Medical-Surgical Nursing (11th Edition)

Medical-Surgical Nursing
11th Edition
 Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
 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

,  Quality and Safety Education for Nurses (QSEN)
Competencies
 Patient-Centered Care
 Safety
 Teamwork and Collaboration
 Evidence-Based Practice (EBP)
 Quality Improvement (QI)
 Informatics
 Clinical Judgment
 Health Equity
 Ethics
Difficulty Level: Mixed


Quality Review
✓ Original content only
✓ No copyrighted or publisher-derived questions
✓ Clear, unambiguous wording
✓ Single best answer where applicable
✓ Clinically realistic scenarios
✓ Evidence-informed nursing practice
✓ Current NCLEX-style formatting
✓ Consistent medical-surgical terminology

,✓ Appropriate level of challenge
✓ Strong emphasis on clinical judgment and patient safety
✓ Accurate integration of professional nursing concepts
✓ Alignment with adult health nursing competencies


Question 1 (MCQ)
Clinical Scenario
A nurse receives shift report on four adult patients in a medical-
surgical unit.
Question Stem
Which patient should the nurse assess first?
Options
A. Patient with chronic heart failure requesting assistance to
the bathroom
B. Patient receiving IV potassium who reports burning at the
infusion site
C. Patient scheduled for discharge who needs medication
teaching
D. Patient with osteoarthritis requesting pain medication rated
4/10
Correct Answer

, B. Patient receiving IV potassium who reports burning at the
infusion site
Rationale
IV potassium is a high-alert medication. Burning may indicate
infiltration or phlebitis, which can lead to tissue injury and
interruption of essential electrolyte replacement. Immediate
assessment is required.
Incorrect Option Analysis
A
 Chronic condition with routine assistance need.
 Misconception: First request equals highest priority.
 Safety concern: Delay is acceptable briefly.
C
 Discharge teaching is important but not urgent.
D
 Moderate pain should be addressed but is not the highest
priority.
Nursing Process
Assessment
NCJMM Competencies
 Recognize Cues
 Prioritize Hypotheses