Medical-Surgical Nursing 11th Edition Test
Bank | Ignatavicius (Chapters 1–74) |
Concepts for Clinical Judgment &
Collaborative Care | Verified Questions &
Answers Study Guide 2026 PDF
• This test bank covers Medical-Surgical Nursing 11th Edition by Ignatavicius,
spanning Chapters 1–74, designed to sharpen clinical judgment and collaborative
care skills through verified, exam-style questions.
• Use this material by attempting each question before checking the answer and
EXPERT RATIONALE — this active recall approach maximizes retention and
prepares you for NCLEX-style reasoning.
MEDICAL-SURGICAL NURSING 11TH EDITION — IGNATAVICIUS Chapters 1–74 |
Questions | Clinical Judgment & Collaborative Care
CHAPTER 1 — OVERVIEW OF PROFESSIONAL NURSING CONCEPTS
1. A nurse is caring for a patient and uses the clinical judgment model to
guide care. Which action best represents the first step in this model?
A. Implement nursing interventions immediately
B. Evaluate the patient's response to treatment
C. Consult with the interdisciplinary team
==D. Recognize cues from the patient's assessment data==
E. Prioritize hypotheses about the patient's condition
Correct Answer: D. Recognize cues from the patient's assessment data
EXPERT RATIONALE: The NCLEXN Clinical Judgment Measurement Model begins with
recognizing cues — gathering and noticing relevant information from the patient's
assessment before any other step.
,2. Which statement best describes the concept of patient-centered care in
medical-surgical nursing?
A. The nurse makes all care decisions based on clinical expertise
B. Care is delivered based on institutional protocols only
==C. The patient's values, preferences, and needs guide all care decisions==
D. Family members direct the plan of care on behalf of the patient
E. Evidence-based practice overrides the patient's personal wishes
Correct Answer: C. The patient's values, preferences, and needs guide all
care decisions
EXPERT RATIONALE: Patient-centered care is a core concept in Ignatavicius that
places the patient at the center of all clinical decisions, respecting individual values and
preferences.
3. A nurse practicing within the scope of collaborative care consults a
dietitian for a malnourished patient. This action reflects which principle?
A. Delegation of nursing responsibility
==B. Interprofessional teamwork and collaboration==
C. Avoidance of independent nursing practice
D. Reduction of nursing workload
E. Compliance with hospital policy only
Correct Answer: B. Interprofessional teamwork and collaboration
EXPERT RATIONALE: Collaborative care involves working with multiple health
professionals, each contributing their expertise to improve patient outcomes.
,4. Which competency is MOST associated with quality and safety in nursing
practice according to the QSEN framework?
A. Performing all tasks independently
B. Avoiding the use of technology in care
==C. Using evidence-based practice to guide clinical decisions==
D. Delegating all assessments to unlicensed personnel
E. Documenting care only when errors occur
Correct Answer: C. Using evidence-based practice to guide clinical
decisions
EXPERT RATIONALE: QSEN competencies include evidence-based practice as a
cornerstone of safe, quality nursing care.
5. A nurse educator emphasizes clinical judgment over memorization. Which
learning outcome supports this approach?
A. Recalling normal lab values without context
B. Memorizing drug classifications alphabetically
==C. Analyzing patient data to make sound clinical decisions==
D. Following physician orders without questioning
E. Completing tasks in the shortest time possible
Correct Answer: C. Analyzing patient data to make sound clinical decisions
EXPERT RATIONALE: Clinical judgment requires nurses to analyze and synthesize
information — not just memorize — to determine the best course of action for each
individual patient.
CHAPTER 2 — COMMON HEALTH PROBLEMS OF OLDER ADULTS
, 6. An older adult patient is admitted with confusion, dry mucous membranes,
and concentrated urine. Which condition should the nurse suspect first?
A. Urinary tract infection
B. Early dementia
==C. Dehydration==
D. Hyperthyroidism
E. Medication toxicity
Correct Answer: C. Dehydration
EXPERT RATIONALE: Older adults have a diminished thirst response and reduced
kidney function, making them highly susceptible to dehydration, which commonly
presents with confusion, dry membranes, and dark urine.
7. Which pharmacokinetic change in older adults places them at highest risk
for drug toxicity?
A. Increased hepatic enzyme activity
==B. Decreased renal clearance==
C. Faster gastric emptying
D. Increased plasma protein binding
E. Enhanced drug absorption from the GI tract
Correct Answer: B. Decreased renal clearance
EXPERT RATIONALE: Aging reduces glomerular filtration rate, causing drugs —
especially renally cleared ones — to accumulate and reach toxic levels more easily in
older adults.
8. A nurse is assessing fall risk in an 80-year-old patient. Which factor is MOST
significant?
Bank | Ignatavicius (Chapters 1–74) |
Concepts for Clinical Judgment &
Collaborative Care | Verified Questions &
Answers Study Guide 2026 PDF
• This test bank covers Medical-Surgical Nursing 11th Edition by Ignatavicius,
spanning Chapters 1–74, designed to sharpen clinical judgment and collaborative
care skills through verified, exam-style questions.
• Use this material by attempting each question before checking the answer and
EXPERT RATIONALE — this active recall approach maximizes retention and
prepares you for NCLEX-style reasoning.
MEDICAL-SURGICAL NURSING 11TH EDITION — IGNATAVICIUS Chapters 1–74 |
Questions | Clinical Judgment & Collaborative Care
CHAPTER 1 — OVERVIEW OF PROFESSIONAL NURSING CONCEPTS
1. A nurse is caring for a patient and uses the clinical judgment model to
guide care. Which action best represents the first step in this model?
A. Implement nursing interventions immediately
B. Evaluate the patient's response to treatment
C. Consult with the interdisciplinary team
==D. Recognize cues from the patient's assessment data==
E. Prioritize hypotheses about the patient's condition
Correct Answer: D. Recognize cues from the patient's assessment data
EXPERT RATIONALE: The NCLEXN Clinical Judgment Measurement Model begins with
recognizing cues — gathering and noticing relevant information from the patient's
assessment before any other step.
,2. Which statement best describes the concept of patient-centered care in
medical-surgical nursing?
A. The nurse makes all care decisions based on clinical expertise
B. Care is delivered based on institutional protocols only
==C. The patient's values, preferences, and needs guide all care decisions==
D. Family members direct the plan of care on behalf of the patient
E. Evidence-based practice overrides the patient's personal wishes
Correct Answer: C. The patient's values, preferences, and needs guide all
care decisions
EXPERT RATIONALE: Patient-centered care is a core concept in Ignatavicius that
places the patient at the center of all clinical decisions, respecting individual values and
preferences.
3. A nurse practicing within the scope of collaborative care consults a
dietitian for a malnourished patient. This action reflects which principle?
A. Delegation of nursing responsibility
==B. Interprofessional teamwork and collaboration==
C. Avoidance of independent nursing practice
D. Reduction of nursing workload
E. Compliance with hospital policy only
Correct Answer: B. Interprofessional teamwork and collaboration
EXPERT RATIONALE: Collaborative care involves working with multiple health
professionals, each contributing their expertise to improve patient outcomes.
,4. Which competency is MOST associated with quality and safety in nursing
practice according to the QSEN framework?
A. Performing all tasks independently
B. Avoiding the use of technology in care
==C. Using evidence-based practice to guide clinical decisions==
D. Delegating all assessments to unlicensed personnel
E. Documenting care only when errors occur
Correct Answer: C. Using evidence-based practice to guide clinical
decisions
EXPERT RATIONALE: QSEN competencies include evidence-based practice as a
cornerstone of safe, quality nursing care.
5. A nurse educator emphasizes clinical judgment over memorization. Which
learning outcome supports this approach?
A. Recalling normal lab values without context
B. Memorizing drug classifications alphabetically
==C. Analyzing patient data to make sound clinical decisions==
D. Following physician orders without questioning
E. Completing tasks in the shortest time possible
Correct Answer: C. Analyzing patient data to make sound clinical decisions
EXPERT RATIONALE: Clinical judgment requires nurses to analyze and synthesize
information — not just memorize — to determine the best course of action for each
individual patient.
CHAPTER 2 — COMMON HEALTH PROBLEMS OF OLDER ADULTS
, 6. An older adult patient is admitted with confusion, dry mucous membranes,
and concentrated urine. Which condition should the nurse suspect first?
A. Urinary tract infection
B. Early dementia
==C. Dehydration==
D. Hyperthyroidism
E. Medication toxicity
Correct Answer: C. Dehydration
EXPERT RATIONALE: Older adults have a diminished thirst response and reduced
kidney function, making them highly susceptible to dehydration, which commonly
presents with confusion, dry membranes, and dark urine.
7. Which pharmacokinetic change in older adults places them at highest risk
for drug toxicity?
A. Increased hepatic enzyme activity
==B. Decreased renal clearance==
C. Faster gastric emptying
D. Increased plasma protein binding
E. Enhanced drug absorption from the GI tract
Correct Answer: B. Decreased renal clearance
EXPERT RATIONALE: Aging reduces glomerular filtration rate, causing drugs —
especially renally cleared ones — to accumulate and reach toxic levels more easily in
older adults.
8. A nurse is assessing fall risk in an 80-year-old patient. Which factor is MOST
significant?
