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,ULTIMATE MEDICAL-SURGICAL NURSING NCLEX TEST BANK
(OPENSTAX EDITION) – 140+ PRACTICE QUESTIONS WITH
ANSWERS & RATIONALES
Includes High-Yield NCLEX & NGN-Style Questions | Covers Units 1–7: Patient Care, Chronic
Illness, Fluids, Cardio, Oncology, Emergency & More | Clinical Judgment Aligned
Table of Contents
Unit 1: Professional Medical-Surgical Nursing
• Chapter 1: Introduction to Medical-Surgical Nursing
• Chapter 2: Patient-Centered Care & Professional Standards
• Chapter 3: Safety, Informatics, and Quality Improvement
Unit 2: Critical Thinking in Nursing Practice
• Chapter 4: The Nursing Process
• Chapter 5: Clinical Judgment and Ethical Decision-Making
Unit 3: Comprehensive Health Assessment and Management of Pain, Stress, and Chronic Illness
• Chapter 6: Health History and Physical Assessment
• Chapter 7: Pain Management
• Chapter 8: Stress and Coping
• Chapter 9: Chronic Illness and Disability
Unit 4: Fluid, Electrolyte, and Respiratory System Disorders
• Chapter 10: Fluid and Electrolyte Imbalances
• Chapter 11: Respiratory Disorders and Acid-Base Balance
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,Unit 5: Cardiovascular and Musculoskeletal System Disorders
• Chapter 12: Cardiovascular Disorders
• Chapter 13: Musculoskeletal and Connective Tissue Disorders
Unit 6: Oncology, Palliative, Emergency, and Disaster Nursing
• Chapter 31: Cancer and Chemotherapy
• Chapter 32: Palliative and End-of-Life Care
• Chapter 33: Emergency and Trauma Nursing
• Chapter 34: Disaster Preparedness and Bioterrorism
Unit 7: NCLEX Prep and Unfolding Case Studies
• Chapter 38: Unfolding Case Studies
• Clinical Judgment Measurement Model (CJMM)
• NCLEX Next-Gen (NGN) Item Types and Strategies
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, UNIT 1 – Professional Medical-Surgical Nursing
1. Which action best reflects the nurse’s role in patient-centered care (PCC)?
A. Delegating patient education to ancillary staff
B. Creating care plans without patient input
C. Involving the patient and family in treatment decisions
D. Focusing primarily on disease-centered interventions
Correct Answer: C
Rationale: PCC emphasizes shared decision-making and respecting the patient’s values, beliefs,
and preferences. This includes involving families in care planning.
Why others are incorrect:
• A: Delegation may be appropriate, but not for individualized PCC.
• B: Lacks patient autonomy.
• D: Disease-centered approaches neglect holistic care.
2. The nurse understands that which organization sets the annual National Patient Safety
Goals (NPSGs)?
A. QSEN
B. CDC
C. ANA
D. The Joint Commission
Correct Answer: D
Rationale: The Joint Commission annually updates NPSGs based on emerging safety concerns.
QSEN defines competencies; CDC deals with public health, and ANA outlines ethical standards.
4|Page
,ULTIMATE MEDICAL-SURGICAL NURSING NCLEX TEST BANK
(OPENSTAX EDITION) – 140+ PRACTICE QUESTIONS WITH
ANSWERS & RATIONALES
Includes High-Yield NCLEX & NGN-Style Questions | Covers Units 1–7: Patient Care, Chronic
Illness, Fluids, Cardio, Oncology, Emergency & More | Clinical Judgment Aligned
Table of Contents
Unit 1: Professional Medical-Surgical Nursing
• Chapter 1: Introduction to Medical-Surgical Nursing
• Chapter 2: Patient-Centered Care & Professional Standards
• Chapter 3: Safety, Informatics, and Quality Improvement
Unit 2: Critical Thinking in Nursing Practice
• Chapter 4: The Nursing Process
• Chapter 5: Clinical Judgment and Ethical Decision-Making
Unit 3: Comprehensive Health Assessment and Management of Pain, Stress, and Chronic Illness
• Chapter 6: Health History and Physical Assessment
• Chapter 7: Pain Management
• Chapter 8: Stress and Coping
• Chapter 9: Chronic Illness and Disability
Unit 4: Fluid, Electrolyte, and Respiratory System Disorders
• Chapter 10: Fluid and Electrolyte Imbalances
• Chapter 11: Respiratory Disorders and Acid-Base Balance
2|Page
,Unit 5: Cardiovascular and Musculoskeletal System Disorders
• Chapter 12: Cardiovascular Disorders
• Chapter 13: Musculoskeletal and Connective Tissue Disorders
Unit 6: Oncology, Palliative, Emergency, and Disaster Nursing
• Chapter 31: Cancer and Chemotherapy
• Chapter 32: Palliative and End-of-Life Care
• Chapter 33: Emergency and Trauma Nursing
• Chapter 34: Disaster Preparedness and Bioterrorism
Unit 7: NCLEX Prep and Unfolding Case Studies
• Chapter 38: Unfolding Case Studies
• Clinical Judgment Measurement Model (CJMM)
• NCLEX Next-Gen (NGN) Item Types and Strategies
3|Page
, UNIT 1 – Professional Medical-Surgical Nursing
1. Which action best reflects the nurse’s role in patient-centered care (PCC)?
A. Delegating patient education to ancillary staff
B. Creating care plans without patient input
C. Involving the patient and family in treatment decisions
D. Focusing primarily on disease-centered interventions
Correct Answer: C
Rationale: PCC emphasizes shared decision-making and respecting the patient’s values, beliefs,
and preferences. This includes involving families in care planning.
Why others are incorrect:
• A: Delegation may be appropriate, but not for individualized PCC.
• B: Lacks patient autonomy.
• D: Disease-centered approaches neglect holistic care.
2. The nurse understands that which organization sets the annual National Patient Safety
Goals (NPSGs)?
A. QSEN
B. CDC
C. ANA
D. The Joint Commission
Correct Answer: D
Rationale: The Joint Commission annually updates NPSGs based on emerging safety concerns.
QSEN defines competencies; CDC deals with public health, and ANA outlines ethical standards.
4|Page
