MEDICAL-SURGICAL NURSING
CONCEPTS FOR INTERPROFESSIONAL
COLLABORATIVE CARE 9TH EDITION
EXAM REVIEW GUIDE 2025/2026 FULL
QUESTION BANK & CORRECT DETAILED
ANSWERS
Section 1: Foundational Concepts & Perioperative Care
1. The nursing process is a systematic framework for patient care.
What is the correct sequence of its steps?
A. Planning, Assessment, Implementation, Diagnosis, Evaluation
B. Assessment, Diagnosis, Planning, Implementation, Evaluation
C. Diagnosis, Assessment, Planning, Evaluation, Implementation
D. Evaluation, Implementation, Diagnosis, Assessment, Planning
Answer: B
2. A patient with a history of heart failure is admitted with acute
shortness of breath and peripheral edema. Which interdependent
nursing intervention is most critical initially?
A. Administering prescribed IV furosemide.
B. Weighing the patient daily.
C. Placing the patient in a High-Fowler's position.
D. Collaborating with respiratory therapy for oxygen administration.
Answer: D
3. During the preoperative assessment, a patient reports taking
ginkgo biloba daily. What is the nurse's primary concern?
,A. It may cause hyperkalemia.
B. It can potentiate anticoagulant therapy and increase bleeding risk.
C. It may lead to hypoglycemia.
D. It can cause hypertension.
Answer: B
4. In the post-anesthesia care unit (PACU), a patient's airway is
patent, but respirations are shallow at 8 breaths/minute. The nurse's
priority action is to:
A. Administer naloxone.
B. Stimulate the patient and encourage deep breathing.
C. Prepare for reintubation.
D. Notify the surgeon immediately.
Answer: B
5. The concept of "informed consent" implies that the patient
understands the procedure, risks, benefits, and alternatives. The
nurse's primary role in the consent process is to:
A. Explain the surgical procedure in detail.
B. Witness the patient's signature on the consent form.
C. Ensure the provider has given the necessary information and the
patient is competent to consent.
D. Decide if the patient is making the right choice.
Answer: C
Section 2: Cardiovascular Disorders
6. A patient with an acute myocardial infarction (MI) is receiving
tissue plasminogen activator (tPA). The nurse should be most
concerned by:
A. Bradycardia.
, B. A sudden decrease in chest pain.
C. A blood pressure of 150/90 mmHg.
D. Signs of active bleeding.
Answer: D
7. The nurse is teaching a patient with heart failure about a 2-gram
sodium diet. Which statement by the patient indicates a need for
further teaching?
A. "I will read food labels carefully for sodium content."
B. "I can use salt substitutes like potassium chloride freely."
C. "I will avoid processed meats and canned soups."
D. "Cooking with herbs and spices can improve flavor without salt."
Answer: B (Caution is needed with salt substitutes in patients with
renal impairment or on certain medications like ACE inhibitors)
8. A patient with atrial fibrillation is prescribed apixaban. The nurse
should include which key point in discharge teaching?
A. "You will need regular blood tests (INR) to monitor this medication."
B. "Report any signs of unusual bleeding or bruising to your provider
immediately."
C. "This medication requires a weekly platelet count."
D. "Carry vitamin K with you at all times in case of overdose."
Answer: B (Apixaban is a DOAC and does not require routine INR
monitoring like warfarin)
9. When assessing a patient with peripheral arterial disease (PAD),
the nurse would expect to find:
A. Pulses that are bounding and present.
B. Cool, pale feet with diminished pulses.
C. Brownish discoloration of the ankles.
CONCEPTS FOR INTERPROFESSIONAL
COLLABORATIVE CARE 9TH EDITION
EXAM REVIEW GUIDE 2025/2026 FULL
QUESTION BANK & CORRECT DETAILED
ANSWERS
Section 1: Foundational Concepts & Perioperative Care
1. The nursing process is a systematic framework for patient care.
What is the correct sequence of its steps?
A. Planning, Assessment, Implementation, Diagnosis, Evaluation
B. Assessment, Diagnosis, Planning, Implementation, Evaluation
C. Diagnosis, Assessment, Planning, Evaluation, Implementation
D. Evaluation, Implementation, Diagnosis, Assessment, Planning
Answer: B
2. A patient with a history of heart failure is admitted with acute
shortness of breath and peripheral edema. Which interdependent
nursing intervention is most critical initially?
A. Administering prescribed IV furosemide.
B. Weighing the patient daily.
C. Placing the patient in a High-Fowler's position.
D. Collaborating with respiratory therapy for oxygen administration.
Answer: D
3. During the preoperative assessment, a patient reports taking
ginkgo biloba daily. What is the nurse's primary concern?
,A. It may cause hyperkalemia.
B. It can potentiate anticoagulant therapy and increase bleeding risk.
C. It may lead to hypoglycemia.
D. It can cause hypertension.
Answer: B
4. In the post-anesthesia care unit (PACU), a patient's airway is
patent, but respirations are shallow at 8 breaths/minute. The nurse's
priority action is to:
A. Administer naloxone.
B. Stimulate the patient and encourage deep breathing.
C. Prepare for reintubation.
D. Notify the surgeon immediately.
Answer: B
5. The concept of "informed consent" implies that the patient
understands the procedure, risks, benefits, and alternatives. The
nurse's primary role in the consent process is to:
A. Explain the surgical procedure in detail.
B. Witness the patient's signature on the consent form.
C. Ensure the provider has given the necessary information and the
patient is competent to consent.
D. Decide if the patient is making the right choice.
Answer: C
Section 2: Cardiovascular Disorders
6. A patient with an acute myocardial infarction (MI) is receiving
tissue plasminogen activator (tPA). The nurse should be most
concerned by:
A. Bradycardia.
, B. A sudden decrease in chest pain.
C. A blood pressure of 150/90 mmHg.
D. Signs of active bleeding.
Answer: D
7. The nurse is teaching a patient with heart failure about a 2-gram
sodium diet. Which statement by the patient indicates a need for
further teaching?
A. "I will read food labels carefully for sodium content."
B. "I can use salt substitutes like potassium chloride freely."
C. "I will avoid processed meats and canned soups."
D. "Cooking with herbs and spices can improve flavor without salt."
Answer: B (Caution is needed with salt substitutes in patients with
renal impairment or on certain medications like ACE inhibitors)
8. A patient with atrial fibrillation is prescribed apixaban. The nurse
should include which key point in discharge teaching?
A. "You will need regular blood tests (INR) to monitor this medication."
B. "Report any signs of unusual bleeding or bruising to your provider
immediately."
C. "This medication requires a weekly platelet count."
D. "Carry vitamin K with you at all times in case of overdose."
Answer: B (Apixaban is a DOAC and does not require routine INR
monitoring like warfarin)
9. When assessing a patient with peripheral arterial disease (PAD),
the nurse would expect to find:
A. Pulses that are bounding and present.
B. Cool, pale feet with diminished pulses.
C. Brownish discoloration of the ankles.
