Page 1 of 452
,Page 2 of 452
Test Bank for Medical-Surgical Nursing (ISBN: 9780323878265) 2026 Latest
Update | Comprehensive Chapter-by-Chapter Questions, Verified Answers,
Detailed Rationales & Nursing Exam Preparation Review Guide | PDF
Download <CHAPTER 1 -65 COMPLETE>
Chapter 1: Overview of Professional Nursing Concepts for MedicalSurgical Nursing
Chapter 2: Clinical Judgment and Systems Thinking
Chapter 3: Overview of Health Concepts for MedicalSurgical Nursing
Chapter 4: Concepts of Care for Older Adults
Chapter 5: Concepts of Care for Transgender and NonBinary Patients
Chapter 6: Assessment and Concepts of Care for Patients with Pain
Chapter 7: Concepts of Rehabilitation for Chronic and Disabling Health Conditions
Chapter 8: Concepts of Care for Patients at EndofLife
Chapter 9: Concepts of Care for Perioperative Patients
Chapter 10: Concepts of Care for Patients with Fluid and Electrolyte Imbalances
Chapter 11: Concepts of Care for Patients with AcidBase Imbalances
Chapter 12: Concepts of Care for Patients with Inflammation and Infection
Chapter 13: Concepts of Care for Patients with Immune System Disorders
Chapter 14: Concepts of Care for Patients with Infectious Diseases
Chapter 15: Concepts of Care for Patients with Cancer
Chapter 16: Concepts of Care for Patients with Hematologic Disorders
Chapter 17: Concepts of Care for Patients with Immune System Disorders
Chapter 18: Concepts of Care for Patients with Respiratory Disorders
Chapter 19: Concepts of Care for Patients with Cardiac Disorders
Chapter 20: Concepts of Care for Patients with Vascular Disorders
Chapter 21: Concepts of Care for Patients with Hematologic Disorders
Chapter 22: Concepts of Care for Patients with Gastrointestinal Disorders
Chapter 23: Concepts of Care for Patients with Endocrine Disorders
Chapter 24: Concepts of Care for Patients with Neurologic Disorders
Chapter 25: Concepts of Care for Patients with Renal and Urinary Disorders
Chapter 26: Concepts of Care for Patients with Reproductive Disorders
Chapter 27: Concepts of Care for Patients with Musculoskeletal Disorders
Chapter 28: Concepts of Care for Patients with Integumentary Disorders
Chapter 29: Concepts of Care for Patients with Sensory Disorders
Chapter 30: Concepts of Care for Patients with Emergency and Disaster Preparedness
Chapter 31: Concepts of Care for Patients with Psychiatric Disorders
Chapter 32: Concepts of Care for Patients with Substance Use Disorders
Chapter 33: Concepts of Care for Patients with Palliative and EndofLife Care
Chapter 34: Concepts of Care for Patients with Health Promotion and Disease Prevention
Chapter 35: Concepts of Care for Patients with Cultural Considerations
Chapter 36: Concepts of Care for Patients with Mental Health Disorders
Chapter 37: Concepts of Care for Patients with Immunodeficiency Disorders
Chapter 38: Concepts of Care for Patients with Shock
Chapter 39: Concepts of Care for Patients with Burns
Chapter 40: Concepts of Care for Patients with Trauma
Chapter 41: Concepts of Care for Patients with Environmental Emergencies
Chapter 42: Concepts of Care for Patients with Infectious Diseases
Chapter 43: Concepts of Care for Patients with Reproductive Health Issues
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Chapter 44: Concepts of Care for Patients with Musculoskeletal Disorders
Chapter 45: Concepts of Care for Patients with Neurologic Disorders
Chapter 46: Concepts of Care for Patients with Endocrine Disorders
Chapter 47: Concepts of Care for Patients with Renal Disorders
Chapter 48: Concepts of Care for Patients with Hepatic Disorders
Chapter 49: Concepts of Care for Patients with Biliary Disorders
Chapter 50: Concepts of Care for Patients with Pancreatic Disorders
Chapter 51: Concepts of Care for Patients with Nutritional Disorders
Chapter 52: Concepts of Care for Patients with Hematologic Disorders
Chapter 53: Concepts of Care for Patients with Immunodeficiency Disorders
Chapter 54: Concepts of Care for Patients with Substance Use Disorders
Chapter 55: Concepts of Care for Patients with Psychiatric Disorders
Chapter 56: Concepts of Care for Patients with Emergency and Disaster Preparedness
Chapter 57: Concepts of Care for Patients with Perioperative Care
Chapter 58: Concepts of Care for Patients with Gerontologic Considerations
Chapter 59: Concepts of Care for Patients with Health Promotion and Disease Prevention
Chapter 60: Concepts of Care for Patients with Palliative and EndofLife Care
Chapter 61: Concepts of Care for Patients with Cultural Considerations
Chapter 62: Concepts of Care for Patients with Infectious Diseases
Chapter 63: Concepts of Care for Patients with Reproductive Health Issues
Chapter 64: Concepts of Care for Patients with Health Promotion and Disease Prevention
Chapter 65: Concepts of Care for Patients with Health Promotion and Disease Prevention
UNIT I: ESSENTIAL CONCEPTS OF MEDICAL SURGICAL NURSING
Chapter 1: Overview of Professional Nursing Concepts for Medical Surgical Nursing
1. A nurse is caring for four patients on a medical surgical unit. Which patient should the nurse assess
first?
A. A patient requesting assistance with bathing
B. A patient reporting newonset shortness of breath
C. A patient asking for discharge instructions
D. A patient requesting pain medication for chronic pain rated 4/10
Correct Answer: B. A patient reporting newonset shortness of breath
Newonset shortness of breath may indicate acute deterioration requiring immediate assessment; the nurse
should prioritize patients with actual or potential threats to airway, breathing, or circulation based on
Maslow's hierarchy of needs and ABCs.
2. A nurse receives report on a patient whose blood pressure has decreased from 128/78 mm Hg to 88/50
mm Hg. Which action should the nurse take first?
A. Document the finding and continue monitoring
B. Notify the primary care provider
C. Call the Rapid Response Team
D. Repeat the blood pressure measurement in 15 minutes
Correct Answer: C. Call the Rapid Response Team
The Rapid Response Team intervenes when patients are deteriorating before respiratory or cardiac arrest;
significant changes in blood pressure, mental status, heart rate, and pain require immediate intervention.
3. Which action by the nurse best demonstrates respect for patient autonomy?
, Page 4 of 452
A. Asking if the patient has questions before signing a consent form
B. Giving the patient accurate information when questioned
C. Keeping promises made to the patient and family
D. Treating the patient fairly compared to other patients
Correct Answer: A. Asking if the patient has questions before signing a consent form
Autonomy is selfdetermination requiring patients to make informed decisions; without full information
the patient cannot practice autonomy, and the nurse must ensure informed consent is obtained before
procedures.
4. A nurse is calling the oncall physician about a patient with unrelieved pain. Which statement is part of
the SBAR format?
A. "I would like you to order a different pain medication"
B. "This patient has allergies to morphine and codeine"
C. "The surgeon doesn't like nonsteroidal antiinflammatory medications"
D. "This patient had surgery two days ago"
Correct Answer: B. "This patient has allergies to morphine and codeine"
SBAR stands for Situation, Background, Assessment, Recommendation; appropriate background
information includes allergies to medications the physician might order, which is essential for safe
prescribing.
5. A nurse delegates taking vital signs to an experienced unlicensed assistive personnel. Four hours later,
the nurse notes the patient's blood pressure is much higher than previous readings. What should the nurse
do?
A. Ask the UAP to repeat the measurement
B. Assess the patient and consider possible causes
C. Document the finding as recorded
D. Administer prescribed antihypertensive medication immediately
Correct Answer: B. Assess the patient and consider possible causes
The nurse retains accountability for delegated tasks and must follow up on significant findings;
assessment and analysis are nursing responsibilities that cannot be delegated to unlicensed assistive
personnel.
6. A nurse working with a patient from the LGBTQ community demonstrates best practice by:
A. Avoiding asking personal questions to prevent embarrassment
B. Not making assumptions about the patient's health needs
C. Assuming most LGBTQ patients do not want to share information
D. Communicating the same as with any other patient population
Correct Answer: B. Not making assumptions about the patient's health needs
Many members of the LGBTQ community have faced discrimination and may be reluctant to seek care;
nurses should never make assumptions about needs but should ask respectful questions and use inclusive
language.
7. The nurse is caring for a postoperative patient whose blood pressure was 142/76 mm Hg 30 minutes
ago and is now 88/50 mm Hg. What action is best?
A. Call the Rapid Response Team
B. Document and continue to monitor
,Page 2 of 452
Test Bank for Medical-Surgical Nursing (ISBN: 9780323878265) 2026 Latest
Update | Comprehensive Chapter-by-Chapter Questions, Verified Answers,
Detailed Rationales & Nursing Exam Preparation Review Guide | PDF
Download <CHAPTER 1 -65 COMPLETE>
Chapter 1: Overview of Professional Nursing Concepts for MedicalSurgical Nursing
Chapter 2: Clinical Judgment and Systems Thinking
Chapter 3: Overview of Health Concepts for MedicalSurgical Nursing
Chapter 4: Concepts of Care for Older Adults
Chapter 5: Concepts of Care for Transgender and NonBinary Patients
Chapter 6: Assessment and Concepts of Care for Patients with Pain
Chapter 7: Concepts of Rehabilitation for Chronic and Disabling Health Conditions
Chapter 8: Concepts of Care for Patients at EndofLife
Chapter 9: Concepts of Care for Perioperative Patients
Chapter 10: Concepts of Care for Patients with Fluid and Electrolyte Imbalances
Chapter 11: Concepts of Care for Patients with AcidBase Imbalances
Chapter 12: Concepts of Care for Patients with Inflammation and Infection
Chapter 13: Concepts of Care for Patients with Immune System Disorders
Chapter 14: Concepts of Care for Patients with Infectious Diseases
Chapter 15: Concepts of Care for Patients with Cancer
Chapter 16: Concepts of Care for Patients with Hematologic Disorders
Chapter 17: Concepts of Care for Patients with Immune System Disorders
Chapter 18: Concepts of Care for Patients with Respiratory Disorders
Chapter 19: Concepts of Care for Patients with Cardiac Disorders
Chapter 20: Concepts of Care for Patients with Vascular Disorders
Chapter 21: Concepts of Care for Patients with Hematologic Disorders
Chapter 22: Concepts of Care for Patients with Gastrointestinal Disorders
Chapter 23: Concepts of Care for Patients with Endocrine Disorders
Chapter 24: Concepts of Care for Patients with Neurologic Disorders
Chapter 25: Concepts of Care for Patients with Renal and Urinary Disorders
Chapter 26: Concepts of Care for Patients with Reproductive Disorders
Chapter 27: Concepts of Care for Patients with Musculoskeletal Disorders
Chapter 28: Concepts of Care for Patients with Integumentary Disorders
Chapter 29: Concepts of Care for Patients with Sensory Disorders
Chapter 30: Concepts of Care for Patients with Emergency and Disaster Preparedness
Chapter 31: Concepts of Care for Patients with Psychiatric Disorders
Chapter 32: Concepts of Care for Patients with Substance Use Disorders
Chapter 33: Concepts of Care for Patients with Palliative and EndofLife Care
Chapter 34: Concepts of Care for Patients with Health Promotion and Disease Prevention
Chapter 35: Concepts of Care for Patients with Cultural Considerations
Chapter 36: Concepts of Care for Patients with Mental Health Disorders
Chapter 37: Concepts of Care for Patients with Immunodeficiency Disorders
Chapter 38: Concepts of Care for Patients with Shock
Chapter 39: Concepts of Care for Patients with Burns
Chapter 40: Concepts of Care for Patients with Trauma
Chapter 41: Concepts of Care for Patients with Environmental Emergencies
Chapter 42: Concepts of Care for Patients with Infectious Diseases
Chapter 43: Concepts of Care for Patients with Reproductive Health Issues
,Page 3 of 452
Chapter 44: Concepts of Care for Patients with Musculoskeletal Disorders
Chapter 45: Concepts of Care for Patients with Neurologic Disorders
Chapter 46: Concepts of Care for Patients with Endocrine Disorders
Chapter 47: Concepts of Care for Patients with Renal Disorders
Chapter 48: Concepts of Care for Patients with Hepatic Disorders
Chapter 49: Concepts of Care for Patients with Biliary Disorders
Chapter 50: Concepts of Care for Patients with Pancreatic Disorders
Chapter 51: Concepts of Care for Patients with Nutritional Disorders
Chapter 52: Concepts of Care for Patients with Hematologic Disorders
Chapter 53: Concepts of Care for Patients with Immunodeficiency Disorders
Chapter 54: Concepts of Care for Patients with Substance Use Disorders
Chapter 55: Concepts of Care for Patients with Psychiatric Disorders
Chapter 56: Concepts of Care for Patients with Emergency and Disaster Preparedness
Chapter 57: Concepts of Care for Patients with Perioperative Care
Chapter 58: Concepts of Care for Patients with Gerontologic Considerations
Chapter 59: Concepts of Care for Patients with Health Promotion and Disease Prevention
Chapter 60: Concepts of Care for Patients with Palliative and EndofLife Care
Chapter 61: Concepts of Care for Patients with Cultural Considerations
Chapter 62: Concepts of Care for Patients with Infectious Diseases
Chapter 63: Concepts of Care for Patients with Reproductive Health Issues
Chapter 64: Concepts of Care for Patients with Health Promotion and Disease Prevention
Chapter 65: Concepts of Care for Patients with Health Promotion and Disease Prevention
UNIT I: ESSENTIAL CONCEPTS OF MEDICAL SURGICAL NURSING
Chapter 1: Overview of Professional Nursing Concepts for Medical Surgical Nursing
1. A nurse is caring for four patients on a medical surgical unit. Which patient should the nurse assess
first?
A. A patient requesting assistance with bathing
B. A patient reporting newonset shortness of breath
C. A patient asking for discharge instructions
D. A patient requesting pain medication for chronic pain rated 4/10
Correct Answer: B. A patient reporting newonset shortness of breath
Newonset shortness of breath may indicate acute deterioration requiring immediate assessment; the nurse
should prioritize patients with actual or potential threats to airway, breathing, or circulation based on
Maslow's hierarchy of needs and ABCs.
2. A nurse receives report on a patient whose blood pressure has decreased from 128/78 mm Hg to 88/50
mm Hg. Which action should the nurse take first?
A. Document the finding and continue monitoring
B. Notify the primary care provider
C. Call the Rapid Response Team
D. Repeat the blood pressure measurement in 15 minutes
Correct Answer: C. Call the Rapid Response Team
The Rapid Response Team intervenes when patients are deteriorating before respiratory or cardiac arrest;
significant changes in blood pressure, mental status, heart rate, and pain require immediate intervention.
3. Which action by the nurse best demonstrates respect for patient autonomy?
, Page 4 of 452
A. Asking if the patient has questions before signing a consent form
B. Giving the patient accurate information when questioned
C. Keeping promises made to the patient and family
D. Treating the patient fairly compared to other patients
Correct Answer: A. Asking if the patient has questions before signing a consent form
Autonomy is selfdetermination requiring patients to make informed decisions; without full information
the patient cannot practice autonomy, and the nurse must ensure informed consent is obtained before
procedures.
4. A nurse is calling the oncall physician about a patient with unrelieved pain. Which statement is part of
the SBAR format?
A. "I would like you to order a different pain medication"
B. "This patient has allergies to morphine and codeine"
C. "The surgeon doesn't like nonsteroidal antiinflammatory medications"
D. "This patient had surgery two days ago"
Correct Answer: B. "This patient has allergies to morphine and codeine"
SBAR stands for Situation, Background, Assessment, Recommendation; appropriate background
information includes allergies to medications the physician might order, which is essential for safe
prescribing.
5. A nurse delegates taking vital signs to an experienced unlicensed assistive personnel. Four hours later,
the nurse notes the patient's blood pressure is much higher than previous readings. What should the nurse
do?
A. Ask the UAP to repeat the measurement
B. Assess the patient and consider possible causes
C. Document the finding as recorded
D. Administer prescribed antihypertensive medication immediately
Correct Answer: B. Assess the patient and consider possible causes
The nurse retains accountability for delegated tasks and must follow up on significant findings;
assessment and analysis are nursing responsibilities that cannot be delegated to unlicensed assistive
personnel.
6. A nurse working with a patient from the LGBTQ community demonstrates best practice by:
A. Avoiding asking personal questions to prevent embarrassment
B. Not making assumptions about the patient's health needs
C. Assuming most LGBTQ patients do not want to share information
D. Communicating the same as with any other patient population
Correct Answer: B. Not making assumptions about the patient's health needs
Many members of the LGBTQ community have faced discrimination and may be reluctant to seek care;
nurses should never make assumptions about needs but should ask respectful questions and use inclusive
language.
7. The nurse is caring for a postoperative patient whose blood pressure was 142/76 mm Hg 30 minutes
ago and is now 88/50 mm Hg. What action is best?
A. Call the Rapid Response Team
B. Document and continue to monitor
