ADULT HEALTH II - OVERVIEW OF
PROFESSIONAL NURSING CONCEPTS FOR
MEDICAL-SURGICAL NURSING LATEST ALL
VERSIONS ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+ 2026/2027 WITH
FREE PRACTICE TEST SETS.
ORIGINAL QUESTIONS WITH IMPROVED FORMAT
Question 1
Which nursing documentation demonstrates the integration of patient-centered care?
A. Social worker paged for consultation
B. Steady gait observed when ambulating
C. Discussed dietary preferences with client
D. Nursing literature reviewed for best practice approaches
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C. Discussed dietary preferences with
client
,Rationale: Patient-centered care involves respecting and incorporating patients' values,
preferences, and expressed needs into their care plan. Discussing dietary preferences with the
client directly demonstrates this principle by acknowledging the patient's individual choices and
involving them in their own care decisions. Option A (social worker consultation) relates to care
coordination and interdisciplinary collaboration, not specifically patient-centered care. Option B
(observing steady gait) is a clinical assessment finding related to physical mobility. Option D
(reviewing nursing literature) reflects evidence-based practice, not patient-centered care.
Question 2
The nurse is delegating ambulation for a client to an experienced Patient Care Technician
(PCT). Which teaching will the nurse provide to the UAP? (Select all that apply.)
A. "Come and get me for lunch."
B. "Ambulate the client every four hours."
C. "Each ambulation should last 10 minutes."
D. "Please let me know how the client does after each ambulation."
E. "Be certain to use a gait belt when performing this activity."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B, C, D, E
Rationale: When delegating tasks to unlicensed assistive personnel (UAP), the nurse must apply
the Five Rights of Delegation: right task, right circumstances, right person, right communication,
and right supervision. Option B specifies the frequency of ambulation (right communication).
Option C provides specific duration parameters (right communication). Option D establishes
supervision and follow-up requirements (right supervision). Option E identifies a safety measure
essential for safe ambulation (right circumstances and communication). Option A is incorrect
because asking the UAP to "come and get me for lunch" is unrelated to the delegated task and
does not constitute appropriate delegation communication regarding the ambulation activity.
Question 3
,The nurse observes that numerous clients on a medical-surgical respiratory unit seem to have
increasingly frequent readmissions. What quality improvement step could the nurse
implement to explore the readmission rate?
A. Inform the unit manager of the concern.
B. Evaluate trends and develop a plan for improvement.
C. Contact the hospital quality improvement nurse to create an improvement strategy.
D. Post a journal article on the unit that addresses national readmission rates for respiratory
disorders.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. Evaluate trends and develop a plan for
improvement.
Rationale: Quality improvement (QI) involves a systematic approach to analyzing data,
identifying areas for improvement, and implementing evidence-based interventions. The nurse
demonstrating QI competency should first evaluate trends in readmission data and then
develop a plan for improvement using established QI models such as PDSA (Plan-Do-Study-Act),
FOCUS-PDCA, or DMAIC. Option A (informing the unit manager) is a preliminary step but does
not constitute the QI process itself. Option C (contacting the QI nurse) delegates the
responsibility without the nurse engaging in the QI process. Option D (posting a journal article)
provides education but does not involve data analysis or improvement planning.
ADDITIONAL 100 QUESTIONS
Question 4
A nurse is reviewing the QSEN core competencies. Which competency involves using
information and technology to communicate, manage knowledge, prevent errors, and
support decision-making?
A. Patient-centered care
B. Evidence-based practice
, C. Informatics
D. Quality improvement
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C. Informatics
Rationale: Informatics is the QSEN competency that focuses on using information and
technology to communicate, manage knowledge, mitigate errors, and support decision-making
in healthcare. Patient-centered care (Option A) focuses on respecting patient preferences and
values. Evidence-based practice (Option B) involves integrating best current evidence with
clinical expertise and patient preferences. Quality improvement (Option D) uses data to monitor
outcomes and design changes to improve healthcare systems.
Question 5
Which of the following best describes the nurse's role as a transition manager?
A. Providing direct physical care to patients during hospitalization
B. Ensuring safe and seamless movement of patients among healthcare settings
C. Educating patients about their medications before discharge
D. Advocating for patient rights within the healthcare system
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. Ensuring safe and seamless movement
of patients among healthcare settings
Rationale: Transition management involves providing safe and seamless movement of patients
among healthcare settings, healthcare providers, and the community for ongoing care to meet
patient needs. Option A describes the caregiver role. Option C describes the patient educator
role. Option D describes the advocate role. While all these roles are important nursing
functions, transition management specifically addresses the coordination of care across
different settings.
Question 6
PROFESSIONAL NURSING CONCEPTS FOR
MEDICAL-SURGICAL NURSING LATEST ALL
VERSIONS ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+ 2026/2027 WITH
FREE PRACTICE TEST SETS.
ORIGINAL QUESTIONS WITH IMPROVED FORMAT
Question 1
Which nursing documentation demonstrates the integration of patient-centered care?
A. Social worker paged for consultation
B. Steady gait observed when ambulating
C. Discussed dietary preferences with client
D. Nursing literature reviewed for best practice approaches
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C. Discussed dietary preferences with
client
,Rationale: Patient-centered care involves respecting and incorporating patients' values,
preferences, and expressed needs into their care plan. Discussing dietary preferences with the
client directly demonstrates this principle by acknowledging the patient's individual choices and
involving them in their own care decisions. Option A (social worker consultation) relates to care
coordination and interdisciplinary collaboration, not specifically patient-centered care. Option B
(observing steady gait) is a clinical assessment finding related to physical mobility. Option D
(reviewing nursing literature) reflects evidence-based practice, not patient-centered care.
Question 2
The nurse is delegating ambulation for a client to an experienced Patient Care Technician
(PCT). Which teaching will the nurse provide to the UAP? (Select all that apply.)
A. "Come and get me for lunch."
B. "Ambulate the client every four hours."
C. "Each ambulation should last 10 minutes."
D. "Please let me know how the client does after each ambulation."
E. "Be certain to use a gait belt when performing this activity."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B, C, D, E
Rationale: When delegating tasks to unlicensed assistive personnel (UAP), the nurse must apply
the Five Rights of Delegation: right task, right circumstances, right person, right communication,
and right supervision. Option B specifies the frequency of ambulation (right communication).
Option C provides specific duration parameters (right communication). Option D establishes
supervision and follow-up requirements (right supervision). Option E identifies a safety measure
essential for safe ambulation (right circumstances and communication). Option A is incorrect
because asking the UAP to "come and get me for lunch" is unrelated to the delegated task and
does not constitute appropriate delegation communication regarding the ambulation activity.
Question 3
,The nurse observes that numerous clients on a medical-surgical respiratory unit seem to have
increasingly frequent readmissions. What quality improvement step could the nurse
implement to explore the readmission rate?
A. Inform the unit manager of the concern.
B. Evaluate trends and develop a plan for improvement.
C. Contact the hospital quality improvement nurse to create an improvement strategy.
D. Post a journal article on the unit that addresses national readmission rates for respiratory
disorders.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. Evaluate trends and develop a plan for
improvement.
Rationale: Quality improvement (QI) involves a systematic approach to analyzing data,
identifying areas for improvement, and implementing evidence-based interventions. The nurse
demonstrating QI competency should first evaluate trends in readmission data and then
develop a plan for improvement using established QI models such as PDSA (Plan-Do-Study-Act),
FOCUS-PDCA, or DMAIC. Option A (informing the unit manager) is a preliminary step but does
not constitute the QI process itself. Option C (contacting the QI nurse) delegates the
responsibility without the nurse engaging in the QI process. Option D (posting a journal article)
provides education but does not involve data analysis or improvement planning.
ADDITIONAL 100 QUESTIONS
Question 4
A nurse is reviewing the QSEN core competencies. Which competency involves using
information and technology to communicate, manage knowledge, prevent errors, and
support decision-making?
A. Patient-centered care
B. Evidence-based practice
, C. Informatics
D. Quality improvement
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C. Informatics
Rationale: Informatics is the QSEN competency that focuses on using information and
technology to communicate, manage knowledge, mitigate errors, and support decision-making
in healthcare. Patient-centered care (Option A) focuses on respecting patient preferences and
values. Evidence-based practice (Option B) involves integrating best current evidence with
clinical expertise and patient preferences. Quality improvement (Option D) uses data to monitor
outcomes and design changes to improve healthcare systems.
Question 5
Which of the following best describes the nurse's role as a transition manager?
A. Providing direct physical care to patients during hospitalization
B. Ensuring safe and seamless movement of patients among healthcare settings
C. Educating patients about their medications before discharge
D. Advocating for patient rights within the healthcare system
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. Ensuring safe and seamless movement
of patients among healthcare settings
Rationale: Transition management involves providing safe and seamless movement of patients
among healthcare settings, healthcare providers, and the community for ongoing care to meet
patient needs. Option A describes the caregiver role. Option C describes the patient educator
role. Option D describes the advocate role. While all these roles are important nursing
functions, transition management specifically addresses the coordination of care across
different settings.
Question 6
