Medical-Surgical Nursing – Concepts &
Practice Study Guide (Ignatavicius &
Workman 10th Edition)
Concepts of Medical-Surgical Nursing & Health Care Systems
1. What is the primary focus of medical-surgical nursing?
a) Care of children and infants
b) Management of mental health disorders
c) Care of adult patients with a variety of medical conditions or surgical
procedures
d) Exclusive focus on emergency and trauma care
2. Which nursing theory is most aligned with providing holistic,
patient-centered care?
a) Maslow's Hierarchy of Needs
b) Psychoanalytic Theory
c) Classical Conditioning
d) Systems Theory
3. The QSEN (Quality and Safety Education for Nurses) initiative
includes which key competency?
a) Teamwork and Collaboration
b) Advanced Surgical Techniques
c) Pharmaceutical Development
d) Health Insurance Billing
4. What is the purpose of the SBAR (Situation, Background,
Assessment, Recommendation) communication tool?
a) To diagnose a patient's condition
b) To provide a standardized framework for hand-off communication to
,promote patient safety
c) To document a patient's family history
d) To order laboratory tests
5. A nurse is caring for a patient from a culture different from their
own. The nurse seeks to understand the patient's health beliefs and
practices. This is an example of:
a) Stereotyping
b) Cultural imposition
c) Cultural assessment
d) Language barrier
Concepts of Fluid, Electrolyte, and Acid-Base Balance
6. A patient with severe vomiting is at greatest risk for which acid-
base imbalance?
a) Respiratory Acidosis
b) Respiratory Alkalosis
c) Metabolic Acidosis
d) Metabolic Alkalosis
7. The primary cation in the extracellular fluid (ECF) is:
a) Potassium
b) Sodium
c) Calcium
d) Magnesium
8. A patient with heart failure is prescribed a diuretic. The nurse
should closely monitor for:
a) Hypernatremia
b) Hyperkalemia
, c) Hypokalemia
d) Fluid overload
9. Clinical manifestations of fluid volume deficit (FVD) include:
a) Bounding pulse and hypertension
b) Moist crackles in the lungs
c) Tachycardia and decreased skin turgor
d) Jugular vein distention
10. The body's primary compensatory mechanism for Metabolic
Acidosis is:
a) The kidneys excreting bicarbonate
b) The lungs hyperventilating to "blow off" CO2
c) The liver producing more ammonia
d) The heart increasing cardiac output
Perioperative Nursing Care
11. The phase of surgery that begins when the patient is transferred
to the operating room table is the:
a) Preoperative phase
b) Intraoperative phase
c) Postoperative phase
d) Recovery phase
12. The primary goal of preoperative patient teaching is to:
a) Reduce the cost of the surgery
b) Decrease the need for anesthesia
c) Reduce patient anxiety and prevent postoperative complications
d) Allow the surgeon to delegate tasks
Practice Study Guide (Ignatavicius &
Workman 10th Edition)
Concepts of Medical-Surgical Nursing & Health Care Systems
1. What is the primary focus of medical-surgical nursing?
a) Care of children and infants
b) Management of mental health disorders
c) Care of adult patients with a variety of medical conditions or surgical
procedures
d) Exclusive focus on emergency and trauma care
2. Which nursing theory is most aligned with providing holistic,
patient-centered care?
a) Maslow's Hierarchy of Needs
b) Psychoanalytic Theory
c) Classical Conditioning
d) Systems Theory
3. The QSEN (Quality and Safety Education for Nurses) initiative
includes which key competency?
a) Teamwork and Collaboration
b) Advanced Surgical Techniques
c) Pharmaceutical Development
d) Health Insurance Billing
4. What is the purpose of the SBAR (Situation, Background,
Assessment, Recommendation) communication tool?
a) To diagnose a patient's condition
b) To provide a standardized framework for hand-off communication to
,promote patient safety
c) To document a patient's family history
d) To order laboratory tests
5. A nurse is caring for a patient from a culture different from their
own. The nurse seeks to understand the patient's health beliefs and
practices. This is an example of:
a) Stereotyping
b) Cultural imposition
c) Cultural assessment
d) Language barrier
Concepts of Fluid, Electrolyte, and Acid-Base Balance
6. A patient with severe vomiting is at greatest risk for which acid-
base imbalance?
a) Respiratory Acidosis
b) Respiratory Alkalosis
c) Metabolic Acidosis
d) Metabolic Alkalosis
7. The primary cation in the extracellular fluid (ECF) is:
a) Potassium
b) Sodium
c) Calcium
d) Magnesium
8. A patient with heart failure is prescribed a diuretic. The nurse
should closely monitor for:
a) Hypernatremia
b) Hyperkalemia
, c) Hypokalemia
d) Fluid overload
9. Clinical manifestations of fluid volume deficit (FVD) include:
a) Bounding pulse and hypertension
b) Moist crackles in the lungs
c) Tachycardia and decreased skin turgor
d) Jugular vein distention
10. The body's primary compensatory mechanism for Metabolic
Acidosis is:
a) The kidneys excreting bicarbonate
b) The lungs hyperventilating to "blow off" CO2
c) The liver producing more ammonia
d) The heart increasing cardiac output
Perioperative Nursing Care
11. The phase of surgery that begins when the patient is transferred
to the operating room table is the:
a) Preoperative phase
b) Intraoperative phase
c) Postoperative phase
d) Recovery phase
12. The primary goal of preoperative patient teaching is to:
a) Reduce the cost of the surgery
b) Decrease the need for anesthesia
c) Reduce patient anxiety and prevent postoperative complications
d) Allow the surgeon to delegate tasks
