Test Bank For OpenStax Medical-Surgical
Nursing
Chapter 1: Professional Medical-Surgical Nursing
1.
A nurse notices a subtle but progressive change in a postoperative patient’s mental status
and reports it immediate
...
Test Bank For OpenStax Medical-Surgical
Nursing
Chapter 1: Professional Medical-Surgical Nursing
1.
A nurse notices a subtle but progressive change in a postoperative patient’s mental status
and reports it immediately to the provider, preventing clinical deterioration. This action best
exemplifies which core professional nursing role?
A. Delegation
B. Patient advocacy
C. Quality improvement
D. Informatics utilization
Correct Answer: B
Explanation: Patient advocacy involves vigilant assessment, early recognition of changes,
and prompt communication to protect patient safety. The nurse’s proactive reporting reflects
accountability and prioritization of patient welfare.
2.
Which nursing action most directly aligns with the QSEN competency of patient-centered
care?
A. Following standardized postoperative orders without deviation
B. Educating the patient using standardized discharge materials
C. Incorporating the patient’s cultural beliefs into the care plan
D. Ensuring documentation meets legal standards
Correct Answer: C
Explanation: Patient-centered care prioritizes individual values, preferences, and beliefs.
Integrating cultural beliefs into care planning ensures holistic, individualized treatment.
3.
A nurse questions a medication dosage that appears inconsistent with the patient’s renal
function. Which QSEN competency is primarily demonstrated?
A. Informatics
B. Teamwork and collaboration
C. Safety
D. Quality improvement
Test & Solution
Correct Answer: C
Explanation: Safety focuses on minimizing risk of harm. Questioning potentially harmful
orders reflects clinical judgment aimed at preventing medication errors.
4.
Which scenario best illustrates interprofessional collaborative care?
A. The nurse independently modifies the plan of care
B. The nurse delegates tasks to unlicensed assistive personnel
C. The nurse coordinates care with physical therapy, pharmacy, and social work
D. The nurse follows physician orders exactly as written
Correct Answer: C
Explanation: Interprofessional collaboration involves multiple disciplines working
together to achieve optimal patient outcomes, each contributing unique expertise.
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