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Test Bank For Medical-Surgical Nursing Concepts for
Inter professional Collaborative Care 10th Edition by
Donna Ignatavicius, 9780323612425, Chapter 1-69
Complete Questions and Answers A+
Q1. What is the primary goal of interprofessional collaboration in medical-surgical nursing care?
A. Reducing nursing workload
B. Minimizing physician involvement
✅ Correct Answer: C. Enhancing patient safety and outcomes
D. Delegating all care to unlicensed personnel
Rationale: Interprofessional collaboration promotes teamwork among disciplines to deliver
coordinated, safe, and effective care—directly improving patient outcomes.
Q2. Which of the following is considered a key feature of patient-centered care?
A. Focus on diagnosis
✅ Correct Answer: B. Respect for patient preferences and values
C. Prioritizing tasks over communication
D. Delegation without explanation
Rationale: Patient-centered care respects and incorporates the values, preferences, and needs of
patients in all care decisions, promoting dignity and autonomy.
, Q3. A nurse is using clinical reasoning when they:
A. Follow physician orders without question
B. Perform tasks as quickly as possible
✅ Correct Answer: C. Analyze patient data to make informed care decisions
D. Focus only on physical symptoms
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Rationale: Clinical reasoning involves gathering and evaluating data to make sound judgments
and prioritize care based on individual patient needs.
Q4. What is the purpose of SBAR communication in clinical settings?
A. Reduce personal interactions
B. Allow patient input into decisions
✅ Correct Answer: C. Promote clear, structured communication between healthcare
providers
D. Document medical errors
Rationale: SBAR improves handoffs and provider communication by creating a standardized
structure for conveying critical patient information.
Q5. Which statement best reflects the nurse's role in the interprofessional team?
A. The nurse defers all decisions to the physician
B. The nurse provides medications only
✅ Correct Answer: C. The nurse advocates for the patient and coordinates care
D. The nurse performs only technical tasks
Rationale: Nurses play a central role in care coordination, patient advocacy, and effective
communication among disciplines.
Q6. What is the best definition of evidence-based practice (EBP)?
A. Care based on hospital tradition
B. Physician-directed care plans
✅ Correct Answer: C. Clinical decision-making using the best current research, patient
values, and clinical expertise
D. Trial-and-error nursing practice
Rationale: EBP merges the best available evidence, patient preferences, and clinical judgment to
guide care decisions and improve outcomes.
, Q7. A nurse observes an unlicensed assistive personnel (UAP) incorrectly transferring a patient.
What is the nurse's best initial action?
A. Ignore the behavior unless an injury occurs
B. Report the UAP to the manager immediately
✅ Correct Answer: C. Intervene immediately and provide feedback
Page | 3 D. Reassign the patient to another nurse
Rationale: Patient safety requires immediate intervention to prevent injury, followed by
coaching or re-education for the UAP.
Q8. Which of the following is an example of a quality improvement (QI) initiative?
A. A nurse administering PRN meds earlier than scheduled
B. Performing hourly rounding without documentation
✅ Correct Answer: C. Tracking catheter-associated infections monthly
D. Adjusting staffing based on personal preference
Rationale: QI initiatives focus on tracking measurable outcomes and using that data to improve
care systems and prevent adverse events.
Q9. Which is the most appropriate nursing intervention to support patient safety in the hospital
setting?
A. Limiting patient questions
✅ Correct Answer: B. Performing hourly rounds
C. Delegating all vital signs
D. Avoiding documentation to save time
Rationale: Hourly rounding proactively addresses patient needs, helps prevent falls, and
promotes a safe and responsive environment.
Q10. Which action best demonstrates accountability in nursing practice?
A. Blaming others for a medication error
✅ Correct Answer: B. Reporting a documentation error immediately
C. Ignoring a protocol violation
D. Avoiding patient questions
Rationale: Accountability means taking ownership of one’s actions. Reporting and addressing
errors promptly protects the patient and upholds professional standards.
Q11. Which patient is at greatest risk for developing hospital-acquired pneumonia (HAP)?
A. A young adult with appendicitis
, B. A patient post-cholecystectomy discharged after 1 day
✅ Correct Answer: C. An elderly patient on mechanical ventilation
D. A teenager recovering from a broken arm
Rationale: Hospital-acquired pneumonia is most common in ventilated, immobile, elderly, or
Page | 4 immunocompromised patients, especially those in ICU settings.
Q12. Which electrolyte imbalance is most concerning in a patient with heart failure?
A. Hypophosphatemia
B. Hypermagnesemia
✅ Correct Answer: C. Hyperkalemia
D. Hypochloremia
Rationale: Hyperkalemia can cause life-threatening arrhythmias and is especially dangerous in
patients with cardiac conditions like heart failure.
Q13. A nurse uses the teach-back method to evaluate:
A. The nurse’s clarity in giving instructions
✅ Correct Answer: B. The patient’s understanding of instructions
C. How fast the patient can read
D. The amount of time needed for discharge
Rationale: Teach-back confirms patient comprehension by having them repeat back what they
were taught, ensuring safe follow-through at home.
Q14. Which condition is an early indicator of sepsis?
A. Hypertension
✅ Correct Answer: B. Tachycardia and hypotension
C. Hypoglycemia
D. Bradycardia
Rationale: Early sepsis signs include low blood pressure and elevated heart rate due to
systemic inflammatory response and poor perfusion.
Q15. The nurse identifies a pressure injury on a patient’s sacrum with partial-thickness skin loss
and visible dermis. What stage is this?
A. Stage 1
✅ Correct Answer: B. Stage 2
Test Bank For Medical-Surgical Nursing Concepts for
Inter professional Collaborative Care 10th Edition by
Donna Ignatavicius, 9780323612425, Chapter 1-69
Complete Questions and Answers A+
Q1. What is the primary goal of interprofessional collaboration in medical-surgical nursing care?
A. Reducing nursing workload
B. Minimizing physician involvement
✅ Correct Answer: C. Enhancing patient safety and outcomes
D. Delegating all care to unlicensed personnel
Rationale: Interprofessional collaboration promotes teamwork among disciplines to deliver
coordinated, safe, and effective care—directly improving patient outcomes.
Q2. Which of the following is considered a key feature of patient-centered care?
A. Focus on diagnosis
✅ Correct Answer: B. Respect for patient preferences and values
C. Prioritizing tasks over communication
D. Delegation without explanation
Rationale: Patient-centered care respects and incorporates the values, preferences, and needs of
patients in all care decisions, promoting dignity and autonomy.
, Q3. A nurse is using clinical reasoning when they:
A. Follow physician orders without question
B. Perform tasks as quickly as possible
✅ Correct Answer: C. Analyze patient data to make informed care decisions
D. Focus only on physical symptoms
Page | 2
Rationale: Clinical reasoning involves gathering and evaluating data to make sound judgments
and prioritize care based on individual patient needs.
Q4. What is the purpose of SBAR communication in clinical settings?
A. Reduce personal interactions
B. Allow patient input into decisions
✅ Correct Answer: C. Promote clear, structured communication between healthcare
providers
D. Document medical errors
Rationale: SBAR improves handoffs and provider communication by creating a standardized
structure for conveying critical patient information.
Q5. Which statement best reflects the nurse's role in the interprofessional team?
A. The nurse defers all decisions to the physician
B. The nurse provides medications only
✅ Correct Answer: C. The nurse advocates for the patient and coordinates care
D. The nurse performs only technical tasks
Rationale: Nurses play a central role in care coordination, patient advocacy, and effective
communication among disciplines.
Q6. What is the best definition of evidence-based practice (EBP)?
A. Care based on hospital tradition
B. Physician-directed care plans
✅ Correct Answer: C. Clinical decision-making using the best current research, patient
values, and clinical expertise
D. Trial-and-error nursing practice
Rationale: EBP merges the best available evidence, patient preferences, and clinical judgment to
guide care decisions and improve outcomes.
, Q7. A nurse observes an unlicensed assistive personnel (UAP) incorrectly transferring a patient.
What is the nurse's best initial action?
A. Ignore the behavior unless an injury occurs
B. Report the UAP to the manager immediately
✅ Correct Answer: C. Intervene immediately and provide feedback
Page | 3 D. Reassign the patient to another nurse
Rationale: Patient safety requires immediate intervention to prevent injury, followed by
coaching or re-education for the UAP.
Q8. Which of the following is an example of a quality improvement (QI) initiative?
A. A nurse administering PRN meds earlier than scheduled
B. Performing hourly rounding without documentation
✅ Correct Answer: C. Tracking catheter-associated infections monthly
D. Adjusting staffing based on personal preference
Rationale: QI initiatives focus on tracking measurable outcomes and using that data to improve
care systems and prevent adverse events.
Q9. Which is the most appropriate nursing intervention to support patient safety in the hospital
setting?
A. Limiting patient questions
✅ Correct Answer: B. Performing hourly rounds
C. Delegating all vital signs
D. Avoiding documentation to save time
Rationale: Hourly rounding proactively addresses patient needs, helps prevent falls, and
promotes a safe and responsive environment.
Q10. Which action best demonstrates accountability in nursing practice?
A. Blaming others for a medication error
✅ Correct Answer: B. Reporting a documentation error immediately
C. Ignoring a protocol violation
D. Avoiding patient questions
Rationale: Accountability means taking ownership of one’s actions. Reporting and addressing
errors promptly protects the patient and upholds professional standards.
Q11. Which patient is at greatest risk for developing hospital-acquired pneumonia (HAP)?
A. A young adult with appendicitis
, B. A patient post-cholecystectomy discharged after 1 day
✅ Correct Answer: C. An elderly patient on mechanical ventilation
D. A teenager recovering from a broken arm
Rationale: Hospital-acquired pneumonia is most common in ventilated, immobile, elderly, or
Page | 4 immunocompromised patients, especially those in ICU settings.
Q12. Which electrolyte imbalance is most concerning in a patient with heart failure?
A. Hypophosphatemia
B. Hypermagnesemia
✅ Correct Answer: C. Hyperkalemia
D. Hypochloremia
Rationale: Hyperkalemia can cause life-threatening arrhythmias and is especially dangerous in
patients with cardiac conditions like heart failure.
Q13. A nurse uses the teach-back method to evaluate:
A. The nurse’s clarity in giving instructions
✅ Correct Answer: B. The patient’s understanding of instructions
C. How fast the patient can read
D. The amount of time needed for discharge
Rationale: Teach-back confirms patient comprehension by having them repeat back what they
were taught, ensuring safe follow-through at home.
Q14. Which condition is an early indicator of sepsis?
A. Hypertension
✅ Correct Answer: B. Tachycardia and hypotension
C. Hypoglycemia
D. Bradycardia
Rationale: Early sepsis signs include low blood pressure and elevated heart rate due to
systemic inflammatory response and poor perfusion.
Q15. The nurse identifies a pressure injury on a patient’s sacrum with partial-thickness skin loss
and visible dermis. What stage is this?
A. Stage 1
✅ Correct Answer: B. Stage 2
