Ch. 1 and Ch. 2 Medical-Surgical
Nursing Practice Exam with Verified
Solutions and Detailed Answers
Which characteristic differentiates the rule utilitarianism theory from the act utilitarianism
theory?
1. It may infringe on individual rights.
2. It values justice and beneficence.
3. It does not consider personal feelings.
4. It considers the benefit of maximum individuals. ✔️✔️**2
Rationales
Option 1: Act utilitarianism values the benefit for most individuals even if individual rights are
infringed.
Option 2: Rule utilitarianism values justice and beneficence and therefore, takes into account any
fairness laws, which may exist.
Option 3: Act utilitarianism does not take into account personal feelings or societal constraints. It
is not concerned with justice, beneficence, or individual autonomy.
Option 4: Act utilitarianism theory states that the consequences of an act are predictable and the
choice that yields the greatest benefit for the most people is the right and ethical choice.
,The nurse may use the nursing process to make an ethical decision. Arrange the steps in the order
that the nurse should follow while making an ethical decision.
1. Determine if the desired effect has occurred.
2. Formulate at least three alternatives to solve the issue.
3. Determine exactly what must be decided.
4. Carry out an action with the greatest benefit and the least amount of risk. ✔️✔️**3,2,4,1
Correct Feedback
The nurse may use the nursing process to make ethical decisions. The first step is assessment.
The nurse must determine exactly what must be decided because sometimes the issue is hidden
within the emotional or cultural characteristics of the client and family. The next step is
planning. The nurse must formulate at least three alternatives to solve the issue, and, ideally, the
health-care team and family choose one alternative. The third step is implementation. After
choosing an alternative, the action, which will achieve the greatest benefit with least amount of
risk, should be implemented. The fourth step is evaluation. The nurse should determine if the
desired effect has occurred, or if new information is available that might alter the plan.
Which competencies enable a nurse to work efficiently as a transitional care nurse (TCN)? Select
all that apply.
1. Ability to collaborate with other members of the health-care team
,2. Experience in managing clients with single medical conditions
3. Knowledge of community-based social services
4. Effective communication skills
5. Experience in long-term health-care settings ✔️✔️**1,3,4
Rationales
Option 1: The TCN should be able to collaborate with other health-care professionals to provide
safe and efficient health care.
Option 2: Clients in the acute care facility often have multiple comorbidities. Therefore, the TCN
should be experienced in providing coordinated care and managing clients with multiple medical
conditions.
Option 3: The TCN must have knowledge of community-based social services, which the client
and family can avail of when discharged from the health-care facility. This helps the client and
family have a smooth transition and continued follow up services.
Option 4: The TCN must have effective communication skills to coordinate care with the client,
family, and other members of the health-care team.
Option 5: The TCN must have experience in acute care and home care settings to be able to
understand the difficulties the client may encounter during transition.
A medical-surgical nurse is a member of the interprofessional care team (ICT) caring for a client.
What is the purpose of this team?
, 1. To provide efficient and cost-effective client care
2. To include the client and family in transition planning
3. To meet during daily rounds or as needed
4. To obtain knowledge about the role of other members' in the team ✔️✔️**1
Rationales
Option 1: The purpose of the ICT is to collaborate to provide efficient and cost-effective care.
The team makes efficient use of time and resources to meet contemporary health-care challenges.
Option 2: ICT is a partnership of health-care professionals, the client, and the family in a
participatory and coordinated approach. This coordinated effort takes place in an atmosphere of
mutual respect and shared responsibility for outcomes of care.
Option 3: The ICT may meet in a regularly scheduled structure, such as daily rounds, or on an
as-needed basis for highly complex clients or for clients who experience frequent readmissions.
Option 4: The ICT members are aware of the role and contribution of the other members on the
team and how they contribute to the client's care.
The nurse, who is a member of the Interprofessional Care Team (ICT), uses the teach-back
strategy to enhance client understanding. Which interventions should the nurse implement during
the teach-back strategy? Select all that apply.
Nursing Practice Exam with Verified
Solutions and Detailed Answers
Which characteristic differentiates the rule utilitarianism theory from the act utilitarianism
theory?
1. It may infringe on individual rights.
2. It values justice and beneficence.
3. It does not consider personal feelings.
4. It considers the benefit of maximum individuals. ✔️✔️**2
Rationales
Option 1: Act utilitarianism values the benefit for most individuals even if individual rights are
infringed.
Option 2: Rule utilitarianism values justice and beneficence and therefore, takes into account any
fairness laws, which may exist.
Option 3: Act utilitarianism does not take into account personal feelings or societal constraints. It
is not concerned with justice, beneficence, or individual autonomy.
Option 4: Act utilitarianism theory states that the consequences of an act are predictable and the
choice that yields the greatest benefit for the most people is the right and ethical choice.
,The nurse may use the nursing process to make an ethical decision. Arrange the steps in the order
that the nurse should follow while making an ethical decision.
1. Determine if the desired effect has occurred.
2. Formulate at least three alternatives to solve the issue.
3. Determine exactly what must be decided.
4. Carry out an action with the greatest benefit and the least amount of risk. ✔️✔️**3,2,4,1
Correct Feedback
The nurse may use the nursing process to make ethical decisions. The first step is assessment.
The nurse must determine exactly what must be decided because sometimes the issue is hidden
within the emotional or cultural characteristics of the client and family. The next step is
planning. The nurse must formulate at least three alternatives to solve the issue, and, ideally, the
health-care team and family choose one alternative. The third step is implementation. After
choosing an alternative, the action, which will achieve the greatest benefit with least amount of
risk, should be implemented. The fourth step is evaluation. The nurse should determine if the
desired effect has occurred, or if new information is available that might alter the plan.
Which competencies enable a nurse to work efficiently as a transitional care nurse (TCN)? Select
all that apply.
1. Ability to collaborate with other members of the health-care team
,2. Experience in managing clients with single medical conditions
3. Knowledge of community-based social services
4. Effective communication skills
5. Experience in long-term health-care settings ✔️✔️**1,3,4
Rationales
Option 1: The TCN should be able to collaborate with other health-care professionals to provide
safe and efficient health care.
Option 2: Clients in the acute care facility often have multiple comorbidities. Therefore, the TCN
should be experienced in providing coordinated care and managing clients with multiple medical
conditions.
Option 3: The TCN must have knowledge of community-based social services, which the client
and family can avail of when discharged from the health-care facility. This helps the client and
family have a smooth transition and continued follow up services.
Option 4: The TCN must have effective communication skills to coordinate care with the client,
family, and other members of the health-care team.
Option 5: The TCN must have experience in acute care and home care settings to be able to
understand the difficulties the client may encounter during transition.
A medical-surgical nurse is a member of the interprofessional care team (ICT) caring for a client.
What is the purpose of this team?
, 1. To provide efficient and cost-effective client care
2. To include the client and family in transition planning
3. To meet during daily rounds or as needed
4. To obtain knowledge about the role of other members' in the team ✔️✔️**1
Rationales
Option 1: The purpose of the ICT is to collaborate to provide efficient and cost-effective care.
The team makes efficient use of time and resources to meet contemporary health-care challenges.
Option 2: ICT is a partnership of health-care professionals, the client, and the family in a
participatory and coordinated approach. This coordinated effort takes place in an atmosphere of
mutual respect and shared responsibility for outcomes of care.
Option 3: The ICT may meet in a regularly scheduled structure, such as daily rounds, or on an
as-needed basis for highly complex clients or for clients who experience frequent readmissions.
Option 4: The ICT members are aware of the role and contribution of the other members on the
team and how they contribute to the client's care.
The nurse, who is a member of the Interprofessional Care Team (ICT), uses the teach-back
strategy to enhance client understanding. Which interventions should the nurse implement during
the teach-back strategy? Select all that apply.
