NURSING 6TH EDITION BY LINDA S. WILLIAMS & PAULA
D. HOPPER NURSING EXAM REVIEW PRACTICE
QUESTIONS VERIFIED ANSWERS & RATIONALES
UPDATED 2026-2027
,Comprehensive Medical-Surgical Nursing Practice Exam
This detailed practice examination reviews major concepts commonly taught in medical-surgical
nursing courses, including patient safety, pharmacology, cardiovascular care, respiratory
disorders, endocrine diseases, gastrointestinal conditions, renal disorders, neurological
assessment, infection control, perioperative care, and prioritization.
Foundations of Medical-Surgical Nursing
Foundations of Medical-Surgical Nursing
Foundations of Medical-Surgical Nursing refers to the basic principles, knowledge, skills, and
clinical practices used to care for adult patients with acute and chronic health conditions.
Medical-surgical nursing is one of the largest nursing specialties and serves as the basis for
many other nursing fields. It focuses on promoting health, preventing illness, restoring health,
and providing comfort to patients experiencing physical disorders or undergoing surgical
procedures.
Medical-surgical nurses care for patients in hospitals, clinics, rehabilitation centers, long-term
care facilities, and community settings. They manage a wide variety of diseases affecting all
,body systems and work closely with physicians, therapists, pharmacists, and other healthcare
professionals.
Goals of Medical-Surgical Nursing
The primary goals include:
• Promoting patient health
• Preventing complications
• Managing acute and chronic illness
• Assisting recovery
• Educating patients and families
• Supporting physical and emotional needs
Medical-surgical nursing emphasizes patient-centered care and evidence-based practice to
improve health outcomes.
Nursing Process
The nursing process is the foundation of nursing care. It is a systematic method used to
identify patient needs and provide safe, effective care.
Five Steps of the Nursing Process
1. Assessment
, The nurse gathers information about the patient’s physical, emotional, social, and
psychological condition.
Assessment includes:
• Vital signs
• Health history
• Physical examination
• Laboratory results
• Diagnostic tests
Example:
Assessing lung sounds in a patient with pneumonia.
2. Nursing Diagnosis
The nurse identifies actual or potential health problems based on assessment findings.
Examples:
• Impaired gas exchange
• Acute pain
• Risk for infection
Nursing diagnoses focus on patient responses to illness rather than medical diseases.
3. Planning