Chapter 1 &2: Introduction to Medical-Surgical
Nursing exam based questions and answers
(A+ graded)
A nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope
of medical-surgical nursing, what type of client assignments does the nurse expect to see?
A. Hospitalized children with acute and chronic illnesses
B. Hospitalized adults with acute and chronic illnesses
C. Older adults in a nursing home
D. Working adults in a corporate setting
- ✔✔✔B. Hospitalized adults with acute and chronic illnesses
Rationale
The scope of medical-surgical nursing, sometimes called adult health nursing, is to promote
health and prevent illness or injury in clients from 18 to 100 years of age or older. The most
common practice setting is the acute care hospital.
A nurse is working in the intensive care unit. When does the nurse call the Rapid Response Team
(RRT)?
A. An 87-year-old client awakens mildly confused, then reorients quickly.
B. A newly admitted client requests pain medication.
C. A postoperative client's dressing has mild bloody drainage.
D. A postoperative client's blood pressure suddenly drops.
- ✔✔✔D. A postoperative client's blood pressure suddenly drops.
Which role of the medical-surgical nurse is demonstrated by writing a care plan for the client
who is newly admitted to the hospital?
, Medical surgical nursing chapter 1&2
A. Advocate
B. Caregiver
C. Communicator
D. Educator –
✔✔✔B. Caregiver
Rationale
B. In the caregiver role, medical-surgical nurses assess clients, analyze collected information to
determine their needs, develop nursing diagnoses and collaborative problems, plan care and carry
out the plan with the healthcare team, and evaluate the care given.
A nurse supports the client and family in deciding on a "Do Not Resuscitate" order. Which
ethical principle that guides nursing clinical decision making is demonstrated in this situation?
A. Beneficence
B. Justice
C. Legality
D. Self-determination
- ✔✔✔D. Self-determination
Rationale
D. Self-determination refers to the idea that clients are autonomous individuals capable of
making informed decisions about their care. When the client is not capable of self-determination,
the nurse is ethically obligated to protect the client as an advocate in the professional scope of
practice.
A nursing student has been assigned to the hospital's Rapid Response Team (RRT). Which
statement by the student indicates a correct understanding of the RRT member's purpose?
A. "I will be caring for clients in the hospital."
B. "I will be riding along in the hospital's ambulance."
C. "I will be admitting clients to the hospital."
D. "I will be observing code 'blue' resuscitations."