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Timby's Introductory Medical-Surgical Nursing Test
Bank [2026] | Medical-Surgical Nursing 13th Edition |
150 Practice Questions with Detailed Answer
Explanations | Bold Italic Answers & Italic Rationales |
Nursing Study Guide & Exam Review
Unit 1: Nursing Roles and Responsibilities (Questions 1–20)
Chapter 1: Concepts and Trends in Healthcare
1. A nurse is reviewing the levels of healthcare. Which level of care focuses on
health promotion and disease prevention?
A) Primary care
B) Secondary care
C) Tertiary care
D) Restorative care
Answer: A) Primary care
Explanation: Primary care focuses on health promotion and disease prevention,
including immunizations, health education, and routine screenings.
2. Which action by the nurse working with a client best demonstrates respect
for autonomy?
A) Asks if the client has questions before signing a consent form
B) Gives the client accurate information when questioned
C) Keeps the promises made to the client and family
D) Treats the client fairly compared to other clients
Answer: A) Asks if the client has questions before signing a consent form
Explanation: Autonomy is self-determination, meaning the client has the right to
,make decisions regarding their own care. Ensuring the client has all information
before signing a consent form respects their autonomy.
3. A major goal of healthcare reform in the United States is to:
A) Increase hospital length of stay
B) Improve access, quality, and cost-effectiveness
C) Limit patient autonomy
D) Reduce the nursing workforce
Answer: B) Improve access, quality, and cost-effectiveness
Explanation: Healthcare reform focuses on improving access to care, enhancing
quality, and making healthcare more affordable and cost-effective.
4. Which is the best example of evidence-based nursing practice?
A) Using interventions based on tradition
B) Following physician preference only
C) Integrating research evidence with clinical expertise and patient preferences
D) Applying hospital routines to all patients
Answer: C) Integrating research evidence with clinical expertise and patient
preferences
Explanation: Evidence-based practice combines current research, clinical expertise,
and patient values to guide nursing interventions.
5. A nurse working in a patient-centered medical home emphasizes which
approach?
A) Fragmented specialty care
B) Provider-focused decision-making
C) Coordinated, team-based care
D) Emergency-only services
Answer: C) Coordinated, team-based care
Explanation: Patient-centered medical homes rely on coordinated, interdisciplinary
care to provide comprehensive and continuous healthcare.
6. A student nurse asks the faculty to explain best practices when
communicating with a person from the LGBTQ community. What answer by the
faculty is most accurate?
A) Avoid embarrassing the client by asking questions
,B) Don't make assumptions about their health needs
C) Most LGBTQ people do not want to share information
D) No differences exist in communicating with this population
Answer: B) Don't make assumptions about their health needs
Explanation: Many members of the LGBTQ community have faced discrimination
and may be reluctant to seek care. The nurse should never make assumptions
about their needs and should approach with sensitivity.
7. The LPN/LVN is caring for a patient who is uninsured and lacks transportation
to follow-up appointments. Which action best demonstrates advocacy for this
patient?
A) Documenting the patient's concerns in the medical record
B) Notifying the social worker to assist with transportation and community
resources
C) Instructing the patient to find a ride with a family member
D) Rescheduling the appointment for a later date
Answer: B) Notifying the social worker to assist with transportation and
community resources
Explanation: Advocacy involves speaking or acting on behalf of the patient to
ensure their needs are met. Connecting the patient with resources addresses the
underlying barriers to care.
8. A nurse is reviewing the Healthy People 2030 initiative. Which statement
accurately describes the primary focus of this initiative?
A) Reducing the cost of healthcare for all Americans
B) Eliminating health disparities and improving the health of all Americans
C) Ensuring that all Americans have health insurance coverage
D) Increasing the number of hospitals in underserved areas
Answer: B) Eliminating health disparities and improving the health of all
Americans
Explanation: Healthy People 2030 aims to eliminate health disparities, achieve
health equity, and improve the health and well-being of all Americans.
9. A patient tells the nurse, "I don't understand why I need to take this
medication every day." Which response by the nurse best demonstrates the role
, of a patient educator?
A) "The doctor prescribed it, so you should take it as ordered."
B) "Let me explain how this medication works and why it's important for your
condition."
C) "I'll ask the pharmacist to come talk to you about it."
D) "You can look up the medication information online."
Answer: B) "Let me explain how this medication works and why it's important
for your condition."
Explanation: The nurse's role as an educator includes providing clear,
understandable explanations to promote patient understanding and adherence.
10. Managed care organizations are insurers that carefully plan and closely
supervise the distribution of healthcare services. What is one of the goals of
managed care?
A) Preventing illness through screening and promotion of health activities
B) Improving training of healthcare professionals
C) Eliminating health disparities between segments of the population
D) Providing hospice or home hospice care
Answer: A) Preventing illness through screening and promotion of health
activities
Explanation: One goal of managed care is to prevent illness through screening and
health promotion activities, which can reduce overall healthcare costs.
11. In an effort to cut costs, hospitals have instituted many changes. Which of
these cost-cutting factors is most likely to jeopardize the quality of care?
A) Using unlicensed assistive personnel
B) Increasing numbers of patients in hospitals
C) Not devoting enough time to the patient
D) The rise of medical care costs in healthcare systems
Answer: A) Using unlicensed assistive personnel
Explanation: Many are concerned that the use of unlicensed assistive personnel to
perform duties once provided by licensed caregivers may jeopardize the quality of
care.
Timby's Introductory Medical-Surgical Nursing Test
Bank [2026] | Medical-Surgical Nursing 13th Edition |
150 Practice Questions with Detailed Answer
Explanations | Bold Italic Answers & Italic Rationales |
Nursing Study Guide & Exam Review
Unit 1: Nursing Roles and Responsibilities (Questions 1–20)
Chapter 1: Concepts and Trends in Healthcare
1. A nurse is reviewing the levels of healthcare. Which level of care focuses on
health promotion and disease prevention?
A) Primary care
B) Secondary care
C) Tertiary care
D) Restorative care
Answer: A) Primary care
Explanation: Primary care focuses on health promotion and disease prevention,
including immunizations, health education, and routine screenings.
2. Which action by the nurse working with a client best demonstrates respect
for autonomy?
A) Asks if the client has questions before signing a consent form
B) Gives the client accurate information when questioned
C) Keeps the promises made to the client and family
D) Treats the client fairly compared to other clients
Answer: A) Asks if the client has questions before signing a consent form
Explanation: Autonomy is self-determination, meaning the client has the right to
,make decisions regarding their own care. Ensuring the client has all information
before signing a consent form respects their autonomy.
3. A major goal of healthcare reform in the United States is to:
A) Increase hospital length of stay
B) Improve access, quality, and cost-effectiveness
C) Limit patient autonomy
D) Reduce the nursing workforce
Answer: B) Improve access, quality, and cost-effectiveness
Explanation: Healthcare reform focuses on improving access to care, enhancing
quality, and making healthcare more affordable and cost-effective.
4. Which is the best example of evidence-based nursing practice?
A) Using interventions based on tradition
B) Following physician preference only
C) Integrating research evidence with clinical expertise and patient preferences
D) Applying hospital routines to all patients
Answer: C) Integrating research evidence with clinical expertise and patient
preferences
Explanation: Evidence-based practice combines current research, clinical expertise,
and patient values to guide nursing interventions.
5. A nurse working in a patient-centered medical home emphasizes which
approach?
A) Fragmented specialty care
B) Provider-focused decision-making
C) Coordinated, team-based care
D) Emergency-only services
Answer: C) Coordinated, team-based care
Explanation: Patient-centered medical homes rely on coordinated, interdisciplinary
care to provide comprehensive and continuous healthcare.
6. A student nurse asks the faculty to explain best practices when
communicating with a person from the LGBTQ community. What answer by the
faculty is most accurate?
A) Avoid embarrassing the client by asking questions
,B) Don't make assumptions about their health needs
C) Most LGBTQ people do not want to share information
D) No differences exist in communicating with this population
Answer: B) Don't make assumptions about their health needs
Explanation: Many members of the LGBTQ community have faced discrimination
and may be reluctant to seek care. The nurse should never make assumptions
about their needs and should approach with sensitivity.
7. The LPN/LVN is caring for a patient who is uninsured and lacks transportation
to follow-up appointments. Which action best demonstrates advocacy for this
patient?
A) Documenting the patient's concerns in the medical record
B) Notifying the social worker to assist with transportation and community
resources
C) Instructing the patient to find a ride with a family member
D) Rescheduling the appointment for a later date
Answer: B) Notifying the social worker to assist with transportation and
community resources
Explanation: Advocacy involves speaking or acting on behalf of the patient to
ensure their needs are met. Connecting the patient with resources addresses the
underlying barriers to care.
8. A nurse is reviewing the Healthy People 2030 initiative. Which statement
accurately describes the primary focus of this initiative?
A) Reducing the cost of healthcare for all Americans
B) Eliminating health disparities and improving the health of all Americans
C) Ensuring that all Americans have health insurance coverage
D) Increasing the number of hospitals in underserved areas
Answer: B) Eliminating health disparities and improving the health of all
Americans
Explanation: Healthy People 2030 aims to eliminate health disparities, achieve
health equity, and improve the health and well-being of all Americans.
9. A patient tells the nurse, "I don't understand why I need to take this
medication every day." Which response by the nurse best demonstrates the role
, of a patient educator?
A) "The doctor prescribed it, so you should take it as ordered."
B) "Let me explain how this medication works and why it's important for your
condition."
C) "I'll ask the pharmacist to come talk to you about it."
D) "You can look up the medication information online."
Answer: B) "Let me explain how this medication works and why it's important
for your condition."
Explanation: The nurse's role as an educator includes providing clear,
understandable explanations to promote patient understanding and adherence.
10. Managed care organizations are insurers that carefully plan and closely
supervise the distribution of healthcare services. What is one of the goals of
managed care?
A) Preventing illness through screening and promotion of health activities
B) Improving training of healthcare professionals
C) Eliminating health disparities between segments of the population
D) Providing hospice or home hospice care
Answer: A) Preventing illness through screening and promotion of health
activities
Explanation: One goal of managed care is to prevent illness through screening and
health promotion activities, which can reduce overall healthcare costs.
11. In an effort to cut costs, hospitals have instituted many changes. Which of
these cost-cutting factors is most likely to jeopardize the quality of care?
A) Using unlicensed assistive personnel
B) Increasing numbers of patients in hospitals
C) Not devoting enough time to the patient
D) The rise of medical care costs in healthcare systems
Answer: A) Using unlicensed assistive personnel
Explanation: Many are concerned that the use of unlicensed assistive personnel to
perform duties once provided by licensed caregivers may jeopardize the quality of
care.
