MED SURG Final 09/29/2026
exam
MED SURG Final exam Latest Test Bank 1
with Over 200 Questions and correct
answers with rationales | Medical Surgical
Nursing II Latest Final Exam Review / Med
Surge 2 final exam
30. A case manager has been hired at a rural hospital that has a combined medical-surgical unit. When
defining this new role, which of the following outcomes should be prioritized by the hospitals
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
leadership?
A) Decreased need for physician services
B) Improved patient and family education
C) Increased adherence to the principles of EBP
D) Increased coordination of health services - Correct Answer :Ans: D
Feedback:
Case management is a system of coordinating health care services to ensure cost-effectiveness, accountability,
and quality care. The case manager coordinates the care of a caseload of patients through
facilitating communication between nurses, other health care personnel who provide care, and insurance
companies. Reducing the need for physician services is not a central goal. Education and EBP are
consistent with case management, but they are not central to this particular role.
31. A hospitals current quality improvement program has integrated the principles of the Institute for
Healthcare Improvement (IHI) 5 Million Lives Campaign. How can the hospital best achieve the
campaign goals of reducing preventable harm and death?
A) By adhering to EBP guidelines
B) By reducing nurse-to-patient ratios and increasing accountability
C) By having researchers from outside the facility evaluate care
D) By involving patients and families in their care planning - Correct Answer :Ans: A
Feedback:
The 5 Million Lives Campaign posits that if evidence-based guidelines it advocated were voluntarily
implemented by U.S. hospitals, 5 million lives would be saved from either harm or death over a two- year period.
Nurse-to-patient ratios, family participation, and independent evaluation are not stated
components of the campaign.
32. Over the past several decades, nursing roles have changed and expanded in many ways. Which of the
following factors has provided the strongest impetus for this change?
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
A) The need to decrease the cost of health care
B) The need to improve the quality of nursing education
C) The need to increase the number of nursing jobs available
D) The need to increase the public perception of nursing - Correct Answer :Ans: A
Feedback:
The role of the nurse has expanded to improve the distribution of health care services and to decrease the
cost of health care. The other answers are incorrect because the expansion of roles in nursing did not
occur to improve education, increase the number of nursing jobs, or increase public perception.
33. Advanced practice nursing roles have grown in number and in visibility in recent years. What
characteristic sets these nurses apart from the registered nurse?
A) Collaboration with other health care providers
B) Education that goes beyond that of the RN
C) Advanced documentation skills
D) Ability to provide care in the surgical context - Correct Answer :Ans: B
Feedback:
There is wide variety in APRN roles. However, a commonality is that they require education beyond that
of the professional RN. All nurses collaborate with other health care providers to provide nursing care to their
patients. Advanced documentation skills are not what sets advanced practice nurses apart from the
staff nurse. RNs have the ability to provide care in the operating room.
34. CNPs are educated as specialists in areas such as family care, pediatrics, or geriatrics. In most states, what
right do CNPs have that RNs do not possess?
A) Perform health interventions independently
B) Make referrals to members of other health disciplines
C) Prescribe medications
D) Perform surgery independently - Correct Answer :Ans: C
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
Feedback:
In most states, nurse practitioners have prescriptive authority. Surgery is beyond the CNP scope of
practice and all professional nurses may perform interventions and make certain referrals.
35. A team of community health nurses are planning to draft a proposal for a program that will increase the
communitys alignment with the principles contained in the Healthy People 2020report. Which of the
following activities would best demonstrate the priorities identified in this report?
A) Addressing determinants of health such as clean environments and safety in the community
B) Lobbying for increased funding to the county hospital where many residents receive primary care
C) Collaborating with health professionals in neighboring communities to pool resources and increase
efficiencies
D) Creating clinical placements where nursing students and members of other health disciplines can
gain experience in a community setting - Correct Answer :Ans: A
Feedback:
Healthy People 2020 addresses social determinants of health such as safety and the state of the
environment. This report does not specifically address matters such as hospital funding, nursing
education, or resource allocation.
36. A nurse is aware that an increasing emphasis is being placed on health, health promotion, wellness, and self-
care. Which of the following activities would best demonstrate the principles of health promotion?
A) A discharge planning initiative between acute care and community care nurses
B) Collaboration between several schools of nursing in an urban area
C) Creation of a smoking prevention program undertaken in a middle school
D) Establishment of a website where patients can check emergency department wait-times - Correct Answer
:Ans: C
Feedback:
Smoking prevention is a clear example of health promotion. Each of the other listed activities has the
JOYCEWWALES 4
exam
MED SURG Final exam Latest Test Bank 1
with Over 200 Questions and correct
answers with rationales | Medical Surgical
Nursing II Latest Final Exam Review / Med
Surge 2 final exam
30. A case manager has been hired at a rural hospital that has a combined medical-surgical unit. When
defining this new role, which of the following outcomes should be prioritized by the hospitals
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
leadership?
A) Decreased need for physician services
B) Improved patient and family education
C) Increased adherence to the principles of EBP
D) Increased coordination of health services - Correct Answer :Ans: D
Feedback:
Case management is a system of coordinating health care services to ensure cost-effectiveness, accountability,
and quality care. The case manager coordinates the care of a caseload of patients through
facilitating communication between nurses, other health care personnel who provide care, and insurance
companies. Reducing the need for physician services is not a central goal. Education and EBP are
consistent with case management, but they are not central to this particular role.
31. A hospitals current quality improvement program has integrated the principles of the Institute for
Healthcare Improvement (IHI) 5 Million Lives Campaign. How can the hospital best achieve the
campaign goals of reducing preventable harm and death?
A) By adhering to EBP guidelines
B) By reducing nurse-to-patient ratios and increasing accountability
C) By having researchers from outside the facility evaluate care
D) By involving patients and families in their care planning - Correct Answer :Ans: A
Feedback:
The 5 Million Lives Campaign posits that if evidence-based guidelines it advocated were voluntarily
implemented by U.S. hospitals, 5 million lives would be saved from either harm or death over a two- year period.
Nurse-to-patient ratios, family participation, and independent evaluation are not stated
components of the campaign.
32. Over the past several decades, nursing roles have changed and expanded in many ways. Which of the
following factors has provided the strongest impetus for this change?
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
A) The need to decrease the cost of health care
B) The need to improve the quality of nursing education
C) The need to increase the number of nursing jobs available
D) The need to increase the public perception of nursing - Correct Answer :Ans: A
Feedback:
The role of the nurse has expanded to improve the distribution of health care services and to decrease the
cost of health care. The other answers are incorrect because the expansion of roles in nursing did not
occur to improve education, increase the number of nursing jobs, or increase public perception.
33. Advanced practice nursing roles have grown in number and in visibility in recent years. What
characteristic sets these nurses apart from the registered nurse?
A) Collaboration with other health care providers
B) Education that goes beyond that of the RN
C) Advanced documentation skills
D) Ability to provide care in the surgical context - Correct Answer :Ans: B
Feedback:
There is wide variety in APRN roles. However, a commonality is that they require education beyond that
of the professional RN. All nurses collaborate with other health care providers to provide nursing care to their
patients. Advanced documentation skills are not what sets advanced practice nurses apart from the
staff nurse. RNs have the ability to provide care in the operating room.
34. CNPs are educated as specialists in areas such as family care, pediatrics, or geriatrics. In most states, what
right do CNPs have that RNs do not possess?
A) Perform health interventions independently
B) Make referrals to members of other health disciplines
C) Prescribe medications
D) Perform surgery independently - Correct Answer :Ans: C
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
Feedback:
In most states, nurse practitioners have prescriptive authority. Surgery is beyond the CNP scope of
practice and all professional nurses may perform interventions and make certain referrals.
35. A team of community health nurses are planning to draft a proposal for a program that will increase the
communitys alignment with the principles contained in the Healthy People 2020report. Which of the
following activities would best demonstrate the priorities identified in this report?
A) Addressing determinants of health such as clean environments and safety in the community
B) Lobbying for increased funding to the county hospital where many residents receive primary care
C) Collaborating with health professionals in neighboring communities to pool resources and increase
efficiencies
D) Creating clinical placements where nursing students and members of other health disciplines can
gain experience in a community setting - Correct Answer :Ans: A
Feedback:
Healthy People 2020 addresses social determinants of health such as safety and the state of the
environment. This report does not specifically address matters such as hospital funding, nursing
education, or resource allocation.
36. A nurse is aware that an increasing emphasis is being placed on health, health promotion, wellness, and self-
care. Which of the following activities would best demonstrate the principles of health promotion?
A) A discharge planning initiative between acute care and community care nurses
B) Collaboration between several schools of nursing in an urban area
C) Creation of a smoking prevention program undertaken in a middle school
D) Establishment of a website where patients can check emergency department wait-times - Correct Answer
:Ans: C
Feedback:
Smoking prevention is a clear example of health promotion. Each of the other listed activities has the
JOYCEWWALES 4
