Medical-Surgical Nursing
11th Edition
• Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
• Print ISBN: 9780323878265
TEST BANK
Question 1
A nurse is caring for four clients on a medical-surgical unit.
Which client should the nurse assess first?
,A. A client reporting new-onset shortness of breath
B. A client requesting assistance with hygiene
C. A client asking questions about discharge instructions
D. A client requesting a blanket
Correct Answer: A
Rationale:
The client with new-onset shortness of breath may be
experiencing acute respiratory compromise and requires
immediate assessment. Clinical judgment prioritizes identifying
actual or potential threats to life. The other clients have needs
that are important but not immediately life-threatening.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 2
A newly licensed nurse asks why professional organizations are
important in medical-surgical nursing. Which response by the
charge nurse is most appropriate?
A. They establish evidence-informed professional standards and
support professional development.
B. They determine hospital staffing assignments.
C. They provide disciplinary action for all nurses.
D. They replace state nurse practice acts.
,Correct Answer: A
Rationale:
Professional organizations promote professional growth,
establish standards, support education, and advance nursing
practice. Staffing assignments are managed by healthcare
institutions. Professional organizations do not replace
regulatory bodies or nurse practice acts.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 3
NGN Clinical Judgment Case
A nurse receives report on a client who suddenly becomes
confused and restless. Vital signs are pending.
Which nursing action should the nurse take first?
A. Notify the healthcare provider immediately
B. Assess the client's airway, breathing, and circulation
C. Document the change in condition
D. Review the client's discharge plan
Correct Answer: B
Rationale:
, Clinical judgment begins with recognizing cues and performing
an immediate assessment. Airway, breathing, and circulation
are priority considerations when a client experiences an acute
change in status. Additional interventions should follow
assessment findings.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 4
The nurse identifies which activity as an example of the
educator role?
A. Teaching a client how to manage medications after discharge
B. Delegating tasks to assistive personnel
C. Coordinating staffing assignments
D. Evaluating unit budgets
Correct Answer: A
Rationale:
Patient education is a fundamental nursing role. Delegation and
staffing are management functions, while budget evaluation is
an administrative responsibility.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
11th Edition
• Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
• Print ISBN: 9780323878265
TEST BANK
Question 1
A nurse is caring for four clients on a medical-surgical unit.
Which client should the nurse assess first?
,A. A client reporting new-onset shortness of breath
B. A client requesting assistance with hygiene
C. A client asking questions about discharge instructions
D. A client requesting a blanket
Correct Answer: A
Rationale:
The client with new-onset shortness of breath may be
experiencing acute respiratory compromise and requires
immediate assessment. Clinical judgment prioritizes identifying
actual or potential threats to life. The other clients have needs
that are important but not immediately life-threatening.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 2
A newly licensed nurse asks why professional organizations are
important in medical-surgical nursing. Which response by the
charge nurse is most appropriate?
A. They establish evidence-informed professional standards and
support professional development.
B. They determine hospital staffing assignments.
C. They provide disciplinary action for all nurses.
D. They replace state nurse practice acts.
,Correct Answer: A
Rationale:
Professional organizations promote professional growth,
establish standards, support education, and advance nursing
practice. Staffing assignments are managed by healthcare
institutions. Professional organizations do not replace
regulatory bodies or nurse practice acts.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 3
NGN Clinical Judgment Case
A nurse receives report on a client who suddenly becomes
confused and restless. Vital signs are pending.
Which nursing action should the nurse take first?
A. Notify the healthcare provider immediately
B. Assess the client's airway, breathing, and circulation
C. Document the change in condition
D. Review the client's discharge plan
Correct Answer: B
Rationale:
, Clinical judgment begins with recognizing cues and performing
an immediate assessment. Airway, breathing, and circulation
are priority considerations when a client experiences an acute
change in status. Additional interventions should follow
assessment findings.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 4
The nurse identifies which activity as an example of the
educator role?
A. Teaching a client how to manage medications after discharge
B. Delegating tasks to assistive personnel
C. Coordinating staffing assignments
D. Evaluating unit budgets
Correct Answer: A
Rationale:
Patient education is a fundamental nursing role. Delegation and
staffing are management functions, while budget evaluation is
an administrative responsibility.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
