Medical-Surgical Nursing
11th Edition
• Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
• Print ISBN: 9780323878265
TEST BANK
Question 1
A newly licensed nurse asks which professional activity best
supports ongoing competence in medical-surgical nursing
practice.
A. Avoiding participation in professional organizations to focus
on bedside care
,B. Engaging in continuing education and professional
development activities
C. Delegating all complex learning needs to experienced nurses
D. Limiting practice to familiar clinical situations
Correct Answer: B
Rationale:
Continuing education and professional development support
clinical competence, evidence-based practice, and professional
growth. Avoiding professional involvement may limit
professional development. Delegation does not replace
personal accountability for learning. Restricting practice
opportunities can hinder skill development.
Source: Medical-Surgical Nursing, 8th Edition — Unit I: Aspects
of Medical-Surgical Nursing
Question 2
A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client requesting discharge instructions
B. A client reporting new-onset shortness of breath
C. A client asking for assistance with hygiene
D. A client requesting information about meal options
Correct Answer: B
Rationale:
,New-onset shortness of breath may indicate clinical
deterioration and requires immediate assessment using
prioritization and ABC principles. The remaining concerns are
important but are not as urgent as a potential respiratory
compromise.
Source: Medical-Surgical Nursing, 8th Edition — Unit I: Aspects
of Medical-Surgical Nursing
Question 3
A nurse identifies a conflict between a client's treatment plan
and the client's expressed wishes. Which action demonstrates
ethical nursing practice?
A. Proceed with treatment without discussion
B. Ignore the client's concerns because the provider prescribed
the treatment
C. Advocate for the client's preferences and facilitate
communication with the healthcare team
D. Ask a family member to make the decision regardless of
client wishes
Correct Answer: C
Rationale:
Advocacy is a key nursing responsibility. The nurse supports
client autonomy by communicating concerns and facilitating
, informed decision-making. Ignoring client wishes or proceeding
without discussion violates ethical principles.
Source: Medical-Surgical Nursing, 8th Edition — Unit I: Aspects
of Medical-Surgical Nursing
Question 4
A charge nurse is assigning tasks for the shift. Which task is
most appropriate to delegate to unlicensed assistive personnel
(UAP)?
A. Initial assessment of a newly admitted client
B. Development of a nursing care plan
C. Routine vital sign measurement for a stable client
D. Evaluation of a client's response to treatment
Correct Answer: C
Rationale:
Routine vital signs for a stable client are within the scope of
UAP. Assessment, care planning, and evaluation require nursing
judgment and remain the responsibility of the registered nurse.
Source: Medical-Surgical Nursing, 8th Edition — Unit I: Aspects
of Medical-Surgical Nursing
Question 5
11th Edition
• Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
• Print ISBN: 9780323878265
TEST BANK
Question 1
A newly licensed nurse asks which professional activity best
supports ongoing competence in medical-surgical nursing
practice.
A. Avoiding participation in professional organizations to focus
on bedside care
,B. Engaging in continuing education and professional
development activities
C. Delegating all complex learning needs to experienced nurses
D. Limiting practice to familiar clinical situations
Correct Answer: B
Rationale:
Continuing education and professional development support
clinical competence, evidence-based practice, and professional
growth. Avoiding professional involvement may limit
professional development. Delegation does not replace
personal accountability for learning. Restricting practice
opportunities can hinder skill development.
Source: Medical-Surgical Nursing, 8th Edition — Unit I: Aspects
of Medical-Surgical Nursing
Question 2
A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client requesting discharge instructions
B. A client reporting new-onset shortness of breath
C. A client asking for assistance with hygiene
D. A client requesting information about meal options
Correct Answer: B
Rationale:
,New-onset shortness of breath may indicate clinical
deterioration and requires immediate assessment using
prioritization and ABC principles. The remaining concerns are
important but are not as urgent as a potential respiratory
compromise.
Source: Medical-Surgical Nursing, 8th Edition — Unit I: Aspects
of Medical-Surgical Nursing
Question 3
A nurse identifies a conflict between a client's treatment plan
and the client's expressed wishes. Which action demonstrates
ethical nursing practice?
A. Proceed with treatment without discussion
B. Ignore the client's concerns because the provider prescribed
the treatment
C. Advocate for the client's preferences and facilitate
communication with the healthcare team
D. Ask a family member to make the decision regardless of
client wishes
Correct Answer: C
Rationale:
Advocacy is a key nursing responsibility. The nurse supports
client autonomy by communicating concerns and facilitating
, informed decision-making. Ignoring client wishes or proceeding
without discussion violates ethical principles.
Source: Medical-Surgical Nursing, 8th Edition — Unit I: Aspects
of Medical-Surgical Nursing
Question 4
A charge nurse is assigning tasks for the shift. Which task is
most appropriate to delegate to unlicensed assistive personnel
(UAP)?
A. Initial assessment of a newly admitted client
B. Development of a nursing care plan
C. Routine vital sign measurement for a stable client
D. Evaluation of a client's response to treatment
Correct Answer: C
Rationale:
Routine vital signs for a stable client are within the scope of
UAP. Assessment, care planning, and evaluation require nursing
judgment and remain the responsibility of the registered nurse.
Source: Medical-Surgical Nursing, 8th Edition — Unit I: Aspects
of Medical-Surgical Nursing
Question 5
