem at a time exclusively
C. Ignore organizational factors
D. Eliminate teamwork
Correct Answer: A
Rationale: Systems thinking recognizes relationships among patients,
providers, processes, and healthcare environments.
Difficulty: Moderate
5. Which factor places older adults at increased risk for adverse drug
reactions?
A. Age-related physiologic changes
B. Increased muscle mass
C. Enhanced renal clearance
D. Reduced medication use
Correct Answer: A
Rationale: Aging affects absorption, distribution, metabolism, and excretion
of medications.
Difficulty: Moderate
, Pain Management
6. The most reliable indicator of pain is:
A. The patient's self-report
B. Vital signs alone
C. Facial expression only
D. Diagnostic imaging
Correct Answer: A
Rationale: Pain is subjective, and the patient's report remains the gold
standard for assessment.
Difficulty: Easy
7. Which statement about pain is accurate?
A. Pain is whatever the experiencing person says it is.
B. Pain can be measured objectively in all patients.
C. Vital signs accurately reflect pain intensity.
D. Chronic pain always has an identifiable cause.
Correct Answer: A
Rationale: Pain perception is subjective and individualized.
Difficulty: Easy
8. A patient receiving morphine should be monitored closely for:
A. Respiratory depression
B. Hypertension
C. Hyperglycemia
D. Tachypnea
Correct Answer: A
Rationale: Opioids may depress respiratory drive, requiring ongoing
assessment.
