Medical-Surgical Nursing Exam
Solutions
Course Introduction
Medical-Surgical Nursing is a foundational course that equips students with the knowledge and skills to care for adult patients experiencing a wide range of medical and surgical conditions. The course covers pathophysiology, assessment, and evidence-based interventions for common diseases and disorders affecting body systems, including the cardiovascular, respiratory, gastrointestinal, musculoskeletal, and nervous systems. Emphasis is placed on developing critical thinking, clinical decision-making, and patient-centered care through case studies, simulations, and hands-on clinical practice, preparing students to effectively collaborate with the healthcare team and support patients through the continuum of acute and chronic illness.
Recommended Textbook
Success in Practical Vocational Nursing 8th Edition by Patricia Knecht
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19 Chapters
521 Verified Questions
521 Flashcards
Source URL: https://quizplus.com/study-set/214
Page 2
Chapter 1: Personal Resources of an Adult Learner
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/3147
Sample Questions
Q1) In response to a learner's questions, which of the following options should be used to describe desirable outcomes of clinical performance evaluations? (Select all that apply.)
A) Discover positive actions of students.
B) Make students aware of ineffective clinical behaviors.
C) Role-model how to conduct evaluations of others when in the LPN/LVN expanded role.
D) Give the student an opportunity to tell the instructor how the instructor's attitude discourages learning.
Answer: A, B, C
Q2) When a nursing student expresses concern about being dismissed unfairly from the program, the most effective peer response would be
A) "Better get over being so negative."
B) "You have rights under the Fourteenth Amendment."
C) "Watch what you say in class to reduce this possibility."
D) "Instructors really do have control over what happens."
Answer: B
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3
Chapter 2: Academic Resources (Study Skills and Test Strategies)
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Which technique is most helpful to a student who wishes to better organize the material presented during a lecture?
A) Note making
B) Shorthand
C) Tape recording
D) Passive listening
Answer: A
Q2) A student nurse is utilizing the technique of cooperative learning. Cooperative learning includes which of the following? (Select all that apply.)
A) Working in small groups
B) Active involvement in learning
C) Development of critical thinking skills
D) Assistance in learning the course content
E) Discouragement of the development of teamwork
F) An emphasis on individual accountability for learning
Answer: A, B, C, D, F
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Chapter 3: Community Resources
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Sample Questions
Q1) Place the five steps of Maslow's Human Needs Theory in the correct order:
A) Self-actualization
B) Safety
C) Physiologic needs
D) Esteem
E) Love/belonging
Answer: C, B, E, D, A
Q2) A nursing student moved from Florida to Pennsylvania and began school immediately. Where should the student go first to become familiar with county services?
A) YMCA
B) Career Link
C) Referral Agencies
D) Welfare office
Answer: C
Q3) __________________ is food program that will deliver meals to the doors of Senior Citizens and disabled individuals.
Answer: Meals on Wheels
Seniors and disabled individuals can have special programs that deliver meals to their doors such as Meals on Wheels.
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Page 5
Chapter 4: How Practical/Vocational Nursing Evolved: 1836
to the Present
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) When in history was it first recommended that tasks of the RN and LPN be differentiated and that practical nurses should function under the supervision of registered nurses?
A) 1750-1760
B) 1826-1850
C) 1949-1950
D) 1965-1980
Q2) Which was the first state to pass a law licensing practical nurses?
A) Alabama
B) California
C) New York
D) Mississippi
Q3) When was the first U.S. school of practical nursing founded?
A) 1830
B) 1853
C) 1892
D) 1902
Q4) After licensing, the LPN/LVN is permitted to perform complex nursing skills as delegated by the registered nurse (RN) and allowed by the
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Chapter 5: Critical Thinking: A Lifelong Journey
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nursing student tells a peer, "Once I begin studying, I don't dare take a break. If I stop for even 5 minutes, I know I'll never go back to studying." The peer identifies this statement as
A) negative thinking.
B) random thinking.
C) ruminative thinking.
D) all-or-nothing thinking.
Q2) A nurse is caring for a postpartum patient. The nurse assesses the patient's fundus, notes that it is deviated to the side, and instructs the patient to void. The nurse understands that this intervention should allow the fundus to effectively contract. The nurse's thinking is purposeful and outcome oriented. This is an example of A) directed thinking.
B) habitual thinking.
C) nonfocused thinking.
D) ruminative thinking.
Q3) The cognitive levels used on the NCLEX-PN examination are knowledge, comprehension, application, and _______________.
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Chapter 6: Ethics Applied to Nursing: Personal Versus Professional Ethics
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The patient asks the nurse, "I overheard the instructor talking to a student about accountability. What does the word 'accountability' really mean?" The best response by the nurse would be
A) "It is a transfer of responsibility for wrong actions."
B) "It is shared responsibility with the physician for wrongdoing."
C) "It is taking personal responsibility for one's nursing actions."
D) "It is giving up responsibility when the situation dictates."
Q2) A system of standards or moral principles that direct actions as being right or wrong is called ___________.
Q3) A student nurse is assigned to care for a patient with complex nursing care needs. The student was busy and did not prepare in advance for the assignment. In preconference, the student is unable to describe the care to be given and admits not knowing how to execute one of the treatments. The instructor would be ethically justified in
A) telling the student to be very careful during caregiving.
B) sending the student home and turning the patient's care over to staff.
C) suspending the student.
D) dismissing the student from the program.
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Chapter
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) Nurse A is assigned to care for a patient with diabetes who is being regulated on new types of insulin. The patient performs most of her own care and rarely uses the call bell to summon the nurse. The nurse knows this and leaves the patient unobserved most of the shift. Just before change of shift report, the aide reports that she cannot rouse the patient. The patient has entered a vegetative state as the result of brain damage related to severe hypoglycemia. Which, if any, of the four elements needed to prove malpractice are present? (Select all that apply.)
A) Duty
B) Breach of duty
C) Damages
D) Proximate cause
E) No elements are present
Q2) A nurse is found liable for battery. What does this mean?
A) The nurse threatened the patient, causing fear of bodily harm.
B) The nurse, without consent, touched the patient in a way that caused harm.
C) The nurse detained the patient against his will.
D) The nurse incorrectly performed a procedure that is within her scope of practice.
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Page 9
Chapter 8: Effective Communication: Health Care Team,
Patients, Faculty, and Peers
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A patient asks a practical/vocational nursing student the following questions. To which option should the nurse respond, "I don't know the answer to your question, but I'll find someone who will discuss it with you"?
A) "What do you mean when you say 'vital signs'?"
B) "May I get out of bed?"
C) "How do I call a nurse when I need one?"
D) "How much longer do I have to live?"
Q2) A trusting relationship with a patient can be fostered by
A) introducing oneself and stating one's role.
B) identifying the patient by room number.
C) seeing the patient every 5 to 7 minutes.
D) making up answers when one does not know the answer.
Q3) Which statement is true regarding open-ended, closed-ended, and focused questions?
A) Open-ended questions always achieve their purpose.
B) Closed-ended and focused questions are used to get specific information.
C) Closed-ended questions are used primarily with children and older adults.
D) Focused questions are more useful when communicating with men.
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Chapter 9: Assertiveness: Your Responsibility
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse demonstrates assertive behavior by doing which of the following?
A) When a patient asks the nurse to stop and feed the patient's cats on the way home, the nurse frowns but agrees to do so.
B) The nurse feels the team leader's assignment is unfair, so the nurse drops hints to coworkers about feelings of unfairness.
C) When the patient asks about the nurse's personal life, the nurse answers the questions out of fear of not being liked for not answering.
D) When working with a patient who is critical of the nurse, the nurse sits down with the patient and listens attentively to the patient's concerns.
Q2) What are the expected outcomes of using assertive communication in the nursing workplace? (Select all that apply.)
A) It enmeshes the person and the issue.
B) It promotes positive relationships.
C) It is clear and unequivocal.
D) It respects the rights of oneself and others.
E) It is focused on the personal needs of the nurse.
F) It guarantees the user will get his or her way.
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Chapter 10: Cultural Uniqueness, Sensitivity, and Competence
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Patient A has terminal cancer, and Patient B has a bladder infection. They are sharing a hospital room. Neither patient is a member of the majority culture of the area. Patient A is quiet and rarely acknowledges pain. Patient B cries and moans loudly much of the day. What understanding will help the nurse provide culturally sensitive care for both patients?
A) The better educated the person, the less likely the person is to openly express pain.
B) A mentally unstable person is more likely to be noisy about pain sensations.
C) People respond to the sensation of pain in culturally determined ways.
D) People who distrust health care workers tend to be silent about their pain.
Q2) When collecting data, which question provides the best understanding of the patient's culturally determined food patterns and assists with developing a culturally competent care plan?
A) "What effect will hospitalization have on your family?"
B) "What religious practices are important in your life?"
C) "Do you use food to maintain health or treat illness?"
D) "Describe the role of children in your family."
Q3) The process of giving up parts of one's own culture and adopting parts of the culture of the dominant group is called ____________________.
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Chapter 11: Spiritual Needs, Spiritual Caring, and Religious Differences
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A Hindu patient is admitted after a severe head injury and is near death. The organ procurement person tells the nurse, "I don't know much about the Hindu religion, and I have to talk to the family about organ donation. Can you give me any hints?" The best response for the nurse would be
A) "Organ donation is prohibited by the religion."
B) "The family is very concerned about where the patient's soul will go after death."
C) "The religion permits organ donation, but you would have to ask the family their feelings about it."
D) "It's hard to know what people who believe cows are sacred will think about organ donation."
Q2) A patient has a small piece of paper on which unfamiliar symbols are written hanging on a black string around the neck. To prepare the patient for the operating room (OR) the nurse should
A) allow the patient to wear the item, but make note of it for the OR staff to see and reposition if needed.
B) insist that the patient take off the item and leave it in the bedside stand.
C) remove the item and tie it to the foot of the patient's bed.
D) place the item in a plastic bag and lock it in the narcotics cabinet.
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Chapter 12: The Nursing Process: Your Role
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) When a nurse uses Maslow's Hierarchy of Needs to prioritize patient problems, which problem would be considered the highest priority?
A) The patient is unsteady and may become injured.
B) The patient is experiencing marital difficulties.
C) The patient has deficient knowledge about the condition.
D) The patient is acutely short of breath.
Q2) The student nurse asks, "How does knowing the nursing diagnosis assist the LPN/LVN?" The best response is based on understanding that A) a nursing diagnosis identifies the patient's problems.
B) it permits the practical nurse to go beyond the scope of practice.
C) this step makes the practical nurse equal to the medical doctor.
D) knowledge of the nursing diagnosis ensures a cure for the patient.
Q3) A blood pressure of 110/70 at 8 PM is most accurately described as an example of A) planning data. B) subjective data.
C) objective data. D) reassessment data.
Q4) A patient states, "I'm feeling left-sided chest pain that radiates to my left arm." This is an example of _______________ data.
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Chapter 13: Nursing Theory, Research, and Evidence-Based Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nursing theory that is most likely to be implemented by the nurse as a basis for developing a therapeutic relationship with the adult or child psychiatric patients is
A) Maslow's human needs theory.
B) Jean Watson's theory of human care.
C) Orem's self-care deficit theory.
D) Peplau's interpersonal relations theory.
Q2) Which of the following are the three subtheories of Dorothea Orem's self-care deficit theory? (Select all that apply.)
A) Self-care
B) Self-care deficit
C) Self-actualization
D) Nursing system
E) Cultural care
Q3) The level of nurse qualified to design and implement research studies and publish findings is a nurse with a A) research doctorate.
B) practice doctorate.
C) master's degree.
D) baccalaureate degree.
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Chapter 14: The Interdisciplinary Health Care Team: The
Role of the Practical/Vocational Nurse
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The goal of the health care team is best described as
A) restoring optimal physical, emotional, and spiritual health to patients.
B) preventing communicable diseases.
C) selecting health care professionals who serve people with health care needs.
D) attaining personal satisfaction of the need to help others.
Q2) The LPN/LVN describes herself as "working in an expanded role in a long-term care facility." What is the most correct interpretation of this statement?
A) The LPN/LVN is able to administer oral medications.
B) The LPN/LVN is a first-line manager responsible to the RN.
C) The LPN/LVN formulates nursing diagnoses and care plans.
D) The LPN/LVN interprets and implements research findings.
Q3) Select the person or persons who may be included on the physical therapy team. (Select all that apply.)
A) RN
B) LPN/LVN
C) Physical therapists
D) Physical therapy assistants
Q4) The role of the LPN/LVN in the health care team is best described as
16
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Chapter 15: Health Care Settings: Continuum of Care
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) An example of a public sector health care agency supported primarily by U.S. taxpayer dollars is the
A) U.S. Public Health Service.
B) Kaiser Permanente hospitals.
C) American Cancer Society.
D) World Health Organization.
Q2) An older adult patient is to be discharged from the acute care hospital with left-sided weakness, difficulty swallowing, and inability to independently perform ADLs, therefore requiring daily physical therapy. The patient has no family and lives in a high-rise apartment building. Referral to which level of long-term care would the nurse likely recommend at the care planning conference?
A) Sheltered housing
B) Skilled nursing facility
C) Assisted living facility
D) Domiciliary care
Q3) The health care agency that provides information and support for breast-feeding mothers and breast milk for infants because of health reasons is the
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Chapter 16: The Health Care System: Financing, Issues, and Trends
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) When the nurse is asked by a patient, "Why is it necessary to have deductibles and copayments when I already have health insurance?" The best response would be:
A) "They are a way to improve the margin of profit in the fee-for-service method of paying for health care."
B) "They prevent health care agencies from having huge deficits associated with uncompensated care."
C) "They were developed to save health care dollars at the time Medicare introduced DRGs."
D) "They are part of the incremental changes designed to provide more universal care."
Q2) A patient asks the nurse, "What do health maintenance organizations (HMOs) do to reduce health care costs?" The response giving the best example of an HMO cost-containment method would be:
A) "HMOs pool individual contributions for use in catastrophic illness."
B) "HMOs provide supplemental coverage for items not covered by Medicare."
C) "HMOs use a retrospective payment system."
D) "HMOs provide services aimed at keeping members healthy."
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Page 18
Chapter 17: Collaboration: Leading and Managing
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) A nursing assistant (NA) did an exceptionally good job by encouraging a resident to leave his room and go to an activity. Select the response by the LPN/LVN charge nurse that would best encourage the employee to continue this effort.
A) Write a note for the NA's file explaining that she did not leave the resident in his room.
B) Tell the NA she is a great nursing assistant and that the charge nurse wished all assistants were like her.
C) Report the NA's good efforts to the nursing home's administrator and board of directors.
D) Tell the NA that the charge nurse knows how hard she worked to get the resident out of his room and how pleased the nurse is that the NA is concerned with the resident's need for socialization.
Q2) The new nursing assistant arrived 1 hour late for duty on the second day of employment, giving the excuse of car trouble. The LPN/LVN charge nurse should
A) note the incident of tardiness in the charge nurse's personal file.
B) send a letter of reprimand to the nursing assistant.
C) give an oral reprimand to the nursing assistant.
D) arrange to terminate the nursing assistant before a pattern develops.
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Chapter 18: Work Force Trends:
Will Love
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) When an SP/VN or LPN/LVN is seeking a new position, which pre-interview preparatory action would most likely contribute to a successful interview?
A) Practice responding to sample interview questions.
B) Focus on spontaneity as the key to answering questions.
C) Choose casual clothing, because it denotes self-esteem.
D) Remind oneself to address the interviewer by her or his first name.
Q2) A student nurse is interested in working shortly after graduation. What action would have the greatest potential for achieving the goal of securing employment?
A) Limit job applications to positions listed in the Help Wanted section of the newspaper.
B) Obtain lists of job offerings posted in health care agencies.
C) Research agencies of interest and write brief letters expressing an interest in employment.
D) Depend on the school of nursing and school placement service to find employment.
Q3) The area of nursing in which churches employ their own nurse to take care of basic health needs of the congregation is called _____________ nursing.
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Chapter 19: Licensure and Regulation: Becoming Licensed and Understanding Your State Nurse Practice Act
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The content of the NCLEX-PN examination is divided into four Patient Needs categories. The Psychosocial Integrity category includes A) surgical asepsis.
B) human sexuality.
C) therapeutic communication.
D) nutrition and oral hydration.
Q2) Which of the following are needed by the candidate to arrange for and take the NCLEX-PN examination? (Select all that apply.)
A) An authorization-to-test letter
B) An appointment at a testing center
C) A picture identification and one other acceptable form of identification
D) A copy of one's fingerprint card
Q3) The LPN/LVN tells a peer, "I want to be endorsed in state X. What step do you think I should take first?" The best response would be:
A) "Ask our state board to send you a copy of your NCLEX-PN examination score."
B) "Photocopy your license and current registration."
C) "Write to the board of nursing in state X and ask for instructions."
D) "Request our state board to inactivate your license."
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