Medical-Surgical Nursing
8th Edition
Author(s)Adrianne Dill Linton;
Mary Ann Matteson
Print ISBN: 9780323826716
TEST BANK
Medical-Surgical Nursing Exam Revision Question Bank
Chapter: Unit I – Essential Concepts of Medical-Surgical Nursing
Topic: Professional Nursing Concepts, QSEN Competencies,
Clinical Judgment, Ethics, Health Equity
Subtopics:
, QSEN Competencies (Patient-Centered Care, Safety,
Teamwork, EBP, Quality Improvement, Informatics)
Clinical Judgment (NCJMM)
Ethics and Legal Practice
Health Equity and Cultural Competence
Difficulty: Mixed
Total Questions: 20
Question 1 (MCQ)
Clinical Scenario:
A nurse is caring for a patient who refuses a blood transfusion
due to religious beliefs.
Question Stem:
Which action demonstrates patient-centered care?
Options:
A. Persuade the patient to accept treatment
B. Respect the refusal and notify the provider
C. Document refusal and take no further action
D. Ask family to override the decision
Correct Answer:
B. Respect the refusal and notify the provider
,Rationale:
Patient-centered care respects autonomy and individual values
while ensuring the provider is informed for alternative planning.
Incorrect Option Analysis:
A: Violates autonomy; misconception: nurse must ensure
compliance
C: Incomplete; fails to communicate
D: Family cannot override competent patient decisions
Nursing Process: Implementation
NCJMM: Generate Solutions, Take Action
Difficulty: Easy
Bloom’s Level: Apply
NCLEX Category: Management of Care
Learning Objective: Apply patient-centered care principles
respecting autonomy
Question 2 (SATA)
Clinical Scenario:
A hospital is implementing safety protocols.
Question Stem:
Which actions promote patient safety? (Select all that apply)
, Options:
A. Use two patient identifiers
B. Perform hand hygiene
C. Skip double-checking high-alert meds
D. Use bar-code medication system
E. Encourage error reporting
Correct Answer:
A, B, D, E
Rationale:
Safety includes identification, infection control, medication
verification, and a culture of transparency.
Incorrect Option Analysis:
C: Unsafe; reflects dangerous shortcut misconception
Nursing Process: Implementation
NCJMM: Take Action
Difficulty: Easy
Bloom’s Level: Apply
NCLEX Category: Safety and Infection Control
Learning Objective: Implement safety strategies in clinical care
Question 3 (MCQ)
8th Edition
Author(s)Adrianne Dill Linton;
Mary Ann Matteson
Print ISBN: 9780323826716
TEST BANK
Medical-Surgical Nursing Exam Revision Question Bank
Chapter: Unit I – Essential Concepts of Medical-Surgical Nursing
Topic: Professional Nursing Concepts, QSEN Competencies,
Clinical Judgment, Ethics, Health Equity
Subtopics:
, QSEN Competencies (Patient-Centered Care, Safety,
Teamwork, EBP, Quality Improvement, Informatics)
Clinical Judgment (NCJMM)
Ethics and Legal Practice
Health Equity and Cultural Competence
Difficulty: Mixed
Total Questions: 20
Question 1 (MCQ)
Clinical Scenario:
A nurse is caring for a patient who refuses a blood transfusion
due to religious beliefs.
Question Stem:
Which action demonstrates patient-centered care?
Options:
A. Persuade the patient to accept treatment
B. Respect the refusal and notify the provider
C. Document refusal and take no further action
D. Ask family to override the decision
Correct Answer:
B. Respect the refusal and notify the provider
,Rationale:
Patient-centered care respects autonomy and individual values
while ensuring the provider is informed for alternative planning.
Incorrect Option Analysis:
A: Violates autonomy; misconception: nurse must ensure
compliance
C: Incomplete; fails to communicate
D: Family cannot override competent patient decisions
Nursing Process: Implementation
NCJMM: Generate Solutions, Take Action
Difficulty: Easy
Bloom’s Level: Apply
NCLEX Category: Management of Care
Learning Objective: Apply patient-centered care principles
respecting autonomy
Question 2 (SATA)
Clinical Scenario:
A hospital is implementing safety protocols.
Question Stem:
Which actions promote patient safety? (Select all that apply)
, Options:
A. Use two patient identifiers
B. Perform hand hygiene
C. Skip double-checking high-alert meds
D. Use bar-code medication system
E. Encourage error reporting
Correct Answer:
A, B, D, E
Rationale:
Safety includes identification, infection control, medication
verification, and a culture of transparency.
Incorrect Option Analysis:
C: Unsafe; reflects dangerous shortcut misconception
Nursing Process: Implementation
NCJMM: Take Action
Difficulty: Easy
Bloom’s Level: Apply
NCLEX Category: Safety and Infection Control
Learning Objective: Implement safety strategies in clinical care
Question 3 (MCQ)
