8th Edition
Author(s)Adrianne Dill Linton;
Mary Ann Matteson
Print ISBN: 9780323826716
TEST BANK
Unit I: Medical-Surgical Nursing
Topic: Aspects of Medical-Surgical Nursing
NCLEX-RN / NGN Clinical Judgment Exam Revision Question
Bank (20 Original Questions)
Difficulty: Mixed
Item Distribution:
, MCQ: 10
SATA: 4
NGN Case Study: 3
Bow-Tie: 1
Matrix/Grid: 2
Question 1 — MCQ
Clinical Scenario
A newly licensed registered nurse begins work on a medical-
surgical unit caring for adults with acute and chronic illnesses.
During orientation, the nurse asks the clinical educator how
medical-surgical nursing differs from other nursing specialties.
Question Stem
Which statement by the clinical educator best describes the
primary focus of medical-surgical nursing?
Answer Options
A. “Medical-surgical nursing focuses mainly on assisting
physicians with procedures.”
B. “Medical-surgical nursing involves caring for adults
experiencing a wide range of health conditions using evidence-
based clinical judgment.”
,C. “Medical-surgical nursing primarily involves caring for
patients who require intensive care monitoring.”
D. “Medical-surgical nursing focuses only on managing acute
illnesses in hospitalized patients.”
Correct Answer
B
Detailed Rationale
Medical-surgical nursing involves holistic care of adults
experiencing acute and chronic health alterations. The nurse
integrates assessment, pathophysiology, evidence-based
interventions, patient education, safety practices, and clinical
judgment across multiple healthcare settings.
Incorrect Option Analysis
A. Incorrect
Misconception: Nurses primarily assist providers.
Risk: Limits nursing practice and ignores independent
nursing judgment.
C. Incorrect
Misconception: Medical-surgical nursing is only critical
care.
Risk: May cause inadequate understanding of care across
outpatient, rehabilitation, and long-term settings.
, D. Incorrect
Misconception: Only acute illness is included.
Risk: Neglects chronic disease management and
prevention.
Nursing Process Linkage
Assessment
NCJMM Competencies
Recognize Cues
Analyze Cues
Difficulty
Easy
Bloom’s Level
Understand
NCLEX Client Needs Category
Health Promotion and Maintenance
Key Learning Objective
Identify the scope and purpose of professional medical-surgical
nursing practice.
Question 2 — SATA