,OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
OpenStax Medical-Surgical Nursing Test
Bank
Chapter 1: Professional Medical-Surgical Nursing
Review Questions
Multiple Choice
1. What organizational elements strive to improve delivery of overall quality of care for
patients while also reducing negative patient outcomes?
A. Joint Commission Best Practices
B. Quality and Safety Education for Nurses
C. Nurse Practice Act
D. National Patient Safety Goals *
LO: 01.1.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
2. While communicating with another member of your interprofessional care team you use
the ISBAR technique. You explain via telephone that you have a patient who will receive test
results this morning, and their family is en route to help them review the test results and
make decisions about their care plan. Which ISBAR technique are you using at this point in
the conversation?
A. situation
B. background *
C. assessment
D. recommendations
LO: 01.2.2
Difficulty: Difficult
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
3. While using the ISBAR technique to communicate, you describe the patient’s current
condition, the patient’s pain rating, and the medication they received this morning. Which
ISBAR technique are you using at this point in the conversation?
A. situation
B. background
C. assessment *
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,OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
D. recommendations
LO: 01.2.2
Difficulty: Difficult
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
4. What are the decisions, plans, and actions that are undertaken to achieve specific
healthcare goals within a society?
A. collaborative care model
B. patient-centered care
C. health policy *
D. scope of practice
LO: 01.3.1
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
5. Which principle in the field of nursing ethics acknowledges that patients have the right to
maintain control and make their own decisions related to treatment and care?
A. autonomy *
B. beneficence
C. justice
D. nonmaleficence
LO: 01.3.3
Difficulty: Easy
Blooms: Remember; Understand
AACN: 1.1a
6. What process involves making clinical decisions based on the best available evidence from
the most up-to-date research?
A. nursing research
B. evidence-based practice *
C. quality improvement initiatives
D. nonmaleficence
LO: 01.4.1
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
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,OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
7. What process involves systematic inquiry designed to develop knowledge about issues of
importance to the nursing profession, including nursing practice, nursing education, and
nursing administration?
A. nursing research *
B. evidence-based practice
C. quality improvement initiatives
D. nonmaleficence
LO: 01.4.2
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
8. What is the framework used in healthcare to systematically improve the ways care is
delivered to patients?
A. collaborative care model
B. evidence-based practice
C. nursing best practices
D. quality improvement *
LO: 01.4.4
Difficulty: Easy
Blooms: Remember; Understand
AACN: 1.1a
9. You are trying to determine if your clinic provides effective healthcare. To make this
determination, your data include the results of patient satisfaction surveys, as well as
information about patients who were readmitted to the clinic. What type of metrics are you
reviewing?
A. balancing
B. outcome *
C. process
D. structure
LO: 01.4.4
Difficulty: Difficult
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
10. What approach to healthcare is based on a collection of interdependent elements that
interact to achieve a common purpose?
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,OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
A. patient-centered care
B. evidence-based practice
C. collaborative care model
D. systems-based practice *
LO: 01.6.1
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
11. What specialty integrates nursing science with information and analytical sciences to use
data, information, knowledge, and wisdom to enhance nursing practice?
A. evidence-based practice
B. quality improvement initiatives
C. nursing informatics *
D. nursing research
LO: 01.7.1
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
12. In nursing informatics, what component includes patients’ vital signs and laboratory values?
A. data *
B. information
C. knowledge
D. wisdom
LO: 01.7.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
13. What component of nursing informatics helps nurses develop quality conclusions and
create comprehensive care plans for patients?
A. data
B. information
C. knowledge *
D. wisdom
LO: 01.7.1
Difficulty: Moderate
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Chapter 1: Professional Medical-Surgical Nursing
Blooms: Remember
AACN: 1.1a
14. What tool enables nurses to have immediate access to patient information, which helps
promote quality decision-making?
A. nursing informatics
B. HIPAA Security Rule
C. electronic health records *
D. evidence-based practice
LO: 01.7.2
Difficulty: Easy
Blooms: Remember; Understand
AACN: 1.1a
15. What law protects public health information?
A. nursing informatics
B. HIPAA Security Rule *
C. protected health information
D. HIPAA Privacy Rule
LO: [01.7.3
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
True/False
16. True or false? Nursing is a standardized profession throughout the United States, and once
nurses obtain a license, they are eligible to practice in any of the 50 states.
Answer: False. Each state has its own rules and regulations. It is imperative as a licensed
professional to be aware of the limitations of your practice in the state in which you work and
where to find this information.
LO: 01.1.1
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
17. True or false? In the field of nursing ethics, provider nonmaleficence refers to the
healthcare provider’s responsibility to act in their patient’s best interests.
Answer: False. In the field of nursing ethics, provider beneficence, not nonmaleficence, refers
to the healthcare provider’s responsibility to act in their patient’s best interests.
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Chapter 1: Professional Medical-Surgical Nursing
LO: 01.3.3
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
18. True or false? Public health agencies, through government funding, shoulder much of the
responsibility of providing care to the poor, the uninsured, and other vulnerable
populations.
Answer: True
LO: 01.5.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
19. True or false? Access to healthcare is the most important determinant of health, helping to
promote health equity and reduce disparities in healthcare.
Answer: False. While access to healthcare is an important determinant of health, it is not the
most important. The most important is health insurance, which is an essential factor to
accessing routine healthcare and is directly correlated with better health outcomes.
LO: 01.5.3
Difficulty: Difficult
Blooms: Remember; Understand
AACN: 1.1a
20. True or false? In nursing informatics, wisdom focuses on clinical data and knowledge, as
well as ethical principles, patient preferences, and long-term implications to provide well-
rounded and compassionate care.
Answer: True
LO: 01.7.1
Difficulty: Easy
Blooms: Remember; Understand
AACN: 1.1a
Identification
A. recognize cues
B. analyze cues
C. prioritize hypotheses
D. generate solutions
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Chapter 1: Professional Medical-Surgical Nursing
E. take action
F. evaluate outcomes
21. You explore options to care for the patient. Which skill in the Clinical Judgment
Measurement Model are you using?
Answer: D. generate solutions
LO: 01.2.3
Difficulty: Easy
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
22. You consider the causes for the patient’s situation and determine which of the patient’s
issues are the most critical. Which skill in the Clinical Judgment Measurement Model are
you using?
Answer: C. prioritize hypotheses
LO: 01.2.3
Difficulty: Moderate
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
23. Your patient was admitted to the emergency room with shortness of breath and a rapid
heartbeat. As you examine the patient, you check their vital signs and ask questions about
their symptoms. You also gather information about their medical history. Which skill in the
Clinical Judgment Measurement Model are you using?
Answer: A. recognize cues
LO: 01.2.3
Difficulty: Easy
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
24. After their medication and other treatment has had time to take effect, you check on the
patient and review their vital signs and other data. Which skill in the Clinical Judgment
Measurement Model are you using?
Answer: F. evaluate outcomes
LO: 01.2.3
Difficulty: Easy
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
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,OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
25. You review the patient’s vital signs and other information, organize the data, and strive to
comprehend the patient’s situation. Which skill in the Clinical Judgment Measurement
Model are you using?
Answer: B. analyze cues
LO: 01.2.3
Difficulty: Difficult
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
26. You talk to the patient about the proposed treatment plan. After they consent, you provide
the patient with medication and other treatment. Which skill in the Clinical Judgment
Measurement Model are you using?
Answer: E. take action
LO: 01.2.3
Difficulty: Moderate
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
Fill in the Blank
27. ________ is a team-based approach designed to promote person-centered care to improve
patient and health system outcomes. This approach—which includes shared responsibilities,
interactive planning, and collaborative decision-making—enables healthcare professionals
to provide holistic, ________ focused on all the patient’s needs.
Answer: Interprofessional; whole-person care
LO: 01.2.1
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
28. The Affordable Care Act was signed into law in 2010 to promote ________ throughout the
country. The ACA’s goals include providing health coverage ________ and protecting people
who have _______.
Answer: health equity; without limits; preexisting conditions
LO: 01.3.1
Difficulty: Difficult
Blooms: Remember; Understand
AACN: 1.1a
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Chapter 1: Professional Medical-Surgical Nursing
29. ________ is the study of right and wrong actions, and in nursing, ________ respects the
patient’s rights and individuality and ensures equitable treatment and care that aligns with
each patient’s beliefs and values.
Answer: Ethics; ethical decision-making
LO: 01.3.3
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
30. The goal of ________ is to increase a person’s ability to care for themself and to promote as
much independence as possible.
Answer: post-acute care
LO: 01.5.1
Difficulty: Easy
Blooms: Remember; Understand
AACN: 1.1a
31. A ________ is the culture or society that surrounds smaller systems and gives them
structure. Its components include laws, rules and regulations, government agencies,
political systems, social policies, and educational resources, all of which have a direct
impact on healthcare, public health, health equity, and the systems in which healthcare is
delivered.
Answer: macrosystem
LO: 01.6.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
Short Answer Questions
32. What is the nursing scope of practice and how is it determined?
Sample Answer: The nursing scope of practice refers to the range of activities a licensed nurse is
permitted to perform. It is determined at the state level by a two-step process:
1. The state legislature passes a law, known as the Nurse Practice Act.
2. Regulatory bodies, such as the state nursing board, then create and implement rules and
regulations intended to protect the public.
LO: 01.1.1
Difficulty: Easy
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Chapter 1: Professional Medical-Surgical Nursing
OpenStax Medical-Surgical Nursing Test
Bank
Chapter 1: Professional Medical-Surgical Nursing
Review Questions
Multiple Choice
1. What organizational elements strive to improve delivery of overall quality of care for
patients while also reducing negative patient outcomes?
A. Joint Commission Best Practices
B. Quality and Safety Education for Nurses
C. Nurse Practice Act
D. National Patient Safety Goals *
LO: 01.1.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
2. While communicating with another member of your interprofessional care team you use
the ISBAR technique. You explain via telephone that you have a patient who will receive test
results this morning, and their family is en route to help them review the test results and
make decisions about their care plan. Which ISBAR technique are you using at this point in
the conversation?
A. situation
B. background *
C. assessment
D. recommendations
LO: 01.2.2
Difficulty: Difficult
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
3. While using the ISBAR technique to communicate, you describe the patient’s current
condition, the patient’s pain rating, and the medication they received this morning. Which
ISBAR technique are you using at this point in the conversation?
A. situation
B. background
C. assessment *
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
2 7/10/2024
,OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
D. recommendations
LO: 01.2.2
Difficulty: Difficult
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
4. What are the decisions, plans, and actions that are undertaken to achieve specific
healthcare goals within a society?
A. collaborative care model
B. patient-centered care
C. health policy *
D. scope of practice
LO: 01.3.1
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
5. Which principle in the field of nursing ethics acknowledges that patients have the right to
maintain control and make their own decisions related to treatment and care?
A. autonomy *
B. beneficence
C. justice
D. nonmaleficence
LO: 01.3.3
Difficulty: Easy
Blooms: Remember; Understand
AACN: 1.1a
6. What process involves making clinical decisions based on the best available evidence from
the most up-to-date research?
A. nursing research
B. evidence-based practice *
C. quality improvement initiatives
D. nonmaleficence
LO: 01.4.1
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
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3 7/10/2024
,OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
7. What process involves systematic inquiry designed to develop knowledge about issues of
importance to the nursing profession, including nursing practice, nursing education, and
nursing administration?
A. nursing research *
B. evidence-based practice
C. quality improvement initiatives
D. nonmaleficence
LO: 01.4.2
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
8. What is the framework used in healthcare to systematically improve the ways care is
delivered to patients?
A. collaborative care model
B. evidence-based practice
C. nursing best practices
D. quality improvement *
LO: 01.4.4
Difficulty: Easy
Blooms: Remember; Understand
AACN: 1.1a
9. You are trying to determine if your clinic provides effective healthcare. To make this
determination, your data include the results of patient satisfaction surveys, as well as
information about patients who were readmitted to the clinic. What type of metrics are you
reviewing?
A. balancing
B. outcome *
C. process
D. structure
LO: 01.4.4
Difficulty: Difficult
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
10. What approach to healthcare is based on a collection of interdependent elements that
interact to achieve a common purpose?
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4 7/10/2024
,OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
A. patient-centered care
B. evidence-based practice
C. collaborative care model
D. systems-based practice *
LO: 01.6.1
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
11. What specialty integrates nursing science with information and analytical sciences to use
data, information, knowledge, and wisdom to enhance nursing practice?
A. evidence-based practice
B. quality improvement initiatives
C. nursing informatics *
D. nursing research
LO: 01.7.1
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
12. In nursing informatics, what component includes patients’ vital signs and laboratory values?
A. data *
B. information
C. knowledge
D. wisdom
LO: 01.7.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
13. What component of nursing informatics helps nurses develop quality conclusions and
create comprehensive care plans for patients?
A. data
B. information
C. knowledge *
D. wisdom
LO: 01.7.1
Difficulty: Moderate
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
5 7/10/2024
,OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
Blooms: Remember
AACN: 1.1a
14. What tool enables nurses to have immediate access to patient information, which helps
promote quality decision-making?
A. nursing informatics
B. HIPAA Security Rule
C. electronic health records *
D. evidence-based practice
LO: 01.7.2
Difficulty: Easy
Blooms: Remember; Understand
AACN: 1.1a
15. What law protects public health information?
A. nursing informatics
B. HIPAA Security Rule *
C. protected health information
D. HIPAA Privacy Rule
LO: [01.7.3
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
True/False
16. True or false? Nursing is a standardized profession throughout the United States, and once
nurses obtain a license, they are eligible to practice in any of the 50 states.
Answer: False. Each state has its own rules and regulations. It is imperative as a licensed
professional to be aware of the limitations of your practice in the state in which you work and
where to find this information.
LO: 01.1.1
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
17. True or false? In the field of nursing ethics, provider nonmaleficence refers to the
healthcare provider’s responsibility to act in their patient’s best interests.
Answer: False. In the field of nursing ethics, provider beneficence, not nonmaleficence, refers
to the healthcare provider’s responsibility to act in their patient’s best interests.
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
6 7/10/2024
,OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
LO: 01.3.3
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
18. True or false? Public health agencies, through government funding, shoulder much of the
responsibility of providing care to the poor, the uninsured, and other vulnerable
populations.
Answer: True
LO: 01.5.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
19. True or false? Access to healthcare is the most important determinant of health, helping to
promote health equity and reduce disparities in healthcare.
Answer: False. While access to healthcare is an important determinant of health, it is not the
most important. The most important is health insurance, which is an essential factor to
accessing routine healthcare and is directly correlated with better health outcomes.
LO: 01.5.3
Difficulty: Difficult
Blooms: Remember; Understand
AACN: 1.1a
20. True or false? In nursing informatics, wisdom focuses on clinical data and knowledge, as
well as ethical principles, patient preferences, and long-term implications to provide well-
rounded and compassionate care.
Answer: True
LO: 01.7.1
Difficulty: Easy
Blooms: Remember; Understand
AACN: 1.1a
Identification
A. recognize cues
B. analyze cues
C. prioritize hypotheses
D. generate solutions
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,OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
E. take action
F. evaluate outcomes
21. You explore options to care for the patient. Which skill in the Clinical Judgment
Measurement Model are you using?
Answer: D. generate solutions
LO: 01.2.3
Difficulty: Easy
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
22. You consider the causes for the patient’s situation and determine which of the patient’s
issues are the most critical. Which skill in the Clinical Judgment Measurement Model are
you using?
Answer: C. prioritize hypotheses
LO: 01.2.3
Difficulty: Moderate
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
23. Your patient was admitted to the emergency room with shortness of breath and a rapid
heartbeat. As you examine the patient, you check their vital signs and ask questions about
their symptoms. You also gather information about their medical history. Which skill in the
Clinical Judgment Measurement Model are you using?
Answer: A. recognize cues
LO: 01.2.3
Difficulty: Easy
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
24. After their medication and other treatment has had time to take effect, you check on the
patient and review their vital signs and other data. Which skill in the Clinical Judgment
Measurement Model are you using?
Answer: F. evaluate outcomes
LO: 01.2.3
Difficulty: Easy
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
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8 7/10/2024
,OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
25. You review the patient’s vital signs and other information, organize the data, and strive to
comprehend the patient’s situation. Which skill in the Clinical Judgment Measurement
Model are you using?
Answer: B. analyze cues
LO: 01.2.3
Difficulty: Difficult
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
26. You talk to the patient about the proposed treatment plan. After they consent, you provide
the patient with medication and other treatment. Which skill in the Clinical Judgment
Measurement Model are you using?
Answer: E. take action
LO: 01.2.3
Difficulty: Moderate
Blooms: Remember; Understand; Apply; Analyze; Evaluate
AACN: 1.1b
Fill in the Blank
27. ________ is a team-based approach designed to promote person-centered care to improve
patient and health system outcomes. This approach—which includes shared responsibilities,
interactive planning, and collaborative decision-making—enables healthcare professionals
to provide holistic, ________ focused on all the patient’s needs.
Answer: Interprofessional; whole-person care
LO: 01.2.1
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
28. The Affordable Care Act was signed into law in 2010 to promote ________ throughout the
country. The ACA’s goals include providing health coverage ________ and protecting people
who have _______.
Answer: health equity; without limits; preexisting conditions
LO: 01.3.1
Difficulty: Difficult
Blooms: Remember; Understand
AACN: 1.1a
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
9 7/10/2024
, OpenStax Medical Surgical Test Bank
Chapter 1: Professional Medical-Surgical Nursing
29. ________ is the study of right and wrong actions, and in nursing, ________ respects the
patient’s rights and individuality and ensures equitable treatment and care that aligns with
each patient’s beliefs and values.
Answer: Ethics; ethical decision-making
LO: 01.3.3
Difficulty: Moderate
Blooms: Remember; Understand
AACN: 1.1a
30. The goal of ________ is to increase a person’s ability to care for themself and to promote as
much independence as possible.
Answer: post-acute care
LO: 01.5.1
Difficulty: Easy
Blooms: Remember; Understand
AACN: 1.1a
31. A ________ is the culture or society that surrounds smaller systems and gives them
structure. Its components include laws, rules and regulations, government agencies,
political systems, social policies, and educational resources, all of which have a direct
impact on healthcare, public health, health equity, and the systems in which healthcare is
delivered.
Answer: macrosystem
LO: 01.6.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
Short Answer Questions
32. What is the nursing scope of practice and how is it determined?
Sample Answer: The nursing scope of practice refers to the range of activities a licensed nurse is
permitted to perform. It is determined at the state level by a two-step process:
1. The state legislature passes a law, known as the Nurse Practice Act.
2. Regulatory bodies, such as the state nursing board, then create and implement rules and
regulations intended to protect the public.
LO: 01.1.1
Difficulty: Easy
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
10 7/10/2024
