Medical-Surgical Nursing (11th Edition

Medical-Surgical Nursing
11th Edition
 Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
 Publisher Published by Elsevier
UK Copyright© 2024


 Print ISBN: 9780323878265




TEST BANK
Medical-Surgical Nursing Exam Revision Question Bank
Unit I: Essential Concepts of Medical-Surgical Nursing

,Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topics Covered:
 QSEN Competencies
 Patient-Centered Care
 Safety
 Teamwork and Collaboration
 Evidence-Based Practice
 Quality Improvement
 Informatics
 Clinical Judgment
 Health Equity
 Ethics
Difficulty Level: Mixed


Quality Review Checklist
✓ Original content only
✓ No copyrighted or publisher-derived questions
✓ NCLEX-style clinical judgment emphasis
✓ Patient safety integrated

,✓ Evidence-informed nursing practice
✓ Adult health nursing focus
✓ Realistic clinical scenarios
✓ Current nursing terminology
✓ Strong prioritization and delegation content


Question 1 (MCQ)
Clinical Scenario
A nurse is caring for four adult patients on a medical-surgical
unit. During handoff, the nurse reviews patient information and
determines which patient requires immediate assessment.
Question Stem
Which patient should the nurse assess first?
Options
A. Patient receiving IV antibiotics who reports mild nausea
B. Patient with diabetes whose blood glucose is 182 mg/dL
C. Patient who suddenly develops confusion and difficulty
speaking
D. Patient awaiting discharge instructions
Correct Answer

, C. Patient who suddenly develops confusion and difficulty
speaking
Detailed Rationale
Acute confusion and speech difficulty may indicate stroke,
hypoxia, or other life-threatening neurologic changes requiring
immediate assessment. Clinical judgment prioritizes potentially
unstable patients over those with routine needs.
Incorrect Option Analysis
A: Mild nausea is uncomfortable but not immediately life-
threatening.
B: Blood glucose of 182 mg/dL requires monitoring but is not
emergent.
D: Discharge teaching can safely be delayed.
Nursing Process Linkage
Assessment
NCJMM Competencies
 Recognize Cues
 Prioritize Hypotheses
 Take Action
Difficulty
Moderate
Bloom's Level