TESTBANK FOR OPENSTAX MEDICAL SURGICAL NURSING
Unit 1: Introduction and Foundations of Medical-Surgical Nursing
● Chapter 1: Professional Medical-Surgical Nursing
● Chapter 2: Culturally Competent Care
● Chapter 3: Health Promotion and Patient Education
Unit 2: Critical Thinking in Nursing Practice
● Chapter 4: Clinical Judgment in the Nursing Process
● Chapter 5: Ethical Decision Making
,Unit 3: General Assessment Considerations
● Chapter 6: Comprehensive Health Assessment and Physical Examination
● Chapter 7: Pain Assessment and Management
● Chapter 8: Stress and Stress-Related Disorders
● Chapter 9: Management of Chronic Illness
Unit 4: Nursing Management and Considerations
● Chapter 10: Fluid, Electrolyte, and Acid-Base Imbalances
● Chapter 11: Gas Exchange, Airway Management, and Respiratory System Disorders
● Chapter 12: Cardiovascular System
● Chapter 13: Musculoskeletal System
● Chapter 14: Integumentary System
● Chapter 15: Cerebrovascular System
● Chapter 16: Hematopoietic Disorders and Regulation
● Chapter 17: Nervous System and Chronic Diseases of the Nervous System
● Chapter 18: Sensory Organs
● Chapter 19: Gastrointestinal System and Disorders
● Chapter 20: Genitourinary and Reproductive Systems
● Chapter 21: Endocrine System and Endocrine System Disorders
● Chapter 22: Infection and Infectious Diseases
● Chapter 23: Shock and Sepsis
● Chapter 24: Management of Patients with Allergic Disorders
Unit 5: Care of the Surgical Patient
● Chapter 25: Preoperative Care
● Chapter 26: Intraoperative Care
● Chapter 27: Postoperative Care
● Chapter 28: Inflammation and Healing
● Chapter 29: Immunological Function
Unit 6: Special Considerations and Concepts
● Chapter 30: Genetics
● Chapter 31: Cancer
● Chapter 32: Palliative Care
● Chapter 33: Emergency Care
● Chapter 34: Disaster and Recovery
● Chapter 35: Nursing Care of the Critically Ill Patient
● Chapter 36: Home Health Nursing and Rehabilitation
● Chapter 37: Trends in Health-Care Technology
,Unit 7: Putting It All Together
● Chapter 38: Unfolding Case Study and NCLEX Preparation
, Chapter 1: Professional Medical-Surgical Nursing
1. A nurse is reviewing the hospital’s National Patient Safety Goals (NPSGs) for the year.
Which action by the nurse directly supports the NPSG related to improving the accuracy
of patient identification?
A. Checking the room number against the medication administration record (MAR).
B. Asking the patient to state their full name and date of birth while checking the
wristband.
C. Confirming the patient's identity with a family member in the room.
D. Using the patient's diagnosis to verify the identification on the chart.
Correct Answer: B. Asking the patient to state their full name and date of birth
while checking the wristband.
Rationale: The Joint Commission requires at least two patient identifiers (e.g.,
name and date of birth) to prevent medical errors. Room numbers or diagnoses
are not acceptable identifiers because they can change or apply to multiple
patients.
2. A medical-surgical nurse is assigned to a patient who recently underwent a total hip
replacement. Which nursing action demonstrates the QSEN competency of Teamwork
and Collaboration?
A. Documenting the patient's intake and output in the electronic health record (EHR).
B. Discussing the patient's mobility goals with the physical therapist during morning
rounds.
C. Researching the most recent evidence-based protocols for wound care.
D. Asking the patient how they prefer to be addressed during their stay.
Correct Answer: B. Discussing the patient's mobility goals with the physical
therapist during morning rounds.
Rationale: Teamwork and Collaboration involve functioning effectively within
nursing and interprofessional teams, fostering open communication and shared
decision-making to achieve quality patient care.
3. A registered nurse (RN) is supervising an unlicensed assistive personnel (UAP). Which
task is most appropriate for the RN to delegate to the UAP?
A. Assessing the patient's skin for pressure injuries.
B. Feeding a stable patient who has a history of dysphagia.
C. Measuring and recording the vital signs of a patient being admitted.
D. Teaching a patient how to use an incentive spirometer.
Correct Answer: C. Measuring and recording the vital signs of a patient being
admitted.
Rationale: UAPs can perform routine tasks like vital signs on stable patients.
Assessment, specialized feeding (for dysphagia risk), and teaching require the
judgment and skill of a licensed nurse.
4. The nurse uses the ISBAR technique during a handoff report. Which information should
the nurse include in the "B" (Background) portion of the report?
Unit 1: Introduction and Foundations of Medical-Surgical Nursing
● Chapter 1: Professional Medical-Surgical Nursing
● Chapter 2: Culturally Competent Care
● Chapter 3: Health Promotion and Patient Education
Unit 2: Critical Thinking in Nursing Practice
● Chapter 4: Clinical Judgment in the Nursing Process
● Chapter 5: Ethical Decision Making
,Unit 3: General Assessment Considerations
● Chapter 6: Comprehensive Health Assessment and Physical Examination
● Chapter 7: Pain Assessment and Management
● Chapter 8: Stress and Stress-Related Disorders
● Chapter 9: Management of Chronic Illness
Unit 4: Nursing Management and Considerations
● Chapter 10: Fluid, Electrolyte, and Acid-Base Imbalances
● Chapter 11: Gas Exchange, Airway Management, and Respiratory System Disorders
● Chapter 12: Cardiovascular System
● Chapter 13: Musculoskeletal System
● Chapter 14: Integumentary System
● Chapter 15: Cerebrovascular System
● Chapter 16: Hematopoietic Disorders and Regulation
● Chapter 17: Nervous System and Chronic Diseases of the Nervous System
● Chapter 18: Sensory Organs
● Chapter 19: Gastrointestinal System and Disorders
● Chapter 20: Genitourinary and Reproductive Systems
● Chapter 21: Endocrine System and Endocrine System Disorders
● Chapter 22: Infection and Infectious Diseases
● Chapter 23: Shock and Sepsis
● Chapter 24: Management of Patients with Allergic Disorders
Unit 5: Care of the Surgical Patient
● Chapter 25: Preoperative Care
● Chapter 26: Intraoperative Care
● Chapter 27: Postoperative Care
● Chapter 28: Inflammation and Healing
● Chapter 29: Immunological Function
Unit 6: Special Considerations and Concepts
● Chapter 30: Genetics
● Chapter 31: Cancer
● Chapter 32: Palliative Care
● Chapter 33: Emergency Care
● Chapter 34: Disaster and Recovery
● Chapter 35: Nursing Care of the Critically Ill Patient
● Chapter 36: Home Health Nursing and Rehabilitation
● Chapter 37: Trends in Health-Care Technology
,Unit 7: Putting It All Together
● Chapter 38: Unfolding Case Study and NCLEX Preparation
, Chapter 1: Professional Medical-Surgical Nursing
1. A nurse is reviewing the hospital’s National Patient Safety Goals (NPSGs) for the year.
Which action by the nurse directly supports the NPSG related to improving the accuracy
of patient identification?
A. Checking the room number against the medication administration record (MAR).
B. Asking the patient to state their full name and date of birth while checking the
wristband.
C. Confirming the patient's identity with a family member in the room.
D. Using the patient's diagnosis to verify the identification on the chart.
Correct Answer: B. Asking the patient to state their full name and date of birth
while checking the wristband.
Rationale: The Joint Commission requires at least two patient identifiers (e.g.,
name and date of birth) to prevent medical errors. Room numbers or diagnoses
are not acceptable identifiers because they can change or apply to multiple
patients.
2. A medical-surgical nurse is assigned to a patient who recently underwent a total hip
replacement. Which nursing action demonstrates the QSEN competency of Teamwork
and Collaboration?
A. Documenting the patient's intake and output in the electronic health record (EHR).
B. Discussing the patient's mobility goals with the physical therapist during morning
rounds.
C. Researching the most recent evidence-based protocols for wound care.
D. Asking the patient how they prefer to be addressed during their stay.
Correct Answer: B. Discussing the patient's mobility goals with the physical
therapist during morning rounds.
Rationale: Teamwork and Collaboration involve functioning effectively within
nursing and interprofessional teams, fostering open communication and shared
decision-making to achieve quality patient care.
3. A registered nurse (RN) is supervising an unlicensed assistive personnel (UAP). Which
task is most appropriate for the RN to delegate to the UAP?
A. Assessing the patient's skin for pressure injuries.
B. Feeding a stable patient who has a history of dysphagia.
C. Measuring and recording the vital signs of a patient being admitted.
D. Teaching a patient how to use an incentive spirometer.
Correct Answer: C. Measuring and recording the vital signs of a patient being
admitted.
Rationale: UAPs can perform routine tasks like vital signs on stable patients.
Assessment, specialized feeding (for dysphagia risk), and teaching require the
judgment and skill of a licensed nurse.
4. The nurse uses the ISBAR technique during a handoff report. Which information should
the nurse include in the "B" (Background) portion of the report?
